NUR 206 Exam 1 Questions With Well Elaborated Answers.
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Course
NUR 206
Institution
NUR 206
NUR 206 Exam 1 Questions With Well
Elaborated Answers.
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a
nursing diagnosis?
A) Anxiety
B) Anxiety related to new drug...
NUR 206 Exam 1 Questions With Well
Elaborated Answers.
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a
nursing diagnosis?
A) Anxiety
B) Anxiety related to new drug therapy
C) Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
D) Anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - ANS D
Formulation of nursing diagnoses is usually a three-step process. "Anxiety" is
missing the "related to" and "as evidenced by" portions of defining
characteristics. "Anxiety related to new drug therapy" is missing the "as
evidenced by" portion of defining characteristics.
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
busy and gave the medication 2 hours after the scheduled dose was due. What type of
problem does this represent?
A) "Right time"
B) "Right dose"
C) "Right route"
D) "Right medication" - ANS A
"Right time" is correct because the medication was given more than 30 minutes
after the scheduled dose was due.
The nurse has been monitoring the patient's progress on a new drug regimen since the
first dose and documenting the patient's therapeutic response to the medication. Which
phase of the nursing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
,d. Evaluation - ANS D
Monitoring the patient's progress, including the patient's response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique. - ANS D
"Demonstrating correct blood glucose testing technique" is a specific and
measurable outcome criterion. "Following instructions" and "not experiencing
complications" are not specific criteria. "Adhering to new regimen" would be
difficult to measure.
Which activity best reflects the implementation phase of the nursing process for the
patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the new
treatment regimen - ANS A
Education is an intervention that occurs during the implementation phase.
Setting goals and outcomes reflects the planning phase. Recording a drug
history reflects the assessment phase. Formulating nursing diagnoses reflects
analysis of data as part of planning.
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
, d. Hold the medication until the prescriber returns to make rounds. - ANS C
A complete medication order includes the route of administration. If a medication
order does not include the route, the nurse must ask the prescriber to clarify it
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies - ANS C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug
properties that may be affected by the timing of the last meal. The patient's ability
to swallow, height, and allergies are not factors to consider regarding the timing
of the drug's administration.
The nurse is performing an assessment of a newly admitted patient. Which is an
example of subjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
d. The patient's laboratory work includes a complete blood count and urinalysis. - ANS
C
Subjective data include information shared through the spoken word by any
reliable source, such as the patient.
When giving medications, the nurse will follow the rights of medication administration.
The rights include the right documentation, the right reason, the right response, and the
patient's right to refuse. Which of these are additional rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
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