TEST BANK-PHARMACOLOGY AND THE NURSING PROCESS 10TH EDITION BY LILLEY| RAINFORTH | SNYDER|VERIFIED CHAPTERS (1-58) RATED A+
TEST BANK-PHARMACOLOGY AND THE NURSING PROCESS 10TH EDITION BY LILLEY| RAINFORTH | SNYDER|VERIFIED CHAPTERS (1-58) RATED A+
,PART 1: PHARMACOLOGY BASICS
CHAPTER 01: THE NURSING PROCESS AND DRUG THERAPY
MULTIPLE CHOICE
1. 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.”
CORRECT 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 STATEMENT BEGINNING “ANXIETY RELATED TO ANXIOUS FEELINGS” IS
INCORRECT BECAUSE THE “RELATED TO” SECTION IS SIMPLY A RESTATEMENT OF THE PROBLEM
“ANXIETY,” NOT A SEPARATE FACTOR RELATED TO THE RESPONSE.
MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF CARE
2. 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”
CORRECT ANS>A
,“RIGHT TIME” IS CORRECT BECAUSE THE MEDICATION WAS GIVEN MORE THAN 30 MINUTES AFTER THE
SCHEDULED DOSE WAS DUE. “DOSE” IS INCORRECT BECAUSE THE DOSE IS NOT RELATED TO THE TIME
THE MEDICATION ADMINISTRATION IS SCHEDULED. “ROUTE” IS INCORRECT BECAUSE THE ROUTE IS
NOT AFFECTED. “MEDICATION” IS INCORRECT BECAUSE THE MEDICATION ORDERED WILL NOT CHANGE.
MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: SAFETY AND INFECTION CONTROL
3. 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
CORRECT 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.
MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF CARE
4. 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.
CORRECT 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.
DIF: COGNITIVE LEVEL: APPLYING (APPLICATION)
TOP: NURSING PROCESS: PLANNING
, MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF CARE
5. 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
CORRECT 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.
MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF CARE
6. 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.
CORRECT 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. THE
INTRAVENOUS AND ORAL ROUTES ARE NOT INTERCHANGEABLE. HOLDING THE MEDICATION UNTIL THE
PRESCRIBER RETURNS WOULD MEAN THAT THE PATIENT WOULD NOT RECEIVE A NEEDED MEDICATION.
MSC: NCLEX: SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF CARE
7. WHEN THE NURSE CONSIDERS THE TIMING OF A DRUG DOSE, WHICH FACTOR IS APPROPRIATE
TO CONSIDER WHEN DECIDING WHEN TO GIVE A DRUG?
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