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TEST BANK For Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by McCuistion ISBN: 9780323793155, All 55 Chapters Covered, Verified Latest Edition $17.99
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TEST BANK For Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by McCuistion ISBN: 9780323793155, All 55 Chapters Covered, Verified Latest Edition
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TEST BANK For Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by McCuistion ISBN: 9780323793155, All 55 Chapters Covered, Verified Latest Edition

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  • October 13, 2024
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TEST
Chapter 01: The BANK
r
FORProcess
Nursing PHARMACOLOGY 11TH EDITIONCare
and Patient-Centered
r
BY MCCUISTION r
r
r
r
r
r r
r r
r
r r



McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th
r r r r r r r


Edition
r




MULTIPLE CHOICE r




1. The nursing process is a five-step decision-making approach that includes all of the following
r r r r r r r r r r r r r


steps, EXCEPT:
r r


a. Assessment
b. Patient problem r


c. Planning
d. Right Drug r




ANS: D r


The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
r r r r r r r r r r r r


patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the
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“Six Rights” of medication administration.
r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r TOP: Nursing Process: Planning r r r


MSC: NCLEX: Management of Care
r r r r r




2. The nurse is using data collected to set goals or expected outcomes and interventions that
r r r r r r r r r r r r r r


address the patient’s problems. Which step of the nursing process is the nurse applying?
r r r r r r r r r r r r r r


a. Assessment
b. Patient problem r


c. Planning
N
d. Evaluation
ANS: C r


During the planning phase, the nurse uses the data collected to set goals or expected outcomes
r r r r r r r r r r r r r r r


and interventions which address the patient’s problems. The data was collected during the
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“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
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determine whether the goals and objectives set during the planning phase were met.
r r r r r r r r r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r


TOP: Nursing Process: Nursing Intervention
r r r r r


MSC: NCLEX: Management of Care r r r r




3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodeso f
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hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be
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done to care for their child. The nurse reviews medications, diet, and symptom management
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with the parents and draws up a daily checklist for the family to use. These activities are
r r r r r r r r r r r r r r r r r


completed in which step of the nursing process?
r r r r r r r r


a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C r

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
r r r r r r r




The implementation phase is the part of the nursing process in which the nurse provides
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education, drug administration, patient care, and other interventions necessary to assist the
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patient in accomplishing established medication goals.
r r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r


TOP: Nursing Process: Nursing Intervention
r r r r r


MSC: NCLEX: Management of Care
r r r r




4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
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allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
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reflective of which phase of the nursing process?
r r r r r r r r


a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A r


Assessment involves gathering information about the patient and the drug, including any
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previous use of the drug.
r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r


TOP: Nursing Process: Assessment
r MSC: NCLEX: Management of Care r r r r r r




5. Which assessment is categorized as objective data?
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a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
r r r r r r r r r

c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNood intake r r r r r




ANS: B r


Objective data are measured and detected by another person and would include lab values.
r r r r r r r r r r r r r


The other examples are subjective data.
r r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r


TOP: Nursing Process: Assessment
r MSC: NCLEX: Management of Care r r r r r r




6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
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does not have an established routine. The patient will be sent home with three new medications
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to be taken at different times of the day. The nurse develops a daily medication chart and
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enlists a family member to put the patient’s pills in a pill organizer. This is an example of
r r r r r r r r r r r r r r r r r r


which phase of the nursing process?
r r r r r r


a. Assessment
b. Evaluation
c. Implementation
d. Planning

ANS: C r


The implementation phase involves education and patient care in order to assist the patient to
r r r r r r r r r r r r r r


accomplish the goals of treatment.
r r r r r




DIF: Cognitive Level: Applying (Application) r r r


TOP: Nursing Process: Nursing Intervention
r r r r r

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
r r r r r r r




MSC: NCLEX: Management of Care r r r r




7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home. The nurse and the patient discuss the patient’s situation and decide that the patient may
r r r r r r r r r r r r r r r r


go home when able to perform self-care without dyspnea and hypoxia. This is an example of
r r r r r r r r r r r r r r r r


which phase of the nursing process?
r r r r r r


a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D r


Planning involves goal setting, which, for this patient, means being able to perform self-care
r r r r r r r r r r r r r


activities without dyspnea and hypoxia.
r r r r r




DIF: Cognitive Level: Understanding (Comprehension) r r r TOP: Nursing Process: Planning r r r


MSC: NCLEX: Management of Care
r r r r r




8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
r r r r r r r r r r r r r r r


Which is a correctly written goal for this process?
r r r r r r r r r


a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
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b. The nurse will teach the patient how to administer medication with a metered-dose
r r r r r r r r r r r r


inhaler. r


c. The patient will know how to self-administer the medication using the
r r r r r r r r r r


metered-dose inhaler.
r r


d. The patient will independently administer the medication using the metered-dose
r r r r r r r r r


inhaler at the end of the session.
r r r r r r r

N
ANS: D r


Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
r r r r r r r r r r r r r


should identify components for evaluation.
r r r r r




DIF: Cognitive Level: Applying (Application) r r r TOP: Nursing Process: Planning r r r


MSC: NCLEX: Management of Care
r r r r r




9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
r r r r r r r r r r r r r r r r r


The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
r r r r r r r r r r r r r r r r


nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air at
r r r r r r r r r r r r r r r r r


the time of discharge from the hospital.” What is wrong with this goal?
r r r r r r r r r r r r r


a. It cannot be evaluated.
r r r


b. It is not measurable.r r r


c. It is not patient-centered.
r r r


d. It is not realistic. r r r




ANS: D r


This goal is not realistic because the patient is not usually on room air and should not be
r r r r r r r r r r r r r r r r r


expected to attain that goal by discharge from this hospitalization.
r r r r r r r r r r




DIF: Cognitive Level: Applying (Application) r r r TOP: Nursing Process: Planning r r r


MSC: NCLEX: Management of Care
r r r r r

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION r r r r r r r




10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
r r r r r r r r r r r r r r r


antihypertensive drug that causes dizziness and orthostatic hypotension. Which patient
r r r r r r r r r r


problem documented by the nurse is appropriate for this patient?
r r r r r r r r r r


a. Deficient knowledge related to drug side effects r r r r r r


b. Ineffective health maintenance related to age r r r r r


c. Readiness for enhanced knowledge related to medication side effects r r r r r r r r


d. Risk for injury related to side effects of the medication
r r r r r r r r r




ANS: D r


This patient has an increased risk for injury because of drug side effects, so this is an
r r r r r r r r r r r r r r r r


appropriate patient problem to direct the type of care and follow-up the patient will receive.
r r r r r r r r r r r r r r r




DIF: Cognitive Level: Applying (Application) r r r


TOP: Nursing Process: Nursing Diagnosis
r r r r r


MSC: NCLEX: Management of Care
r r r r r




11. An older patient must learn to administer a medication using a device that requires manual
r r r r r r r r r r r r r r


dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing
r r r r r r r r r r r r


this task. Which action will the nurse perform next?
r r r r r r r r r


a. Ask the patient to keep trying until the skill is learned.
r r r r r r r r r r


b. Provide written instructions with illustrations showing each step of the skill.
r r r r r r r r r r


c. Schedule multiple sessions and practice each step separately. r r r r r r r


d. Teach the procedure to family members who can administer the medication for the
r r r r r r r r r r r r


patient.r




ANS: C r


Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case,
r r r r r r r r r r r r r r


breaking the steps down into inNdividual parts will help with this patient’s frustration level.
r r r r r r r r r r r r r r




DIF: Cognitive Level: Applying (Application) r r r TOP: Nursing Process: Planning r r r


MSC: NCLEX: Management of Care
r r r r r




12. A school-age child will begin taking a medication to be administered at 5 mL three times
r r r r r r r r r r r r r r r


daily. The child’s parent tells the nurse that, with a previous use of the drug, the child
r r r r r r r r r r r r r r r r r


repeatedly forgot to bring the medication home from school, resulting in missed evening
r r r r r r r r r r r r r


doses. What will the nurse recommend?
r r r r r r


a. Asking the provider if the medication may be taken before school, after school,
r r r r r r r r r r r r


and at bedtime
r r r


b. Putting a note on the child’s locker to encourage the child to take responsibility for
r r r r r r r r r r r r r r


medication administration
r r


c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be
r r r r r r r r r r r r r r r r


taken in the evening so that the correct amount is given daily
r r r r r r r r r r r r


d. Taking the noon dose to school every day and giving it to the school nurse to
r r r r r r r r r r r r r r r


administer
r




ANS: C r


For busy families with school-age children, it may be necessary to adjust the medication
r r r r r r r r r r r r r


schedule to one that fits their schedule. The nurse should ask the provider if a revised scheduleis
r r r r r r r r r r r r r r r r r r


possible. In this case, the most effective revised schedule would involve not taking the
r r r r r r r r r r r r r r


medication while at school. Putting a note on the locker is not likely to be effective. It is not
r r r r r r r r r r r r r r r r r r r


correct to adjust the dose.
r r r r r

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