Exam (elaborations)
Test Bank for Pharmacology and the Nursing Process, 10th Edition by Lilley, Rainforth and Snyder,,,Alpha
Test Bank for Pharmacology and the Nursing Process, 10th Edition by Lilley, Rainforth and Snyder,,,Alpha
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PRIMEXAM.COM,Chapter 01: The Nursing Process and Drug Therapy
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Lilley: Pharmacology and the Nursing Process, 10th Edition
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MULTIPLE CHOICE qq
1. The nurse is developing a human needs statement for a patient who has a new diagnosis
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of heart failure. Identification of human needs statements occur with which of these
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activities?
a. Collection of patient data qq qq qq
b. Administering interventions qq
c. Deciding on patient outcomes qq qq qq
d. Documenting the patient‘s behavior qq qq qq
ANS: A qq
Identification of human needs occurs with the collection of patient data.
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DIF: Cognitive Level: Understanding qq qq
(Comprehension)TOP: Nursing Process: Human
qq q q q qq qq
Needs Statement
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
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themedication 2 hours after the scheduled dose was due. What type of problem does this
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represent?
a. ―Right time‖ qq
b. ―Right dose‖ qq
c. ―Right route‖ qq
d. ―Right medication‖ qq
ANS: A qq
―Right time‖ is correct because the medication was given more than 30 minutes after the
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scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
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medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
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―Medication‖ is incorrect because the medication ordered will not change.
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DIF: Cognitive Level: Applying qq qq
(Application)TOP: Nursing Process:
qq q q q qq
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the
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first dose and documenting the patient‘s therapeutic response to the medication. Which
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phase ofthe nursing process do these actions illustrate?
qq qq q qq qq qq qq qq qq
a. Human needs statement qq qq
b. Planning
c. Implementation
d. Evaluation
ANS: D qq
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part
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of the evaluation phase. Planning, implementation, and human needs statement are not
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illustratedby this example.
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PRIMEXAM.COM
,DIF: qq qq q q Cognitive Level: Understanding (Comprehension)
qq qq qq TOP: Nursing Process: Evaluation
q q qq qq
PRIMEXAM.COM
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
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qq mellitus.Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient will adhere to the new insulin treatment regimen.
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d. The patient will demonstrate correct blood glucose testing technique.
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ANS: D qq
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable qq qq qq qq qq qq qq qq qq qq
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
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specific criteria. ―Adhering to new regimen‖ would be difficult to measure.
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DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: qq qq qq q q qq
PlanningMSC: NCLEX: Safe and Effective Care Environment: Management of Care
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5. Which activity best reflects the implementation phase of the nursing process for the
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qq patientwho is newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings qq qq qq qq qq qq qq qq qq
b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a drug history regarding over-the-counter medications used at home
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d. Formulating human needs statements regarding deficient knowledge related to qq qq qq qq qq qq qq qq
thenew treatment regimen
qq q qq qq
ANS: A qq
Education is an intervention that occurs during the implementation phase. Setting goals
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and outcomes reflects the planning phase. Recording a drug history reflects the assessment
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phase.Formulating human needs statements reflects analysis of data as part of planning.
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DIF: Cognitive Level: Applying qq qq
(Application)TOP: Nursing Process:
qq q q q qq
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
q q qq qq qq qq qq qq qq qq
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
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chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the
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order.What is the nurse‘s best action?
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a. Give the medication intravenously because the patient might vomit.
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b. Give the medication orally because the tablets are available in 4-mg doses.
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c. Contact the prescriber to clarify the route of the medication ordered.
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d. Hold the medication until the prescriber returns to make rounds.
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ANS: C qq
A complete medication order includes the route of administration. If a medication order
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doesnot include the route, the nurse must ask the prescriber to clarify it. The intravenous
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and oralroutes are not interchangeable. Holding the medication until the prescriber returns
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would mean that the patient would not receive a needed medication.
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DIF: Cognitive Level: Applying qq qq
(Application)TOP: Nursing Process:
qq q q q qq
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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PRIMEXAM.COM
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