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NURS 6200 Exam 1 Questions with Correct Answers
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NURS 6200 Exam 1 Questions with Correct Answers
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NURS 6200 Exam 1 Questions with Correct AnswersWhat is the role of nurses in administering medications? Correct Answer
✓✓ RNs' retain a specific scope of practice that does not include
prescribing medications. Physicians retain this authority. However,
nurses act as defenses against errors. Within a hospital, a patient is
constantly changing. A medication order a provider previously wrote
during a specific point in the disease may now not be safe to administer.
Our job is to assess whether a medication is safe and then whether the
medication is working.
Explain the acronym ADPIE for the nursing process. Correct Answer
✓✓ Assess
Diagnose
Plan
Implement
Evaluate
With which step does the nursing process begin? Correct Answer ✓✓
Assessment
In performing an assessment concerning medication administration,
what factors must the nurse consider? Correct Answer ✓✓ The
medications, both prescription and OTC, the patient takes
Allergies
Patient's understanding of side and adverse effects
Patient's understanding of treatment plan
,Financial barriers and cost of drug
Diet, ETOH, supplements, and recreational drug use
T/F: In assessing a patient prior to medication administration, the nurse
must ask numerous questions to ascertain a patient's personal view.
Correct Answer ✓✓ Trie
Describe risk-benefit analysis with medication administration. Correct
Answer ✓✓ Providers will use risk-benefit analysis to determine
whether to prescribe a specific medication. For example, a patient may
state he retains a penicillin education, but this medication would be
effective with a present infection. Initially the drug would not be
administered due to the patient's allergy. However, the patient describes
his reaction as a stomach ache and diarrhea. The nurse is able to discern
that these symptoms are side effects to be documented. The doctor can
now discern whether to actually give the medication, but knows the
patient will require medication.
T/F: Concerning medication use, a nurse must ascertain what substances
her patient is allergic to and their resulting reactions. Correct Answer
✓✓ True
T/F: Patients often only inform providers of prescribed medication.
Correct Answer ✓✓ True; Thus, the nurse must preface with all
medications, as they must know which OTC drugs are taken. The nurse
may ask the patient about additional drugs they take, while providing
examples. The patient may not consider additional medications.
,Why is it important that a nurse ensure a patient's understanding of a
treatment plan? Correct Answer ✓✓ By understanding a patient's
perspective, the nurse will know whether the patient is compliant. For
example, Coumadin, a blood thinner, is extremely dangerous if not taken
routinely each day.
What suggestion should a nurse pose if a medication is too expensive
Correct Answer ✓✓ If a. patient cannot afford a drug, then they will not
remain compliant. The care team must look for cheaper solutions.
What objective data constitutes a nurse's assessment prior to medication
administration? Correct Answer ✓✓ Head-to-Toe
Diagnostic results
Provider reports to see what is done in the past
Drug reconciliation
T/F: Lab values are important for seeing results of giving medication.
Correct Answer ✓✓ True
Define drug reconciliation. Correct Answer ✓✓ Nurse determines
which medications the patient takes, and which are actually prescribed.
The nurse can them inform the provider, who determines whether to
continue, hold or adjust each medication. This process must continue at
home by educating the patient on how these medications are to be given,
stopped and adjusted.
, Describe the differences in medical and nursing diagnoses. Correct
Answer ✓✓ Concerning medications, diagnosis falls more within the
scope of the medical field. The provider realm uses ICD-10 for
diagnosis nomenclature, while nurses employ NANDA. A medical
diagnosis will be provided with a nursing diagnosis applied to the care
of the patient.
What factors must a nurse consider in posing a diagnose with medication
administration? Correct Answer ✓✓ What is the problem?
Etiology/pathophysiology
Individual Patient variables
T/F: The etiology or pathophysiology of a patient's condition helps us
decide which medication to prescribe. Correct Answer ✓✓ True; If a
patient experiences pain due to inflammation, the nurse will administer
anti-inflammatory Ibuprofen as opposed to morphine which will cover
the cause. The nurse must consider what is the cause and what is the
process.
T/F: Patients with the same disease concept should not receive blanket
care, but instead receive individualized care. Correct Answer ✓✓ True;
Individual patient variables separates the individual patient illness from
the disease concept. For example, hypertension will retain different
causes among individuals. These persons have different levels of control
and lifestyle issues.
Explain how Diabetic A1C considerations may be an example of
performing individualized care. Correct Answer ✓✓ 2 diabetic patients
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