,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
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Objective: Ch 01: The Nursing Process and Drug Therapy
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1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The nurse is writing a nursing diagnosis for a plan of care for a patient who has been n
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ewlydiagnosed with type 2 diabetes. Which statement reflects the correct format for a n
i
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ursing diagnosis? 8ii
A. Anxiety
B. Anxiety related to new drug therapy 8ii 8ii 8ii 8ii 8ii
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such
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as“I’m upset about having to test my blood sugars.”
i i
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* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset ab
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outhaving to test my blood sugars.”
i
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Correct Answer: D Explanation/R
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ationale:
ANS: D 8 i i
Formulation of nursing diagnoses is usually a three- 8ii 8ii 8ii 8ii 8ii 8ii 8ii
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of definin
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g characteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” port
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ion of defining characteristics. The statementbeginning “Anxiety related to anxious feelings” i
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s incorrect because the “related to” section is simply a restatement of the problem “anxiety,”
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not a separate factor related to the response.
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Upper 27% of Group: 0.00 8ii Upper 27% of Group:8ii 0.00 8ii 8ii 8ii 8ii
Lower 27% of Group: 0.00 8ii Lower 27% of Group:8ii 0.00 8ii 8ii 8ii 8ii
Point Biserial: 8ii 0.00 Point Biserial: 0.00 8ii
Response Frequencies (%) 8ii 8ii
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andg
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8
ave the medication 2 hours after the scheduled dose was due. What type of problem does this r
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epresent?
* A. “Right time” problem
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B. “Right dose” problem 8ii 8ii
C. “Right route” problem 8ii 8ii
D. “Right medication” problem 8ii 8ii
Correct Answer: A Explanation/R
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ationale:
ANS: A 8 i i
“Right time” is correct because the medication was given more than 30 minutes after the sch
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eduled dose was due. “Dose” is incorrect because the dose is not related to the time the medi
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cation administration is scheduled. “Route” is incorrect because the route is not affected.“Medi
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8
cation” is incorrect because the medication ordered will not change.
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Upper 27% of Group: 0.00
8ii Upper 27% of Group:
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Lower 27% of Group: 0.00
8ii Lower 27% of Group:
8ii 8ii 0.00 8ii 8ii 8ii
Point Biserial: 8ii 0.00 Point Biserial: 0.00 8ii
Response Frequencies (%) 8ii 8ii
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The nurse has been monitoring the patient’s progress on a new drug regimen since the first dos
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e and documenting the patient’s therapeutic response to the medication. Which phase of the nurs
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ingprocess do these actions illustrate?
i
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A. Nursing diagnosis 8ii
B. Planning
C. Implementation
* D. Evaluation
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Correct Answer: D Explanation/R
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ationale:
ANS: D 8 i i
Monitoring the patient’s progress, including the patient’s response to the medication, is part o
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f the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by
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Upper 27% of Group: 0.00 8ii Upper 27% of Group:
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Lower 27% of Group: 0.00 8ii Lower 27% of Group:
8ii 0.00
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Point Biserial: 8ii 0.00 Point Biserial: 0.00 8ii
Response Frequencies (%) 8ii 8ii
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
8ii 8ii Type: MC 8ii Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
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