TestBankfor F
Pharmacology
APatient-CenteredNursingProcessApproach
b
10thEdition
v
Authors:LindaMcCuistion,KathleenDiMaggio,MaryBeth
v b
Winton,JenniferYeager
v
Unit1:IntroductiontoPharmacology
Chapter1.TheNursingProcessandPatient-CenteredCare
v v
Chapter2.DrugDevelopmentandEthicalConsiderations
v
Chapter3.PharmacokineticsandPharmacodynamics
v
Chapter4.Pharmacogenetics
v
Chapter5.ComplementaryandAlternativeTherapies
v
Chapter6.PediatricConsiderations
v F
Chapter7.GeriatricConsiderations
v
Chapter8.DrugsinSubstanceUseDisorder
v
Unit2:PharmacotherapyandDrugAdministration
v
Chapter9.SafetyandQualityChapter
v v v
10. DrugAdministrationChapter
11. DrugCalculations
Unit 3:MaintenanceofHomeostasisChapter
F
12. Fluid Volume andElectrolytesChapter F v v
13.VitaminandMineralReplacementChapter
v b b F
14.NutritionalSupport
v F
Unit4:AutonomicNervousSystemDrugsChapter
v v v v v v
15.AdrenergicAgonists and Antagonists
v F F F
Chapter16.CholinergicAgonistsandAntagonists
v
Unit5:CentralandPeripheralNervousSystemDrugs
v b
Chapter17.Stimulants
v
Chapter18.Depressants
Chapter19.AntiseizureDrugs
v
Chapter20.DrugsforParkinsonismandAlzheimer’sDiseaseChapter F v F
21.DrugsforNeuromuscularDisordersandMuscleSpasmsUnit6: Mental
v v v v v
andBehavioralHealthDrugs
v v v v
Chapter22.AntipsychoticsandAnxiolyticsChapter
v F
23.AntidepressantsandMood Stabilizers b
Unit7:PainandInflammationManagementDrugs
v v
Chapter24.Antiinflammatories
v
Chapter25.Analgesics
v
Unit8:AntimicrobialDrugs
Chapter26.Antibacterials
v
Chapter27.Antituberculars,Antifungals,andAntivirals
v
Chapter28.Antimalarials,Anthelmintics,andPeptidesUnit 9: v v
ImmunologicDrugs
v v
Chapter29.HIV-andAIDS-RelatedDrugs
Chapter30.TransplantDrugs
v
Chapter31.Vaccines
v
Unit10:AntineoplasticsandBiologicResponseModifiers
Chapter32.AnticancerDrugs
Chapter33.Targeted TherapiestoTreatCancer b
Chapter34.BiologicResponseModifiersUnit
v v
11:RespiratoryDrugs
v
Chapter 35.Upper Respiratory Disorders v v v
Chapter 36.Lower Respiratory Disorders
v v v v
Unit12:CardiovascularDrugs
v v v v
Chapter37.Cardiac Glycosides,Antianginals,andAntidysrhythmics b
,Chapter38.Diuretics
Chapter39.Antihypertensives
v
Chapter40.Anticoagulants,Antiplatelets,and Thrombolytics b
Chapter41.AntihyperlipidemicsandDrugstoImprovePeripheralBloodFlow v F
Unit13:Gastrointestinal Drugs
v v
Chapter42.GastrointestinalTractDisorders
v
Chapter43.AntiulcerDrugs
Unit14:Eye,Ear,andSkinDrugs
v
Chapter44.EyeandEarDisorders
v v
Chapter45.DermatologicDisorders
v F
Unit15:EndocrineDrugs
v v v v
Chapter46.Pituitary,Thyroid,Parathyroid,and AdrenalDisorders b
Chapter47.Antidiabetics
v
Unit16:RenalandUrologicDrugs
Chapter48.UrinaryDisorders
v
Unit17:ReproductiveandGender-RelatedDrugs
v
Chapter49.PregnancyandPretermLabor
v v v v
Chapter50.Labor,Delivery,and Postpartum
v b
Chapter51.NeonatalandNewborn
v F
Chapter52.ReproductiveHealth
v
Chapter53.Men’sHealth andReproductiveDisordersChapter b v F
54.SexuallyTransmittedInfections
v
Unit18:SexuallyTransmittedInfections
v
Chapter55.AdultandPediatricEmergencyDrugs
Chapter01:TheNursingProcessandPatient-CenteredCare b
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,10thEdition
v
MULTIPLECHOICE
1. Thenursingprocessisafive-stepdecision-makingapproachthatincludesallofthefollowing
steps,EXCEPT:
v
a. Assessment
b. Patientproblem
c. Planning
d. RightDrug
ANS: D v
Thenursingprocessisafive-stepdecision-makingapproachthatincludes:1)assessment,2)
F
patientproblem,3)planning,4)implementation,and5)evaluation.“Rightdrug”isoneofthe“Six
v
Rights”ofmedicationadministration.
v
DIF: Cognitive Level:Understanding (Comprehension) F v F TOP:NursingProcess:Planning
MSC:NCLEX:Management ofCare
v v v v v
2. Thenurseisusingdatacollectedtosetgoalsorexpectedoutcomesandinterventionsthat
v v v v v
addressthepatient’sproblems.Whichstepofthenursingprocessi st henurseapplying?
v F F F v F v
a. Assessment
b. Patientproblem
c. Planning N
d. Evaluation
ANS:C
During the planning phase,thenurseusesthedatacollectedtosetgoalsorexpected outcomes
b v v v v F F F
, andinterventionswhichaddressthepatient’sproblems.Thedatawascollectedduringthe
F F F
“Assessment”and“Patientproblem”steps.During the“Evaluation”phasethenursewoulddetermine
v v v b F
whetherthegoals andobjectives setduringtheplanningphaseweremet.
v F F F F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
v v
MSC:NCLEX:ManagementofCare
v
3. A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodesof v v v
hyperglycemia.Theparentstellthenursethattheycan’tkeeptrackofeverythingthathastobe
v F F v
donetocarefortheirchild.Thenursereviewsmedications,diet,andsymptommanagementwiththe
v F v
parentsanddrawsupadailychecklistforthefamilytouse.Theseactivitiesarecompletedinwhich
v F F F v
stepofthenursingprocess?
v
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:C
Theimplementationphaseisthepartofthenursingprocessinwhichthenurseprovides F v
education,drugadministration,patientcare,andotherinterventionsnecessarytoassistthepatient
v
inaccomplishingestablishedmedicationgoals.
v F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
v v
MSC:NCLEX:ManagementofCare
v
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
v v v v v v v v v v v v v v
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
v v v v v v v v v v v v v
reflectiveofwhichphaseofthenursingprocess?
v
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:A
Assessmentinvolvesgatheringinformationaboutthepatientandthedrug,includinganyprevious v v v
useofthedrug.
v F
DIF: Cognitive Level:Understanding(Comprehension)
b v
TOP: NursingProcess:Assessment
v v MSC:NCLEX:ManagementofCare
5. Whichassessmentiscategorizedasobjectivedata?
a. Alistofherbalsupplementsregularlyused
b. Labvaluesassociatedwiththedrugsthepatientistaking
F
c. Theagesandrelationshiptothepatientofallhouseholdmembers
d. Usualdietarypatterns and fNood intake v F
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The
otherexamplesaresubjectivedata.
v
DIF: CognitiveLevel:Understanding(Comprehension) v
TOP: NursingProcess:Assessment
v v MSC:NCLEX:ManagementofCare
6. Thenursereviewsapatient’sdatabase andlearnsthatthepatient livesalone,isforgetful,and F v v v v F
, doesnothaveanestablishedroutine.Thepatientwillbesenthomewiththreenewmedicationsto
F F F F
betakenatdifferent timesoftheday.Thenursedevelopsadailymedicationchartandenlistsa
v F v v
familymembertoputthepatient’spillsin apillorganizer.Thisi sanexampleofwhichphaseofthe
v F F v v
nursingprocess?
v F
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:C
Theimplementationphaseinvolveseducationandpatientcareinordertoassistthepatientto
accomplishthegoalsoftreatment.
v
DIF: CognitiveLevel:Applying(Application)
TOP:NursingProcess:NursingIntervention
v v
MSC:NCLEX:ManagementofCare
7. Apatientwhoishospitalizedforchronicobstructivepulmonarydisease(COPD)wantstogo F v
home.Thenurseandthepatientdiscussthepatient’ssituationanddecidethatthepatientmaygo
v v v v
homewhenabletoperformself-carewithoutdyspneaandhypoxia.Thisi s anexample ofwhich
v F F v F F F
phaseofthenursing process?
v F
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:D
Planninginvolvesgoalsetting,which,forthispatient,meansbeingabletoperformself-careactivities
withoutdyspneaandhypoxia.
v F
DIF: Cognitive Level:Understanding (Comprehension) F v F TOP:NursingProcess:Planning
MSC:NCLEX:Management ofCare
v v v v v
8. Apatientwillbesenthomewithametered-doseinhaler,andthenurseis providingteaching. v v b
Whichisacorrectlywrittengoalforthisprocess?
v F F
a. Thenursewilldemonstrate thecorrectuseofametered-doseinhalertothe patient. F b
b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose v v b
inhaler. v
c. Thepatient willknowhowtoself-administerthemedicationusingthe
b
metered-doseinhaler.
v
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhalerattheendofthesession.
N
v F
ANS:D
Goalsmustbepatient-centeredandclearlystatetheoutcomewithareasonabledeadlineand
v v v b
shouldidentifycomponentsforevaluation.
v
DIF: Cognitive Level:Applying(Application) F v TOP:NursingProcess:Planning
MSC:NCLEX:Management ofCare
v v v v v
9. Thenurseisdevelopingaplanofcareforapatientwhohaschroniclungdiseaseandhypoxia. The
v v v v
patienthasbeenadmittedforincreasedoxygenneedsaboveabaselineof2L/min.Thenurse
v F F
developsagoalstating,“Thepatientwillhaveoxygensaturationsof>95%onroomairatthet imeof
v F F F F F v v
dischargefromthehospital.”Whatiswrongwiththisgoal?
v v
a. Itcannotbeevaluated.
F
b. Itisnotmeasurable.
