Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
,Question 1
Item Type
Multiple Choice (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes an intravenous antibiotic
every 12 hours. Before administering the first dose, the nurse
reviews the patient's electronic health record and notes a
documented history of anaphylaxis after receiving a medication
from the same drug class several years ago. The patient states,
"I forgot to mention that allergy when I came in."
Question Stem
Which nursing action demonstrates the highest priority
application of the nursing process before administering the
medication?
Options
A. Administer the medication slowly while observing closely for
adverse reactions.
,B. Hold the medication, verify the allergy information, and
notify the prescribing provider.
C. Ask another nurse to administer the medication because the
order was prescribed appropriately.
D. Premedicate the patient with an antihistamine before
administering the antibiotic.
Correct Answer
B. Hold the medication, verify the allergy information, and
notify the prescribing provider.
Comprehensive Rationale
Pharmacologic Principles
Drug allergies, particularly previous anaphylaxis, represent a
major contraindication to administering medications within the
same pharmacologic class due to the risk of severe
hypersensitivity reactions.
Mechanism
, Anaphylaxis is an IgE-mediated immune response that can
rapidly produce airway edema, bronchospasm, hypotension,
and cardiovascular collapse.
Pharmacokinetics
Although pharmacokinetics describes drug absorption,
distribution, metabolism, and excretion, safe medication
administration begins before these processes occur. Preventing
exposure to a contraindicated drug is essential.
Pharmacodynamics
Pharmacodynamic effects become irrelevant if administration
itself places the patient at unacceptable risk.
Therapeutic Considerations
The intended therapeutic effect of treating infection does not
outweigh the immediate danger posed by administering a
potentially life-threatening allergen.
Nursing Assessment
The nurse must:
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
,Question 1
Item Type
Multiple Choice (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes an intravenous antibiotic
every 12 hours. Before administering the first dose, the nurse
reviews the patient's electronic health record and notes a
documented history of anaphylaxis after receiving a medication
from the same drug class several years ago. The patient states,
"I forgot to mention that allergy when I came in."
Question Stem
Which nursing action demonstrates the highest priority
application of the nursing process before administering the
medication?
Options
A. Administer the medication slowly while observing closely for
adverse reactions.
,B. Hold the medication, verify the allergy information, and
notify the prescribing provider.
C. Ask another nurse to administer the medication because the
order was prescribed appropriately.
D. Premedicate the patient with an antihistamine before
administering the antibiotic.
Correct Answer
B. Hold the medication, verify the allergy information, and
notify the prescribing provider.
Comprehensive Rationale
Pharmacologic Principles
Drug allergies, particularly previous anaphylaxis, represent a
major contraindication to administering medications within the
same pharmacologic class due to the risk of severe
hypersensitivity reactions.
Mechanism
, Anaphylaxis is an IgE-mediated immune response that can
rapidly produce airway edema, bronchospasm, hypotension,
and cardiovascular collapse.
Pharmacokinetics
Although pharmacokinetics describes drug absorption,
distribution, metabolism, and excretion, safe medication
administration begins before these processes occur. Preventing
exposure to a contraindicated drug is essential.
Pharmacodynamics
Pharmacodynamic effects become irrelevant if administration
itself places the patient at unacceptable risk.
Therapeutic Considerations
The intended therapeutic effect of treating infection does not
outweigh the immediate danger posed by administering a
potentially life-threatening allergen.
Nursing Assessment
The nurse must:
