Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
,QUESTION 1 — MCQ
Clinical Scenario
A nurse prepares to administer a newly prescribed
antihypertensive medication to a patient admitted with
uncontrolled hypertension.
Question Stem
Which nursing action best reflects the assessment phase of the
nursing process before medication administration?
Options
A. Documenting the medication administration
B. Measuring the patient's blood pressure and pulse
C. Teaching the patient about adverse effects
D. Evaluating the medication's effectiveness
Correct Answer
B. Measuring the patient's blood pressure and pulse
Comprehensive Rationale
Assessment involves collecting objective and subjective data
before administering medications. Antihypertensive drugs may
,lower blood pressure and heart rate, making baseline
measurements essential.
The nurse gathers:
• Vital signs
• Current symptoms
• Medication history
• Allergies
• Laboratory data
This information helps determine whether administration is
safe.
Pharmacologic Principles
• Pharmacodynamics: antihypertensives reduce vascular
resistance or cardiac output.
• Safety principle: obtain baseline parameters before
administration.
Distractor Analysis
A. Documenting administration
• Occurs after implementation.
, • Misconception: documentation is the first nursing
responsibility.
• Risk: administering without assessment.
C. Teaching the patient
• Implementation activity.
• Patient education is important but follows assessment.
D. Evaluating effectiveness
• Evaluation phase.
• Occurs after medication administration.
Nursing Process Integration
Primary Component: Assessment
Other steps:
• Diagnosis: risk for ineffective tissue perfusion.
• Planning: maintain BP within target range.
• Implementation: administer medication safely.
• Evaluation: determine therapeutic response.
NCJMM Competencies
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
,QUESTION 1 — MCQ
Clinical Scenario
A nurse prepares to administer a newly prescribed
antihypertensive medication to a patient admitted with
uncontrolled hypertension.
Question Stem
Which nursing action best reflects the assessment phase of the
nursing process before medication administration?
Options
A. Documenting the medication administration
B. Measuring the patient's blood pressure and pulse
C. Teaching the patient about adverse effects
D. Evaluating the medication's effectiveness
Correct Answer
B. Measuring the patient's blood pressure and pulse
Comprehensive Rationale
Assessment involves collecting objective and subjective data
before administering medications. Antihypertensive drugs may
,lower blood pressure and heart rate, making baseline
measurements essential.
The nurse gathers:
• Vital signs
• Current symptoms
• Medication history
• Allergies
• Laboratory data
This information helps determine whether administration is
safe.
Pharmacologic Principles
• Pharmacodynamics: antihypertensives reduce vascular
resistance or cardiac output.
• Safety principle: obtain baseline parameters before
administration.
Distractor Analysis
A. Documenting administration
• Occurs after implementation.
, • Misconception: documentation is the first nursing
responsibility.
• Risk: administering without assessment.
C. Teaching the patient
• Implementation activity.
• Patient education is important but follows assessment.
D. Evaluating effectiveness
• Evaluation phase.
• Occurs after medication administration.
Nursing Process Integration
Primary Component: Assessment
Other steps:
• Diagnosis: risk for ineffective tissue perfusion.
• Planning: maintain BP within target range.
• Implementation: administer medication safely.
• Evaluation: determine therapeutic response.
NCJMM Competencies
