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 Question (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes an intravenous antibiotic.
Before administering the first dose, the nurse reviews the
patient's electronic health record and discovers documentation
of a previous immediate hypersensitivity reaction to the same
antibiotic class. The patient confirms experiencing facial
swelling and difficulty breathing after taking the medication
several years ago.
Question Stem
Which nursing action best demonstrates appropriate
application of the Assessment phase of the nursing process
before medication administration?
Answer Options
,A. Administer the medication and monitor closely for adverse
effects.
B. Contact the prescriber to clarify the prescription before
administering the medication.
C. Document that the patient refuses the medication.
D. Administer an antihistamine before giving the prescribed
antibiotic.
Correct Answer
B. Contact the prescriber to clarify the prescription before
administering the medication.
Comprehensive Rationale
Why the Correct Answer Is Correct
Assessment is the first step of the nursing process and includes
collecting, validating, and interpreting patient information
before administering medications. Reviewing allergy history is
an essential medication safety assessment.
The patient's history strongly suggests an IgE-mediated allergic
reaction. Administering a medication from the same class may
precipitate another severe hypersensitivity reaction, including
anaphylaxis. The nurse should recognize this safety concern,
, withhold administration, notify the prescriber, and collaborate
to obtain an alternative therapy.
This action demonstrates:
• Recognition of clinically significant assessment findings
• Prevention of medication errors
• Patient advocacy
• Safe medication administration
• Clinical judgment based on assessment data
Distractor Analysis
Option A
Why Incorrect
The nurse should never knowingly administer a medication
when assessment findings indicate a serious contraindication.
Common Misconception
Monitoring alone can prevent an allergic reaction.
Medication Safety Risk
May result in life-threatening anaphylaxis.
Appropriate Nursing Action
Hold the medication and notify the provider.
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1
Item Type
Multiple-Choice Question (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes an intravenous antibiotic.
Before administering the first dose, the nurse reviews the
patient's electronic health record and discovers documentation
of a previous immediate hypersensitivity reaction to the same
antibiotic class. The patient confirms experiencing facial
swelling and difficulty breathing after taking the medication
several years ago.
Question Stem
Which nursing action best demonstrates appropriate
application of the Assessment phase of the nursing process
before medication administration?
Answer Options
,A. Administer the medication and monitor closely for adverse
effects.
B. Contact the prescriber to clarify the prescription before
administering the medication.
C. Document that the patient refuses the medication.
D. Administer an antihistamine before giving the prescribed
antibiotic.
Correct Answer
B. Contact the prescriber to clarify the prescription before
administering the medication.
Comprehensive Rationale
Why the Correct Answer Is Correct
Assessment is the first step of the nursing process and includes
collecting, validating, and interpreting patient information
before administering medications. Reviewing allergy history is
an essential medication safety assessment.
The patient's history strongly suggests an IgE-mediated allergic
reaction. Administering a medication from the same class may
precipitate another severe hypersensitivity reaction, including
anaphylaxis. The nurse should recognize this safety concern,
, withhold administration, notify the prescriber, and collaborate
to obtain an alternative therapy.
This action demonstrates:
• Recognition of clinically significant assessment findings
• Prevention of medication errors
• Patient advocacy
• Safe medication administration
• Clinical judgment based on assessment data
Distractor Analysis
Option A
Why Incorrect
The nurse should never knowingly administer a medication
when assessment findings indicate a serious contraindication.
Common Misconception
Monitoring alone can prevent an allergic reaction.
Medication Safety Risk
May result in life-threatening anaphylaxis.
Appropriate Nursing Action
Hold the medication and notify the provider.
