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 medical-surgical nurse is preparing to administer the first
dose of an oral antihypertensive medication to a 72-year-old
patient admitted with newly diagnosed hypertension. During
the assessment, the nurse notes that the patient reports
dizziness when standing, has a blood pressure of 98/62 mmHg,
and states, "I already took one of my blood pressure pills from
home this morning."
Question Stem
Which nursing action is the priority before administering the
prescribed medication?
Answer Options
,A. Administer the medication because it has already been
prescribed.
B. Hold the medication and notify the healthcare provider after
reassessing the patient and verifying the home medication
history.
C. Encourage the patient to increase oral fluid intake before
taking the medication.
D. Document the patient's statement and administer the
medication one hour later.
Correct Answer
B. Hold the medication and notify the healthcare provider
after reassessing the patient and verifying the home
medication history.
Comprehensive Rationale
Why Option B is Correct
The nursing process begins with assessment, which includes
collecting subjective and objective data before medication
administration. The patient's:
• Low blood pressure
, • Symptomatic dizziness
• Recent self-administration of a home antihypertensive
are significant assessment findings suggesting a potential risk of
therapeutic duplication and medication-induced hypotension.
Administering another dose without clarification could increase
the risk of:
• Syncope
• Falls
• Cerebral hypoperfusion
• Acute kidney injury
• Medication error
The nurse should:
• Reassess vital signs
• Verify medication reconciliation
• Review the timing and dose of home medications
• Notify the prescribing provider
• Document findings accurately
This reflects safe implementation of the nursing process and
adherence to medication safety principles.
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 medical-surgical nurse is preparing to administer the first
dose of an oral antihypertensive medication to a 72-year-old
patient admitted with newly diagnosed hypertension. During
the assessment, the nurse notes that the patient reports
dizziness when standing, has a blood pressure of 98/62 mmHg,
and states, "I already took one of my blood pressure pills from
home this morning."
Question Stem
Which nursing action is the priority before administering the
prescribed medication?
Answer Options
,A. Administer the medication because it has already been
prescribed.
B. Hold the medication and notify the healthcare provider after
reassessing the patient and verifying the home medication
history.
C. Encourage the patient to increase oral fluid intake before
taking the medication.
D. Document the patient's statement and administer the
medication one hour later.
Correct Answer
B. Hold the medication and notify the healthcare provider
after reassessing the patient and verifying the home
medication history.
Comprehensive Rationale
Why Option B is Correct
The nursing process begins with assessment, which includes
collecting subjective and objective data before medication
administration. The patient's:
• Low blood pressure
, • Symptomatic dizziness
• Recent self-administration of a home antihypertensive
are significant assessment findings suggesting a potential risk of
therapeutic duplication and medication-induced hypotension.
Administering another dose without clarification could increase
the risk of:
• Syncope
• Falls
• Cerebral hypoperfusion
• Acute kidney injury
• Medication error
The nurse should:
• Reassess vital signs
• Verify medication reconciliation
• Review the timing and dose of home medications
• Notify the prescribing provider
• Document findings accurately
This reflects safe implementation of the nursing process and
adherence to medication safety principles.
