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 is preparing to administer the first dose of an
intravenous antibiotic to a hospitalized patient with suspected
bacterial pneumonia. Before administering the medication, the
nurse reviews the patient's allergy history and discovers a
documented history of anaphylaxis to a medication in the same
drug class.
Question
What is the nurse's priority action?
A. Administer the medication slowly while monitoring vital
signs.
B. Hold the medication and notify the prescribing provider.
C. Premedicate the patient with an antihistamine.
D. Ask another nurse to verify the medication order before
administration.
Correct Answer
,B. Hold the medication and notify the prescribing provider.
Brief Rationale
A documented history of anaphylaxis to the same medication
class represents a significant safety concern. The nurse should
withhold the medication and contact the provider to clarify or
obtain an alternative therapy before administration. Preventing
a potentially life-threatening allergic reaction takes priority.
Nursing Process Focus
Assessment—Reviewing allergies before medication
administration is a critical assessment step that helps prevent
adverse drug events.
NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Pharmacological and Parenteral Therapies
, Learning Objective
Apply nursing assessment principles to identify
contraindications before medication administration.
Question 2 (SATA)
Clinical Scenario
A nurse is providing discharge teaching to a patient who is
beginning several new prescription medications for chronic
conditions.
Question
Which nursing actions promote safe medication use? Select all
that apply.
A. Encourage the patient to maintain an updated list of
medications.
B. Teach the patient to stop medications immediately if
symptoms improve.
C. Instruct the patient to report unexpected adverse effects
promptly.
D. Encourage the patient to use one pharmacy whenever
possible.
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nurse is preparing to administer the first dose of an
intravenous antibiotic to a hospitalized patient with suspected
bacterial pneumonia. Before administering the medication, the
nurse reviews the patient's allergy history and discovers a
documented history of anaphylaxis to a medication in the same
drug class.
Question
What is the nurse's priority action?
A. Administer the medication slowly while monitoring vital
signs.
B. Hold the medication and notify the prescribing provider.
C. Premedicate the patient with an antihistamine.
D. Ask another nurse to verify the medication order before
administration.
Correct Answer
,B. Hold the medication and notify the prescribing provider.
Brief Rationale
A documented history of anaphylaxis to the same medication
class represents a significant safety concern. The nurse should
withhold the medication and contact the provider to clarify or
obtain an alternative therapy before administration. Preventing
a potentially life-threatening allergic reaction takes priority.
Nursing Process Focus
Assessment—Reviewing allergies before medication
administration is a critical assessment step that helps prevent
adverse drug events.
NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Pharmacological and Parenteral Therapies
, Learning Objective
Apply nursing assessment principles to identify
contraindications before medication administration.
Question 2 (SATA)
Clinical Scenario
A nurse is providing discharge teaching to a patient who is
beginning several new prescription medications for chronic
conditions.
Question
Which nursing actions promote safe medication use? Select all
that apply.
A. Encourage the patient to maintain an updated list of
medications.
B. Teach the patient to stop medications immediately if
symptoms improve.
C. Instruct the patient to report unexpected adverse effects
promptly.
D. Encourage the patient to use one pharmacy whenever
possible.
