Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Pharmacology and the Nursing Process (10th Edition) –
Inspired Original Exam Revision Bank
Part 1A – Chapter 1: The Nursing Process and Drug Therapy
Topic: The Nursing Process and Drug Therapy
Original NCLEX-RN–style questions developed for educational
review. These questions are newly written and are not
reproduced from any publisher test bank.
Question 1 (MCQ)
Clinical Scenario
A 72-year-old patient with hypertension is admitted for
dizziness. The patient reports taking prescribed medications
inconsistently because they "sometimes make me feel weak."
Before administering the scheduled morning dose of an
,antihypertensive medication, the nurse reviews the patient's
medication history, measures vital signs, assesses orthostatic
blood pressure, and asks about medication adherence.
Question Stem
Which nursing process step is primarily demonstrated by the
nurse's actions before administering the medication?
Answer Options
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer
A. Assessment
Comprehensive Rationale
Assessment is the first step of the nursing process and forms
the foundation for safe medication administration. Before giving
any medication, the nurse gathers objective and subjective data
to determine whether administration is appropriate.
, In this scenario, the nurse:
• Reviews medication history.
• Assesses medication adherence.
• Obtains current blood pressure.
• Measures orthostatic vital signs.
• Investigates symptoms of dizziness.
These findings help determine whether the prescribed
medication should be administered, withheld, or clarified with
the prescriber.
Pharmacologic Principles
Antihypertensive medications lower systemic blood pressure by
various mechanisms, including reducing cardiac output,
decreasing vascular resistance, or promoting diuresis.
Administering these medications without assessing current
hemodynamic status may increase the risk of symptomatic
hypotension, syncope, and falls.
Pharmacokinetics
Although pharmacokinetics does not directly determine the
nursing process step, understanding drug absorption,
metabolism, and elimination helps explain why older adults
may experience prolonged drug effects because of:
• Reduced hepatic metabolism
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Pharmacology and the Nursing Process (10th Edition) –
Inspired Original Exam Revision Bank
Part 1A – Chapter 1: The Nursing Process and Drug Therapy
Topic: The Nursing Process and Drug Therapy
Original NCLEX-RN–style questions developed for educational
review. These questions are newly written and are not
reproduced from any publisher test bank.
Question 1 (MCQ)
Clinical Scenario
A 72-year-old patient with hypertension is admitted for
dizziness. The patient reports taking prescribed medications
inconsistently because they "sometimes make me feel weak."
Before administering the scheduled morning dose of an
,antihypertensive medication, the nurse reviews the patient's
medication history, measures vital signs, assesses orthostatic
blood pressure, and asks about medication adherence.
Question Stem
Which nursing process step is primarily demonstrated by the
nurse's actions before administering the medication?
Answer Options
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer
A. Assessment
Comprehensive Rationale
Assessment is the first step of the nursing process and forms
the foundation for safe medication administration. Before giving
any medication, the nurse gathers objective and subjective data
to determine whether administration is appropriate.
, In this scenario, the nurse:
• Reviews medication history.
• Assesses medication adherence.
• Obtains current blood pressure.
• Measures orthostatic vital signs.
• Investigates symptoms of dizziness.
These findings help determine whether the prescribed
medication should be administered, withheld, or clarified with
the prescriber.
Pharmacologic Principles
Antihypertensive medications lower systemic blood pressure by
various mechanisms, including reducing cardiac output,
decreasing vascular resistance, or promoting diuresis.
Administering these medications without assessing current
hemodynamic status may increase the risk of symptomatic
hypotension, syncope, and falls.
Pharmacokinetics
Although pharmacokinetics does not directly determine the
nursing process step, understanding drug absorption,
metabolism, and elimination helps explain why older adults
may experience prolonged drug effects because of:
• Reduced hepatic metabolism
