Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
To keep the quality at the level you've requested, I'll begin Part
1 with the first two fully developed questions.
Pharmacology Basics
Chapter 1: The Nursing Process and Drug Therapy
Topic: The Nursing Process and Safe Medication Administration
Difficulty: Mixed
Question 1
Item Type
MCQ
Clinical Scenario
A nurse is preparing to administer the first dose of an oral
antihypertensive medication to a 67-year-old patient admitted
with newly diagnosed hypertension. During the pre-
administration assessment, the patient states, "I've always had
low blood pressure. Are you sure this medication is for me?"
,The nurse reviews the electronic health record before
proceeding.
Question Stem
Which nursing action best reflects the Assessment phase of the
nursing process before administering the medication?
Answer Options
A. Explain the expected therapeutic effects of the medication.
B. Verify the medication order, patient's identity, allergies,
current blood pressure, medication history, and indication for
therapy.
C. Administer the medication and reassess blood pressure in 30
minutes.
D. Document the medication administration after the patient
swallows the tablet.
Correct Answer
B. Verify the medication order, patient's identity, allergies,
current blood pressure, medication history, and indication for
therapy.
Comprehensive Rationale
, The Assessment phase is the foundation of safe medication
administration. Before giving any medication, the nurse gathers
objective and subjective information to determine whether
administration is appropriate.
A complete medication assessment includes:
• Verification of patient identity using approved identifiers
• Confirmation of the medication order
• Review of allergies and previous adverse drug reactions
• Assessment of current vital signs relevant to the
medication (e.g., blood pressure before antihypertensives)
• Review of laboratory results when indicated
• Evaluation of current medications for potential interactions
• Assessment of the patient's understanding and concerns
• Confirmation of the clinical indication for the medication
In this scenario, the patient's statement ("I've always had low
blood pressure") is an important subjective cue requiring
further assessment before medication administration. The
nurse should verify the order and assess the patient's current
blood pressure and medication history before proceeding.
Pharmacologic Principles
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
To keep the quality at the level you've requested, I'll begin Part
1 with the first two fully developed questions.
Pharmacology Basics
Chapter 1: The Nursing Process and Drug Therapy
Topic: The Nursing Process and Safe Medication Administration
Difficulty: Mixed
Question 1
Item Type
MCQ
Clinical Scenario
A nurse is preparing to administer the first dose of an oral
antihypertensive medication to a 67-year-old patient admitted
with newly diagnosed hypertension. During the pre-
administration assessment, the patient states, "I've always had
low blood pressure. Are you sure this medication is for me?"
,The nurse reviews the electronic health record before
proceeding.
Question Stem
Which nursing action best reflects the Assessment phase of the
nursing process before administering the medication?
Answer Options
A. Explain the expected therapeutic effects of the medication.
B. Verify the medication order, patient's identity, allergies,
current blood pressure, medication history, and indication for
therapy.
C. Administer the medication and reassess blood pressure in 30
minutes.
D. Document the medication administration after the patient
swallows the tablet.
Correct Answer
B. Verify the medication order, patient's identity, allergies,
current blood pressure, medication history, and indication for
therapy.
Comprehensive Rationale
, The Assessment phase is the foundation of safe medication
administration. Before giving any medication, the nurse gathers
objective and subjective information to determine whether
administration is appropriate.
A complete medication assessment includes:
• Verification of patient identity using approved identifiers
• Confirmation of the medication order
• Review of allergies and previous adverse drug reactions
• Assessment of current vital signs relevant to the
medication (e.g., blood pressure before antihypertensives)
• Review of laboratory results when indicated
• Evaluation of current medications for potential interactions
• Assessment of the patient's understanding and concerns
• Confirmation of the clinical indication for the medication
In this scenario, the patient's statement ("I've always had low
blood pressure") is an important subjective cue requiring
further assessment before medication administration. The
nurse should verify the order and assess the patient's current
blood pressure and medication history before proceeding.
Pharmacologic Principles
