NURSING PROCESS, 10TH - 2023 ALL
CHAPTERS
The nurse is writing a nursing diagnosis for a plan of care for a
patient who has been newly diagnosed with type 2 diabetes.
Which statement reflects the correct format for a nursing
diagnosis? - CORRECT ANSWER >>Anxiety related to a new
drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars."
The patient is to receive oral guaifenesin (Mucinex) twice a day.
Today, the nurse was busy and gave the medication 2 hours after
the scheduled dose was due. What type of problem does this
represent? - CORRECT ANSWER >>Right Time
The nurse has been monitoring the patient's progress on a new
drug regimen since the first dose and documenting the patient's
therapeutic response to the medication. Which phase of the
nursing process do the actions illustrate? - CORRECT ANSWER
>>Evaluation
,The nurse is assigned to a patient who is newly diagnosed with
type 1 diabetes mellitus. Which statement BEST illustrates an
outcome criterion for this patient? - CORRECT ANSWER >>The
patient will demonstrate correct blood glucose testing technique.
Which activity BEST reflects the implementation phase of the
nursing process for the patient who is newly diagnosed with
hypertension? - CORRECT ANSWER >>Providing education on
keeping a journal of blood pressure readings
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30
minutes before beginning chemotherapy to prevent nausea." The
nurse notes that the route is missing from the order. What
is the nurse's best action? - CORRECT ANSWER >>Contact the
prescriber to clarify the route of the medication ordered.
When the nurse considers the timing of a drug dose, which factor
is appropriate to consider when
deciding when to give a drug? - CORRECT ANSWER >>The
patient's last meal
The nurse is performing an assessment of a newly admitted
patient. Which is an example of
,subjective data? - CORRECT ANSWER >>The patient reports
that he uses the herbal product ginkgo.
When giving medications, the nurse will follow the rights of
medication administration. The
rights include the right documentation, the right reason, the right
response, and the patient's right
to refuse. Which of these are additional rights? (Select all that
apply.) - CORRECT ANSWER >>Right drug
Right route
Right dose
Right time
Right patient
Place the phases of the nursing process in the correct order, with
1 as the first phase and 5 as the
last phase. (Select all that apply.) - CORRECT ANSWER
>>Planning
Evaluation
Assessment
Implementation
Nursing Diagnoses
, The patient is receiving two different drugs. At current dosages
and dosage forms, both drugs are
absorbed into the circulation in identical amounts. Which term is
used to identify this principle? - CORRECT ANSWER
>>Bioequivalent
When given an intravenous medication, the patient says to the
nurse, "I usually take pills. Why
does this medication have to be given in the arm?" What is the
nurse's best answer? - CORRECT ANSWER >>"The action of the
medication will begin sooner when given intravenously."
The nurse is administering parenteral drugs. Which statement is
true regarding parenteral drugs? - CORRECT ANSWER >>a.
Parenteral drugs bypass the first-pass effect.
When monitoring the patient receiving an intravenous infusion to
reduce blood pressure, the
nurse notes that the patient's blood pressure is extremely low,
and the patient is lethargic and
difficult to awaken. This would be classified as which type of
adverse drug reaction? - CORRECT ANSWER >>Pharmacologic
reaction