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McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
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MULTIPLElCHOICE
1. Allloflthelfollowinglwouldlbelconsideredlsubjectiveldata,lEXCEPT:
a. Patient-reportedlhealthlhistory
b. Patient-reportedlsignslandlsymptomslofltheirlillness
c. Financiallbarrierslreportedlbylthelpatient’slcaregiver
d. Vitallsignslobtainedlfromlthelmedicallrecord
ANS:l D
Subjectiveldatalislbasedlonlwhatlpatientslorlfamilylmemberslcommunicateltolthelnurse.lPatient-
lreportedlhealthlhistory,lsignslandlsymptoms,landlcaregiverlreportedlfinanciallbarrierslwouldlbelconsi
deredlsubjectiveldata.lVitallsignslobtainedlfromlthelmedicallrecordlwouldlbelconsideredlobjectiveldat
a.
DIF: CognitivelLevel:lUnderstandingl(Comprehension)
TOP:l NursinglProcess:lPlanninglMSC:l NCLEX:lManagementloflClientlCare
2. Thelnurselislusingldatalcollectedltoldefinelalsetloflinterventionsltolachievelthelmostldesirableloutco
mes.lWhichloflthelfollowinglstepslislthelnurselapplying?
a. Recognizinglcuesl(assessment)
b. Analyzelcuesl&lprioritizelhypothesisl(analysis)
c. Generatelsolutionsl(planning)
d. Takelactionl(nursinglinterventions)
ANS:l C
Whenlgeneratinglsolutionsl(planning),lthelnurselidentifieslexpectedloutcomeslandluseslthelpatient’sl
problem(s)ltoldefinelalsetloflinterventionsltolachievelthelmostldesirableloutcomes.lRecognizinglcuesl
(assessment)linvolveslthelgatheringloflcuesl(information)lfromlthelpatientlaboutltheirlhealthlandllifes
tylelpractices,lwhichlarelimportantlfactslthatlaidlthelnurselinlmakinglclinicallcareldecisions.lPrioritizi
nglhypothesislislusedltolorganizelandlranklthelpatientlproblem(s)lidentified.lFinally,ltakinglactionlinv
olveslimplementationloflnursinglinterventionsltolaccomplishlthelexpectedloutcomes.
DIF:
CognitivelLevel:lUnderstandingl(Comprehension)l
TOP:l NursinglProcess:lNursinglIntervention
MSC:l NCLEX:lManagementloflClientlCare
3. Al5-year-
oldlchildlwithltypel1ldiabeteslmellituslhaslhadlrepeatedlhospitalizationslforlepisodesloflhyperglycemi
a.lThelparentsltelllthelnurselthatltheylcan’tlkeepltracklofleverythinglthatlhasltolbeldoneltolcarelforltheirl
child.lThelnurselreviewslmedications,ldiet,landlsymptomlmanagementlwithlthelparentslandldrawslupl
aldailylchecklistlforlthelfamilyltoluse.lTheselactivitieslarelcompletedlinlwhichlsteploflthelnursinglproc
ess?
a. Recognizinglcuesl(assessment)
b. Analyzelcuesl&lprioritizelhypothesisl(analysis)
, c. Generatelsolutionsl(planning)
d. Takelactionl(nursinglinterventions)
ANS:l D
Takinglactionlthroughlnursinglinterventionslislwherelthelnurselprovideslpatientlhealthlteaching,ldrugla
dministration,lpatientlcare,landlotherlinterventionslnecessaryltolassistlthelpatientlinlaccomplishinglex
pectedloutcomes.
DIF:
CognitivelLevel:lUnderstandingl(Comprehension)l
TOP:l NursinglProcess:lNursinglIntervention
MSC:l NCLEX:lManagementloflClientlCare
4. Thelnurselislpreparingltoladministerlalmedicationlandlreviewslthelpatient’slchartlforldruglaller
gies,lserumlcreatinine,landlbloodlurealnitrogenl(BUN)llevels.lThelnurse’slactionslarelreflectiv
eloflwhichloflthelfollowing?
a. Recognizinglcuesl(assessment)
b. Analyzelcuesl&lprioritizelhypothesisl(analysis)
c. Takelactionl(nursinglinterventions)
d. Generatelsolutionsl(planning)
ANS:l A
Recognizinglcuesl(assessment)linvolveslgatheringlsubjectivelandlobjectivelinformationlaboutlthelpati
entlandlthelmedication.lLaboratorylvalueslfromlthelpatient’slchartlwouldlbelconsideredlcollectionloflo
bjectiveldata.
DIF: CognitivelLevel:lUnderstandingl(Comprehension)
TOP:l NursinglProcess:lAssessment MSC:l NCLEX:lManagementloflClientlCare
5. Whichloflthelfollowinglwouldlbelcorrectlylcategorizedlaslobjectiveldata?
a. Allistloflherballsupplementslregularlylusedlprovidedlbylthelpatient.
b. Lablvalueslassociatedlwithltheldrugslthelpatientlisltaking.
c. Thelageslandlrelationshiploflalllhouseholdlmembersltolthelpatient.
d. Usualldietarylpatternslandlfoodlintake.
ANS:l B
Objectiveldatalarelmeasuredlandldetectedlbylanotherlpersonlandlwouldlincludellablvalues.lThelotherlex
ampleslarelsubjectiveldata.
DIF: CognitivelLevel:lUnderstandingl(Comprehension)
TOP:l NursinglProcess:lAssessment MSC:l NCLEX:lManagementloflClientlCare
6. Thelnurselreviewslalpatient’sldatabaselandllearnslthatlthelpatientlliveslalone,lislforgetful,landldoesln
otlhavelanlestablishedlroutine.lThelpatientlwilllbelsentlhomelwithlthreelnewlmedicationsltolbeltakenl
atldifferentltimesloflthelday.lThelnurseldevelopslaldailylmedicationlchartlandlenlistslalfamilylmembe
rltolputlthelpatient’slpillslinlalpilllorganizer.lThislislanlexampleloflwhichlelementloflthelnursinglproce
ss?
a. Recognizinglcuesl(assessment)
b. Analyzelcuesl&lprioritizelhypothesisl(analysis)
c. Takelactionl(nursinglinterventions)
, d. Generatelsolutionsl(planning)
ANS:l C
Takinglactionl(nursinglinterventions)linvolvesleducationlandlpatientlcarelinlorderltolassistlthelpatientlt
olaccomplishlthelgoalslofltreatment.
DIF:
CognitivelLevel:lApplyingl(Application)l
TOP:lNursinglProcess:lNursinglInterventionlMS
C:l NCLEX:lManagementloflClientlCare
7. Alpatientlwholislhospitalizedlforlchroniclobstructivelpulmonaryldiseasel(COPD)lwantsltolgolhome.l
Thelnurselandlthelpatientldiscusslthelpatient’slsituationlandldecidelthatlthelpatientlmaylgolhomelwhenl
ableltolperformlself-
carelwithoutldyspnealandlhypoxia.lThislislanlexampleloflwhichlphaseloflthelnursinglprocess?
a. Recognizinglcuesl(assessment)
b. Analyzelcuesl&lprioritizelhypothesisl(analysis)
c. Takelactionl(nursinglinterventions)
d. Generatelsolutionsl(planning)
ANS:l D
Generatinglsolutionsl(planning)linvolvesldefininglalsetloflinterventionsltolachievelthelmostldesi
rableloutcomes,lwhich,lforlthislpatient,lmeanslbeinglableltolperformlself-
carelactivitieslwithoutldyspnealandlhypoxia.
DIF:l CognitivelLevel:lUnderstandingl(Comprehension)
TOP:lNursinglProcess:lPlanningl
MSC:l NCLEX:lManagementloflClientlCare
8. Alpatientlwilllbelsentlhomelwithlalmetered-
doselinhaler,landlthelnurselislprovidinglteaching.lWhichlislalcorrectlylwrittenlexpectedloutcomelf
orlthislprocess?
a. Thelnurselwillldemonstratelthelcorrectluseloflalmetered-doselinhalerltolthelpatient.
b. Thelnurselwilllteachlthelpatientlhowltoladministerlmedicationlwithlalmetered-
doselinhaler.
c. Thelpatientlwilllknowlhowltolself-administerlthelmedicationlusinglthelmetered-
ldoselinhaler.
d. Thelpatientlwilllindependentlyladministerlthelmedicationlusinglthelmetered-
doselinhalerlatlthelendloflthelsession.
ANS:l D
Expectedloutcomeslmustlbelpatient-
centeredlandlclearlylstateltheloutcomelwithlalreasonableldeadlinelandlshouldlidentifylcomponent
slforlevaluation.
DIF:l CognitivelLevel:lApplyingl(Application)
TOP:lNursinglProcess:lPlanningl
MSC:l NCLEX:lManagementloflClientlCare
9. Thelnurselislgeneratinglsolutionsl(planning)lforlalpatientlwholhaslchronicllungldiseaselandlhypoxia.l
Thelpatientlhaslbeenladmittedlforlincreasedloxygenlneedslabovelalbaselinelofl2lL/min.lThelnurselgen
erateslanlexpectedloutcomeslstating,l“Thelpatientlwilllhaveloxygenlsaturationslof
>95%lonlroomlairlatltheltimelofldischargelfromlthelhospital.”lWhatlislwronglwithlthislgoal?
a. Itlcannotlbelevaluated.