TestBankfor F
Pharmacology
APatient-CenteredNursingProcessApproach
b
10thEdition
m
Authors:LindaMcCuistion,KathleenDiMaggio,MaryBeth
m b
Winton,JenniferYeager
m
Unit1:IntroductiontoPharmacology
Chapter1.TheNursingProcessandPatient-CenteredCare
m
Chapter2.DrugDevelopmentandEthicalConsiderations
m
Chapter3.PharmacokineticsandPharmacodynamics
m
Chapter4.Pharmacogenetics
m
Chapter5.ComplementaryandAlternativeTherapies
m
Chapter6.PediatricConsiderations
m F
Chapter7.GeriatricConsiderations
m
Chapter8.DrugsinSubstanceUseDisorder
m
Unit2:PharmacotherapyandDrugAdministration
m
Chapter9.SafetyandQualityChapter
m
10. DrugAdministrationChapter
11. DrugCalculations
Unit 3:MaintenanceofHomeostasisChapter
F
12. Fluid VolumeandElectrolytesChapter
F v
13.VitaminandMineralReplacementChapter
m b b F
14.NutritionalSupport
Unit4:AutonomicNervousSystemDrugsChapter
m v
15.AdrenergicAgonistsandAntagonists
m F
Chapter16.CholinergicAgonistsandAntagonists
m
Unit5:CentralandPeripheralNervousSystemDrugs
m b
Chapter17.Stimulants
m
Chapter18.Depressants
Chapter19.AntiseizureDrugs
m
Chapter20.DrugsforParkinsonismandAlzheimer’sDiseaseChapter
F F
21.DrugsforNeuromuscularDisordersandMuscleSpasmsUnit6:Mental
m v
andBehavioralHealthDrugs
m v
Chapter22.AntipsychoticsandAnxiolyticsChapter
m F
23.AntidepressantsandMoodStabilizers
m
Unit7:PainandInflammationManagementDrugs
m v
Chapter24.Antiinflammatories
m
Chapter25.Analgesics
Unit8:AntimicrobialDrugs
m
Chapter26.Antibacterials
m
Chapter27.Antituberculars,Antifungals,andAntivirals
Chapter28.Antimalarials,Anthelmintics,andPeptidesUnit9:
m v
ImmunologicDrugs
m v
Chapter29.HIV-andAIDS-RelatedDrugs
Chapter30.TransplantDrugs
m
Chapter31.Vaccines
m
Unit10:AntineoplasticsandBiologicResponseModifiers
Chapter32.AnticancerDrugs
m
Chapter33.TargetedTherapiestoTreatCancer
m m
Chapter34.BiologicResponseModifiersUnit
m
11:RespiratoryDrugs
m
Chapter 35.Upper Respiratory Disorders
m m m
Chapter 36.Lower Respiratory Disorders
m m m m
Unit12:CardiovascularDrugs
m v
Chapter37.CardiacGlycosides,Antianginals,andAntidysrhythmics
,Chapter38.Diuretics
Chapter39.Antihypertensives
m
Chapter40.Anticoagulants,Antiplatelets,and Thrombolytics b
Chapter41.AntihyperlipidemicsandDrugstoImprovePeripheralBloodFlow
m m
mUnit13:Gastrointestinal Drugs m
Chapter42.GastrointestinalTractDisorders
m
Chapter43.AntiulcerDrugs
Unit14:Eye,Ear,andSkinDrugs
m
Chapter44.EyeandEarDisorders
m
Chapter45.DermatologicDisorders
m F
Unit15:EndocrineDrugs
m v
Chapter46.Pituitary,Thyroid,Parathyroid,andAdrenalDisorders
Chapter47.Antidiabetics
m
Unit16:RenalandUrologicDrugs
Chapter48.UrinaryDisorders
m
Unit17:ReproductiveandGender-
m
RelatedDrugs
Chapter49.PregnancyandPretermLabor
m v
Chapter50.Labor,Delivery,and Postpartum
m b
Chapter51.NeonatalandNewborn
m
Chapter52.ReproductiveHealth
m
Chapter53.Men’sHealthandReproductiveDisordersChapter m
54.SexuallyTransmittedInfections
m
Unit18:SexuallyTransmittedInfections
m
Chapter55.AdultandPediatricEmergencyDrugs
m
Chapter01:TheNursingProcessandPatient-CenteredCare b
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,10thEdition
m
MULTIPLECHOICE
1. Thenursingprocessisafive-stepdecision-makingapproachthatincludesallofthefollowing
steps,EXCEPT:
m
a. Assessment
b. Patientproblem
c. Planning
d. RightDrug
ANS: D m m
Thenursingprocessisafive-stepdecision-makingapproachthatincludes:1)assessment,2)
F
patientproblem,3)planning,4)implementation,and5)evaluation.“Rightdrug”isoneofthe“Six
m
Rights”ofmedicationadministration.
m
DIF: CognitiveLevel:Understanding(Comprehension) F TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
2. Thenurseisusingdatacollectedtosetgoalsorexpectedoutcomesandinterventionsthat
v v v
addressthepatient’sproblems.Whichstepofthenursingprocessi s t
m F F F m v m F
henurseapplying?
m
a. Assessment
b. Patientproblem
c. Planning N
d. Evaluation
ANS:C
Duringthe planning m m phase,thenurseusesthedatacollectedtosetgoalsorexpected outcomes
F F
, andinterventionswhichaddressthepatient’sproblems.Thedatawascollectedduringthe
“Assessment”and“Patientproblem”steps.Duringthe“Evaluation”phasethenursewoulddetermine
m v v b F m m
whetherthegoalsandobjectivessetduringtheplanningphaseweremet.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
m
3. A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodesof v v
hyperglycemia.Theparentstellthenursethattheycan’tkeeptrackofeverythingthathastobe
m F
donetocarefortheirchild.Thenursereviewsmedications,diet,andsymptommanagementwiththe
m F v m
parentsanddrawsupadailychecklistforthefamilytouse.Theseactivitiesarecompletedinwhich
m F F
stepofthenursingprocess?
m
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:C
Theimplementationphaseisthepartofthenursingprocessinwhichthenurseprovides F
education,drugadministration,patientcare,andotherinterventionsnecessarytoassistthepatient
m
inaccomplishingestablishedmedicationgoals.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
m
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
m m m m m m m m m m m m m m
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
m m m m m m m m m m m m m
reflectiveofwhichphaseofthenursingprocess?
m
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:A
Assessmentinvolvesgatheringinformationaboutthepatientandthedrug,includinganyprevious v v
useofthedrug.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP: NursingProcess:Assessment
m m MSC:NCLEX:ManagementofCare
5. Whichassessmentiscategorizedasobjectivedata?
a. Alistofherbalsupplementsregularlyused
b. Labvaluesassociatedwiththedrugsthepatientistaking
F
c. Theagesandrelationshiptothepatientofallhouseholdmembers
d. UsualdietarypatternsandfNoodintake m m
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The
otherexamplesaresubjectivedata.
m
DIF: CognitiveLevel:Understanding(Comprehension)
TOP: NursingProcess:Assessment
m m MSC:NCLEX:ManagementofCare
6. Thenursereviews apatient’sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and
m m v v F
, doesnothaveanestablishedroutine.Thepatientwillbesenthomewiththreenewmedicationsto
F
betakenatdifferenttimesoftheday.Thenursedevelopsadailymedicationchartandenlistsa
m
familymembertoputthepatient’spillsinapillorganizer.Thisi sanexampleofwhichphaseofthe
m F F m m
mnursingprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:C
Theimplementationphaseinvolveseducationandpatientcareinordertoassistthepatientto
accomplishthegoalsoftreatment.
m
DIF: CognitiveLevel:Applying(Application)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
7. Apatientwhoishospitalizedforchronicobstructivepulmonarydisease(COPD)wantstogo
home.Thenurseandthepatientdiscussthepatient’ssituationanddecidethatthepatientmaygo
m v
homewhenabletoperformself-carewithoutdyspneaandhypoxia.Thisi sanexampleofwhich
m F m v m
phaseofthenursing process?
m F
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:D
Planninginvolvesgoalsetting,which,forthispatient,meansbeingabletoperformself-careactivities
withoutdyspneaandhypoxia.
m F
DIF: CognitiveLevel:Understanding(Comprehension) F TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
8. Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching. m m
m Whichisacorrectlywrittengoalforthisprocess?
a. Thenursewilldemonstratethecorrectuseofametered-doseinhalertothepatient. b
b. Thenursewillteachthepatienthowtoadministermedication with ametered-dose
v b m
minhaler.
c. Thepatientwillknowhowtoself-administerthemedicationusingthe
b
metered-doseinhaler.
m
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhalerattheendofthesession.
N
m
ANS:D
Goalsmustbepatient-centeredandclearlystatetheoutcomewithareasonabledeadlineand
v v b m
shouldidentifycomponentsforevaluation.
m
DIF: CognitiveLevel:Applying(Application) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
9. Thenurseisdevelopingaplanofcareforapatientwhohaschroniclungdiseaseandhypoxia. The
v v m
patienthasbeenadmittedforincreasedoxygenneedsaboveabaselineof2L/min.Thenurse
m F F
developsagoalstating,“Thepatientwillhaveoxygensaturationsof>95%onroomairatthet imeof
m F m m v
dischargefromthehospital.”Whatiswrongwiththisgoal?
m
a. Itcannotbeevaluated.
F
b. Itisnotmeasurable.
Pharmacology
APatient-CenteredNursingProcessApproach
b
10thEdition
m
Authors:LindaMcCuistion,KathleenDiMaggio,MaryBeth
m b
Winton,JenniferYeager
m
Unit1:IntroductiontoPharmacology
Chapter1.TheNursingProcessandPatient-CenteredCare
m
Chapter2.DrugDevelopmentandEthicalConsiderations
m
Chapter3.PharmacokineticsandPharmacodynamics
m
Chapter4.Pharmacogenetics
m
Chapter5.ComplementaryandAlternativeTherapies
m
Chapter6.PediatricConsiderations
m F
Chapter7.GeriatricConsiderations
m
Chapter8.DrugsinSubstanceUseDisorder
m
Unit2:PharmacotherapyandDrugAdministration
m
Chapter9.SafetyandQualityChapter
m
10. DrugAdministrationChapter
11. DrugCalculations
Unit 3:MaintenanceofHomeostasisChapter
F
12. Fluid VolumeandElectrolytesChapter
F v
13.VitaminandMineralReplacementChapter
m b b F
14.NutritionalSupport
Unit4:AutonomicNervousSystemDrugsChapter
m v
15.AdrenergicAgonistsandAntagonists
m F
Chapter16.CholinergicAgonistsandAntagonists
m
Unit5:CentralandPeripheralNervousSystemDrugs
m b
Chapter17.Stimulants
m
Chapter18.Depressants
Chapter19.AntiseizureDrugs
m
Chapter20.DrugsforParkinsonismandAlzheimer’sDiseaseChapter
F F
21.DrugsforNeuromuscularDisordersandMuscleSpasmsUnit6:Mental
m v
andBehavioralHealthDrugs
m v
Chapter22.AntipsychoticsandAnxiolyticsChapter
m F
23.AntidepressantsandMoodStabilizers
m
Unit7:PainandInflammationManagementDrugs
m v
Chapter24.Antiinflammatories
m
Chapter25.Analgesics
Unit8:AntimicrobialDrugs
m
Chapter26.Antibacterials
m
Chapter27.Antituberculars,Antifungals,andAntivirals
Chapter28.Antimalarials,Anthelmintics,andPeptidesUnit9:
m v
ImmunologicDrugs
m v
Chapter29.HIV-andAIDS-RelatedDrugs
Chapter30.TransplantDrugs
m
Chapter31.Vaccines
m
Unit10:AntineoplasticsandBiologicResponseModifiers
Chapter32.AnticancerDrugs
m
Chapter33.TargetedTherapiestoTreatCancer
m m
Chapter34.BiologicResponseModifiersUnit
m
11:RespiratoryDrugs
m
Chapter 35.Upper Respiratory Disorders
m m m
Chapter 36.Lower Respiratory Disorders
m m m m
Unit12:CardiovascularDrugs
m v
Chapter37.CardiacGlycosides,Antianginals,andAntidysrhythmics
,Chapter38.Diuretics
Chapter39.Antihypertensives
m
Chapter40.Anticoagulants,Antiplatelets,and Thrombolytics b
Chapter41.AntihyperlipidemicsandDrugstoImprovePeripheralBloodFlow
m m
mUnit13:Gastrointestinal Drugs m
Chapter42.GastrointestinalTractDisorders
m
Chapter43.AntiulcerDrugs
Unit14:Eye,Ear,andSkinDrugs
m
Chapter44.EyeandEarDisorders
m
Chapter45.DermatologicDisorders
m F
Unit15:EndocrineDrugs
m v
Chapter46.Pituitary,Thyroid,Parathyroid,andAdrenalDisorders
Chapter47.Antidiabetics
m
Unit16:RenalandUrologicDrugs
Chapter48.UrinaryDisorders
m
Unit17:ReproductiveandGender-
m
RelatedDrugs
Chapter49.PregnancyandPretermLabor
m v
Chapter50.Labor,Delivery,and Postpartum
m b
Chapter51.NeonatalandNewborn
m
Chapter52.ReproductiveHealth
m
Chapter53.Men’sHealthandReproductiveDisordersChapter m
54.SexuallyTransmittedInfections
m
Unit18:SexuallyTransmittedInfections
m
Chapter55.AdultandPediatricEmergencyDrugs
m
Chapter01:TheNursingProcessandPatient-CenteredCare b
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,10thEdition
m
MULTIPLECHOICE
1. Thenursingprocessisafive-stepdecision-makingapproachthatincludesallofthefollowing
steps,EXCEPT:
m
a. Assessment
b. Patientproblem
c. Planning
d. RightDrug
ANS: D m m
Thenursingprocessisafive-stepdecision-makingapproachthatincludes:1)assessment,2)
F
patientproblem,3)planning,4)implementation,and5)evaluation.“Rightdrug”isoneofthe“Six
m
Rights”ofmedicationadministration.
m
DIF: CognitiveLevel:Understanding(Comprehension) F TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
2. Thenurseisusingdatacollectedtosetgoalsorexpectedoutcomesandinterventionsthat
v v v
addressthepatient’sproblems.Whichstepofthenursingprocessi s t
m F F F m v m F
henurseapplying?
m
a. Assessment
b. Patientproblem
c. Planning N
d. Evaluation
ANS:C
Duringthe planning m m phase,thenurseusesthedatacollectedtosetgoalsorexpected outcomes
F F
, andinterventionswhichaddressthepatient’sproblems.Thedatawascollectedduringthe
“Assessment”and“Patientproblem”steps.Duringthe“Evaluation”phasethenursewoulddetermine
m v v b F m m
whetherthegoalsandobjectivessetduringtheplanningphaseweremet.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
m
3. A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodesof v v
hyperglycemia.Theparentstellthenursethattheycan’tkeeptrackofeverythingthathastobe
m F
donetocarefortheirchild.Thenursereviewsmedications,diet,andsymptommanagementwiththe
m F v m
parentsanddrawsupadailychecklistforthefamilytouse.Theseactivitiesarecompletedinwhich
m F F
stepofthenursingprocess?
m
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:C
Theimplementationphaseisthepartofthenursingprocessinwhichthenurseprovides F
education,drugadministration,patientcare,andotherinterventionsnecessarytoassistthepatient
m
inaccomplishingestablishedmedicationgoals.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
m
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
m m m m m m m m m m m m m m
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
m m m m m m m m m m m m m
reflectiveofwhichphaseofthenursingprocess?
m
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:A
Assessmentinvolvesgatheringinformationaboutthepatientandthedrug,includinganyprevious v v
useofthedrug.
m F
DIF: CognitiveLevel:Understanding(Comprehension)
TOP: NursingProcess:Assessment
m m MSC:NCLEX:ManagementofCare
5. Whichassessmentiscategorizedasobjectivedata?
a. Alistofherbalsupplementsregularlyused
b. Labvaluesassociatedwiththedrugsthepatientistaking
F
c. Theagesandrelationshiptothepatientofallhouseholdmembers
d. UsualdietarypatternsandfNoodintake m m
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The
otherexamplesaresubjectivedata.
m
DIF: CognitiveLevel:Understanding(Comprehension)
TOP: NursingProcess:Assessment
m m MSC:NCLEX:ManagementofCare
6. Thenursereviews apatient’sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and
m m v v F
, doesnothaveanestablishedroutine.Thepatientwillbesenthomewiththreenewmedicationsto
F
betakenatdifferenttimesoftheday.Thenursedevelopsadailymedicationchartandenlistsa
m
familymembertoputthepatient’spillsinapillorganizer.Thisi sanexampleofwhichphaseofthe
m F F m m
mnursingprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:C
Theimplementationphaseinvolveseducationandpatientcareinordertoassistthepatientto
accomplishthegoalsoftreatment.
m
DIF: CognitiveLevel:Applying(Application)
TOP:NursingProcess:NursingIntervention
m
MSC:NCLEX:ManagementofCare
7. Apatientwhoishospitalizedforchronicobstructivepulmonarydisease(COPD)wantstogo
home.Thenurseandthepatientdiscussthepatient’ssituationanddecidethatthepatientmaygo
m v
homewhenabletoperformself-carewithoutdyspneaandhypoxia.Thisi sanexampleofwhich
m F m v m
phaseofthenursing process?
m F
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:D
Planninginvolvesgoalsetting,which,forthispatient,meansbeingabletoperformself-careactivities
withoutdyspneaandhypoxia.
m F
DIF: CognitiveLevel:Understanding(Comprehension) F TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
8. Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching. m m
m Whichisacorrectlywrittengoalforthisprocess?
a. Thenursewilldemonstratethecorrectuseofametered-doseinhalertothepatient. b
b. Thenursewillteachthepatienthowtoadministermedication with ametered-dose
v b m
minhaler.
c. Thepatientwillknowhowtoself-administerthemedicationusingthe
b
metered-doseinhaler.
m
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhalerattheendofthesession.
N
m
ANS:D
Goalsmustbepatient-centeredandclearlystatetheoutcomewithareasonabledeadlineand
v v b m
shouldidentifycomponentsforevaluation.
m
DIF: CognitiveLevel:Applying(Application) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofCare
m v
9. Thenurseisdevelopingaplanofcareforapatientwhohaschroniclungdiseaseandhypoxia. The
v v m
patienthasbeenadmittedforincreasedoxygenneedsaboveabaselineof2L/min.Thenurse
m F F
developsagoalstating,“Thepatientwillhaveoxygensaturationsof>95%onroomairatthet imeof
m F m m v
dischargefromthehospital.”Whatiswrongwiththisgoal?
m
a. Itcannotbeevaluated.
F
b. Itisnotmeasurable.
