D|13728229
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a. A ―right time‖ problem
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b. A ―right dose‖ problem
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c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C 7l
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
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time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem bec
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o an inability to swallow. This is not a ―right medication‖ problem because the medication ordered wil
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DIF: Cognitive Level: Application 7l 7l
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
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of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis 7l
ANS: B 7l
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
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d by this example.
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DIF: Cognitive Level: Application 7l 7l
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
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7l outcome criterion for this patient? 7l 7l 7l 7l
a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D 7l
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and av
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specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficu
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DIF: Cognitive Level: Application 7l 7l
5. Which activity best reflects the implementation phase of the nursing process for the patient who is new
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diabetes mellitus?
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a. Providing education regarding self-injection technique 7l 7l 7l 7l
b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a history of over-the-counter medications used at home 7l 7l 7l 7l 7l 7l 7l 7l
d. Formulating nursing diagnoses regarding knowledge deficits related to the new 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l
treatment regimen 7l
ANS: A 7l
Education is an intervention that occurs during the implementation phase. Setting goals and outcome cr
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hase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding
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s analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis 7l 7l
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
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lthe telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medi
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANS: C 7l
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
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inistration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A 7l
The traditional Five Rights of medication administration were considered to be Right drug, Right route
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ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension 7l 7l
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating 7l 7l 7l 7l 7l 7l
b. Assessing, then diagnosing, implementing, and ending with evaluating 7l 7l 7l 7l 7l 7l 7l
c. A linear direction that begins with assessing and continues through diagnosing,
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planning, and finally implementing 7l 7l 7l
d. An ongoing process that begins with assessing and continues with diagnosing,
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planning, implementing, and evaluating 7l 7l 7l
ANS: D 7l
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, and
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may then lead back to any of the other phases.
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DIF: Cognitive Level: Application 7l 7l
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification 7l 7l
b. The patient‘s weight 7l 7l
c. The patient‘s last meal 7l 7l 7l
d. Any drug or food allergies 7l 7l 7l 7l
ANS: C 7l
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
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ming.
DIF: Cognitive Level: Application 7l 7l
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
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a. Anxiety
b. Anxiety related to new drug therapy 7l 7l 7l 7l 7l
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
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statements such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
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upset about having to give myself shots‖
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Chapter 02: Pharmacological Principles
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MULTIPLE CHOICE 7l
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
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7l identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D 7l
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
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bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
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gistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greate
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of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate
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have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension 7l 7l
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly into the tissues over time.
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c. The medication‘s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C 7l
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
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ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
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efore it reaches the target area.
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DIF: Cognitive Level: Comprehension 7l 7l
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. 7l 7l 7l 7l
b. They decrease blood flow to the stomach.7l 7l 7l 7l 7l 7l
c. They are altered by the presence of food in the stomach.
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d. They exert their effects while circulating in the bloodstream.
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ANS: A 7l
Drugs given by the parenteral route bypass the first-
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ente
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), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
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must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
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circulating in the bloodstream. 7l 7l 7l
DIF: Cognitive Level: Analysis 7l 7l
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- 7l 7l 7l 7l
half of the original amount of a drug to reach the target cells.
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c. The time it takes one-
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half of the original amount of a drug to be removed from the body.
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d. The time it takes one-
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half of the original amount of a drug to be absorbed into the circulation.
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ANS: C 7l
A drug‘s half-life is the time it takes for one-
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