Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nurse is preparing to administer the first dose of an oral
antihypertensive medication to a hospitalized patient. The
patient states, "I've never taken this medicine before."
Question
Which nursing action should occur before administering the
medication?
A. Document that the medication was administered.
B. Assess the patient's blood pressure and review allergy
history.
C. Teach the patient how to refill the prescription.
D. Evaluate whether the medication lowered blood pressure.
Correct Answer
B. Assess the patient's blood pressure and review allergy
history.
,Comprehensive Rationale
Assessment is the first step of the nursing process and forms
the foundation for safe medication administration. Before giving
an antihypertensive medication, the nurse should:
• Obtain current vital signs.
• Review allergies.
• Assess renal function if indicated.
• Review the medication order.
• Identify contraindications.
These assessment findings help determine whether
administration is appropriate and reduce the risk of medication-
related harm.
Patient education and evaluation occur later in the nursing
process.
Distractor Analysis
A. Incorrect
• Documentation occurs after administration.
• Common misconception: Documentation is part of
preparation.
, • Safety risk: Falsifying medication records.
C. Incorrect
• Medication education is important but follows initial
assessment.
• Safety risk: Missing contraindications before
administration.
D. Incorrect
• Evaluation occurs after the medication has had time to
produce a therapeutic effect.
• Safety risk: Skipping the assessment phase.
Nursing Process Integration
Primary Component: Assessment
Other components:
• Nursing Diagnosis: Identify medication-related problems.
• Planning: Establish expected outcomes.
• Implementation: Administer medication safely.
• Evaluation: Determine therapeutic effectiveness.
NCJMM
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nurse is preparing to administer the first dose of an oral
antihypertensive medication to a hospitalized patient. The
patient states, "I've never taken this medicine before."
Question
Which nursing action should occur before administering the
medication?
A. Document that the medication was administered.
B. Assess the patient's blood pressure and review allergy
history.
C. Teach the patient how to refill the prescription.
D. Evaluate whether the medication lowered blood pressure.
Correct Answer
B. Assess the patient's blood pressure and review allergy
history.
,Comprehensive Rationale
Assessment is the first step of the nursing process and forms
the foundation for safe medication administration. Before giving
an antihypertensive medication, the nurse should:
• Obtain current vital signs.
• Review allergies.
• Assess renal function if indicated.
• Review the medication order.
• Identify contraindications.
These assessment findings help determine whether
administration is appropriate and reduce the risk of medication-
related harm.
Patient education and evaluation occur later in the nursing
process.
Distractor Analysis
A. Incorrect
• Documentation occurs after administration.
• Common misconception: Documentation is part of
preparation.
, • Safety risk: Falsifying medication records.
C. Incorrect
• Medication education is important but follows initial
assessment.
• Safety risk: Missing contraindications before
administration.
D. Incorrect
• Evaluation occurs after the medication has had time to
produce a therapeutic effect.
• Safety risk: Skipping the assessment phase.
Nursing Process Integration
Primary Component: Assessment
Other components:
• Nursing Diagnosis: Identify medication-related problems.
• Planning: Establish expected outcomes.
• Implementation: Administer medication safely.
• Evaluation: Determine therapeutic effectiveness.
NCJMM
