Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 — Multiple-Choice Question (MCQ)
Clinical Scenario
A nurse begins the morning medication pass for a 72-year-old
patient admitted with community-acquired pneumonia. The
patient has a history of chronic kidney disease, hypertension,
and a documented allergy to trimethoprim-sulfamethoxazole.
Before administering the first prescribed dose of an intravenous
antibiotic, the nurse reviews the patient's allergy history,
current laboratory results, renal function, vital signs, and
current medication list.
Question Stem
Which phase of the nursing process is primarily demonstrated
by the nurse's actions?
Answer Options
A. Planning
B. Assessment
C. Implementation
,D. Evaluation
Correct Answer
B. Assessment
Comprehensive Rationale
The assessment phase is the foundation of safe medication
administration. Before administering any medication, the nurse
systematically gathers and verifies patient-specific information
that may influence therapeutic decisions.
In this scenario, the nurse evaluates:
• Current diagnosis
• Medication allergies
• Kidney function
• Vital signs
• Laboratory findings
• Current medications
• Risk factors for adverse drug reactions
, These activities help identify contraindications, determine
whether dosage adjustments are necessary, and reduce the
likelihood of medication errors.
Pharmacologic Principles
Drug therapy should always be individualized according to
patient-specific variables including:
• Age
• Organ function
• Comorbidities
• Concurrent medications
• Previous drug reactions
• Allergies
• Current physiologic status
Pharmacokinetic Considerations
Because the patient has chronic kidney disease, renal clearance
may be reduced. Drugs eliminated through the kidneys may
accumulate, increasing the risk of toxicity unless dosage
adjustments are made.
Pharmacodynamic Considerations
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 — Multiple-Choice Question (MCQ)
Clinical Scenario
A nurse begins the morning medication pass for a 72-year-old
patient admitted with community-acquired pneumonia. The
patient has a history of chronic kidney disease, hypertension,
and a documented allergy to trimethoprim-sulfamethoxazole.
Before administering the first prescribed dose of an intravenous
antibiotic, the nurse reviews the patient's allergy history,
current laboratory results, renal function, vital signs, and
current medication list.
Question Stem
Which phase of the nursing process is primarily demonstrated
by the nurse's actions?
Answer Options
A. Planning
B. Assessment
C. Implementation
,D. Evaluation
Correct Answer
B. Assessment
Comprehensive Rationale
The assessment phase is the foundation of safe medication
administration. Before administering any medication, the nurse
systematically gathers and verifies patient-specific information
that may influence therapeutic decisions.
In this scenario, the nurse evaluates:
• Current diagnosis
• Medication allergies
• Kidney function
• Vital signs
• Laboratory findings
• Current medications
• Risk factors for adverse drug reactions
, These activities help identify contraindications, determine
whether dosage adjustments are necessary, and reduce the
likelihood of medication errors.
Pharmacologic Principles
Drug therapy should always be individualized according to
patient-specific variables including:
• Age
• Organ function
• Comorbidities
• Concurrent medications
• Previous drug reactions
• Allergies
• Current physiologic status
Pharmacokinetic Considerations
Because the patient has chronic kidney disease, renal clearance
may be reduced. Drugs eliminated through the kidneys may
accumulate, increasing the risk of toxicity unless dosage
adjustments are made.
Pharmacodynamic Considerations
