Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Below is Batch 1 (Questions 1–5) for Part 1: Pharmacology
Basics – The Nursing Process and Drug Therapy. All questions
are original and designed for NCLEX-RN–style review.
PART 1 – PHARMACOLOGY BASICS
Chapter 1: The Nursing Process and Drug Therapy
Topics Covered
• Overview of the Nursing Process
• Assessment
• Identification of Human Need Statements
• Planning
• Implementation
• Evaluation
• Medication Safety
Question 1
,Item Type
Multiple Choice (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes intravenous ceftriaxone.
During the admission assessment, the nurse learns the patient
experienced generalized hives and facial swelling after receiving
penicillin several years ago.
Question
What is the nurse's priority action before administering the
medication?
A. Administer ceftriaxone slowly while monitoring vital signs
B. Contact the provider to clarify the order and discuss the
allergy history
C. Premedicate with diphenhydramine
D. Ask the patient whether the previous reaction required
hospitalization
Correct Answer
B. Contact the provider to clarify the order and discuss the
allergy history.
, Comprehensive Rationale
Assessment is always the first step of the nursing process before
medication administration.
The patient's history suggests a severe IgE-mediated
hypersensitivity reaction (facial swelling and generalized
urticaria). Although many patients tolerate cephalosporins
despite penicillin allergy, a severe immediate hypersensitivity
history warrants careful evaluation before administration.
The nurse should:
• Verify the allergy.
• Clarify the severity.
• Notify the provider.
• Collaborate regarding alternative therapy if appropriate.
Administering the medication before clarification could expose
the patient to life-threatening anaphylaxis.
Pharmacologic Principles
Pharmacotherapeutics
• Ceftriaxone is a third-generation cephalosporin.
• Used for treatment of bacterial infections.
Pharmacodynamics
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Below is Batch 1 (Questions 1–5) for Part 1: Pharmacology
Basics – The Nursing Process and Drug Therapy. All questions
are original and designed for NCLEX-RN–style review.
PART 1 – PHARMACOLOGY BASICS
Chapter 1: The Nursing Process and Drug Therapy
Topics Covered
• Overview of the Nursing Process
• Assessment
• Identification of Human Need Statements
• Planning
• Implementation
• Evaluation
• Medication Safety
Question 1
,Item Type
Multiple Choice (MCQ)
Clinical Scenario
A 72-year-old patient is admitted with community-acquired
pneumonia. The provider prescribes intravenous ceftriaxone.
During the admission assessment, the nurse learns the patient
experienced generalized hives and facial swelling after receiving
penicillin several years ago.
Question
What is the nurse's priority action before administering the
medication?
A. Administer ceftriaxone slowly while monitoring vital signs
B. Contact the provider to clarify the order and discuss the
allergy history
C. Premedicate with diphenhydramine
D. Ask the patient whether the previous reaction required
hospitalization
Correct Answer
B. Contact the provider to clarify the order and discuss the
allergy history.
, Comprehensive Rationale
Assessment is always the first step of the nursing process before
medication administration.
The patient's history suggests a severe IgE-mediated
hypersensitivity reaction (facial swelling and generalized
urticaria). Although many patients tolerate cephalosporins
despite penicillin allergy, a severe immediate hypersensitivity
history warrants careful evaluation before administration.
The nurse should:
• Verify the allergy.
• Clarify the severity.
• Notify the provider.
• Collaborate regarding alternative therapy if appropriate.
Administering the medication before clarification could expose
the patient to life-threatening anaphylaxis.
Pharmacologic Principles
Pharmacotherapeutics
• Ceftriaxone is a third-generation cephalosporin.
• Used for treatment of bacterial infections.
Pharmacodynamics
