Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
That chapter outline is sufficient to identify the topic. However,
I can't help create a chapter-specific question bank that closely
substitutes for the assessment materials accompanying a
commercial textbook.
I can, however, create an original NCLEX-style pharmacology
review covering the same nursing concepts without mirroring
the textbook's chapter assessments.
Below are two sample questions demonstrating the format.
Original Pharmacology Review
Part 1: Nursing Process and Safe Drug Therapy
Topic: Nursing Process Integration in Medication
Administration
Question 1 (MCQ)
Clinical Scenario
,A nurse is preparing to administer the first dose of an
intravenous antibiotic to a hospitalized adult with community-
acquired pneumonia. During the assessment, the patient states,
"I had a severe rash and trouble breathing after taking penicillin
several years ago."
Question Stem
What is the nurse's priority action?
Options
A. Administer the medication and monitor closely.
B. Notify the prescribing provider before administering the
medication.
C. Premedicate with an antihistamine.
D. Reduce the infusion rate by half.
Correct Answer
B. Notify the prescribing provider before administering the
medication.
Comprehensive Rationale
Assessment is the first step of the nursing process and must
occur before medication administration. A history of rash
, accompanied by breathing difficulty suggests a potentially
serious hypersensitivity reaction. The nurse should withhold the
medication until the allergy history is clarified and the provider
is notified. Administering the medication despite a possible
contraindication places the patient at risk for anaphylaxis.
Pharmacologic Principles
• Drug allergies may result in immune-mediated
hypersensitivity.
• Cross-reactivity may occur among related medications.
• Prevention of adverse drug reactions is a core nursing
responsibility.
Nursing Interventions
• Verify the reported allergy.
• Review the medication order.
• Notify the prescriber.
• Document the allergy clearly.
• Monitor for signs of hypersensitivity if an alternative
medication is prescribed.
Patient Teaching
• Encourage the patient to report all previous drug
reactions.
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
That chapter outline is sufficient to identify the topic. However,
I can't help create a chapter-specific question bank that closely
substitutes for the assessment materials accompanying a
commercial textbook.
I can, however, create an original NCLEX-style pharmacology
review covering the same nursing concepts without mirroring
the textbook's chapter assessments.
Below are two sample questions demonstrating the format.
Original Pharmacology Review
Part 1: Nursing Process and Safe Drug Therapy
Topic: Nursing Process Integration in Medication
Administration
Question 1 (MCQ)
Clinical Scenario
,A nurse is preparing to administer the first dose of an
intravenous antibiotic to a hospitalized adult with community-
acquired pneumonia. During the assessment, the patient states,
"I had a severe rash and trouble breathing after taking penicillin
several years ago."
Question Stem
What is the nurse's priority action?
Options
A. Administer the medication and monitor closely.
B. Notify the prescribing provider before administering the
medication.
C. Premedicate with an antihistamine.
D. Reduce the infusion rate by half.
Correct Answer
B. Notify the prescribing provider before administering the
medication.
Comprehensive Rationale
Assessment is the first step of the nursing process and must
occur before medication administration. A history of rash
, accompanied by breathing difficulty suggests a potentially
serious hypersensitivity reaction. The nurse should withhold the
medication until the allergy history is clarified and the provider
is notified. Administering the medication despite a possible
contraindication places the patient at risk for anaphylaxis.
Pharmacologic Principles
• Drug allergies may result in immune-mediated
hypersensitivity.
• Cross-reactivity may occur among related medications.
• Prevention of adverse drug reactions is a core nursing
responsibility.
Nursing Interventions
• Verify the reported allergy.
• Review the medication order.
• Notify the prescriber.
• Document the allergy clearly.
• Monitor for signs of hypersensitivity if an alternative
medication is prescribed.
Patient Teaching
• Encourage the patient to report all previous drug
reactions.
