vb vb vb vb vb vb vb vb vb Full Test Bank vb vb vb
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth
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Collins, Julie Snyder | Complete Guide A+
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, Chapter 01: The Nursing Process and Drug Therapy
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MULTIPLE CHOICE vb
1. The RN is writing a nursing diagnosis for a plan of care for a client who has been
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newly diagnosed with type 2 diabetes. Which statement reflects the correct format
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for a nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy vb vb vb vb vb
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 test my blood sugars.‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as
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―I‘m upset about having to test my blood sugars.‖
vb vb vb vb vb vb vb vb
CORRECT ANS: D vb vb
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
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―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related
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to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining
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characteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect
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because the ―related to‖ section is simply a restatement of the problem ―anxiety,‖ not a
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separate factor related to the response.
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DIF: COGNITIVE LEVEL: Understanding vb vb
(Comprehension) TOP: NURSING PROCESS:
vb vb v b vb
Nursing Diagnosis
vb vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy
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and gave the medication 2 hours after the scheduled dose was due. What type of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
problem does this represent?
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a. ―Right time‖ vb
b. ―Right dose‖ vb
c. ―Right route‖ vb
d. ―Right medication‖ vb
CORRECT ANS: A vb vb
―Right time‖ is correct because the medication was given more than 30 minutes after the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
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medication administration is scheduled. ―Route‖ is incorrect because the route is not
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affected.
vb
―Medication‖ is incorrect because the medication ordered will not change.
vb vb vb vb vb vb vb vb vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: vb v b vb
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
v b vb vb vb vb vb vb vb vb vb
, Chapter 01: The Nursing Process and Drug Therapy
vb vb vb vb vb vb vb vb v b v b 5
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first
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dose and documenting the client‘s therapeutic response to the medication. Which phase of the
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nursing process do these actions illustrate?
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a. Nursing diagnosis vb vb vb vb vb vb
b. Planning
c. Implementation
d. Evaluation
CORRECT ANS: D vb vb
Monitoring the client‘s progress, including the client‘s response to the medication, is part
vb vb vb vb vb vb vb vb vb vb vb vb
of the evaluation phase. Planning, implementation, and nursing diagnosis are not
vb vb vb vb vb vb vb vb vb vb vb
illustrated by this example.
vb vb vb vb
DIF: COGNITIVE LEVEL: Understanding vb vb
(Comprehension) TOP: NURSING PROCESS:
vb vb v b vb
Evaluation
vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus.
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Which statement best illustrates an outcome criterion for this client?
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a. The client will follow instructions.
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b. The client will not experience complications.
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c. The client will adhere to the new insulin treatment regimen.
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d. The client will demonstrate correct blood glucose testing technique.
vb vb vb vb vb vb vb vb
CORRECT ANS: D vb vb
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable
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outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are
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not specific criteria.
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―Adhering to new regimen‖ would be difficult to measure.
vb vb vb vb vb vb vb vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: Planning
vb v b vb vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
5. Which activity best reflects the implementation phase of the nursing process for the
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client who is newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings
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b. Setting goals and outcome criteria with the client‘s input
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c. Recording a drug history regarding over-the-counter medications used at home
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d. Formulating nursing diagnoses regarding deficient knowledge related to
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the new treatment regimen
vb vb vb vb
CORRECT ANS: A vb vb
Education is an intervention that occurs during the implementation phase. Setting goals
vb vb vb vb vb vb vb vb vb vb vb
and outcomes reflects the planning phase. Recording a drug history reflects the
vb vb vb vb vb vb vb vb vb vb vb vb
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
vb vb vb vb vb vb vb vb vb vb vb vb
planning.
vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: vb v b vb
, Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth
vb vb vb vb vb vb vb vb vb
Collins, Julie Snyder | Complete Guide A+
vb vb vb vb vb vb vb
, Chapter 01: The Nursing Process and Drug Therapy
vb vb vb vb vb vb vb
MULTIPLE CHOICE vb
1. The RN is writing a nursing diagnosis for a plan of care for a client who has been
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
newly diagnosed with type 2 diabetes. Which statement reflects the correct format
vb vb vb vb vb vb vb vb vb vb vb vb
for a nursing diagnosis?
vb vb vb vb
a. Anxiety
b. Anxiety related to new drug therapy vb vb vb vb vb
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
vb vb vb vb vb vb vb vb vb vb
statements such as ―I‘m upset about having to test my blood sugars.‖
vb vb vb vb vb vb vb vb vb vb vb vb
d. Anxiety related to new drug therapy, as evidenced by statements such as
vb vb vb vb vb vb vb vb vb vb vb
―I‘m upset about having to test my blood sugars.‖
vb vb vb vb vb vb vb vb
CORRECT ANS: D vb vb
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
vb vb vb vb vb vb vb vb vb vb vb vb
―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related
vb vb vb vb vb vb vb vb vb vb vb
to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining
vb vb vb vb vb vb vb vb vb vb vb vb vb
characteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect
vb vb vb vb vb vb vb vb vb vb vb
because the ―related to‖ section is simply a restatement of the problem ―anxiety,‖ not a
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
separate factor related to the response.
vb vb vb vb vb vb
DIF: COGNITIVE LEVEL: Understanding vb vb
(Comprehension) TOP: NURSING PROCESS:
vb vb v b vb
Nursing Diagnosis
vb vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
and gave the medication 2 hours after the scheduled dose was due. What type of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
problem does this represent?
vb vb vb vb
a. ―Right time‖ vb
b. ―Right dose‖ vb
c. ―Right route‖ vb
d. ―Right medication‖ vb
CORRECT ANS: A vb vb
―Right time‖ is correct because the medication was given more than 30 minutes after the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
medication administration is scheduled. ―Route‖ is incorrect because the route is not
vb vb vb vb vb vb vb vb vb vb vb vb
affected.
vb
―Medication‖ is incorrect because the medication ordered will not change.
vb vb vb vb vb vb vb vb vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: vb v b vb
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
v b vb vb vb vb vb vb vb vb vb
, Chapter 01: The Nursing Process and Drug Therapy
vb vb vb vb vb vb vb vb v b v b 5
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
dose and documenting the client‘s therapeutic response to the medication. Which phase of the
vb vb vb vb vb vb vb vb vb vb vb vb vb
nursing process do these actions illustrate?
vb vb vb vb vb vb
a. Nursing diagnosis vb vb vb vb vb vb
b. Planning
c. Implementation
d. Evaluation
CORRECT ANS: D vb vb
Monitoring the client‘s progress, including the client‘s response to the medication, is part
vb vb vb vb vb vb vb vb vb vb vb vb
of the evaluation phase. Planning, implementation, and nursing diagnosis are not
vb vb vb vb vb vb vb vb vb vb vb
illustrated by this example.
vb vb vb vb
DIF: COGNITIVE LEVEL: Understanding vb vb
(Comprehension) TOP: NURSING PROCESS:
vb vb v b vb
Evaluation
vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
Which statement best illustrates an outcome criterion for this client?
vb vb vb vb vb vb vb vb vb vb
a. The client will follow instructions.
vb vb vb vb
b. The client will not experience complications.
vb vb vb vb vb
c. The client will adhere to the new insulin treatment regimen.
vb vb vb vb vb vb vb vb vb
d. The client will demonstrate correct blood glucose testing technique.
vb vb vb vb vb vb vb vb
CORRECT ANS: D vb vb
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable
vb vb vb vb vb vb vb vb vb vb
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are
vb vb vb vb vb vb vb vb vb
not specific criteria.
vb vb vb
―Adhering to new regimen‖ would be difficult to measure.
vb vb vb vb vb vb vb vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: Planning
vb v b vb vb
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb
5. Which activity best reflects the implementation phase of the nursing process for the
vb vb vb vb vb vb vb vb vb vb vb vb
client who is newly diagnosed with hypertension?
vb vb vb vb vb vb vb
a. Providing education on keeping a journal of blood pressure readings
vb vb vb vb vb vb vb vb vb
b. Setting goals and outcome criteria with the client‘s input
vb vb vb vb vb vb vb vb
c. Recording a drug history regarding over-the-counter medications used at home
vb vb vb vb vb vb vb vb vb
d. Formulating nursing diagnoses regarding deficient knowledge related to
vb vb vb vb vb vb vb
the new treatment regimen
vb vb vb vb
CORRECT ANS: A vb vb
Education is an intervention that occurs during the implementation phase. Setting goals
vb vb vb vb vb vb vb vb vb vb vb
and outcomes reflects the planning phase. Recording a drug history reflects the
vb vb vb vb vb vb vb vb vb vb vb vb
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
vb vb vb vb vb vb vb vb vb vb vb vb
planning.
vb
DIF: COGNITIVE LEVEL: Applying vb vb
(Application) TOP: NURSING PROCESS: vb v b vb
, Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v b vb vb vb vb vb vb vb vb