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Exam (elaborations)

Pharmacology- Part 1- NCLEX Review Questions with answers

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Pharmacology- Part 1- NCLEX Review QuestionsIn which step of the nursing process does the nurse determine the outcome of medication administration? A) Implementation B) Evaluation C) Assessment D) Planning - correct answer (B) Evaluation It is systematic, ongoing, and a dynamic phase of the nursing process as related to drug therapy. It includes monitoring the fulfillment of outcomes and monitoring the patient's therapeutic response to the drug and its adverse effects and toxic effects. The planning phase prioritizes the nursing diagnoses and specifies outcomes. Assessment allows you to organize the information and place it into meaningful categories. Implementation consists of initiating and completion of specific nursing actions as defined by nursing diagnoses. (B) Enlist the help of a home care nurse for pharmacotherapy. After establishing the nursing diagnosis, the nurse plans care by determining the nursing goals and outcome criteria. As a means of working toward blood pressure control, the nurse chooses to set up nursing assistance for the patient in the home. The home care nurse can help the patient adhere to the therapeutic regimen by making a medication schedule and dispensing medication into a pill box, among other strategies. The nurse assesses the patient before establishing the nursing diagnosis and evaluates care after implementing the plan. Collaboration on a new medication regimen is not indicated. Examining the results of nursing help with the medications is part of the evaluation process to determine if the plan was effective. Collaboration on a new medication regimen is not indicated. The nurse assesses the patient before establishing the nursing diagnosis - correct answer The nurse plans care for a male patient who is 80 years old. The nursing diagnosis is noncompliance with the medication regimen related to living alone, as evidenced by uncontrolled blood pressure. What should the nurse do next? A) Collaborate with the provider on a new medication regimen. B) Enlist the help of a home care nurse for pharmacotherapy. C) Assess the impact of home self-management of medications. D) Examine the results of nursing help with the medications. What things should the nurse check when reviewing a prescription with a patient? (Select all that apply.) A) The signature of the prescriber B) The age of the patient C) The patient's home address D) The patient's emergency contact E) The route of administration - correct answer (A) and (E) After assessment of the patient and the drug has been completed, the specific prescription or medication order from any prescriber must be checked for the following seven elements: (1) patient's name, (2) date the drug order was written, (3) name of drug(s), (4) drug dosage amount, (5) drug dosage frequency, (6) route of administration, and (7) prescriber's signature. What information should the nurse chart when documenting medication administration? (Select all that apply.) A) The dosage of medication administered B) The time of administration C) The patient's age D) Information about an "incident report" in the patient's chart E) The route of administration - correct answer (A), (B), and (E)

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