Test Bank for Pharmacology and the Nursing Process, 10th edition by Lilley, Collins & Snyder All 1-58 Chapters Covered ,Latest Edition, ISBN:9780323827973

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,Chapter 01: The Nursing Process and Drug Therapy
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Lilley: Pharmacology and the Nursing Process, 10th Edition
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MULTIPLE CHOICE k




1. The nurse is developing a human needs statement for a patient who has a new diagnosis of heart
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failure. Identification of human needs statements occur with which of these activities?
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a. Collection of patient data k k k




b. Administering interventions k




c. Deciding on patient outcomes k k k




d. Documenting the patient‘s behavior k k k




ANS: A k




Identification of human needs occurs with the collection of patient data. k k k k k k k k k k




DIF: CognitiveLevel:Understanding(Comprehension) k k k




TOP: Nursing Process: Human Needs Statement
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave the
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medication 2 hours after the scheduled dose was due. What type of problem does this represent?
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a. ―Right time‖ k




b. ―Right dose‖ k




c. ―Right route‖ k




d. ―Right medication‖ k




ANS: A k




―Right time‖ is correct because the medication was given more than 30 minutes after the scheduled
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dose was due. ―Dose‖ is incorrect because the dose is not related to the time the medication
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administration isscheduled.―Route‖is incorrect becausethe routeis not affected.
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―Medication‖isincorrect becausethemedication ordered willnotchange. k k k k k k k k k




DIF: Cognitive Level: Applying(Application) k k k




TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the first dose
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and documenting the patient‘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. Human needs statement k k




b. Planning
c. Implementation
d. Evaluation
ANS: D k




Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of the
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evaluation phase. Planning, implementation, and human needs statement are not illustrated by this
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,example.
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DIF: k k Cognitive Level: Understanding (Comprehension)
k k k TOP: Nursing Process: Evaluation
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, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
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kWhich statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient will adhere to the new insulin treatment regimen.
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d. The patient will demonstrate correct blood glucose testing technique.
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ANS: D k




―Demonstrating correct blood glucose testing technique‖ is a specific and measurable k k k k k k k k k k




outcomecriterion. ―Followinginstructions‖ and ―notexperiencing complications‖ arenot
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specific criteria. ―Adhering to new regimen‖ would be difficult to measure.
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DIF: Cognitive Level: Applying (Application) TOP: NursingProcess: Planning k k k k k k




MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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5. Which activity best reflects the implementation phase of the nursing process for the patient who
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kis newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings k k k k k k k k k




b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a drug history regarding over-the-counter medications used at home k k k k k k k k k




d. Formulating human needs statements regarding deficient knowledge related to the k k k k k k k k k




new treatment regimen
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ANS: A k




Education is an intervention that occurs during the implementation phase. Setting goals and outcomes
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reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
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human needs statements reflects analysis of data as part of planning.
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DIF: Cognitive Level: Applying(Application) k k k




TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
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chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
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What is the nurse‘s best action?
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a. Give the medication intravenously because the patient might vomit.
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b. Give the medication orally because the tablets are available in 4-mg doses.
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c. Contact the prescriber to clarify the route of the medication ordered.
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d. Hold the medication until the prescriber returns to make rounds.
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ANS: C k




A complete medication order includes the route of administration. If a medication order does not
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include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are
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not interchangeable. Holding the medication until the prescriber returns would mean that the
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patient would not receive a needed medication.
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DIF: Cognitive Level: Applying(Application) k k k




TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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