Test Bank For Pharmacology and the Nursing Process 10th Edition By Linda Lilley, Shelly Collins, Julie Snyder|9780323827973| All Chapters 1-58| LATEST

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Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth Collin
Julie Snyder | Complete Guide A+

, Chapter 01: The Nursing Process and Drug Therapy ft ft ft ft ft ft ft




MULTIPLE CHOICE ft




1. The RN is writing a nursing diagnosis for a plan of care for a client who has been newly diagnose
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d with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy ft ft ft ft ft




c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements su ft ft ft ft ft ft ft ft ft ft ft ft




ch 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 ft ft ft ft ft ft ft ft ft ft ft




―I‘mupsetabouthavingtotestmybloodsugars.‖ ft ft ft ft ft ft ft ft




CORRECT ANS: D ft f t




Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the ft ft ft ft ft ft ft ft ft ft ft ft




―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related to new
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drugtherapy‖ismissing the―asevidenced by‖portionof definingcharacteristics.The statement
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beginning ―Anxiety related to anxious feelings‖is incorrect because the ―related to‖ sectionis sim
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plyarestatement of theproblem―anxiety,‖not aseparate factor related tothe response.
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DIF:
COGNITIVE LEVEL: Understanding (Comprehe ft ft ft




nsion) TOP: NURSINGPROCESS: Nursing Diagnosis
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN 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?ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft




a. ―Right time‖ ft




b. ―Right dose‖ ft




c. ―Right route‖ ft




d. ―Right medication‖ ft




CORRECT ANS: A ft f t




―Right time‖ is correct because the medication was given more than 30 minutes after the scheduled
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dose wasdue. ―Dose‖ is incorrect because the dose is not related to the time the medication administr
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ation is scheduled. ―Route‖ is incorrect because the route is not affected.
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―Medication‖ is incorrect because the medication ordered will not change. ft ft ft ft ft f t f t f t ft




DIF: COGNITIVE LEVEL: Applying ft ft




(Application) TOP: NURSING PROCESS: ft f t ft




Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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, Chapter 01: The Nursing Process and Drug Therapy ft ft ft ft ft ft ft ftf t f t 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 nursin
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g process do these actions illustrate?
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a. Nursing diagnosis ft ftftftftft




b. Planning
c. Implementation
d. Evaluation
CORRECT ANS: D ft f t




Monitoring the client‘s progress, including the client‘s response to the medication, is part of the ev
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aluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this exam
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ple.

DIF:
COGNITIVE LEVEL: Understanding (Comprehensi ft ft ft




on) TOP: NURSINGPROCESS:Evaluation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus. Which statem
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ent best illustrates an outcome criterion for this client?
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a. The client will follow instructions. ft ft ft ft




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.
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CORRECT ANS: D ft f t




―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome cri ft ft ft ft ft ft ft ft ft ft ft ft




terion. ―Following instructions‖ and ―not experiencing complications‖ are not specific criteria.
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―Adhering to newregimen‖ would be difficult to measure. ft ft ft ft ft ft ft ft




DIF: COGNITIVE LEVEL: Applying ft ft




(Application) TOP: NURSING PROCESS: Planning ft f t ft ft




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 client wh
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o is newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings ft ft ft ft ft ft ft ft ft




b. Setting goals and outcome criteria with the client‘s input ft ft ft ft ft ft ft ft




c. Recording a drug history regarding over-the-counter medications used at home ft ft ft ft ft ft ft ft ft




d. Formulating nursing diagnoses regarding deficient knowledge related to the n ft ft ft ft ft ft ft ft ft




ew treatment regimen ft ft




CORRECT ANS: A ft f t




Education is an intervention that occurs during the implementation phase. Setting goals and ou
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tcomes reflects the planning phase. Recording a drug history reflects the assessment phase. Fo
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rmulating nursing diagnoses reflects analysis of data as part of planning.
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DIF: COGNITIVE LEVEL: Applying ft ft




(Application) TOP: NURSING PROCESS: ft f t ft




Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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, 6. The medication order reads, ―Give ondansetron (Zofran) 4 mg, 30 minutes before beginning ch
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emotherapy to prevent nausea.‖ The RN notes that the route is missing from the order. What is t ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft




he RN‘s best action?
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a. Give the medication intravenously because the client 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. ft ft ft ft ft ft ft ft ft ft




d. Hold the medication until the prescriber returns to make rounds. ft ft ft ft ft ft ft ft ft




CORRECT ANS: C ft f t




A complete medication order includes the route of administration. If a medication order does not i
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nclude the route, the RN must ask the prescriber to clarify it. The intravenous and oral routes are n
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ot interchangeable. Holding the medication until the prescriber returns would mean that the client
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would not receive a needed medication. ft ft ft ft ft




DIF: COGNITIVE LEVEL: Applying ft ft




(Application) TOP: NURSING PROCESS: ft f t ft




Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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7. When the RN considers the timing of a drug dose, which factor is appropriate to consider whe
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n deciding when to give a drug?
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a. The client‘s ability to swallow ft ft ft ft




b. The client‘s height ft ft




c. The client‘s last meal ft ft ft




d. The client‘s allergies ft ft




CORRECT ANS: C ft f t




The RN must consider specific pharmacokinetic/pharmacodynamic drug properties that may be
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affected by the timing of the last meal. The client‘s ability to swallow, height, and allergies are not fa
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ctors to consider regarding the timing of the drug‘s administration.
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DIF:
COGNITIVE LEVEL: Understanding (Comprehensi ft ft ft




on) TOP: NURSINGPROCESS:Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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8. The RN is performing an assessment of a newly admitted client. Which is an example of subject
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ive data? ft




a. Blood pressure 158/96 mm Hg ft ft ft ft




b. Weight 255pounds tf ft




c. The client reports that he uses the herbal product ginkgo.
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d. The client‘s laboratory work includes a complete blood count and urinalysis.
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CORRECT ANS: C ft f t




Subjective data include information shared through the spoken word by any reliable source, such as
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the client. Objective data may be defined as any information gathered through the senses or that wh
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ich is seen, heard, felt, or smelled. A client‘s blood pressure, weight, and laboratory tests are all exam
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ples of objective data. ft ft ft




DIF:
COGNITIVE LEVEL: Understanding (Comprehensi ft ft ft




on) TOP: NURSINGPROCESS:Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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