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A Patient-Centered Nursing Process Approach, 11th
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Edition _ Chapters 1–58.pdfhttps://www.st
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Test Bank for Pharmacology: A
Patient-Centered Nursing
Process Approach, 11th Edition |
Chapters 1–58
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c. Implementation
d. Evaluation
ANS: C r1
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The implementation phase is the part of the nursing process in which the nurse provides e
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ducation, drug administration, patient care, and other interventions necessary to assist the p
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atient in accomplishing established medication goals.
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DIF:
Cognitive Level: Understanding (Comprehension) r1 r1 r1 r
TOP: Nursing Process: Nursing Intervention
1 r 1 r1 r1 r1
MSC: NCLEX: Management of Care
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4. The nurse is preparing to administer a medication and reviews the patient‘s chart for dru
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g allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions a
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re reflective of which phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A r1
Assessment involves gathering information about the patient and the drug, including any pr
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evious use of the drug. r1 r1 r1 r1
DIF: Cognitive Level: Understanding (Comprehension) r1 r1 r1
TOP: Nursing Process: Assessment
r 1 MSC: NCLEX: Management of Care r1 r1 r 1 r1 r1 r1
5. Which assessment is categorized as objective data?
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a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
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c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNo o d intake
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ANS: B r1
Objective data are measured and detected by another person and would include lab values.
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The other examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) r1 r1 r1
TOP: Nursing Process: Assessment
r 1 MSC: NCLEX: Management of Care r1 r1 r 1 r1 r1 r1
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
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does not have an established routine. The patient will be sent home with three new medicat
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ions to be taken at different times of the day. The nurse develops a daily medication chart a
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nd enlists a family member to put the patient‘s pills in a pill organizer. This is an example o
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f which phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C r1
The implementation phase involves education and patient care in order to assist the patient to acco
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mplish the goals of treatment.
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DIF:
Cognitive Level: Applying (Application) r1 r1 r1 r
1 TOP: Nursing Process: Nursing Intervention
r 1 r1 r1 r1
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MSC: NCLEX: Management of Care
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7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home. The nurse and the patient discuss the patient‘s situation and decide that the patient ma
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y go home when able to perform self-
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care without dyspnea and hypoxia. This is an example of which phase of the nursing process
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?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D r1
Planning involves goal setting, which, for this patient, means being able to perform self-
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care activities without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension) r1 r1 r1
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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8. A patient will be sent home with a metered-
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dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this p
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rocess?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
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b. The nurse will teach the patient how to administer medication with a metered-
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dose inhaler. r1
c. The patient will know how to self-r1 r1 r1 r1 r1 r1
administer the medication using the metered-dose inhaler. r1 r1 r1 r1 r1 r1
d. The patient will independently administer the medication using the metered-
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dose inhaler at the end of the session.
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N
ANS: D r1
Goals must be patient- r1 r1 r1
centered and clearly state the outcome with a reasonable deadline and should identify compon
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ents for evaluation.
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DIF: Cognitive Level: Applying (Application) r1 r1 r1
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
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The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
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nurse develops a goal stating, ―The patient will have oxygen saturations of >95% on room air a
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t the time of discharge from the hospital.‖ What is wrong with this goal?
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a. It cannot be evaluated.
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b. It is not measurable. r1 r1 r1
c. It is not patient-centered.
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d. It is not realistic. r1 r1 r1
ANS: D r1
This goal is not realistic because the patient is not usually on room air and should not be ex
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pected to attain that goal by discharge from this hospitalization.
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DIF: Cognitive Level: Applying (Application) r1 r1 r1
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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