Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
Chapter2901:29The29Nursing29Process29and29Drug29Therapy
MULTIPLE29CHOICE
1. The29nurse29is29writing29a29nursing29diagnosis29for29a29plan29of29care29for29a29pat
ient29who29has29been29newly29diagnosed29with29type29229diabetes.29Which29state
ment29reflects29the29correct29format29for29a29nursing29diagnosis?
a. Anxiety
b. Anxiety29related29to29new29drug29therapy
c. Anxiety29related29to29anxious29feelings29about29drug29therapy,29as29eviden
ced29by29statements
such29as29“I’m29upset29about29having29to29test29my29blood29sugars.”
d. Anxiety29related29to29new29drug29therapy,29as29evidenced29by29statements2
9such29as29“I’m
upset29about29having29to29test29my29blood29sugars.”
ANS:2 9 D
Formulation29of29nursing29diagnoses29is29usually29a29three-
step29process.29“Anxiety”29is29missing29the
“related29to”29and29“as29evidenced29by”29portions29of29defining29characteristics.29“A
nxiety29related29to29new29drug29therapy”29is29missing29the29“as29evidenced29by”29port
ion29of29defining29characteristics.29The29statement29beginning29“Anxiety29related29to2
9 anxious29feelings”29is29incorrect29because29the29“related29to”29section29is29simply29a2
9restatement29of29the29problem29“anxiety,”29not29a29separate29factor29related29to29the29
response.
, DIF:
COGNITIVE29LEVEL:29Understanding29(C
omprehension)29TOP:2 9 NURSING29PROCESS:29
Nursing29Diagnosis
MSC:2 9 NCLEX:29Safe29and29Effective29Care29Environment:29Management29of29Care
2. The29patient29is29to29receive29oral29guaifenesin29(Mucinex)29twice29a29day.29Today,29
the29nurse29was29busy29and29gave29the29medication29229hours29after29the29scheduled29
dose29was29due.29What29type29of29problem29does29this29represent?
a. “Right29time”
b. “Right29dose”
c. “Right29route”
d. “Right29medicatio
n”
ANS:2 9 A
“Right29time”29is29correct29because29the29medication29was29given29more29than2
9 3029minutes29after29the29scheduled29dose29was29due.29“Dose”29is29incorrect29be
cause29the29dose29is29not29related29to29the29time29the
medication29administration29is29scheduled.29“Route”29is29incorrect29because29the29
route29is29not29affected.29“Medication”29is29incorrect29because29the29medication29or
dered29will29not29change.
DIF:
COGNITIVE29LEVEL:29Applying29(
Application)29TOP:2 9 NURSING29PROCE
SS:29Implementation
MSC:2 9 NCLEX:29Safe29and29Effective29Care29Environment:29Safety29and29Infection29
Control
,3. The29nurse29has29been29monitoring29the29patient’s29progress29on29a29new29drug29regi
men29since29the29first29dose29and29documenting29the29patient’s29therapeutic29respons
e29to29the29medication.29Which29phase29of29the29nursing29process29do29these29actions
29 illustrate?
a. Nursing29diagnos
is
b. Planning
c. Implementatio
n
d. Evaluation
ANS:2 9 D
Monitoring29the29patient’s29progress,29including29the29patient’s29response29to29the29
medication,29is29part29of29the29evaluation29phase.29Planning,29implementation,29and2
9nursing29diagnosis29are29not29illustrated29by29this29example.
DIF:
COGNITIVE29LEVEL:29Understanding29(C
omprehension)29TOP:2 9 NURSING29PROCESS:29
Evaluation
MSC:2 9 NCLEX:29Safe29and29Effective29Care29Environment:29Management29of29Care
4. The29nurse29is29assigned29to29a29patient29who29is29newly29diagnosed29with29type2912
9 diabetes29mellitus.29Which29statement29best29illustrates29an29outcome29criterion29fo
r29this29patient?
a. The29patient29will29follow29instructions.
b. The29patient29will29not29experience29complications.
, TEST BANK Pharmacology and the Nursing Process 9
29 29 29 29 29 29 29
th29Edition295829CHAPTERS29Linda29Lane29Lilley,29Shelly29Rainfort
h29Collins,29Julie29S.29Snyder
c. The29patient29will29adhere29to29the29new29insulin29treatment29r
egimen.
d. The29patient29will29demonstrate29correct29blood29glucose29test
ing29technique.
ANS:2 9 D
“Demonstrating29correct29blood29glucose29testing29technique”29is29a29specific29and29
measurable29outcome29criterion.29“Following29instructions”29and29“not29experiencin
g29complications”29are29not29specific29criteria.29“Adhering29to29new29regimen”29would
be29difficult29to29measure.
29
TEST BANK Pharmacology and the Nursing Process 9
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th29Edition295829CHAPTERS29Linda29Lane29Lilley,29Shelly29Rainfort
h29Collins,29Julie29S.29Snyder