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EDITION 58 CHAPTERS LINDA LANE LILLEY, SHELLY
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RAINFORTH COLLINS, JULIE S. SNYDER QUESTIONS AND
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ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS 100%
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CORRECT
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, Chapter 01: The Nursing Process and Drug Therapy
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MULTIPLE CHOICE i
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
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and numbnessin his toes and fingers. What will the nurse do first?
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a. Discontinue the infusion immediately. i i i
b. Reduce the infusion rate gradually until the adverse effects
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subside.
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c. Administer the medication by rapid IV infusion to reduce i i i i i i i i
these effects.
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d. Nothing; these are expected side effects of this medication.
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ANS: A i
Once the intravenous infusion of amphotericin B has begun, vital signs must be
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i monitored frequently to assess for adverse reactions such as cardiac
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i dysrhythmias,visual disturbances, paresthesias (numbness or tingling of the
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i hands or feet), respiratory difficulty, pain, fever, chills,and nausea. If these
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i adverse effects or a severe reaction occur, the infusion must be
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i discontinued(while the patient is closely monitored) and the prescriber contacted. i i i i i i i i i
The other options are incorrect.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSING i
PROCESS: Implementation
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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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?
,The nurse is writing a nursing diagnosis for a plan of care for a patient
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i who has been newlydiagnosed with type 2 diabetes. Which statement
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i reflects thecorrect format for a nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy i i i i i
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
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statements
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such 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
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“I’m
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upset about having to test my blood sugars.”
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ANS: D i
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
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missing the
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“related to” and “as evidenced by” portions of defining characteristics. “Anxiety
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i related to new drug therapy” is missing the “as evidenced by” portion of defining
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characteristics. The statementbeginning “Anxiety related to anxious feelings” is
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i incorrect because the “related to” section is simply a restatement of the problem
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i “anxiety,” not a separate factor related to the response.
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DIF: COGNITIVE LEVEL: Understanding
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, (Comprehension)TOP: NURSING PROCESS: i i
Nursing Diagnosis i
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the
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i nurse was busy andgave the medication 2 hours after the scheduled dose was
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i due. Whattype of problem does this represent?
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a. “Right time” i
b. “Right dose” i
c. “Right route” i
d. “Right
medication”
ANS: A i
“Right time” is correct because the medication was given more than 30
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i minutes after the scheduled dose was due. “Dose” is incorrect because
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i thedose is not related to the time the
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medication administration is scheduled. “Route” is incorrect because the route
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is not affected.“Medication” is incorrect because the medication ordered will
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i not change.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSING i
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
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since the first doseand documenting the patient’s therapeutic response to the
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?