Stuvia.com - The Marketplace to Buy and Sell your Study
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Material
Chapter
ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
01: The Nursing Process and Drug Therapy
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Lilley:Pharmacology and theNursing Process, 10th Edition
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MULTIPLE CHOICE ss
1. The nurse is developing a human needs statement for a patient who has a
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ss new diagnosis of heart failure. Identification of human needs statements
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occur with which of these activities?
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a. Collection of patient data ss ss ss
b. Administering interventions ss
c. Deciding on patient outcomes s ss ss
d. Documenting the patient‘s behavior ss ss ss
ANS: A ss
Identification of human needs occurs with the collection of patient data. ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Understanding ss ss
(Comprehension) TOP: Nursing Process:
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ss Human Needs Statement ss ss
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
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and gave the medication 2 hours after the scheduled dose was due. What type
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ss of problem does this represent?
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a. ―Right time‖ ss
b. ―Right dose‖ ss
c. ―Right route‖ ss
d. ―Right medication‖ ss
, Stuvia.com - The Marketplace to Buy and Sell your Study
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Material
ANS: A ss
―Right time‖ is correct because the medication was given more than 30
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ss minutes after the scheduled dose was due. ―Dose‖ is incorrect because the
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ss dose is not related to the time the medication administration is scheduled.
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―Route‖ is incorrect because the route isnot affected.
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―Medication‖ is incorrect because the medication ordered will not change. ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: ss
Applying(Application) TOP: Nursing
ss s ss s s
ss Process: Implementation ss
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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ss since the first dose and documenting the patient‘s therapeutic response to
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ss the medication. Which phase of the nursing process do these actions
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ss illustrate?
a. Human needs statement ss ss
b. Planning
c. Implementation
d. Evaluation
ANS: D ss
Monitoring the patient‘s progress, including the patient‘s response to the
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ss medication, is part of the evaluation phase. Planning, implementation, and
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ss human needs statement are not illustrated by this example.
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DIF: s s s s Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
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ss Evaluation
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
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
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diabetes mellitus. Which statement best illustrates an outcome criterion
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ss 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 ss
―Demonstrating correct blood glucose testing technique‖ is a specific and ss ss ss ss ss ss ss ss ss
ss measurable outcome criterion. ―Followinginstructions‖ and ―not ss ss s s ss ss
experiencingcomplications‖ are not specific criteria. ―Adhering to new
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ss regimen‖ would be difficult to measure. ss ss ss ss ss
DIF: Cognitive Level: Applying (Application) ss ss ss TOP: Nursing Process: ss ss
Planning MSC: NCLEX: Safe and Effective Care Environment: Management
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ss of Care
ss
5. Which activity best reflects the implementation phase of the nursing process
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ss for the patient who is newly diagnosed with hypertension?
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a. Providingeducation on keeping a journal of blood pressure readings
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b. Setting goals and outcome criteria with the patient‘s input
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c. Recordinga drug history regarding over-the-counter medications used at home
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d. Formulatinghuman needs statements regardingdeficient knowledge s ss ss ss s ss
related to the new treatment regimen
ss ss ss ss ss ss
ANS: A ss
Education is an intervention that occurs during the implementation phase.
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ss Setting goals and outcomes reflects the planning phase. Recording a drughistory
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reflects the assessment phase. Formulating human needs statements reflects
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ss analysis of data as part of planning. ss ss ss ss ss ss
ss ss ss ss ss ss ss ss ss
Material
Chapter
ss
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
01: The Nursing Process and Drug Therapy
ss ss ss ss ss ss
Lilley:Pharmacology and theNursing Process, 10th Edition
s ss ss s ss ss ss
MULTIPLE CHOICE ss
1. The nurse is developing a human needs statement for a patient who has a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss new diagnosis of heart failure. Identification of human needs statements
ss ss ss ss ss ss ss ss ss
occur with which of these activities?
ss ss ss ss ss ss
a. Collection of patient data ss ss ss
b. Administering interventions ss
c. Deciding on patient outcomes s ss ss
d. Documenting the patient‘s behavior ss ss ss
ANS: A ss
Identification of human needs occurs with the collection of patient data. ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Understanding ss ss
(Comprehension) TOP: Nursing Process:
ss ss s s ss
ss Human Needs Statement ss ss
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and gave the medication 2 hours after the scheduled dose was due. What type
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss of problem does this represent?
ss ss ss ss
a. ―Right time‖ ss
b. ―Right dose‖ ss
c. ―Right route‖ ss
d. ―Right medication‖ ss
, Stuvia.com - The Marketplace to Buy and Sell your Study
ss ss ss ss ss ss ss ss ss
Material
ANS: A ss
―Right time‖ is correct because the medication was given more than 30
ss ss ss ss ss ss ss ss ss ss ss
ss minutes after the scheduled dose was due. ―Dose‖ is incorrect because the
ss ss ss ss ss ss ss ss ss ss ss
ss dose is not related to the time the medication administration is scheduled.
ss ss ss ss ss ss ss ss s ss ss
―Route‖ is incorrect because the route isnot affected.
s ss ss ss ss ss ss s ss
―Medication‖ is incorrect because the medication ordered will not change. ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: ss
Applying(Application) TOP: Nursing
ss s ss s s
ss Process: Implementation ss
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
ss ss ss ss ss ss ss ss ss ss
3. The nurse has been monitoring the patient‘s progress on a new drug regimen
ss ss ss ss ss ss ss ss ss ss ss ss
ss since the first dose and documenting the patient‘s therapeutic response to
ss ss ss ss ss ss ss ss ss ss
ss the medication. Which phase of the nursing process do these actions
ss ss ss ss ss ss ss ss ss ss
ss illustrate?
a. Human needs statement ss ss
b. Planning
c. Implementation
d. Evaluation
ANS: D ss
Monitoring the patient‘s progress, including the patient‘s response to the
ss ss ss ss ss ss ss ss ss
ss medication, is part of the evaluation phase. Planning, implementation, and
ss ss ss ss ss ss ss ss ss
ss human needs statement are not illustrated by this example.
ss ss ss ss ss ss ss ss
DIF: s s s s Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
ss ss ss s s ss
ss Evaluation
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
4. The nurse is assigned to a patient who is newly diagnosed with type 1
ss ss ss ss ss ss ss ss ss ss ss ss ss
diabetes mellitus. Which statement best illustrates an outcome criterion
ss ss ss ss ss ss ss ss ss
ss for this patient?
ss ss
a. The patient will follow instructions.
ss ss ss ss
b. The patient will not experience complications.
ss ss ss ss ss
c. The patient will adhere to the new insulin treatment regimen.
ss ss ss ss ss ss ss ss ss
d. The patient will demonstrate correct blood glucose testing technique.
ss ss ss ss ss ss ss ss
ANS: D ss
―Demonstrating correct blood glucose testing technique‖ is a specific and ss ss ss ss ss ss ss ss ss
ss measurable outcome criterion. ―Followinginstructions‖ and ―not ss ss s s ss ss
experiencingcomplications‖ are not specific criteria. ―Adhering to new
ss s ss ss ss ss ss ss ss
ss regimen‖ would be difficult to measure. ss ss ss ss ss
DIF: Cognitive Level: Applying (Application) ss ss ss TOP: Nursing Process: ss ss
Planning MSC: NCLEX: Safe and Effective Care Environment: Management
ss ss s s ss ss ss ss ss ss
ss of Care
ss
5. Which activity best reflects the implementation phase of the nursing process
ss ss ss ss ss ss ss ss ss s
ss for the patient who is newly diagnosed with hypertension?
ss ss ss ss ss ss ss ss
a. Providingeducation on keeping a journal of blood pressure readings
s ss ss s ss ss ss ss ss
b. Setting goals and outcome criteria with the patient‘s input
ss ss ss ss ss ss ss ss
c. Recordinga drug history regarding over-the-counter medications used at home
s ss s ss ss ss ss ss ss
d. Formulatinghuman needs statements regardingdeficient knowledge s ss ss ss s ss
related to the new treatment regimen
ss ss ss ss ss ss
ANS: A ss
Education is an intervention that occurs during the implementation phase.
ss ss ss ss ss ss ss ss ss
ss Setting goals and outcomes reflects the planning phase. Recording a drughistory
ss ss ss ss ss ss s ss s ss s
reflects the assessment phase. Formulating human needs statements reflects
s ss ss ss ss ss ss ss ss
ss analysis of data as part of planning. ss ss ss ss ss ss