FULL Test Bank For Pharmacology and the Nursing Process 10th Edition By Linda Lilley All Chapters (1 - 58)|Newest Edition 2025

,Chapter 01: The Nursing Processand Drug Therapy
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Lilley: Pharmacology and the Nursing Process, 10th Edition
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MULTIPLE CHOICE O




1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
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heart failure. Identification of human needs statements occur with which of these activities?
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a. Collection of patient data O O O



b. Administering interventions O



c. Deciding on patient outcomes zx O O



d. Documenting the patient‘s behavior O O O




ANS: A O



Identification of human needs occurs with the collection of patient data.
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DIF:
Cognitive Level: Understanding(Comprehension) O O



TOP: Nursing Process: Human Needs Statement
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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 and gave the
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medication 2 hours after the scheduled dose was due. What type of problem does this represe
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nt?
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a. ―Right time O OL



b. ―Right dose O OL



c. ―Right route O OL



d. ―Right medication O OL




ANS: A O



―Right time is correct because the medication was given more than 30 minutes after the schedule
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d dose was due. ―Dose is incorrect because the dose is not related to the time the medication adm
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inistration is scheduled.―Route is incorrect becausethe route is not affected.
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―Medication is incorrect becausethemedication ordered willnotchange.
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DIF:
Cognitive Level: Applying (Application) O O zx



TOP: Nursing 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 since the first
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dose and documenting the patient‘s therapeutic response to the medication. Which phase of
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the nursing process do these actions illustrate?
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a. Human needs statement O O



b. Planning
c. Implementation
d. Evaluation

ANS: D O



Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of t
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he evaluation phase. Planning, implementation, and human needs statement are not illustrated b
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y this example.
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,DIF: Cognitive Level: Understanding (Comprehension)
O O O TOP: Nursing Process: Evaluation
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, 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 diabetes mellitus.
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OWhich statement best illustrates an outcome criterion 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 O



―Demonstrating correct blood glucose testing technique is a specific and measurable outc O O O O O OL O O O O zx O



ome criterion. ―Following instructions and ―not experiencing complications are not specifi
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c criteria. ―Adhering to new regimen would be difficult to measure.
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DIF: Cognitive Level: Applying (Application)
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment: M
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Oanagement of Care O O




5. Which activity best reflects the implementation phase of the nursing process for the patient
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O who is newly diagnosed with hypertension?
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a. Providing education 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. Recording a drug history regarding over-the-counter medications used at home
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d. Formulating human needs statements regarding deficient knowledge related to the O O O O O O O O O



new treatment regimen
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ANS: A O



Education is an intervention that occurs during the implementation phase. Setting goals and outco
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mes reflects the planning phase. Recording a drug history reflects the assessment phase. Formulatin
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g human needs statements reflects analysis of data as part of planning.
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DIF:
Cognitive Level: Applying (Application) O O zx



TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chem
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otherapy to prevent nausea. The nurse notes that the route is missing from the order. What
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is the nurse‘s best action?
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a. Give the medication intravenously because the patient 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.
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d. Hold the medication until the prescriber returns to make rounds.
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ANS: C O



A complete medication order includes the route of administration. If a medication order does n
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ot include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral rou
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tes are not interchangeable. Holding the medication until the prescriber returns would mean th
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at the patient would not receive a needed medication.
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DIF:
Cognitive Level: Applying (Application) O O zx



TOP: Nursing Process: Implementation
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