MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
The nurse is writing a nursing diagnosis for a plan of care for a patient who
TEST BANK PHARMACOLOGY AND THE NURSING PROCESS 9TH
EDITION 58 CHAPTERS LINDA LANE LILLEY SHELLY RAINFORTH has been newlydiagnosed with type 2 diabetes. Which statement reflects the
COLLINS ,JULIE S. SYNDER WITH MULTIPLE CHOICE ANSWERS correct format for a nursing diagnosis?
ALL ANSWERED CORRECTLY latest update 2024/2025 a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
Chapter 01: The Nursing Process and Drug Therapy
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements
MULTIPLE CHOICE
such as“I’m
upset about having to test my blood sugars.”
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
and numbnessin his toes and fingers. What will the nurse do first? ANS: D
a. Discontinue the infusion immediately. Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
b. Reduce the infusion rate gradually until the adverse effects missing the
subside. “related to” and “as evidenced by” portions of defining characteristics. “Anxiety
c. Administer the medication by rapid IV infusion to reduce related to new drug therapy” is missing the “as evidenced by” portion of defining
these effects. characteristics. The statementbeginning “Anxiety related to anxious feelings” is
d. Nothing; these are expected side effects of this medication. incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
ANS: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
DIF: COGNITIVE LEVEL: Understanding
monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
? ?
, medication. Which phase of the nursing processed these actions illustrate?
a. Nursing
(Comprehension)TOP: NURSING PROCESS: diagnosis
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care b. Planning
c. Implementatio
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse n
was busy andgave the medication 2 hours after the scheduled dose was due. What d. Evaluation
type of problem does this represent?
a. “Right time” ANS: D
b. “Right dose” Monitoring the patient’s progress, including the patient’s response to the
c. “Right route” medication, is part of the evaluation phase. Planning, implementation, and nursing
d. “Right diagnosis are not illustrated by thisexample.
medication”
DIF: COGNITIVE LEVEL: Understanding
ANS: A
“Right time” is correct because the medication was given more than 30 (Comprehension)TOP: NURSING PROCESS:
minutes after the scheduled dose was due. “Dose” is incorrect because the Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
is not affected.“Medication” is incorrect because the medication ordered will
mellitus. Whichstatement best illustrates an outcome criterion for this patient?
not change.
a. The patient will follow instructions.
DIF: COGNITIVE LEVEL: Applying b. The patient will not experience complications.
(Application)TOP: NURSING c. The patient will adhere to the new insulin treatment regimen.
PROCESS: Implementation d. The patient will demonstrate correct blood glucose
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control testingtechnique.
ANS: D
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
? ?
,“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not experiencing
DIF: COGNITIVE LEVEL: Applying
complications” are not specific criteria.“Adhering to new regimen” would be
(Application)TOP: NURSING
difficult to measure.
PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for
the patient whois newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used
at home
d. Formulating nursing diagnoses regarding deficient knowledge related
to the new
treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase.
Setting goals and outcomes reflects the planning phase. Recording a drug
history reflects the assessment phase.Formulating nursing diagnoses reflects
analysis of data as part of planning.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
?
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
a. Give the medication intravenously because the patient might
6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before vomit.
beginning chemotherapy to prevent nausea.” The nurse notes that the route is b. Give the medication orally because the tablets are available in 4-
missing from the order. Whatis the nurse’s best action? mg doses.
c. Contact the prescriber to clarify the route of the
medicationordered.
d. Hold the medication until the prescriber returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a medication
order does notinclude the route, the nurse must ask the prescriber to clarify it. The
intravenous and oral routes are not interchangeable. Holding the medication until
the prescriber returns would mean that thepatient would not receive a needed
medication.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to
consider whendeciding when to give a drug?
a. The patient’s ability to
swallow
b. The patient’s height
c. The patient’s last meal
d. The patient’s
allergies ANS: C
The nurse is writing a nursing diagnosis for a plan of care for a patient who
TEST BANK PHARMACOLOGY AND THE NURSING PROCESS 9TH
EDITION 58 CHAPTERS LINDA LANE LILLEY SHELLY RAINFORTH has been newlydiagnosed with type 2 diabetes. Which statement reflects the
COLLINS ,JULIE S. SYNDER WITH MULTIPLE CHOICE ANSWERS correct format for a nursing diagnosis?
ALL ANSWERED CORRECTLY latest update 2024/2025 a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
Chapter 01: The Nursing Process and Drug Therapy
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements
MULTIPLE CHOICE
such as“I’m
upset about having to test my blood sugars.”
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
and numbnessin his toes and fingers. What will the nurse do first? ANS: D
a. Discontinue the infusion immediately. Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
b. Reduce the infusion rate gradually until the adverse effects missing the
subside. “related to” and “as evidenced by” portions of defining characteristics. “Anxiety
c. Administer the medication by rapid IV infusion to reduce related to new drug therapy” is missing the “as evidenced by” portion of defining
these effects. characteristics. The statementbeginning “Anxiety related to anxious feelings” is
d. Nothing; these are expected side effects of this medication. incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
ANS: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
DIF: COGNITIVE LEVEL: Understanding
monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
? ?
, medication. Which phase of the nursing processed these actions illustrate?
a. Nursing
(Comprehension)TOP: NURSING PROCESS: diagnosis
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care b. Planning
c. Implementatio
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse n
was busy andgave the medication 2 hours after the scheduled dose was due. What d. Evaluation
type of problem does this represent?
a. “Right time” ANS: D
b. “Right dose” Monitoring the patient’s progress, including the patient’s response to the
c. “Right route” medication, is part of the evaluation phase. Planning, implementation, and nursing
d. “Right diagnosis are not illustrated by thisexample.
medication”
DIF: COGNITIVE LEVEL: Understanding
ANS: A
“Right time” is correct because the medication was given more than 30 (Comprehension)TOP: NURSING PROCESS:
minutes after the scheduled dose was due. “Dose” is incorrect because the Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
is not affected.“Medication” is incorrect because the medication ordered will
mellitus. Whichstatement best illustrates an outcome criterion for this patient?
not change.
a. The patient will follow instructions.
DIF: COGNITIVE LEVEL: Applying b. The patient will not experience complications.
(Application)TOP: NURSING c. The patient will adhere to the new insulin treatment regimen.
PROCESS: Implementation d. The patient will demonstrate correct blood glucose
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control testingtechnique.
ANS: D
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
? ?
,“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not experiencing
DIF: COGNITIVE LEVEL: Applying
complications” are not specific criteria.“Adhering to new regimen” would be
(Application)TOP: NURSING
difficult to measure.
PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for
the patient whois newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used
at home
d. Formulating nursing diagnoses regarding deficient knowledge related
to the new
treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase.
Setting goals and outcomes reflects the planning phase. Recording a drug
history reflects the assessment phase.Formulating nursing diagnoses reflects
analysis of data as part of planning.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
?
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
a. Give the medication intravenously because the patient might
6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before vomit.
beginning chemotherapy to prevent nausea.” The nurse notes that the route is b. Give the medication orally because the tablets are available in 4-
missing from the order. Whatis the nurse’s best action? mg doses.
c. Contact the prescriber to clarify the route of the
medicationordered.
d. Hold the medication until the prescriber returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a medication
order does notinclude the route, the nurse must ask the prescriber to clarify it. The
intravenous and oral routes are not interchangeable. Holding the medication until
the prescriber returns would mean that thepatient would not receive a needed
medication.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to
consider whendeciding when to give a drug?
a. The patient’s ability to
swallow
b. The patient’s height
c. The patient’s last meal
d. The patient’s
allergies ANS: C
