EDITION58CHAPTERSLINDALANELILLEY,SHELLYRAINFORTH
COLLINS,JULIES.SNYDERQUESTIONSANDANSWERSLATEST
UPDATE2025/2026ALLANSWERS100%CORRECT
, Chapter 01: The Nursing Process and Drug Therapy
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MULTIPLE CHOICE wD
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tin
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gling and numbnessin his toes and fingers. What will the nurse do first?
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a. Discontinue the infusion immediately. wD wD wD
b. Reduce the infusion rate gradually until the adverse eff
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ects Kw D subside.
c. Administer the medication by rapid IV infusion to red
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uce these effects.
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d. Nothing; these are expected side effects of this medication.
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ANS: A wD
Once the intravenous infusion of amphotericin B has begun, vital signs must
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be m onitored frequently to assess for adverse reactions such as cardiac dys
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rhythmias,v isual disturbances, paresthesias (numbness or tingling of the han
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ds or feet), respir atory difficulty, pain, fever, chills,and nausea. If these ad
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verse effects or a severe reaction occur, the infusion must be discontinued(w
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hile the patient is closely mon itored) and the prescriber contacted. The oth
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er options are incorrect.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSINGPROCESS wD
: 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 pat
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ient who has been newlydiagnosed with type 2 diabetes. Which state
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ment reflects th ecorrect format for a nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy
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?
,c. Anxiety related to anxious feelings about drug therapy, as evidenced by
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?
, statements
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 s
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uch as ―I‘m
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upset about having to test my blood sugars.‖
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ANS: D wD
Formulation of nursing diagnoses is usually a th
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ree- step process. ―Anxiety‖ ismissing the
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―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―An
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xiety r elated to new drug therapy‖ is missing the ―as evidenced by‖ portio
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n of definingch aracteristics. The statementbeginning ―Anxiety related to anx
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ious feelings‖ is inco rrect because the ―related to‖ section is simply a rest
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atement of the problem ―anxie ty,‖ not a separate factor related to the resp
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onse.
DIF: COGNITIVE LEVEL: Understanding
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?