TestBankPharmacology A Patient-Centered
j/ j/ j/ j/
Nursing Process Approach, 11th Edition by
j/ j/ j/ j/ j/ j/ j/
Linda E. McCuistion Chapter 1-58
j/ j/ j/ j/ j/
,Chapter01:TheNursingProcessandPatient-CenteredCare
j/ j/ j/ j/ j/ j/ j/
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition
j/ j/ j/ j/ j/ j/ j/ j/
MULTIPLE CHOICE j/
1. Allof the following would be considered subjective data, EXCEPT:
j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Patient-reportedhealthhistory j/ j/
b. Patient-reported signs and symptoms oftheir illness j/ j/ j/ j/ j/ j/
c. Financial barriers reported bythepatient’s caregiver j/ j/ j/ j/ j/ j/
d. Vitalsigns obtained fromthe medical record j/ j/ j/ j/ j/ j/
ANS: D j /
Subjective dataisbased onwhat patients or family members communicate tothe nurse.Patient-
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
reported health history, signs and symptoms, and caregiver reported financial barriers would be
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
considered subjective data. Vital signs obtained from the medical record would be considered
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
objective data.
j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/ TOP: NursingProcess:Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
2. The nurseis using data collected to define aset of interventions to achieve the most desirable
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
outcomes. Which of the following steps is the nurse applying?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Generatesolutions (planning) j/ j/
d. Takeaction (nursinginterventions) j/ j/ j/
ANS: C j /
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
(assessment) involves the gathering of cues (information) from the patient about their health and
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
lifestyle practices, which are important facts that aid the nurse in making clinical caredecisions.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
Prioritizing hypothesis isusedto organize and rankthe patient problem(s) identified. Finally, taking
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
action involves implementation of nursing interventions to accomplish the expected outcomes.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j / j/ j/ j/
MSC: NCLEX: Management ofClient Care j / j/ j/ j/ j/
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be done
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
to care for their child. The nursereviews medications, diet, and symptom management with the parents
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
and draws up a daily checklist for the family to use. These activities are completed in which step of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
, c. Generatesolutions (planning) j/ j/
d. Takeaction (nursinginterventions) j/ j/ j/
ANS: D j /
Takingaction through nursinginterventions iswherethe nurseprovides patient health teaching, drug
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
administration, patient care, and other interventions necessary to assist the patient in accomplishing
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
expected outcomes.
j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j / j/ j/ j/
MSC: NCLEX: Management of Client Care
j / j/ j/ j/ j/
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
reflective of which of the following?
j/ j/ j/ j/ j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
d. Generatesolutions (planning) j/ j/
ANS: A j /
Recognizing cues(assessment)involves gathering subjectiveandobjectiveinformation aboutthe j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
patient and the medication. Laboratory values from the patient’s chart would be considered
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
collection of objective data.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: NursingProcess: Assessment
j / MSC: NCLEX:Management ofClient Care j/ j/ j / j/ j/ j/ j/
5. Whichof the following would be correctly categorized as objective data?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. A list of herbal supplements regularly used provided bythe patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
b. Lab values associated with thedrugs the patient is taking.
j/ j/ j/ j/ j/ j/ j/ j/ j/
c. Theages and relationship of all household members to the patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
d. Usual dietarypatterns and food intake. j/ j/ j/ j/ j/
ANS: B j /
Objective data aremeasured and detected byanother person and would include labvalues. The other
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
examples are subjective data.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: NursingProcess: Assessment
j / MSC: NCLEX: Management of Client Care j/ j/ j / j/ j/ j/ j/
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
not have an established routine. The patient will be sent home with three new medications to be
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
taken at different times of the day. The nurse develops a daily medication chart and enlists a family
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
member to put the patient’s pills in a pill organizer. This is an example of which element of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
, d. Generatesolutions (planning) j/ j/
ANS: C j /
Takingaction (nursing interventions) involves education andpatient carein orderto assist the patient to
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
accomplish the goals of treatment.
j/ j/ j/ j/ j/
DIF: Cognitive Level: Applying (Application) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j/ j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
The nurseand the patient discuss the patient’s situation and decide that thepatient may go home when
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
d. Generatesolutions (planning) j/ j/
ANS: D j /
Generating solutions (planning) involves defining a set of interventions to achieve the most j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
desirable outcomes, which, for this patient, means being able to perform self-care activities
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
without dyspnea and hypoxia.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension)
j / j/ j/ j/ TOP: Nursing Process: Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
8. A patient will be sent home with ametered-dose inhaler, and the nurse is providingteaching.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ Which is a correctly written expected outcome for this process?
j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Thenurse will demonstrate the correct use of a metered-dose inhaler to the patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
b. Thenursewill teach the patient howto administer medication with ametered-dose
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler.
c. Thepatient will knowhowtoself-administer the medication using themetered- dose
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler.
d. Thepatient will independentlyadministerthe medication usingthemetered-dose
j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler at the end of the session. j/ j/ j/ j/ j/ j/
ANS: D j /
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
deadline and should identify components for evaluation.
j/ j/ j/ j/ j/ j/ j/
DIF: Cognitive Level: Applying (Application)
j / j/ j/ j/ TOP: Nursing Process: Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
Thepatient has been admitted forincreased oxygen needs above a baseline of 2 L/min. The nurse
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
generates an expected outcomes stating, “The patient will have oxygen saturations of
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. It cannot be evaluated. j/ j/ j/
j/ j/ j/ j/
Nursing Process Approach, 11th Edition by
j/ j/ j/ j/ j/ j/ j/
Linda E. McCuistion Chapter 1-58
j/ j/ j/ j/ j/
,Chapter01:TheNursingProcessandPatient-CenteredCare
j/ j/ j/ j/ j/ j/ j/
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition
j/ j/ j/ j/ j/ j/ j/ j/
MULTIPLE CHOICE j/
1. Allof the following would be considered subjective data, EXCEPT:
j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Patient-reportedhealthhistory j/ j/
b. Patient-reported signs and symptoms oftheir illness j/ j/ j/ j/ j/ j/
c. Financial barriers reported bythepatient’s caregiver j/ j/ j/ j/ j/ j/
d. Vitalsigns obtained fromthe medical record j/ j/ j/ j/ j/ j/
ANS: D j /
Subjective dataisbased onwhat patients or family members communicate tothe nurse.Patient-
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
reported health history, signs and symptoms, and caregiver reported financial barriers would be
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
considered subjective data. Vital signs obtained from the medical record would be considered
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
objective data.
j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/ TOP: NursingProcess:Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
2. The nurseis using data collected to define aset of interventions to achieve the most desirable
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
outcomes. Which of the following steps is the nurse applying?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Generatesolutions (planning) j/ j/
d. Takeaction (nursinginterventions) j/ j/ j/
ANS: C j /
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
(assessment) involves the gathering of cues (information) from the patient about their health and
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
lifestyle practices, which are important facts that aid the nurse in making clinical caredecisions.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
Prioritizing hypothesis isusedto organize and rankthe patient problem(s) identified. Finally, taking
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
action involves implementation of nursing interventions to accomplish the expected outcomes.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j / j/ j/ j/
MSC: NCLEX: Management ofClient Care j / j/ j/ j/ j/
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be done
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
to care for their child. The nursereviews medications, diet, and symptom management with the parents
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
and draws up a daily checklist for the family to use. These activities are completed in which step of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
, c. Generatesolutions (planning) j/ j/
d. Takeaction (nursinginterventions) j/ j/ j/
ANS: D j /
Takingaction through nursinginterventions iswherethe nurseprovides patient health teaching, drug
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
administration, patient care, and other interventions necessary to assist the patient in accomplishing
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
expected outcomes.
j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j / j/ j/ j/
MSC: NCLEX: Management of Client Care
j / j/ j/ j/ j/
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
reflective of which of the following?
j/ j/ j/ j/ j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
d. Generatesolutions (planning) j/ j/
ANS: A j /
Recognizing cues(assessment)involves gathering subjectiveandobjectiveinformation aboutthe j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
patient and the medication. Laboratory values from the patient’s chart would be considered
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
collection of objective data.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: NursingProcess: Assessment
j / MSC: NCLEX:Management ofClient Care j/ j/ j / j/ j/ j/ j/
5. Whichof the following would be correctly categorized as objective data?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. A list of herbal supplements regularly used provided bythe patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
b. Lab values associated with thedrugs the patient is taking.
j/ j/ j/ j/ j/ j/ j/ j/ j/
c. Theages and relationship of all household members to the patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
d. Usual dietarypatterns and food intake. j/ j/ j/ j/ j/
ANS: B j /
Objective data aremeasured and detected byanother person and would include labvalues. The other
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
examples are subjective data.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension) j/ j/ j/
TOP: NursingProcess: Assessment
j / MSC: NCLEX: Management of Client Care j/ j/ j / j/ j/ j/ j/
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
not have an established routine. The patient will be sent home with three new medications to be
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
taken at different times of the day. The nurse develops a daily medication chart and enlists a family
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
member to put the patient’s pills in a pill organizer. This is an example of which element of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
, d. Generatesolutions (planning) j/ j/
ANS: C j /
Takingaction (nursing interventions) involves education andpatient carein orderto assist the patient to
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
accomplish the goals of treatment.
j/ j/ j/ j/ j/
DIF: Cognitive Level: Applying (Application) j/ j/ j/
TOP: Nursing Process: Nursing Intervention
j/ j/ j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
The nurseand the patient discuss the patient’s situation and decide that thepatient may go home when
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
nursing process?
j/ j/
a. Recognizingcues(assessment) j/ j/
b. Analyze cues & prioritize hypothesis (analysis) j/ j/ j/ j/ j/
c. Takeaction (nursinginterventions) j/ j/ j/
d. Generatesolutions (planning) j/ j/
ANS: D j /
Generating solutions (planning) involves defining a set of interventions to achieve the most j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
desirable outcomes, which, for this patient, means being able to perform self-care activities
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
without dyspnea and hypoxia.
j/ j/ j/ j/
DIF: Cognitive Level: Understanding (Comprehension)
j / j/ j/ j/ TOP: Nursing Process: Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
8. A patient will be sent home with ametered-dose inhaler, and the nurse is providingteaching.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ Which is a correctly written expected outcome for this process?
j/ j/ j/ j/ j/ j/ j/ j/ j/
a. Thenurse will demonstrate the correct use of a metered-dose inhaler to the patient.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
b. Thenursewill teach the patient howto administer medication with ametered-dose
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler.
c. Thepatient will knowhowtoself-administer the medication using themetered- dose
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler.
d. Thepatient will independentlyadministerthe medication usingthemetered-dose
j/ j/ j/ j/ j/ j/ j/ j/ j/
j/ inhaler at the end of the session. j/ j/ j/ j/ j/ j/
ANS: D j /
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
deadline and should identify components for evaluation.
j/ j/ j/ j/ j/ j/ j/
DIF: Cognitive Level: Applying (Application)
j / j/ j/ j/ TOP: Nursing Process: Planning j/ j/ j/
MSC: NCLEX: Management of Client Care
j/ j / j/ j/ j/ j/
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
Thepatient has been admitted forincreased oxygen needs above a baseline of 2 L/min. The nurse
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
generates an expected outcomes stating, “The patient will have oxygen saturations of
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/ j/
a. It cannot be evaluated. j/ j/ j/
