(CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
(Complete Answered) Test Bank Pharmacology A Patient- Centered Nursing Process Approach, 11th
Edition by Linda E. McCuistion Chapter 1-58
MULTIPLE CHOICE ws
1. The nursing process is a five-step decision-
ws ws ws ws ws ws
making approach that includes all of the following steps, EXCEPT:
ws ws ws ws ws ws ws ws ws
a. Assessment
b. Patient problem ws
c. Planning
d. Right Drug ws
ANS: D ws
The nursing process is a five-step decision-
ws ws ws ws ws ws
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementation, an
ws ws ws ws ws ws ws ws ws ws ws ws ws
d 5) evaluation. ―Right drug‖ is one of the
ws ws ws ws ws ws ws ws
―Six Rights‖ of medication administration.
ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
2. The nurse is using data collected to set goals or expected outcomes and interventions that ad
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
dress the patient‘s problems. Which step of the nursing process is the nurse applying?
ws ws ws ws ws ws ws ws ws ws ws ws ws
a. Assessment
b. Patient problem ws
c. Planning N
d. Evaluation
ANS: C ws
During the planning phase, the nurse uses the data collected to set goals or expected outcomes an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d interventions which address the patient‘s problems. The data was collected during the
ws ws ws ws ws ws ws ws ws ws ws ws
―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the nurse would det ws ws ws ws ws ws ws ws ws ws ws ws
ermine whether the goals and objectives set during the planning phase were met.
ws ws ws ws ws ws ws ws ws ws ws ws
DIF:
Cognitive Level: Understanding (Comprehension) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
MSC: NCLEX: Management of Care
w s ws ws ws
3. A 5-year-
ws
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hypergly
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
cemia. The parents tell the nurse that they can‘t keep track of everything that has to be done to ca
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
re for their child. The nurse reviews medications, diet, and symptom management with the pare
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
nts and draws up a daily checklist for the family to use. These activities are completed in which
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
step of the nursing process?
ws ws ws ws
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C ws
TESTBANKWORLD.ORG
,(CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
The implementation phase is the part of the nursing process in which the nurse provides educ
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ation, drug administration, patient care, and other interventions necessary to assist the patient i
ws ws ws ws ws ws ws ws ws ws ws ws ws
n accomplishing established medication goals.
ws ws ws ws
DIF:
Cognitive Level: Understanding (Comprehension) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
MSC: NCLEX: Management of Care w s ws ws ws
4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug all
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are refle
ws ws ws ws ws ws ws ws ws ws ws ws ws
ctive of which phase of the nursing process?
ws ws ws ws ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A ws
Assessment involves gathering information about the patient and the drug, including any prev
ws ws ws ws ws ws ws ws ws ws ws ws
ious use of the drug. ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Assessment
w sMSC: NCLEX: Management of Care ws ws w s ws ws ws
5. Which assessment is categorized as objective data?
ws ws ws ws ws ws
a. A list of herbal supplements regularly used
ws ws ws ws ws ws
b. Lab values associated with the drugs the patient is taking
ws ws ws ws ws ws ws ws ws
c. The ages and relationship to the patient of all household members
ws ws ws ws ws ws ws ws ws ws
d. Usual dietary patterns and fNo o d intake ws ws ws ws ws
ANS: B ws
Objective data are measured and detected by another person and would include lab values. Th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e other examples are subjective data.
ws ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Assessment
w sMSC: NCLEX: Management of Care ws ws w s ws ws ws
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and do
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
es not have an established routine. The patient will be sent home with three new medications to
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
be taken at different times of the day. The nurse develops a daily medication chart and enlists a
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
family member to put the patient‘s pills in a pill organizer. This is an example of which phase o
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
f the nursing process?
ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C ws
The implementation phase involves education and patient care in order to assist the patient to accomp
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
lish the goals of treatment.
ws ws ws ws
DIF:
Cognitive Level: Applying (Application) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
TESTBANKWORLD.ORG
,(CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
MSC: NCLEX: Management of Care w s ws ws ws
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go ho
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
me. The nurse and the patient discuss the patient‘s situation and decide that the patient may go h
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ome when able to perform self-
ws ws ws ws ws
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D ws
Planning involves goal setting, which, for this patient, means being able to perform self-
ws ws ws ws ws ws ws ws ws ws ws ws ws
care activities without dyspnea and hypoxia.
ws ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
8. A patient will be sent home with a metered-
ws ws ws ws ws ws ws ws
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proc
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ess?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
ws ws ws ws ws ws ws ws ws ws ws ws ws
b. The nurse will teach the patient how to administer medication with a metered-
ws ws ws ws ws ws ws ws ws ws ws ws
dose inhaler. ws
c. The patient will know how to self- ws ws ws ws ws ws
administer the medication using the metered-dose inhaler. ws ws ws ws ws ws
d. The patient will independently administer the medication using the metered-
ws ws ws ws ws ws ws ws ws
dose inhaler at the end of the session.
N
ws ws ws ws ws ws ws
ANS: D ws
Goals must be patient- ws ws ws
centered and clearly state the outcome with a reasonable deadline and should identify component
ws ws ws ws ws ws ws ws ws ws ws ws ws
s for evaluation.
ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
nurse develops a goal stating, ―The patient will have oxygen saturations of >95% on room air at the
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
time of discharge from the hospital.‖ What is wrong with this goal?
ws ws ws ws ws ws ws ws ws ws ws ws
a. It cannot be evaluated. ws ws ws
b. It is not measurable. ws ws ws
c. It is not patient-centered. ws ws ws
d. It is not realistic. ws ws ws
ANS: D ws
This goal is not realistic because the patient is not usually on room air and should not be expect
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ed to attain that goal by discharge from this hospitalization.
ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
TESTBANKWORLD.ORG
, (CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
tihypertensive drug that causes dizziness and orthostatic hypotension. Which patient pro ws ws ws ws ws ws ws ws ws ws
blem documented by the nurse is appropriate for this patient?
ws ws ws ws ws ws ws ws ws
a. Deficient knowledge related to drug side effects ws ws ws ws ws ws
b. Ineffective health maintenance related to age ws ws ws ws ws
c. Readiness for enhanced knowledge related to medication side effects ws ws ws ws ws ws ws ws
d. Risk for injury related to side effects of the medication ws ws ws ws ws ws ws ws ws
ANS: D ws
This patient has an increased risk for injury because of drug side effects, so this is an appropri
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ate patient problem to direct the type of care and follow-up the patient will receive.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
DIF:
Cognitive Level: Applying (Application) ws ws ws ws
TOP: Nursing Process: Nursing Diagnosis MSC
ws ws ws ws ws
: NCLEX: Management of Care
w s ws ws ws
11. An older patient must learn to administer a medication using a device that requires manual dext
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
erity. The patient becomes frustrated and expresses lack of self-
ws ws ws ws ws ws ws ws ws
confidence in performing this task. Which action will the nurse perform next? ws ws ws ws ws ws ws ws ws ws ws
a. Ask the patient to keep trying until the skill is learned.
ws ws ws ws ws ws ws ws ws ws
b. Provide written instructions with illustrations showing each step of the skill. ws ws ws ws ws ws ws ws ws ws
c. Schedule multiple sessions and practice each step separately. ws ws ws ws ws ws ws
d. Teach the procedure to family members who can administer the medication for the pa
ws ws ws ws ws ws ws ws ws ws ws ws ws
tient.
ANS: C ws
Nurses should be sensitive to patient‘s level of frustration when teaching skills. In this case, breaking t
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
he steps down into inNdividual parts will help with this patient‘s frustration level.
ws ws ws ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
12. A school- ws
age child will begin taking a medication to be administered at 5 mL three times daily. The c
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
hild‘s parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
to bring the medication home from school, resulting in missed evening doses. What will th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e nurse recommend?
ws ws
a. Asking the provider if the medication may be taken before school, after school, an
ws ws ws ws ws ws ws ws ws ws ws ws ws
d at bedtime ws ws
b. Putting a note on the child‘s locker to encourage the child to take responsibility for m
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
edication administration ws
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be tak ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
en in the evening so that the correct amount is given daily
ws ws ws ws ws ws ws ws ws ws ws
d. Taking the noon dose to school every day and giving it to the school nurse to ad ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
minister
ANS: C ws
For busy families with school-
ws ws ws ws
age children, it may be necessary to adjust the medication schedule to one that fits their schedule.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
The nurse should ask the provider if a revised schedule is possible. In this case, the most effectiv
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e revised schedule would involve not taking the medication while at school. Putting a note on th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e locker is not likely to be effective. It is not correct to adjust the dose.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
TESTBANKWORLD.ORG
ws ws ws ws
(Complete Answered) Test Bank Pharmacology A Patient- Centered Nursing Process Approach, 11th
Edition by Linda E. McCuistion Chapter 1-58
MULTIPLE CHOICE ws
1. The nursing process is a five-step decision-
ws ws ws ws ws ws
making approach that includes all of the following steps, EXCEPT:
ws ws ws ws ws ws ws ws ws
a. Assessment
b. Patient problem ws
c. Planning
d. Right Drug ws
ANS: D ws
The nursing process is a five-step decision-
ws ws ws ws ws ws
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementation, an
ws ws ws ws ws ws ws ws ws ws ws ws ws
d 5) evaluation. ―Right drug‖ is one of the
ws ws ws ws ws ws ws ws
―Six Rights‖ of medication administration.
ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
2. The nurse is using data collected to set goals or expected outcomes and interventions that ad
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
dress the patient‘s problems. Which step of the nursing process is the nurse applying?
ws ws ws ws ws ws ws ws ws ws ws ws ws
a. Assessment
b. Patient problem ws
c. Planning N
d. Evaluation
ANS: C ws
During the planning phase, the nurse uses the data collected to set goals or expected outcomes an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d interventions which address the patient‘s problems. The data was collected during the
ws ws ws ws ws ws ws ws ws ws ws ws
―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the nurse would det ws ws ws ws ws ws ws ws ws ws ws ws
ermine whether the goals and objectives set during the planning phase were met.
ws ws ws ws ws ws ws ws ws ws ws ws
DIF:
Cognitive Level: Understanding (Comprehension) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
MSC: NCLEX: Management of Care
w s ws ws ws
3. A 5-year-
ws
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hypergly
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
cemia. The parents tell the nurse that they can‘t keep track of everything that has to be done to ca
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
re for their child. The nurse reviews medications, diet, and symptom management with the pare
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
nts and draws up a daily checklist for the family to use. These activities are completed in which
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
step of the nursing process?
ws ws ws ws
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C ws
TESTBANKWORLD.ORG
,(CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
The implementation phase is the part of the nursing process in which the nurse provides educ
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ation, drug administration, patient care, and other interventions necessary to assist the patient i
ws ws ws ws ws ws ws ws ws ws ws ws ws
n accomplishing established medication goals.
ws ws ws ws
DIF:
Cognitive Level: Understanding (Comprehension) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
MSC: NCLEX: Management of Care w s ws ws ws
4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug all
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are refle
ws ws ws ws ws ws ws ws ws ws ws ws ws
ctive of which phase of the nursing process?
ws ws ws ws ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A ws
Assessment involves gathering information about the patient and the drug, including any prev
ws ws ws ws ws ws ws ws ws ws ws ws
ious use of the drug. ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Assessment
w sMSC: NCLEX: Management of Care ws ws w s ws ws ws
5. Which assessment is categorized as objective data?
ws ws ws ws ws ws
a. A list of herbal supplements regularly used
ws ws ws ws ws ws
b. Lab values associated with the drugs the patient is taking
ws ws ws ws ws ws ws ws ws
c. The ages and relationship to the patient of all household members
ws ws ws ws ws ws ws ws ws ws
d. Usual dietary patterns and fNo o d intake ws ws ws ws ws
ANS: B ws
Objective data are measured and detected by another person and would include lab values. Th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e other examples are subjective data.
ws ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Assessment
w sMSC: NCLEX: Management of Care ws ws w s ws ws ws
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and do
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
es not have an established routine. The patient will be sent home with three new medications to
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
be taken at different times of the day. The nurse develops a daily medication chart and enlists a
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
family member to put the patient‘s pills in a pill organizer. This is an example of which phase o
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
f the nursing process?
ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C ws
The implementation phase involves education and patient care in order to assist the patient to accomp
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
lish the goals of treatment.
ws ws ws ws
DIF:
Cognitive Level: Applying (Application) ws ws ws ws
TOP: Nursing Process: Nursing Intervention
w s ws ws ws
TESTBANKWORLD.ORG
,(CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
MSC: NCLEX: Management of Care w s ws ws ws
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go ho
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
me. The nurse and the patient discuss the patient‘s situation and decide that the patient may go h
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ome when able to perform self-
ws ws ws ws ws
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D ws
Planning involves goal setting, which, for this patient, means being able to perform self-
ws ws ws ws ws ws ws ws ws ws ws ws ws
care activities without dyspnea and hypoxia.
ws ws ws ws ws
DIF: Cognitive Level: Understanding (Comprehension) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
8. A patient will be sent home with a metered-
ws ws ws ws ws ws ws ws
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proc
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ess?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
ws ws ws ws ws ws ws ws ws ws ws ws ws
b. The nurse will teach the patient how to administer medication with a metered-
ws ws ws ws ws ws ws ws ws ws ws ws
dose inhaler. ws
c. The patient will know how to self- ws ws ws ws ws ws
administer the medication using the metered-dose inhaler. ws ws ws ws ws ws
d. The patient will independently administer the medication using the metered-
ws ws ws ws ws ws ws ws ws
dose inhaler at the end of the session.
N
ws ws ws ws ws ws ws
ANS: D ws
Goals must be patient- ws ws ws
centered and clearly state the outcome with a reasonable deadline and should identify component
ws ws ws ws ws ws ws ws ws ws ws ws ws
s for evaluation.
ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
nurse develops a goal stating, ―The patient will have oxygen saturations of >95% on room air at the
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
time of discharge from the hospital.‖ What is wrong with this goal?
ws ws ws ws ws ws ws ws ws ws ws ws
a. It cannot be evaluated. ws ws ws
b. It is not measurable. ws ws ws
c. It is not patient-centered. ws ws ws
d. It is not realistic. ws ws ws
ANS: D ws
This goal is not realistic because the patient is not usually on room air and should not be expect
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ed to attain that goal by discharge from this hospitalization.
ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
TESTBANKWORLD.ORG
, (CompleteAnswered) Test Bank Pharmacology
ws ws ws ws
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
tihypertensive drug that causes dizziness and orthostatic hypotension. Which patient pro ws ws ws ws ws ws ws ws ws ws
blem documented by the nurse is appropriate for this patient?
ws ws ws ws ws ws ws ws ws
a. Deficient knowledge related to drug side effects ws ws ws ws ws ws
b. Ineffective health maintenance related to age ws ws ws ws ws
c. Readiness for enhanced knowledge related to medication side effects ws ws ws ws ws ws ws ws
d. Risk for injury related to side effects of the medication ws ws ws ws ws ws ws ws ws
ANS: D ws
This patient has an increased risk for injury because of drug side effects, so this is an appropri
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ate patient problem to direct the type of care and follow-up the patient will receive.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
DIF:
Cognitive Level: Applying (Application) ws ws ws ws
TOP: Nursing Process: Nursing Diagnosis MSC
ws ws ws ws ws
: NCLEX: Management of Care
w s ws ws ws
11. An older patient must learn to administer a medication using a device that requires manual dext
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
erity. The patient becomes frustrated and expresses lack of self-
ws ws ws ws ws ws ws ws ws
confidence in performing this task. Which action will the nurse perform next? ws ws ws ws ws ws ws ws ws ws ws
a. Ask the patient to keep trying until the skill is learned.
ws ws ws ws ws ws ws ws ws ws
b. Provide written instructions with illustrations showing each step of the skill. ws ws ws ws ws ws ws ws ws ws
c. Schedule multiple sessions and practice each step separately. ws ws ws ws ws ws ws
d. Teach the procedure to family members who can administer the medication for the pa
ws ws ws ws ws ws ws ws ws ws ws ws ws
tient.
ANS: C ws
Nurses should be sensitive to patient‘s level of frustration when teaching skills. In this case, breaking t
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
he steps down into inNdividual parts will help with this patient‘s frustration level.
ws ws ws ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying (Application) ws ws ws
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
w s ws ws ws w s ws ws ws
12. A school- ws
age child will begin taking a medication to be administered at 5 mL three times daily. The c
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
hild‘s parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
to bring the medication home from school, resulting in missed evening doses. What will th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e nurse recommend?
ws ws
a. Asking the provider if the medication may be taken before school, after school, an
ws ws ws ws ws ws ws ws ws ws ws ws ws
d at bedtime ws ws
b. Putting a note on the child‘s locker to encourage the child to take responsibility for m
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
edication administration ws
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be tak ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
en in the evening so that the correct amount is given daily
ws ws ws ws ws ws ws ws ws ws ws
d. Taking the noon dose to school every day and giving it to the school nurse to ad ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
minister
ANS: C ws
For busy families with school-
ws ws ws ws
age children, it may be necessary to adjust the medication schedule to one that fits their schedule.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
The nurse should ask the provider if a revised schedule is possible. In this case, the most effectiv
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e revised schedule would involve not taking the medication while at school. Putting a note on th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e locker is not likely to be effective. It is not correct to adjust the dose.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
TESTBANKWORLD.ORG
