TEST BANK FOR Pharmacology and the Nursing Process 10th Edition by Linda Lane Lilley, Shelly Rainforth Collins & Julie S. Snyder , ISBN: 9780323827973 Chapter 1-58 |All Chapters Verified| Answers with Rationales , Guide A+

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




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



b. Administering interventions ss



c. Deciding on patient outcomes ss ss ss



d. Documenting the patient‘s behavior ss ss ss




ANS: s s A
Identification of human needs occurs with the collection of patient data. ss ss ss ss ss ss ss ss ss ss




DIF: Cognitive Level: Understanding ss ss



(Comprehension) TOP: Nursing Process: Human
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Needs Statement
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care ss ss ss ss ss ss ss ss




2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
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the medication 2 hours after the scheduled dose was due. What type of problem does this
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represent?
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a. ―Right time‖ s s



b. ―Right dose‖ s s



c. ―Right route‖ s s



d. ―Right medication‖ s s




ANS: s s A
―Right time‖ is correct because the medication was given more than 30 minutes after the
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scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
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medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
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―Medication‖ is incorrect because the medication ordered will not change. ss ss ss ss ss ss ss ss ss




DIF: Cognitive Level: Applying ss ss



(Application) TOP: Nursing Process:
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Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control ss ss ss ss ss ss ss ss ss




3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the
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first dose and documenting the patient‘s therapeutic response to the medication. Which
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phase of the nursing process do these actions illustrate?
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a. Human needs statement ss ss



b. Planning
c. Implementation
d. Evaluation
ANS: s s D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part
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s of the evaluation phase. Planning, implementation, and human needs statement are not
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illustrated b y this example.
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,DIF: Cognitive Level: Understanding (Comprehension)
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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
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ss mellitus.Which statement best illustrates an outcome criterion for this patient? ss ss ss ss ss ss ss ss ss



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: s s D
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable ss ss ss ss ss ss ss ss ss ss



outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
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specific criteria. ―Adhering to new regimen‖ would be difficult to measure.
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DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: ss ss ss ss



Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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5. Which activity best reflects the implementation phase of the nursing process for the
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ss patientwho is newly diagnosed with hypertension? ss ss ss ss ss



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 ss ss ss ss ss ss ss ss



thenew treatment regimen
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ANS: s s A
Education is an intervention that occurs during the implementation phase. Setting
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goals and outcomes reflects the planning phase. Recording a drug history reflects the
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assessment phase.Formulating human needs statements reflects analysis of data as part of
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planning.
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DIF: Cognitive Level: Applying ss ss



(Application) TOP: Nursing Process:
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Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care ss ss ss ss ss ss ss ss




6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
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chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the
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order.What 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: s s C
A complete medication order includes the route of administration. If a medication order
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doesnot include the route, the nurse must ask the prescriber to clarify it. The intravenous
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and oralroutes are not interchangeable. Holding the medication until the prescriber returns
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would mean that the patient would not receive a needed medication.
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DIF: Cognitive Level: Applying ss ss



(Application) TOP: Nursing Process:
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Implementation
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