EDITION 58 CHAPTERS LINDA LANE LILLEY, SHELLY RAINFORTH
COLLINS, JULIE S. SNYDER QUESTIONS AND ANSWERS LATEST
UPDATE 2025/2026 ALL ANSWERS 100% CORRECT
,KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK Chapter 01: The Nursing Process and Drug Therapy
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MULTIPLE CHOICE K
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
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and numbnessin his toes and fingers. What will the nurse do first?
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a. Discontinue the infusion immediately. K K K
b. Reduce the infusion rate gradually until the adverse effects
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subside.
c. Administer the medication by rapid IV infusion to reduce
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these effects. K
d. Nothing; these are expected side effects of this medication.
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ANS: A K
Once the intravenous infusion of amphotericin B has begun, vital signs must be m
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onitored frequently to assess for adverse reactions such as cardiac dysrhythmias,v
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isual disturbances, paresthesias (numbness or tingling of the hands or feet), respir
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atory difficulty, pain, fever, chills,and nausea. If these adverse effects or a severe
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reaction occur, the infusion must be discontinued(while the patient is closely mon
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itored) and the prescriber contacted. The other options are incorrect.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSINGPROCESS K K
: 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 patient who
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Khas been newlydiagnosed with type 2 diabetes. Which statement reflects th
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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 such as
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“I’m
upset about having to test my blood sugars.”
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ANS: D K
Formulation of nursing diagnoses is usually a three-
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step process. “Anxiety” ismissing the
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“related to” and “as evidenced by” portions of defining characteristics. “Anxiety r
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elated to new drug therapy” is missing the “as evidenced by” portion of definingch
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aracteristics. The statementbeginning “Anxiety related to anxious feelings” is inco
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rrect because the “related to” section is simply a restatement of the problem “anxie
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ty,” not a separate factor related to the response.
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DIF: COGNITIVE LEVEL: Understanding
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?
, (Comprehension)TOP: NURSING PROCESS: K K
Nursing Diagnosis K
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurs
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ewas busy andgave the medication 2 hours after the scheduled dose was due. Wh
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attype of problem does this represent?
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a. “Right time” K
b. “Right dose” K
c. “Right route” K
d. “Right
medication”
ANS: A K
“Right time” is correct because the medication was given more than 30 m
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inutes after the scheduled dose was due. “Dose” is incorrect because thed
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ose is not related to the time the
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medication administration is scheduled. “Route” is incorrect because the route
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is not affected.“Medication” is incorrect because the medication ordered will
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not change.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSINGPROCESS K K
: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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3. The nurse has been monitoring the patient’s progress on a new drug regimen
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since the first doseand documenting the patient’s therapeutic response to the
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?