Test Bank Pharmacology A Patient-Centered Nursing Process Approach 11th Edition Linda E. McCuistion | Study Guide

TEST BANK
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Pharmacology A Patient-
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CenteredNursing ProcessApproachbyLindaE.
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McCuistion.
11th Edition
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TEST BANK
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,Chapterj01:jThejNursingjProcessjandjPatient-CenteredjCare
McCuistion:jPharmacology:jAjPatient-CenteredjNursingjProcessjApproach,j11thjEdition

MULTIPLEjCHOICE

1. Alljofjthejfollowingjwouldjbejconsideredjsubjectivejdata,jEXCEPT:
a. Patient-reportedjhealthjhistory
b. Patient-reportedjsignsjandjsymptomsjofjtheirjillness
c. Financialjbarriersjreportedjbyjthejpatient’sjcaregiver
d. Vitaljsignsjobtainedjfromjthejmedicaljrecord

ANS:j D
Subjectivejdatajisjbasedjonjwhatjpatientsjorjfamilyjmembersjcommunicatejtojthejnurse.jPatient-
jreportedjhealthjhistory,jsignsjandjsymptoms,jandjcaregiverjreportedjfinancialjbarriersjwouldjbejconsi
deredjsubjectivejdata.jVitaljsignsjobtainedjfromjthejmedicaljrecordjwouldjbejconsideredjobjectivejdat
a.

DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningjMSC:j NCLEX:jManagementjofjClientjCare

2. Thejnursejisjusingjdatajcollectedjtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejout
comes.jWhichjofjthejfollowingjstepsjisjthejnursejapplying?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)

ANS:j C
Whenjgeneratingjsolutionsj(planning),jthejnursejidentifiesjexpectedjoutcomesjandjusesjthejpatient’
sjproblem(s)jtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejoutcomes.jRecognizingjc
uesj(assessment)jinvolvesjthejgatheringjofjcuesj(information)jfromjthejpatientjaboutjtheirjhealthjan
djlifestylejpractices,jwhichjarejimportantjfactsjthatjaidjthejnursejinjmakingjclinicaljcarejdecisions.jP
rioritizingjhypothesisjisjusedjtojorganizejandjrankjthejpatientjproblem(s)jidentified.jFinally,jtakingja
ctionjinvolvesjimplementationjofjnursingjinterventionsjtojaccomplishjthejexpectedjoutcomes.

DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare

3. Aj5-year-
oldjchildjwithjtypej1jdiabetesjmellitusjhasjhadjrepeatedjhospitalizationsjforjepisodesjofjhyperglyce
mia.jThejparentsjtelljthejnursejthatjtheyjcan’tjkeepjtrackjofjeverythingjthatjhasjtojbejdonejtojcarejforj
theirjchild.jThejnursejreviewsjmedications,jdiet,jandjsymptomjmanagementjwithjthejparentsjandjdra
wsjupjajdailyjchecklistjforjthejfamilyjtojuse.jThesejactivitiesjarejcompletedjinjwhichjstepjofjthejnursi
ngjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)

, c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)

ANS:j D
Takingjactionjthroughjnursingjinterventionsjisjwherejthejnursejprovidesjpatientjhealthjteaching,jdru
gjadministration,jpatientjcare,jandjotherjinterventionsjnecessaryjtojassistjthejpatientjinjaccomplishi
ngjexpectedjoutcomes.

DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare

4. Thejnursejisjpreparingjtojadministerjajmedicationjandjreviewsjthejpatient’sjchartjforjdrugjall
ergies,jserumjcreatinine,jandjbloodjureajnitrogenj(BUN)jlevels.jThejnurse’sjactionsjarejrefle
ctivejofjwhichjofjthejfollowing?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)

ANS:j A
Recognizingjcuesj(assessment)jinvolvesjgatheringjsubjectivejandjobjectivejinformationjaboutjthejpati
entjandjthejmedication.jLaboratoryjvaluesjfromjthejpatient’sjchartjwouldjbejconsideredjcollectionjofj
objectivejdata.

DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare

5. Whichjofjthejfollowingjwouldjbejcorrectlyjcategorizedjasjobjectivejdata?
a. Ajlistjofjherbaljsupplementsjregularlyjusedjprovidedjbyjthejpatient.
b. Labjvaluesjassociatedjwithjthejdrugsjthejpatientjisjtaking.
c. Thejagesjandjrelationshipjofjalljhouseholdjmembersjtojthejpatient.
d. Usualjdietaryjpatternsjandjfoodjintake.

ANS:j B
Objectivejdatajarejmeasuredjandjdetectedjbyjanotherjpersonjandjwouldjincludejlabjvalues.jThejotherj
examplesjarejsubjectivejdata.

DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare

6. Thejnursejreviewsjajpatient’sjdatabasejandjlearnsjthatjthejpatientjlivesjalone,jisjforgetful,jandjdoes
notjhavejanjestablishedjroutine.jThejpatientjwilljbejsentjhomejwithjthreejnewjmedicationsjtojbejtak
j
enjatjdifferentjtimesjofjthejday.jThejnursejdevelopsjajdailyjmedicationjchartjandjenlistsjajfamilyjme
mberjtojputjthejpatient’sjpillsjinjajpilljorganizer.jThisjisjanjexamplejofjwhichjelementjofjthejnursin
gjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)

, d. Generatejsolutionsj(planning)
ANS:j C
Takingjactionj(nursingjinterventions)jinvolvesjeducationjandjpatientjcarejinjorderjtojassistjthejpatientjt
ojaccomplishjthejgoalsjofjtreatment.

DIF:
CognitivejLevel:jApplyingj(Application)j
TOP:jNursingjProcess:jNursingjInterventionjM
SC:j NCLEX:jManagementjofjClientjCare

7. Ajpatientjwhojisjhospitalizedjforjchronicjobstructivejpulmonaryjdiseasej(COPD)jwantsjtojgojhome
.jThejnursejandjthejpatientjdiscussjthejpatient’sjsituationjandjdecidejthatjthejpatientjmayjgojhomejwh
enjablejtojperformjself-
carejwithoutjdyspneajandjhypoxia.jThisjisjanjexamplejofjwhichjphasejofjthejnursingjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)

ANS:j D
Generatingjsolutionsj(planning)jinvolvesjdefiningjajsetjofjinterventionsjtojachievejthejmostjde
sirablejoutcomes,jwhich,jforjthisjpatient,jmeansjbeingjablejtojperformjself-
carejactivitiesjwithoutjdyspneajandjhypoxia.

DIF:j CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare

8. Ajpatientjwilljbejsentjhomejwithjajmetered-
dosejinhaler,jandjthejnursejisjprovidingjteaching.jWhichjisjajcorrectlyjwrittenjexpectedjoutcom
ejforjthisjprocess?
a. Thejnursejwilljdemonstratejthejcorrectjusejofjajmetered-dosejinhalerjtojthejpatient.
b. Thejnursejwilljteachjthejpatientjhowjtojadministerjmedicationjwithjajmetered-
dosejinhaler.
c. Thejpatientjwilljknowjhowjtojself-administerjthejmedicationjusingjthejmetered-
jdosejinhaler.
d. Thejpatientjwilljindependentlyjadministerjthejmedicationjusingjthejmetered-
dosejinhalerjatjthejendjofjthejsession.
ANS:j D
Expectedjoutcomesjmustjbejpatient-
centeredjandjclearlyjstatejthejoutcomejwithjajreasonablejdeadlinejandjshouldjidentifyjcompone
ntsjforjevaluation.

DIF:j CognitivejLevel:jApplyingj(Application)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare

9. Thejnursejisjgeneratingjsolutionsj(planning)jforjajpatientjwhojhasjchronicjlungjdiseasejandjhypoxi
a.jThejpatientjhasjbeenjadmittedjforjincreasedjoxygenjneedsjabovejajbaselinejofj2jL/min.jThejnursej
generatesjanjexpectedjoutcomesjstating,j“Thejpatientjwilljhavejoxygenjsaturationsjof
>95%jonjroomjairjatjthejtimejofjdischargejfromjthejhospital.”jWhatjisjwrongjwithjthisjgoal?
a. Itjcannotjbejevaluated.