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D THE NURSING PROCESS 9TH
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EDITION 58 CHAPTERS LINDA LAN re re re re
E LILLEY, SHELLY
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RAINFORTH COLLINS, JULIE S. SN re re re re
YDER QUESTIONS AND
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ANSWERS LATEST UPDATE 2023/20 re re re
24 ALL ANSWERS 100%
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CORRECT
, Chapter 01: The Nursing Process and Drug Therapy
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MULTIPLE CHOICE re
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. re re re
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 re re re re re re re re er
these effects. re
d. Nothing; these are expected side effects of this medication.
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ANS: A re
Once the intravenous infusion of amphotericin B has begun, vital signs must be
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monitored frequently to assess for adverse reactions such as cardiac dysrhythmias
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,visual disturbances, paresthesias (numbness or tingling of the hands or feet), resp
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iratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a sever
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e reaction occur, the infusion must be discontinued(while the patient is closely m
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onitored) and the prescriber contacted. The other options are incorrect.
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DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSINGPROCESS r e er
: 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 wh
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?
,o has been newlydiagnosed with type 2 diabetes. Which statement reflects
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thecorrect format for a nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy re re re re re
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
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ystatements
er
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 re
Formulation of nursing diagnoses is usually a three-re re re re re re re
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 “anxi
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ety,” not a separate factor related to the response.
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DIF: COGNITIVE LEVEL: Understanding
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?
, (Comprehension)TOP: NURSING PROCESS: r e re
Nursing Diagnosis re
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. W
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hattype of problem does this represent?
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a. “Right time” re
b. “Right dose” re
c. “Right route” re
d. “Right
medication”
ANS: A re
“Right time” is correct because the medication was given more than 30
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minutes after the scheduled dose was due. “Dose” is incorrect because th
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edose 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. re
DIF: COGNITIVE LEVEL: Applying
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(Application)TOP: NURSINGPROCES r e er
S: 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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?