TEST BANK for Pharmacology and the Nursing Process 10th Edition by Linda Lilley, Shelly Rainforth Collins & Julie Snyder. ISBN 9780323827997.

Chapter01:THENURSINGPROCESSANDDRUGTHERAPY O,




LILLEY:PHARMACOLOGY AND THENURSINGPROCESS,10THEDITION
f# O,




MULTIPLECHOICE

1. Thenurseisdevelopinga humanneeds statementforapatientwhohasanewdiagnosisof heartfa
O, O, O, O, O, O, O, O, O, O,




f # f #ilure.#fIdentificationofhumanneedsstatementsoccurwithwhich oftheseactivities? O,




a. Collectionofpatient data O, O,




b. Administeringinterventions O,




c. Decidingonpatient outcomes
O, O,




d. Documentingthepatient‘sbehavior O,




ANS: f#A
Identificationofhumanneedsoccurswiththecollectionofpatientdata.
O, O,




DIF:
CognitiveLevel:Understanding(Comprehension)T
O,




OP: f # NursingProcess:#fHumanNeeds#fStatement
O,




MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Managementoff#Care O,




2. Thepatientistoreceiveoralguaifenesintwicea day.Today,thenursewasbusyandgavethemedica O, O, O, O, O,




f # tion2hoursafterthescheduleddosewasdue.Whattypeofproblemdoesthisrepresent?
f # O, O, O, O,




a. ―Righttime‖
b. ―Rightdose‖
c. ―Rightroute‖
d. ―Rightmedication‖
ANS: f#A
―Righttime‖is f# correct becausethemedicationwas f#givenmorethan30minutesafterthescheduleddos O, O, O, O,




f# e wasdue.
O, f#―Dose‖isincorrectbecausethedoseisnot relatedtothetime themedication administrationi O, O, O,




f# sscheduled.―Route‖isincorrectbecausetherouteis f # notaffected. O,




―Medication‖isincorrectbecausethemedication f # ordered f # f # f # willnotchange. O,




DIF:
Cognitive Level:#fApplying (Application)
O, O,




TOP: f #NursingProcess:f#Implementation
MSC: f # NCLEX:#fSafeandEffectiveCareEnvironment:Safetyand InfectionControl
O, O,




3. Thenursehasbeenmonitoringthepatient‘sprogress f#ona newdrugregimensincethefirstdosea
O, O, O, O, O,




f#nd documentingthepatient‘stherapeuticresponseto f#themedication.Which phase ofthenursing
O, O, O, O,




f# processdotheseactionsillustrate?

a. Humanneedsstatement
b. Planning
c. Implementation
d. Evaluation
ANS: f#D
Monitoringthepatient‘sprogress,includingthepatient‘sresponsetothemedication, #fispartofthee O,




f# valuationphase.Planning,#fimplementation,andhuman needsstatement arenot illustratedbythisex O, O, O, O,




f# ample.




DIF: f # CognitiveLevel:#fUnderstanding(Comprehension) O, TOP: f # NursingProcess:Evaluation
PRIMEXAM.COM

, MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Managementoff#Care O,




4. Thenurseisassignedto#fapatientwhoisnewlydiagnosed withtype1diabetesmellitus.Which
O, O, O,




f# statementbest illustratesan outcome#fcriterion forthispatient?
O, O, O,




a. Thepatientwillfollowinstructions.
b. Thepatientwillnotexperiencecomplications.
c. Thepatientwilladheretothenewinsulintreatmentregimen.
d. Thepatientwilldemonstratecorrect bloodglucosetestingtechnique. O, O,




ANS: f#D
―Demonstratingcorrectblood glucosetestingtechnique‖is aspecificand O, f#measurableoutcome crit O, O, O, O,




f# erion. ―Following instructions‖and f# f# ―not experiencingcomplications‖arenot f# specificcriteria.
O, O , O, O,




f#―Ad f# heringtonewregimen‖would bedifficult tomeasure. O, O,




DIF: f # CognitiveLevel:Applying(Application)
f # O, O,




TOP: f # NursingProcess:#fPlanningMSC: f # NCLEX:#fSafe and#fEffectiveCare O, O, O,




#fEnvironment:Manag f#ement of#fCare O,




5. Whichactivitybestreflectstheimplementationphaseofthenursingprocessforthepatientwhoi
O, O, f#

f# snewlydiagnosed f#withhypertension? O,




a. Providingeducationonkeepingajournalofbloodpressurereadings
O, O, O,




b. Settinggoalsand outcomecriteria withthepatient‘s input
O, O, O, O, O,




c. Recordinga drughistoryregardingover-the-countermedicationsusedat home
O, O, O,




d. Formulatinghumanneedsstatements regardingdeficientknowledgerelated#ftothene
O, O, O, O,




f# wtreatmentregimen



ANS: f#A
Educationisan intervention thatoccurs duringtheimplementationphase.Setting f#goalsandoutco
O, O, O, O, O, O,




f#mesreflectstheplanningphase.Recordingadrughistoryreflectstheassessment phase.Formulati O, O,




f#ng human needsstatementsreflects#fanalysisofdata aspart of planning.
O, O, O, O, O,




DIF:
Cognitive Level:#fApplying (Application) O, O,




TOP: f # NursingProcess:f#Implementation
MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Management off#Care O, O,




6. Themedicationorderreads,―Giveondansetron4 mg,30minutesbeforebeginningchemothe f#

rapytopreventnausea.‖
f# f#Thenursenotesthat therouteismissing f#fromthe order.Whatisthenurs O, O, O,




e‘s best#faction?
f# O,




a. Givethemedicationintravenouslybecausethepatientmightvomit.
O, O,




b. Givethemedicationorallybecausethetabletsareavailablein 4-mgdoses.
O, O, O,




c. Contacttheprescribertoclarifytherouteofthemedicationordered.
d. Holdthemedicationuntiltheprescriberreturnstomakerounds.
O,




ANS: f#C
Acompletemedicationorderincludestherouteofadministration.Ifamedicationorderdoesnotin O, O, O, O,




f#cludetheroute, f#thenursemustasktheprescribertoclarifyit.Theintravenousand oralroutesareno O, O,




f# tinterchangeable.Holdingthemedicationuntiltheprescriberreturnswouldmeanthatthepatient

f#would notreceivea needed#fmedication.
O, O,




DIF:
Cognitivef#Level:f#Applying (Application) O,




TOP: f # NursingProcess:f#Implementation
PRIMEXAM.COM

,MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Managementoff#Care
O,




PRIMEXAM.COM

, 7. Whenthenurseconsiders#fthetimingofadrugdose,whichfactorisappropriatetoconsiderwhen
O, O, O, O, O,




f# deciding when to#fgivea drug?
O, O, O,




a. Thepatient‘sabilitytoswallow
b. Thepatient‘sheight
c. Thepatient‘slast meal O,




d. Thepatient‘sallergies
ANS: f#C
Thenursemust considerspecificpharmacokinetic/pharmacodynamicdrugpropertiesthatmaybea
O, O,




f#ffectedbythetiming of thelastmeal.Thepatient‘s f# abilitytoswallow,height,and allergiesarenot f# fa
O, O, O, O,




f#ctorstoconsiderregardingthetimingofthedrug‘sadministration. O, O,




DIF:
CognitiveLevel:Understanding(Comprehension)T
OP: f # NursingProcess:#fAssessment O,




MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Managementoff#Care O, O,




8. Thenurseis performing an#fassessmentofanewlyadmitted patient.Whichisanexampleofsubjec
O, O, O, O,




f# tivedata?
a. Weight155pounds
b. Pulse72beats/minute
c. Thepatientreports that he usestheherbalproduct f# f#ginkgo O, O, O, O ,




d. Thepatient‘scomplete bloodcountresults O,




ANS: f#C
Subjectivedataincludeinformationsharedthroughthespokenword byanyreliablesource, f#sucha O, O,




f#sthepatient.Objectivedatamaybedefined f#asanyinformationgathered f#through thesensesorthat O, O,




f # whichisseen,heard,felt,orsmelled.Apatient‘spulse,weight,andlaboratorytestsareallexamples
O, O,




f#ofobjective data. O,




DIF:
CognitiveLevel:Understanding(Comprehension)T
OP: f # NursingProcess:#fAssessment O,




MSC: f # NCLEX:SafeandEffectiveCareEnvironment:Managementoff#Care O, O,




MULTIPLERESPONSE

1. Whengiving medications, thenursewillfollowtherightsofmedication administration. f#Theright
O, f# O,




f# sincludetheright documentation, f#the rightreason,therightresponse, andthe patient‘sright toref
O, O, O, O, O, O,




f# use.Whichoftheseareadditionalrights?(Selectallthatapply.)
O,




a. Rightdrug
b. Rightroute
c. Rightdose
d. Rightdiagnosis
e. Righttime
f. Rightpatient

ANS: f#A,#fB,#fC,#fE,F
Additionalrightsofmedication administrationmustalwaysincludetherightdrug,rightdose,right
O, O, O, O, O, f #

f # time,right route,and rightpatient.Theright diagnosisisincorrect.
O, O, O,




DIF:
PRIMEXAM.COM