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+

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 gg




1. The nurse is developing a human needs statement for a patient who has a new
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diagnosis of heart failure. Identification of human needs statements occur with
gg gg gg gg gg gg gg gg gg gg gg


which of these activities?
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a. Collection of patient data gg gg gg


b. Administering interventions gg


c. Deciding on patient outcomes gg gg gg


d. Documenting the patient‘s behavior gg gg gg




ANS: g g A
Identification of human needs occurs with the collection of patient data.
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DIF: Cognitive Level: Understanding(Comprehension) aa gg


TOP:
gg Nursing Process: Human Needs Statement
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and
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gggave the medication 2 hours after the scheduled dose was due. What type of problem
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ggdoes this represent?gg gg


a. ―Right time‖ g g


b. ―Right dose‖ g g


c. ―Right route‖ g g


d. ―Right medication‖ g g




ANS: g g 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
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the medication administration is scheduled.―Route‖ is incorrect because the route is not affected.
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―Medication‖ isincorrect becausethemedication ordered will not change.
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DIF: Cognitive Level: Applying (Application) gg gg aa



TOP:
gg Nursing Process: 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 dose and documenting the patient‘s therapeutic response to the
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medication. Which phase of the nursing process do these actions illustrate?
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a. Human needs statement gg gg


b. Planning
c. Implementation
d. Evaluation

ANS: g g D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is
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part of the evaluation phase. Planning, implementation, and human needs statement are
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not illustrated by this example.
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DIF: g g g g g g Cognitive Level: Understanding (Comprehension)
gg gg gg TOP: gg gg Nursing Process:
gg


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, Evaluation
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, MSC: g g g g 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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gg mellitus. Which statement best illustrates an outcome criterion for this patient?
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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: g g D
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable
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outcomecriterion. ―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: gg gg gg


Nursing Process: Planning MSC:
g g NCLEX: Safe and Effective Care
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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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gg patient who is newly diagnosed with hypertension?
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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
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the new treatment regimen
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ANS: g g A
Education is an intervention that occurs during the implementation phase. Setting goals
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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
gg gg gg gg gg gg gg gg gg gg gg gg


of planning.
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DIF: Cognitive Level: Applying (Application) gg gg aa



TOP:
gg Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before
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beginning chemotherapy to prevent nausea.‖ The nurse notes that the route is
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missing from the 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: g g C
A complete medication order includes the route of administration. If a medication order
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does not include the route, the nurse must ask the prescriber to clarify it. The
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intravenous and oral routes are not interchangeable. Holding the medication until the
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prescriber returns would mean that the patient would not receive a needed medication.
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DIF: Cognitive Level: Applying (Application) gg gg aa



TOP:
gg Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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, 7. When the nurse considers the timing of a drug dose, which factor is appropriate to
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ggconsider when deciding when to give a drug?
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a. The patient‘s ability to swallow
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b. The patient‘s heightgg gg


c. The patient‘s last meal
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d. The patient‘s allergies
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ANS: g g C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
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may be affected by the timing of the last meal. The patient‘s ability to swallow,
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height, and allergies are not factors to consider regarding the timing of the drug‘s
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administration.
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DIF: Cognitive Level: Understanding(Comprehension) aa gg


TOP:
gg Nursing Process: Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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8. The nurse is performing an assessment of a newly admitted patient. Which is an
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ggexample of subjective data? gg gg gg


a. Weight 155 pounds gg gg


b. Pulse 72 beats/minute gg gg


c. The patient reports that he uses the herbal product ginkgo
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d. The patient‘s complete blood count results
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ANS: g g C
Subjective data include information shared through the spoken word by any reliable
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source, such as the patient. Objective data may be defined as any information
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gathered through the senses or that which is seen, heard, felt, or smelled. A patient‘s
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pulse, weight, and laboratory tests are all examples of objective data.
gg gg gg gg gg gg gg gg gg gg gg




DIF: Cognitive Level: Understanding(Comprehension) aa gg


TOP:
gg Nursing Process: Assessment
g g gg gg


MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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MULTIPLE RESPONSE gg




1. When giving medications, the nurse will follow the rights of medication administration.
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ggThe rights include the right documentation, the right reason, the right response, and
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ggthe patient‘s right to refuse. Which of these are additional rights? (Select all that
g g gg gg gg gg gg gg gg gg gg gg gg gg


ggapply.)
a. Right drug gg


b. Right route gg


c. Right dose gg


d. Right diagnosis gg


e. Right time gg


f. Right patient gg




ANS: g g A, B, C, E, F gg gg gg gg


Additional rights of medication administration must always include the right drug, right
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dose, right time, right route, and right patient. The right diagnosis is incorrect.
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DIF: Cognitive Level: Remembering (Knowledge) aa gg aa




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