PHARMACOLOGY AND THE NURSING
PROCESS 9TH EDITION CHAPTER 1-58 BY
LINDA LANE LILLEY, SHELLY
RAINFORTH COLLINS, JULIE S. SNYDER||
LATEST 2025 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
1|P a g e
PHARMACOLOGY AND THE NURSING PROCESS 9TH EDITION
CHAPTER 1-58 BY LINDA LANE LILLEY, SHELLY RAINFORTH COLLINS,
JULIE S. SNYDER|| LATEST 2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. During an intravenous (IV) infusion of amphotericin B, a patient develops
tingling and numbnessin his toes and fingers. What will the nurse do first?
a. Discontinue the infusion immediately.
b. Reduce the infusion rate gradually until the adverse effects subside.
c. Administer the medication by rapid IV infusion to reduce these effects.
d. Nothing; these are expected side effects of this medication.
- ANSWER: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
,monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2|P a g e
The nurse is writing a nursing diagnosis for a plan of care for a patient who has
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct
format for a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as
“I’m
upset about having to test my blood sugars.”
- ANSWER: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety
related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The statementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding
,(Comprehension)TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3|P a g e
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the
nurse was busy andgave the medication 2 hours after the scheduled dose was due.
What type of problem does this represent?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “Right
medication”
- ANSWER: A
“Right time” is correct because the medication was given more than 30 minutes
after the scheduled dose was due. “Dose” is incorrect because the dose is not
related to the time the
medication administration is scheduled. “Route” is incorrect because the route is
not affected.“Medication” is incorrect because the medication ordered will not
change.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
medication. Which phase of the nursing processed these actions illustrate?
a. Nursing diagnosis
4|P a g e
, b. Planning
c. Implementatio n
d. Evaluation
- ANSWER: D
Monitoring the patient’s progress, including the patient’s response to the
medication, is part of the evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by thisexample.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)TOP: NURSING
PROCESS:
Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Whichstatement best illustrates an outcome criterion for this
patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
- ANSWER: D
“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not experiencing
complications” are not specific criteria.“Adhering to new regimen” would be
difficult to measure.
5|P a g e
DIF: COGNITIVE LEVEL: Applying
PROCESS 9TH EDITION CHAPTER 1-58 BY
LINDA LANE LILLEY, SHELLY
RAINFORTH COLLINS, JULIE S. SNYDER||
LATEST 2025 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
1|P a g e
PHARMACOLOGY AND THE NURSING PROCESS 9TH EDITION
CHAPTER 1-58 BY LINDA LANE LILLEY, SHELLY RAINFORTH COLLINS,
JULIE S. SNYDER|| LATEST 2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. During an intravenous (IV) infusion of amphotericin B, a patient develops
tingling and numbnessin his toes and fingers. What will the nurse do first?
a. Discontinue the infusion immediately.
b. Reduce the infusion rate gradually until the adverse effects subside.
c. Administer the medication by rapid IV infusion to reduce these effects.
d. Nothing; these are expected side effects of this medication.
- ANSWER: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
,monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2|P a g e
The nurse is writing a nursing diagnosis for a plan of care for a patient who has
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct
format for a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as
“I’m
upset about having to test my blood sugars.”
- ANSWER: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety
related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The statementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding
,(Comprehension)TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3|P a g e
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the
nurse was busy andgave the medication 2 hours after the scheduled dose was due.
What type of problem does this represent?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “Right
medication”
- ANSWER: A
“Right time” is correct because the medication was given more than 30 minutes
after the scheduled dose was due. “Dose” is incorrect because the dose is not
related to the time the
medication administration is scheduled. “Route” is incorrect because the route is
not affected.“Medication” is incorrect because the medication ordered will not
change.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
medication. Which phase of the nursing processed these actions illustrate?
a. Nursing diagnosis
4|P a g e
, b. Planning
c. Implementatio n
d. Evaluation
- ANSWER: D
Monitoring the patient’s progress, including the patient’s response to the
medication, is part of the evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by thisexample.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)TOP: NURSING
PROCESS:
Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Whichstatement best illustrates an outcome criterion for this
patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
- ANSWER: D
“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not experiencing
complications” are not specific criteria.“Adhering to new regimen” would be
difficult to measure.
5|P a g e
DIF: COGNITIVE LEVEL: Applying
