Pharmacology: A Patient-Centered Nursing Process Approach 11th Edition – McCuistion – Test Bank PDF

Test Bank Pharmacology A Patient-Centered
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Nursing Process Approach, 11th Edition by Linda
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E. McCuistion Chapter 1-58 A+ Guide revised
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,Chapter01:TheNursingProcessandPatient-CenteredCare
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McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
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MULTIPLE CHOICE ss




1. A5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
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hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that
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has to be done to care for their child. The nursereviews medications, diet, and symptom
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management with the parents and draws up a daily checklist for the family to use. These
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activities are completed in which step of the nursing process?
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a. Recognizing cues (assessment) cc s



b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss




c. Generatesolutions (planning) ss



d. Takeaction (nursinginterventions) ss




ANS: s s D
Takingaction through nursing interventions iswherethenurseprovidespatient health teaching, drug
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administration, patient care, and other interventions necessary to assist the patient in
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accomplishing expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) ss ss ss



TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX:Management ofClientCare
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2. Allof the following would be considered subjective data, EXCEPT:
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a. Patient-reportedhealth history ss



b. Patient-reportedsigns andsymptoms oftheirillness s ss s ss s s



c. Financial barriers reportedbythepatient‘s caregiver s s s s s ss



d. Vitalsigns obtained from themedical record
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ANS: s s D
Subjective data isbased onwhat patients or family members communicate tothe nurse. Patient-
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reported health history, signs and symptoms, and caregiver reported financial barriers would be
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considered subjective data. Vital signs obtained from the medical record would be considered
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objective data.
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DIF: Cognitive Level: Understanding (Comprehension) ss ss ss TOP: NursingProcess:Planning
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MSC: NCLEX: Management of Client Care
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3. Thenurseis usingdata collected to define aset of interventions to achieve the most desirable
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ss outcomes. Which of the following steps is the nurse applying? ss ss ss ss ss ss ss ss ss



a. Recognizing cues (assessment) cc s



b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss



c. Generatesolutions (planning) ss



d. Takeaction (nursinginterventions) ss




ANS: s s C
When generating solutions (planning), the nurse identifies expected outcomes and uses the
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patient‘s problem(s) to define a set of interventions to achieve the most desirable outcomes.
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Recognizing cues (assessment) involves the gathering of cues (information) from the patient
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about their health and lifestyle practices, which are important facts that aid the nurse in
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making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient
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problem(s) identified. Finally, taking action involves implementation of nursing interventions to
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accomplish the expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) ss ss ss

, TOP: Nursing Process: Nursing Intervention
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MSC:
ss NCLEX: Management of Client Care
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4. The nurse isss preparing to administer a medication and reviews the patient‘s
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chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
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nurse‘s actions are reflective of which of the following?
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a. Recognizing cues (assessment) cc s



b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss



c. Takeaction (nursinginterventions) cc s



d. Generatesolutions (planning) ss




ANS: s s A
Recognizingcues (assessment)involves gathering subjectiveandobjectiveinformation aboutthe
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patient and the medication. Laboratory values from the patient‘s chart would be considered
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collection of objective data.
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DIF: Cognitive Level: Understanding (Comprehension) ss ss cc



TOP: Nursing Process: Assessment MSC: NCLEX:Management ofClient Care cc ss s s s ss s ss




5. Whichof the following would becorrectly categorized as objective data?
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a. Alist of herbal supplements regularlyused provided bythe patient.
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b. Lab values associated with thedrugs the patient is taking.
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c. The ages and relationship of all household members to thepatient.
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d. Usual dietarypatterns and food intake.
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ANS: s s B
Objectivedata aremeasured and detected byanotherperson and would includelabvalues. The other
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examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) ss ss cc



TOP: Nursing Process: Assessment MSC: NCLEX: Management ofClient Care cc ss s s ss ss s ss




6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
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does not have an established routine. The patient will be sent home with three new
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medications to betaken at different times of the day. The nurse develops a dailymedication
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chart and enlists a family member to put the patient‘s pills in a pill organizer. This is an
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example of which element of the nursing process?
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a. Recognizing cues (assessment) cc s



b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss



c. Takeaction (nursinginterventions) cc s

, d. Generatesolutions (planning) ss




ANS: s s C
Takingaction (nursing interventions) involves education andpatient carein ordertoassist the
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patient to accomplish the goals of treatment.
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DIF: Cognitive Level: Applying (Application) ss ss ss



TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client
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Care
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7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home.Thenurse and the patient discuss the patient‘s situation and decide that thepatient may go
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home when able to perform self-care without dyspnea and hypoxia. This is an example of
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which phase of the nursing process?
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a. Recognizing cues (assessment) cc s



b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss



c. Takeaction (nursinginterventions) cc s



d. Generatesolutions (planning) ss




ANS: s s D
Generating solutions (planning) involves defining a set of interventions to achieve the
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smost desirable outcomes, which, for this patient, means being able to perform self-care
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activities without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: NCLEX: Management of Client Care
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8. Apatient will besent homewith ametered-dose inhaler, and the nurseis providingteaching.
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Which is a correctly written expected outcome for this process?
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a. The nursewill demonstrate thecorrect use of a metered-dose inhaler to the patient.
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b. The nursewill teach the patient howtoadminister medication with ametered-dose
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inhaler. ss



c. The patient will knowhowtoself-administer the medicationusing themetered-
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dose inhaler.
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d. The patient will independently administer the medication using the metered-dose
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inhaler at the end of the session.
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ANS: s s D
Expected outcomes must be patient-centered and clearly state the outcome with a
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sreasonable deadline and should identify components for evaluation.
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DIF: Cognitive Level: Applying (Application)
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MSC: NCLEX: Management of Client Care
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9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
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hypoxia.Thepatient has been admitted forincreased oxygen needs above a baseline of2 L/min.
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Thenurse generates an expected outcomes stating, ―The patient will have oxygen saturations
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of
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>95% on room air at the time of discharge from the hospital.‖ What is wrong with this goal?
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a. It cannot be evaluated.
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