Test Bank for Pharmacology and the Nursing Process, 10th Edition Rainforth

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,@Item Bank: Lilley Pharmacology and the Nursing Process 10th Ed
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Objective: Ch 01: The Nursing Process and Drug Therapy
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1. Question Name: 0001
@ @ Type: MC @ Objective: Ch 01: The Nursing Process and Drug Therapy
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The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
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newly diagnosed with type 2 diabetes. Which statement reflects the correct format for
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a nursing diagnosis?
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A. Anxiety
B. Anxiety related to new drug therapy @ @ @ @ @


C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
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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 “I’m upset
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about having to test my blood sugars.”
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Correct Answer: D @ @




@Explanation/Rationale:
ANS: D @


Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
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@“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
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@new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
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@statement beginning “Anxiety related to anxious feelings” is incorrect because the “related
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@to” section is simply a restatement of the problem “anxiety,” not a separate factor related to
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@the response.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. @ @ @



9 TOP:NURSING PROCESS: Nursing Diagnosis
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: @


@ Active Date Created: @ 01/31/13 14:18:01
@ Date Modified: @ @


01/31/13 14:18:01 Date Used: Difficulty: Easy @ @ @


Discrimination: Low
Item Analysis: Last
@ @ Item Analysis: Cumulative @ @


No. of Students Responded: 0
@ @ No. of Students Responded: 0
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Correct Responses (%): @ Correct Responses (%):
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Total Group: @ 0.00 Total Group: 0.00 @


Upper 27% of Group: 0.00
@ @ Upper 27% of Group:
@ 0.00 @ @ @


Lower 27% of Group: 0.00
@ @ Lower 27% of Group:
@ 0.00 @ @ @


Point Biserial: @ 0.00 Point Biserial: 0.00 @


Response Frequencies (%) @ @

, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00




2. Question Name: 0002
@ @ Type: MC @ Objective: Ch 01: The Nursing Process and Drug Therapy
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The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
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and gave the medication 2 hours after the scheduled dose was due. What type of problem
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does this represent?
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* A. “Right time” problem
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B. “Right dose” problem @ @



C. “Right route” problem @ @



D. “Right medication” problem @ @




Correct Answer: A @ @




@Explanation/Rationale:
ANS: 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 the
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@medication administration is scheduled. “Route” is incorrect because the route is not
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@affected. “Medication” is incorrect because the medication ordered will not change.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: p. @ @ @



13 TOP:
@ @ NURSING
PROCESS: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: @


@ Active Date Created:
@ @ 01/31/13 14:18:01 Date Modified: @ @


01/31/13 14:18:01 Date Used: Difficulty: @ Easy @ @


Discrimination: Low
Item Analysis: Last
@ @ Item Analysis: Cumulative @ @


No. of Students Responded: 0
@ @ @ No. of Students Responded: 0 @ @ @


Correct Responses (%):
@ Correct Responses (%):
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Total Group: @ 0.00 Total Group: 0.00 @


Upper 27% of Group: @ 0.00 @ @ Upper 27% of Group: 0.00 @ @ @


Lower 27% of Group: @ 0.00 @ @ Lower 27% of Group: 0.00 @ @ @


Point Biserial: @ 0.00 Point Biserial: 0.00 @


Response Frequencies (%)@ @


A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00

, 3. Question Name: 0003
@ @ Type: MC @ Objective: Ch 01: The Nursing Process and Drug Therapy
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The nurse has been monitoring the patient’s progress on a new drug regimen since the first
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dose and documenting the patient’s therapeutic response to the medication. Which phase of
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the nursing process do these actions illustrate?
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A. Nursing diagnosis @


B. Planning
C. Implementation
* D. Evaluation
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Correct Answer: D @ @




@Explanation/Rationale:
ANS: D @



Monitoring the patient’s progress, including the patient’s response to the medication, is part
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of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
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by this example.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. @ @ @



15 TOP:
@ @ NURSING
PROCESS: Evaluation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: @


@ Active Date Created:
@ @ 01/31/13 14:18:01 Date Modified: @ @


01/31/13 14:18:01 Date Used: Difficulty: @ Easy @ @


Discrimination: Low
Item Analysis: Last
@ @ Item Analysis: Cumulative @ @


No. of Students Responded: 0
@ @ @ No. of Students Responded: 0 @ @ @


Correct Responses (%):
@ Correct Responses (%):
@ @ @


Total Group: @ 0.00 Total Group: 0.00 @


Upper 27% of Group: @ 0.00 @ @ Upper 27% of Group: 0.00 @ @ @


Lower 27% of Group: @ 0.00 @ @ Lower 27% of Group: 0.00 @ @ @


Point Biserial: @ 0.00 Point Biserial: 0.00 @


Response Frequencies (%)@ @


A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00




4. Question Name: 0004
@ @ Type: MC @ Objective: Ch 01: The Nursing Process and Drug Therapy
@ @ @ @ @ @ @ @ Item Bank: Lilley
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