Nursedoc
#z©2023
,Nursedoc
#z©2023
Chapter 01: The Nursing Process and Drug Therapy Lilley: Pharmacology
#z #z #z #z #z #z #z #z #z
and the Nursing Process, 10th Edition
#z #z #z #z #z #z
MULTIPLE #zCHOICE
1. The #znurse #zis #zdeveloping #za #zhuman #zneeds #zstatement #zfor #za #zpatient #zwho #zhas #za #znew
#zdiagnosis #zof #zheart #zfailure. #zIdentification #zof #zhuman #zneeds #zstatements #zoccur #zwith #zwhich
#zof #zthese #zactivities?
a. Collection #zof #zpatient #zdata
b. Administering #zinterventions
c. Deciding #zon #zpatient #zoutcomes
d. Documenting #zthe #zpatient‘s #zbehavior
ANS: # z A
Identification #zof #zhuman #zneeds #zoccurs #zwith #zthe #zcollection #zof #zpatient #zdata.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess: #zHuman
#zNeeds #zStatement
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
2. The #zpatient #zis #zto #zreceive #zoral #zguaifenesin #ztwice #za #zday. #zToday, #zthe #znurse #zwas #zbusy#zand
#zgave #zthe #zmedication #z2 #zhours #zafter #zthe #zscheduled #zdose #zwas #zdue. #zWhat #ztype #zof
#zproblem #zdoes #zthis #zrepresent?
a. ―Right #ztime‖
b. ―Right #zdose‖
c. ―Right #zroute‖
d. ―Right #zmedication‖
ANS: # z A
―Right #ztime‖ #zis #zcorrect #zbecause #zthe #zmedication #zwas #zgiven #zmore #zthan #z30 #zminutes #zafter #zthe
#zscheduled #zdose #zwas #zdue. #z―Dose‖ #zis #zincorrect #zbecause #zthe #zdose #zis #znot #zrelated #zto #zthe #ztime
#zthe #zmedication #zadministration #zis #zscheduled. #z―Route‖ #zis #zincorrect #zbecause #zthe #zroute #zis #znot
#zaffected.
―Medication‖ #zis #zincorrect #zbecause #zthe #zmedication #zordered #zwill #znot #zchange.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zSafety #zand #zInfection #zControl
3. The #znurse #zhas #zbeen #zmonitoring #zthe #zpatient‘s #zprogress #zon #za #znew #zdrug #zregimen #zsince
the #zfirst #zdose #zand #zdocumenting #zthe #zpatient‘s #ztherapeutic #zresponse #zto #zthe #zmedication.
#z
Which #zphase #zof #zthe #znursing #zprocess #zdo #zthese #zactions #zillustrate?
#z
a. Human #zneeds #zstatement
b. Planning
c. Implementation
d. Evaluation
ANS: # z D
Monitoring #zthe #zpatient‘s #zprogress, #zincluding #zthe #zpatient‘s #zresponse #zto #zthe #zmedication, #zis
#zpart #zof #zthe #zevaluation #zphase. #zPlanning, #zimplementation, #zand #zhuman #zneeds #zstatement #zare
#znot #zillustrated #zby #zthis #zexample.
DIF: Cognitive #zLevel: #zUnderstanding #z(Comprehension) TOP: # z Nursing #zProcess:
,Nursedoc
#z©2023 #zEvaluation #zMSC: #z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
4. The #znurse #zis #zassigned #zto #za #zpatient #zwho #zis #znewly #zdiagnosed #zwith #ztype #z1 #zdiabetes
mellitus. #zWhich #zstatement #zbest #zillustrates #zan #zoutcome #zcriterion #zfor #zthis #zpatient?
#z
a. The #zpatient #zwill #zfollow #zinstructions.
b. The #zpatient #zwill #znot #zexperience #zcomplications.
c. The #zpatient #zwill #zadhere #zto #zthe #znew #zinsulin #ztreatment #zregimen.
d. The #zpatient #zwill #zdemonstrate #zcorrect #zblood #zglucose #ztesting #ztechnique.
ANS: # z D
―Demonstrating #zcorrect #zblood #zglucose #ztesting #ztechnique‖ #zis #za #zspecific #zand
#zmeasurable #zoutcome #zcriterion. #z―Following #zinstructions‖ #zand #z―not #zexperiencing
#zcomplications‖ #zare #znot #zspecific #zcriteria. #z―Adhering #zto #znew #zregimen‖ #zwould #zbe
#zdifficult #zto #zmeasure.
DIF: Cognitive #zLevel: #zApplying #z(Application) TOP: # z Nursing #zProcess:
#zPlanning #zMSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
5. Which #zactivity#zbest #zreflects #zthe #zimplementation #zphase #zof #zthe #znursing #zprocess #zfor #zthe
patient #zwho #zis #znewly #zdiagnosed #zwith #zhypertension?
#z
a. Providing #zeducation #zon #zkeeping #za #zjournal #zof #zblood #zpressure #zreadings
b. Setting #zgoals #zand #zoutcome #zcriteria #zwith #zthe #zpatient‘s #zinput
c. Recording #za #zdrug #zhistory #zregarding #zover-the-counter #zmedications #zused #zat #zhome
d. Formulating #zhuman #zneeds #zstatements #zregarding #zdeficient #zknowledge #zrelated #zto
#zthe #znew #ztreatment #zregimen
ANS: # z A
Education #zis #zan #zintervention #zthat #zoccurs #zduring #zthe #zimplementation #zphase. #zSetting #zgoals
#zand #zoutcomes #zreflects #zthe #zplanning #zphase. #zRecording #za #zdrug #zhistory #zreflects #zthe #zassessment
#zphase. #zFormulating #zhuman #zneeds #zstatements #zreflects #zanalysis #zof #zdata #zas #zpart #zof #zplanning.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
6. The #zmedication #zorder #zreads, #z―Give #zondansetron #z4 #zmg, #z30 #zminutes #zbefore
beginning #zchemotherapy #zto #zprevent #znausea.‖ #zThe #znurse #znotes #zthat #zthe #zroute #zis
#z
missing #zfrom #zthe #zorder. #zWhat #zis #zthe #znurse‘s #zbest #zaction?
#z
a. Give #zthe #zmedication #zintravenously #zbecause #zthe #zpatient #zmight #zvomit.
b. Give #zthe #zmedication #zorally #zbecause #zthe #ztablets #zare #zavailable #zin #z4-mg #zdoses.
c. Contact #zthe #zprescriber #zto #zclarify#zthe #zroute #zof #zthe #zmedication #zordered.
d. Hold #zthe #zmedication #zuntil #zthe #zprescriber #zreturns #zto #zmake #zrounds.
ANS: # z C
A #zcomplete #zmedication #zorder #zincludes #zthe #zroute #zof #zadministration. #zIf #za #zmedication #zorder
#zdoes #znot #zinclude #zthe #zroute, #zthe #znurse #zmust #zask #zthe #zprescriber #zto #zclarify #zit. #zThe
#zintravenous #zand #zoral #zroutes #zare #znot #zinterchangeable. #zHolding #zthe #zmedication #zuntil #zthe
#zprescriber #zreturns #zwould #zmean #zthat #zthe #zpatient #zwould #znot #zreceive #za #zneeded
#zmedication.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
7. When # z the #znurse #zconsiders #zthe #ztiming #zof #za #zdrug #zdose, #zwhich #zfactor #zis
, Nursedoc
#z©2023 #zappropriate #zto #zconsiderwhen #zdeciding #zwhen #zto #zgive #za #zdrug?
a. The #zpatient‘s #zability #zto #zswallow
b. The #zpatient‘s #zheight
c. The #zpatient‘s #zlast #zmeal
d. The #zpatient‘s #zallergies
ANS: # z C
The #znurse #zmust #zconsider #zspecific #zpharmacokinetic/pharmacodynamic #zdrug #zproperties #zthat
#zmay #zbe #zaffected #zby #zthe #ztiming #zof #zthe #zlast #zmeal. #zThe #zpatient‘s #zability #zto #zswallow,
#zheight, #zand #zallergies #zare #znot #zfactors #zto #zconsider #zregarding #zthe #ztiming #zof #zthe #zdrug‘s
#zadministration.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess:
#zAssessment
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
8. The #znurse #zis #zperforming #zan #zassessment #zof #za #znewly #zadmitted #zpatient. #zWhich #zis #zan
example #zof #zsubjective #zdata?
#z
a. Weight #z155 #zpounds
b. Pulse #z72 #zbeats/minute
c. The #zpatient #zreports #zthat #zhe #zuses #zthe #zherbal #zproduct #z ginkgo
d. The #zpatient‘s #zcomplete #zblood #zcount #zresults
ANS: # z C
Subjective #zdata #zinclude #zinformation #zshared #zthrough #zthe #zspoken #zword #zby #zany #zreliable
#zsource, #zsuch #zas #zthe #zpatient. #zObjective #zdata #zmay #zbe #zdefined #zas #zany #zinformation
#zgathered #zthrough #zthe #zsenses #zor #zthat #zwhich #zis #zseen, #zheard, #zfelt, #zor #zsmelled. #zA #zpatient‘s
#zpulse, #zweight, #zand #zlaboratory #ztests #zare #zall #zexamples #zof #zobjective #zdata.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess:
#zAssessment
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
MULTIPLE #zRESPONSE
1. When #zgiving #zmedications, #zthe #znurse #zwill #zfollow #zthe #zrights #zof #zmedication
#zadministration. #zThe #zrights #zinclude #zthe #zright #zdocumentation, #zthe #zright #zreason, #zthe
#zright #zresponse, #zand #zthe #zpatient‘s #zright #zto #zrefuse. #zWhich #zof #zthese #zare #zadditional
#zrights? #z(Select #zall #zthat #zapply.)
a. Right #zdrug
b. Right #zroute
c. Right #zdose
d. Right #zdiagnosis
e. Right #ztime
f. Right #zpatient
ANS: # z A, #zB, #zC, #zE, #zF
Additional #zrights #zof #zmedication #zadministration #zmust #zalways #zinclude #zthe #zright #zdrug, #zright
#zdose, #zright #ztime, #zright #zroute, #zand #zright #zpatient. #zThe #zright #zdiagnosis #zis #zincorrect.
DIF: Cognitive #zLevel: #zRemembering
#z(Knowledge) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zSafety #zand #zInfection #zControl
#z©2023
,Nursedoc
#z©2023
Chapter 01: The Nursing Process and Drug Therapy Lilley: Pharmacology
#z #z #z #z #z #z #z #z #z
and the Nursing Process, 10th Edition
#z #z #z #z #z #z
MULTIPLE #zCHOICE
1. The #znurse #zis #zdeveloping #za #zhuman #zneeds #zstatement #zfor #za #zpatient #zwho #zhas #za #znew
#zdiagnosis #zof #zheart #zfailure. #zIdentification #zof #zhuman #zneeds #zstatements #zoccur #zwith #zwhich
#zof #zthese #zactivities?
a. Collection #zof #zpatient #zdata
b. Administering #zinterventions
c. Deciding #zon #zpatient #zoutcomes
d. Documenting #zthe #zpatient‘s #zbehavior
ANS: # z A
Identification #zof #zhuman #zneeds #zoccurs #zwith #zthe #zcollection #zof #zpatient #zdata.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess: #zHuman
#zNeeds #zStatement
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
2. The #zpatient #zis #zto #zreceive #zoral #zguaifenesin #ztwice #za #zday. #zToday, #zthe #znurse #zwas #zbusy#zand
#zgave #zthe #zmedication #z2 #zhours #zafter #zthe #zscheduled #zdose #zwas #zdue. #zWhat #ztype #zof
#zproblem #zdoes #zthis #zrepresent?
a. ―Right #ztime‖
b. ―Right #zdose‖
c. ―Right #zroute‖
d. ―Right #zmedication‖
ANS: # z A
―Right #ztime‖ #zis #zcorrect #zbecause #zthe #zmedication #zwas #zgiven #zmore #zthan #z30 #zminutes #zafter #zthe
#zscheduled #zdose #zwas #zdue. #z―Dose‖ #zis #zincorrect #zbecause #zthe #zdose #zis #znot #zrelated #zto #zthe #ztime
#zthe #zmedication #zadministration #zis #zscheduled. #z―Route‖ #zis #zincorrect #zbecause #zthe #zroute #zis #znot
#zaffected.
―Medication‖ #zis #zincorrect #zbecause #zthe #zmedication #zordered #zwill #znot #zchange.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zSafety #zand #zInfection #zControl
3. The #znurse #zhas #zbeen #zmonitoring #zthe #zpatient‘s #zprogress #zon #za #znew #zdrug #zregimen #zsince
the #zfirst #zdose #zand #zdocumenting #zthe #zpatient‘s #ztherapeutic #zresponse #zto #zthe #zmedication.
#z
Which #zphase #zof #zthe #znursing #zprocess #zdo #zthese #zactions #zillustrate?
#z
a. Human #zneeds #zstatement
b. Planning
c. Implementation
d. Evaluation
ANS: # z D
Monitoring #zthe #zpatient‘s #zprogress, #zincluding #zthe #zpatient‘s #zresponse #zto #zthe #zmedication, #zis
#zpart #zof #zthe #zevaluation #zphase. #zPlanning, #zimplementation, #zand #zhuman #zneeds #zstatement #zare
#znot #zillustrated #zby #zthis #zexample.
DIF: Cognitive #zLevel: #zUnderstanding #z(Comprehension) TOP: # z Nursing #zProcess:
,Nursedoc
#z©2023 #zEvaluation #zMSC: #z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
4. The #znurse #zis #zassigned #zto #za #zpatient #zwho #zis #znewly #zdiagnosed #zwith #ztype #z1 #zdiabetes
mellitus. #zWhich #zstatement #zbest #zillustrates #zan #zoutcome #zcriterion #zfor #zthis #zpatient?
#z
a. The #zpatient #zwill #zfollow #zinstructions.
b. The #zpatient #zwill #znot #zexperience #zcomplications.
c. The #zpatient #zwill #zadhere #zto #zthe #znew #zinsulin #ztreatment #zregimen.
d. The #zpatient #zwill #zdemonstrate #zcorrect #zblood #zglucose #ztesting #ztechnique.
ANS: # z D
―Demonstrating #zcorrect #zblood #zglucose #ztesting #ztechnique‖ #zis #za #zspecific #zand
#zmeasurable #zoutcome #zcriterion. #z―Following #zinstructions‖ #zand #z―not #zexperiencing
#zcomplications‖ #zare #znot #zspecific #zcriteria. #z―Adhering #zto #znew #zregimen‖ #zwould #zbe
#zdifficult #zto #zmeasure.
DIF: Cognitive #zLevel: #zApplying #z(Application) TOP: # z Nursing #zProcess:
#zPlanning #zMSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
5. Which #zactivity#zbest #zreflects #zthe #zimplementation #zphase #zof #zthe #znursing #zprocess #zfor #zthe
patient #zwho #zis #znewly #zdiagnosed #zwith #zhypertension?
#z
a. Providing #zeducation #zon #zkeeping #za #zjournal #zof #zblood #zpressure #zreadings
b. Setting #zgoals #zand #zoutcome #zcriteria #zwith #zthe #zpatient‘s #zinput
c. Recording #za #zdrug #zhistory #zregarding #zover-the-counter #zmedications #zused #zat #zhome
d. Formulating #zhuman #zneeds #zstatements #zregarding #zdeficient #zknowledge #zrelated #zto
#zthe #znew #ztreatment #zregimen
ANS: # z A
Education #zis #zan #zintervention #zthat #zoccurs #zduring #zthe #zimplementation #zphase. #zSetting #zgoals
#zand #zoutcomes #zreflects #zthe #zplanning #zphase. #zRecording #za #zdrug #zhistory #zreflects #zthe #zassessment
#zphase. #zFormulating #zhuman #zneeds #zstatements #zreflects #zanalysis #zof #zdata #zas #zpart #zof #zplanning.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
6. The #zmedication #zorder #zreads, #z―Give #zondansetron #z4 #zmg, #z30 #zminutes #zbefore
beginning #zchemotherapy #zto #zprevent #znausea.‖ #zThe #znurse #znotes #zthat #zthe #zroute #zis
#z
missing #zfrom #zthe #zorder. #zWhat #zis #zthe #znurse‘s #zbest #zaction?
#z
a. Give #zthe #zmedication #zintravenously #zbecause #zthe #zpatient #zmight #zvomit.
b. Give #zthe #zmedication #zorally #zbecause #zthe #ztablets #zare #zavailable #zin #z4-mg #zdoses.
c. Contact #zthe #zprescriber #zto #zclarify#zthe #zroute #zof #zthe #zmedication #zordered.
d. Hold #zthe #zmedication #zuntil #zthe #zprescriber #zreturns #zto #zmake #zrounds.
ANS: # z C
A #zcomplete #zmedication #zorder #zincludes #zthe #zroute #zof #zadministration. #zIf #za #zmedication #zorder
#zdoes #znot #zinclude #zthe #zroute, #zthe #znurse #zmust #zask #zthe #zprescriber #zto #zclarify #zit. #zThe
#zintravenous #zand #zoral #zroutes #zare #znot #zinterchangeable. #zHolding #zthe #zmedication #zuntil #zthe
#zprescriber #zreturns #zwould #zmean #zthat #zthe #zpatient #zwould #znot #zreceive #za #zneeded
#zmedication.
DIF: Cognitive #zLevel: #zApplying
#z(Application) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
7. When # z the #znurse #zconsiders #zthe #ztiming #zof #za #zdrug #zdose, #zwhich #zfactor #zis
, Nursedoc
#z©2023 #zappropriate #zto #zconsiderwhen #zdeciding #zwhen #zto #zgive #za #zdrug?
a. The #zpatient‘s #zability #zto #zswallow
b. The #zpatient‘s #zheight
c. The #zpatient‘s #zlast #zmeal
d. The #zpatient‘s #zallergies
ANS: # z C
The #znurse #zmust #zconsider #zspecific #zpharmacokinetic/pharmacodynamic #zdrug #zproperties #zthat
#zmay #zbe #zaffected #zby #zthe #ztiming #zof #zthe #zlast #zmeal. #zThe #zpatient‘s #zability #zto #zswallow,
#zheight, #zand #zallergies #zare #znot #zfactors #zto #zconsider #zregarding #zthe #ztiming #zof #zthe #zdrug‘s
#zadministration.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess:
#zAssessment
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
8. The #znurse #zis #zperforming #zan #zassessment #zof #za #znewly #zadmitted #zpatient. #zWhich #zis #zan
example #zof #zsubjective #zdata?
#z
a. Weight #z155 #zpounds
b. Pulse #z72 #zbeats/minute
c. The #zpatient #zreports #zthat #zhe #zuses #zthe #zherbal #zproduct #z ginkgo
d. The #zpatient‘s #zcomplete #zblood #zcount #zresults
ANS: # z C
Subjective #zdata #zinclude #zinformation #zshared #zthrough #zthe #zspoken #zword #zby #zany #zreliable
#zsource, #zsuch #zas #zthe #zpatient. #zObjective #zdata #zmay #zbe #zdefined #zas #zany #zinformation
#zgathered #zthrough #zthe #zsenses #zor #zthat #zwhich #zis #zseen, #zheard, #zfelt, #zor #zsmelled. #zA #zpatient‘s
#zpulse, #zweight, #zand #zlaboratory #ztests #zare #zall #zexamples #zof #zobjective #zdata.
DIF: Cognitive #zLevel: #zUnderstanding
#z(Comprehension) #zTOP: # z Nursing #zProcess:
#zAssessment
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zManagement #zof #zCare
MULTIPLE #zRESPONSE
1. When #zgiving #zmedications, #zthe #znurse #zwill #zfollow #zthe #zrights #zof #zmedication
#zadministration. #zThe #zrights #zinclude #zthe #zright #zdocumentation, #zthe #zright #zreason, #zthe
#zright #zresponse, #zand #zthe #zpatient‘s #zright #zto #zrefuse. #zWhich #zof #zthese #zare #zadditional
#zrights? #z(Select #zall #zthat #zapply.)
a. Right #zdrug
b. Right #zroute
c. Right #zdose
d. Right #zdiagnosis
e. Right #ztime
f. Right #zpatient
ANS: # z A, #zB, #zC, #zE, #zF
Additional #zrights #zof #zmedication #zadministration #zmust #zalways #zinclude #zthe #zright #zdrug, #zright
#zdose, #zright #ztime, #zright #zroute, #zand #zright #zpatient. #zThe #zright #zdiagnosis #zis #zincorrect.
DIF: Cognitive #zLevel: #zRemembering
#z(Knowledge) #zTOP: # z Nursing #zProcess:
#zImplementation
MSC: # z NCLEX: #zSafe #zand #zEffective #zCare #zEnvironment: #zSafety #zand #zInfection #zControl
