TEST BANK FOR Pharmacology : A Patient -Centered Nursing Process Approach 10th Edition Authors: Linda McCuistion, Kathleen DiMaggio, Mary Beth Winton, Jennifer Yeager Unit 1: Introduction to Pharmacology Chapter 1.The Nursing Process and Patient -Centere d Care Chapter 2.Drug Development and Ethical Considerations Chapter 3.Pharmacokinetics and Pharmacodynamics Chapter 4.Pharmacogenetics Chapter 5.Complementary and Alternative Therapies Chapter 6.Pediatric Considerations Chapter 7.Geriatric Considerations Chapter 8.Drugs in Substance Use Disorder Unit 2: Pharmacotherapy and Drug Administration Chapter 9.Safety and Quality Chapter 10.Drug Administration Chapter 11.Drug Calculations Unit 3: Maintenance of Homeostasis Chapter 12.Fluid Volume and Electrolytes Chapter 13.Vitamin and Mineral Replacement Chapter 14.Nutritional Support Unit 4: Autonomic Nervous System Drugs Chapter 15.Adrenergic Agonists and Antagonists Chapter 16.Cholinergic Agonists and Antagonists Unit 5: Central and Peripheral Nervous System Drugs Chapter 17.Stimulants Chapter 18.Depressants Chapter 19.Antiseizure Drugs Chapter 20.Drugs for Parkinsonism and Alzheimer’s Disease Chapter 21.Drugs for Neuromuscular Disorders and Muscle Spasms Unit 6: Mental and Behavioral Health Drugs Chapter 22.Anti psychotics and Anxiolytics Chapter 23.Antidepressants and Mood Stabilizers Unit 7: Pain and Inflammation Management Drugs Chapter 24.Antiinflammatories Chapter 25.Analgesics Unit 8: Antimicrobial Drugs Chapter 26.Antibacterials Chapter 27.Antituberculars, Antifungals, and Antivirals Chapter 28.Antimalarials, Anthelmintics, and Peptides Unit 9: Immunologic Drugs Chapter 29.HIV - and AIDS -Related Drugs Chapter 30.Transplant Drugs Chapter 31.Vaccines Unit 10: Antineoplastics and Biologic Response Modifiers Chap ter 32.Anticancer Drugs Chapter 33.Targeted Therapies to Treat Cancer Chapter 34.Biologic Response Modifiers Unit 11: Respiratory Drugs Chapter 35.Upper Respiratory Disorders Chapter 36.Lower Respiratory Disorders Unit 12: Cardiovascular Drugs Chapter 37.C ardiac Glycosides, Antianginals, and Antidysrhythmics Chapter 38.Diuretics Chapter 39.Antihypertensives Chapter 40.Anticoagulants, Antiplatelets, and Thrombolytics Chapter 41.Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow Unit 13: Gastroin testinal Drugs Chapter 42.Gastrointestinal Tract Disorders Chapter 43.Antiulcer Drugs Unit 14: Eye, Ear, and Skin Drugs Chapter 44.Eye and Ear Disorders Chapter 45.Dermatologic Disorders Unit 15: Endocrine Drugs Chapter 46.Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Chapter 47.Antidiabetics Unit 16: Renal and Urologic Drugs Chapter 48.Urinary Disorders Unit 17: Reproductive and Gender -Related Drugs Chapter 49.Pregnancy and Preterm Labor Chapter 50.Labor, Delivery, and Postpartum Chapter 51.Neonat al and Newborn Chapter 52.Reproductive Health Chapter 53.Men’s Health and Reproductive Disorders Chapter 54.Sexually Transmitted Infections Unit 18: Sexually Transmitted Infections Chapter 55.Adult and Pediatric Emergency Drugs Chapter 01: The Nursing Process and Patient -Centered Care McCuistion: Pharmacology: A Patient -Centered Nursing Process Approach, 10th Edition MULTIPLE CHOICE 1. The nursing process is a five -step decision -making approach that includes all of the following steps, EXCEPT: a. Assessment b. Patient problem c. Planning d. Right Drug ANS: D The nursing process is a five -step decision -making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medicatio n administration. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 2. The nurse is using data collected to set goals or expected outcomes and interventions that address the patient’s problems. Which step of the nursing process is the nurse applying? a. Assessment b. Patient problem c. Planning N d. Evaluation ANS: C During the planning phase, the nurse uses the data collected to set goals or expected outcomes and interventions which address the patient’s problems. The data was collected during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whether the goals and objectives set during the planning phase were met. DIF: Cognitive Level: Understanding (Com prehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care 3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the nurse that they can’t keep track o f everything that has to be done to care for their child. The nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in which step of the nursing process ? a. Assessment b. Planning c. Implementation d. Evaluation ANS: C The implementation phase is the part of the nursing process in which the nurse provides education, drug administration, patient care, and other interventions necessary to assist the patient in accompli shing established medication goals. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care 4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: A Assessment involves gathering information about the patient and the drug, including any previous use of the drug. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 5. Which assessment is categorized as objective data? a. A list of herbal supplements regular ly used b. Lab values associated with the drugs the patient is taking c. The ages and relationship to the patient of all household members d. Usual dietary patterns and fNood in take ANS: B Objective data are measured and detected by another person and would include lab values. The other examples are subjective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient’s pills in a pill organizer. This is an example of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: C The implementation phase involves education and patient care in order to assist the patient to accomplish the goals of treatment. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care 7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self -care without dyspnea and hypoxia. This is an example of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: D Planning involves goal s etting, which, for this patient, means being able to perform self -care activities without dyspnea and hypoxia. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 8. A patient will be sent home with a metered -dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this process? a. The nurse will demonstrate the correct use of a metered -dose inhaler to the patient. b. The nurse will teach the patient how to administer medication with a metered -dose inhaler. c. The patient will know how to self-administer the medication using the metered -dose inhaler. d. The patient will independently administer the medication using the metered -dose inhaler at the end of the session. N ANS: D Goals must be patient -centered and clearly state the outcome with a reasonable deadline and should identify components for evaluation. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse develops a goal stating, “The patient will have oxygen saturations of >95% on ro om air at the time of discharge from the hospital.” What is wrong with this goal? a. It cannot be evaluated. b. It is not measurable.
