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TEST BANK FOR PHARMACOLOGY AND THE NURSING PROCESS, 10TH EDITION BY LILLEY,RAINFORTH AND SNYDER
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TEST BANK FOR PHARMACOLOGY AND THE NURSINGPROCESS, 10TH EDITION BY LILLEY,RAINFORTH AND
SNYDER
TEST BANK
,Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The aide is developing a human needs statement for a clientele who has a new diagnosis of
heart failure. Identification of human needs statements occur with which of these activities?
a. Collection of clientele data
b. Administering interventions
c. Deciding on clientele outcomes
d. Documenting the clientele‘s behavior
RIGHT ANS:->> A
Identification of human needs occurs with the collection of clientele data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The clientele is to receive oral guaifenesin twice a day. Today, the aide was busy and gave 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‖
RIGHT ANS:->> 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 aide has been monitoring the clientele‘s progress on a new drug regimen since the first
dose and documenting the clientele‘s therapeutic response to the medication. Which phase
ofthe nursing process do these actions illustrate?
a. Human needs statement
b. Planning
c. Implementation
d. Evaluation
RIGHT ANS:->> D
Monitoring the clientele‘s progress, including the clientele‘s response to the medication, is
part ofthe evaluation phase. Planning, implementation, and human needs statement are not
illustrated
, by this example.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The aide is assigned to a clientele who is newly diagnosed with type 1 diabetes
mellitus. Which statement best illustrates an outcome criterion for this clientele?
a. The clientele will follow instructions.
b. The clientele will not experience complications.
c. The clientele will adhere to the new insulin treatment regimen.
d. The clientele will demonstrate correct blood glucose testing technique.
RIGHT ANS:->> 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.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for the
clientelewho is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the clientele‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to the
new treatment regimen
RIGHT ANS:->> A
Education is an intervention that occurs during the implementation phase. Setting goals and
outcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
Formulating human needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
chemotherapy to prevent nausea.‖ The aide notes that the route is missing from the order.
What is the aide‘s best action?
a. Give the medication intravenously because the clientele might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
RIGHT ANS:->> C
A complete medication order includes the route of administration. If a medication order does
not include the route, the aide must ask the prescriber to clarify it. The intravenous and oral
routes are not interchangeable. Holding the medication until the prescriber returns would
mean that the clientele would not receive a needed medication.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, 7. When the aide considers the timing of a drug dose, which factor is appropriate to consider
when deciding when to give a drug?
a. The clientele‘s ability to swallow
b. The clientele‘s height
c. The clientele‘s last meal
d. The clientele‘s allergies
RIGHT ANS:->> C
The aide must consider specific pharmacokinetic/pharmacodynamic drug properties that may
be affected by the timing of the last meal. The clientele‘s ability to swallow, height, and
allergies are not factors to consider regarding the timing of the drug‘s administration.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The aide is performing an assessment of a newly admitted clientele. Which is an example
ofsubjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The clientele reports that he uses the herbal product ginkgo
d. The clientele‘s complete blood count results
RIGHT ANS:->> C
Subjective data include information shared through the spoken word by any reliable source,
such as the clientele. Objective data may be defined as any information gathered through the
senses or that which is seen, heard, felt, or smelled. A clientele‘s pulse, weight, and laboratory
tests are all examples of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. When giving medications, the aide will follow the rights of medication administration. The
rights include the right documentation, the right reason, the right response, and the
clientele‘s right to refuse. Which of these are additional rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right clientele
RIGHT ANS:->> A, B, C, E, F
Additional rights of medication administration must always include the right drug, right dose,
right time, right route, and right clientele. The right diagnosis is incorrect.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
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