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Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide $16.49   Add to cart

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Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide

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Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide

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  • October 15, 2024
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  • isbn 9780323825801
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  • Pharmacology A Patient-Centered Nursing Process
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TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u



TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
u u u u u u u


Chapter 01: The Nursing Process and Patient-Centered Care
/ McCuistion: Pharmacology:
Pharmacology: AAPatient-Centered
Patient-CenteredNursing Nursing Process
u u u u u u u

u
McCuistion: u
u Process Approach, 10th u
u
u
u
u
u
u u
u
u



Approach, 11th Edition; All Chapters
u Edition
u u u u u




MULTIPLE CHOICE u




1. The nursing process is a five-step decision-making approach that includes all of the following
u u u u u u u u u u u u u


steps, EXCEPT:
u u


a. Assessment
b. Patient problem u


c. Planning
d. Right Drug u




ANS: D u


The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
u u u u u u u u u u u u


patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of
u u u u u u u u u u u u u u


the“Six Rights” of medication administration.
u u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u TOP: Nursing Process: Planning
u u u


MSC: NCLEX: Management of Care
u u u u u




2. The nurse is using data collected to set goals or expected outcomes and interventions that
u u u u u u u u u u u u u u


address the patient’s problems. Which step of the nursing process is the nurse applying?
u u u u u u u u u u u u u u


a. Assessment
b. Patient problem u


c. Planning N
d. Evaluation
ANS: C u


During the planning phase, the nurse uses the data collected to set goals or expected outcomes
u u u u u u u u u u u u u u u


and interventions which address the patient’s problems. The data was collected during the
u u u u u u u u u u u u u


“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
u u u u u u u u u u u u


determine whether the goals and objectives set during the planning phase were met.
u u u u u u u u u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u


TOP: Nursing Process: Nursing Intervention
u u u u u


MSC: NCLEX: Management of Care u u u u




3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
u u u u u u u u u u u u u


of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has
u u u u u u u u u u u u u u u u


to be done to care for their child. The nurse reviews medications, diet, and symptom
u u u u u u u u u u u u u u u


management with the parents and draws up a daily checklist for the family to use. These
u u u u u u u u u u u u u u u u


activities are completed in which step of the nursing process?
u u u u u u u u u u


a. Assessment
b. Planning
c. Implementation
d. Evaluation

ANS: C u

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u




The implementation phase is the part of the nursing process in which the nurse provides
u u u u u u u u u u u u u u


education, drug administration, patient care, and other interventions necessary to assist
u u u u u u u u u u u


thepatient in accomplishing established medication goals.
u u u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u


TOP: Nursing Process: Nursing Intervention
u u u u u


MSC: NCLEX: Management of Care
u u u u




4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
u u u u u u u u u u u u u u


allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
u u u u u u u u u u u u u


reflective of which phase of the nursing process?
u u u u u u u u


a. Assessment
b. Evaluation
c. Implementation
d. Planning

ANS: A u


Assessment involves gathering information about the patient and the drug, including any
u u u u u u u u u u u


previous use of the drug.
u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u


TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Care u u u u u u




5. Which assessment is categorized as objective data?
u u u u u u


a. A list of herbal supplements regularly used
u u u u u u


b. Lab values associated with the drugs the patient is taking
u u u u u u u u u

c. The ages and relationship to the patient of all household members
u u u u u u u u u u


d. Usual dietary patterns and fNood intake
u u u u u




ANS: B u


Objective data are measured and detected by another person and would include lab values.
u u u u u u u u u u u u u


The other examples are subjective data.
u u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u


TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Care u u u u u u




6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
u u u u u u u u u u u u u u u


does not have an established routine. The patient will be sent home with three new
u u u u u u u u u u u u u u u


medications to be taken at different times of the day. The nurse develops a daily medication
u u u u u u u u u u u u u u u u


chart and enlists a family member to put the patient’s pills in a pill organizer. This is an
u u u u u u u u u u u u u u u u u u


example of which phase of the nursing process?
u u u u u u u u


a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C u


The implementation phase involves education and patient care in order to assist the patient to
u u u u u u u u u u u u u u


accomplish the goals of treatment.
u u u u u




DIF: Cognitive Level: Applying u u


(Application)TOP: Nursing Process: Nursing
u u u u u


Intervention
u

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u




MSC: NCLEX: Management of Care
u u u u




7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
u u u u u u u u u u u u u


home. The nurse and the patient discuss the patient’s situation and decide that the patient
u u u u u u u u u u u u u u u


maygo home when able to perform self-care without dyspnea and hypoxia. This is an
u u u u u u u u u u u u u u u


example of which phase of the nursing process?
u u u u u u u u


a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D u


Planning involves goal setting, which, for this patient, means being able to perform self-care
u u u u u u u u u u u u u


activities without dyspnea and hypoxia.
u u u u u




DIF: Cognitive Level: Understanding (Comprehension) u u u TOP: Nursing Process: Planning u u u


MSC: NCLEX: Management of Care
u u u u u




8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
u u u u u u u u u u u u u u u


Which is a correctly written goal for this process?
u u u u u u u u u


a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
u u u u u u u u u u u u u


b. The nurse will teach the patient how to administer medication with a metered-dose
u u u u u u u u u u u u


inhaler. u


c. The patient will know how to self-administer the medication using the
u u u u u u u u u u


metered-dose inhaler.
u u


d. The patient will independently administer the medication using the metered-dose
u u u u u u u u u


inhaler at the end of the session.
u u u u u u u

N
ANS: D u


Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
u u u u u u u u u u u u u


should identify components for evaluation.
u u u u u




DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: Planning u u u


MSC: NCLEX: Management of Care
u u u u u




9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
u u u u u u u u u u u u u u u u u


The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
u u u u u u u u u u u u u u u u


nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air
u u u u u u u u u u u u u u u u


at the time of discharge from the hospital.” What is wrong with this goal?
u u u u u u u u u u u u u u


a. It cannot be evaluated.
u u u


b. It is not measurable.
u u u


c. It is not patient-centered.
u u u


d. It is not realistic.
u u u




ANS: D u


This goal is not realistic because the patient is not usually on room air and should not be
u u u u u u u u u u u u u u u u u


expected to attain that goal by discharge from this hospitalization.
u u u u u u u u u u




DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: Planning u u u


MSC: NCLEX: Management of Care
u u u u u

, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u




10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
u u u u u u u u u u u u u u u


antihypertensive drug that causes dizziness and orthostatic hypotension. Which patient
u u u u u u u u u u


problem documented by the nurse is appropriate for this patient?
u u u u u u u u u u


a. Deficient knowledge related to drug side effects u u u u u u


b. Ineffective health maintenance related to age u u u u u


c. Readiness for enhanced knowledge related to medication side effects u u u u u u u u


d. Risk for injury related to side effects of the medication
u u u u u u u u u




ANS: D u


This patient has an increased risk for injury because of drug side effects, so this is an
u u u u u u u u u u u u u u u u


appropriate patient problem to direct the type of care and follow-up the patient will
u u u u u u u u u u u u u u


receive.
u




DIF: Cognitive Level: Applying u u


(Application)TOP: Nursing Process: Nursing
u u u u u


Diagnosis MSC: NCLEX: Management of
u u u u u


Care
u




11. An older patient must learn to administer a medication using a device that requires manual
u u u u u u u u u u u u u u


dexterity. The patient becomes frustrated and expresses lack of self-confidence in
u u u u u u u u u u u


performingthis task. Which action will the nurse perform next?
u u u u u u u u u u


a. Ask the patient to keep trying until the skill is learned.
u u u u u u u u u u


b. Provide written instructions with illustrations showing each step of the skill.
u u u u u u u u u u


c. Schedule multiple sessions and practice each step separately. u u u u u u u


d. Teach the procedure to family members who can administer the medication for the
u u u u u u u u u u u u


patient. u




ANS: C u


Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case,
u u u u u u u u u u u u u u


breaking the steps down into inNdividual parts will help with this patient’s frustration level.
u u u u u u u u u u u u u u




DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: u u


PlanningMSC: NCLEX: Management of Care
u u u u u u




12. A school-age child will begin taking a medication to be administered at 5 mL three times
u u u u u u u u u u u u u u u


daily. The child’s parent tells the nurse that, with a previous use of the drug, the child
u u u u u u u u u u u u u u u u u


repeatedly forgot to bring the medication home from school, resulting in missed evening
u u u u u u u u u u u u u


doses. What will the nurse recommend?
u u u u u u


a. Asking the provider if the medication may be taken before school, after school,
u u u u u u u u u u u u


and at bedtime
u u u


b. Putting a note on the child’s locker to encourage the child to take responsibility for
u u u u u u u u u u u u u u


medication administration
u u


c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be
u u u u u u u u u u u u u u u u


taken in the evening so that the correct amount is given daily
u u u u u u u u u u u u


d. Taking the noon dose to school every day and giving it to the school nurse to
u u u u u u u u u u u u u u u


administer
u




ANS: C u


For busy families with school-age children, it may be necessary to adjust the medication
u u u u u u u u u u u u u


uschedule to one that fits their schedule. The nurse should ask the provider if a revised schedule
u u u u u u u u u u u u u u u u


is possible. In this case, the most effective revised schedule would involve not taking the
u u u u u u u u u u u u u u u


umedication while at school. Putting a note on the locker is not likely to be effective. It is not
u u u u u u u u u u u u u u u u u u


ucorrect to adjust the dose. u u u u

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