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Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition By Mccuistion With Verified Questions And Answers $18.49   Add to cart

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Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition By Mccuistion With Verified Questions And Answers

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Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition By Mccuistion With Verified Questions And Answers

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  • October 23, 2024
  • 402
  • 2024/2025
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Lectdavian
,Chapter 01: The Nursing Process and Patient-Centered Care
b b b b b b b



McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
b b b b b b b b




MULTIPLE CHOICE b




1. All of the following would be considered subjective data,
b b b b b b b b b EXCEPT:
a. Patient-reported health history b b



b. Patient-reported signs and symptoms of their illness b b b b b b



c. Financial barriers reported by the patient’s caregiver b b b b b b



d. Vital signs obtained from the medical record b b b b b b




ANS: D
Subjective data is based on what patients or family members communicate to
b b b b b b b b b b b



thenurse. Patient- reported health history, signs and symptoms, and caregiver reported
b b b b b b b b b b b b



financial barriers would be considered subjective data. Vital signs obtained from the
b b b b b b b b b b b b



medical record would be considered objective data.
b b b b b b b




DIF: Cognitive Level: Understanding (Comprehension) b b b TOP: Nursing bb b



Process: Planning MSC:
b b b NCLEX: Management b



of Client Care
b b b




2. The nurse is using data collected to define a set of interventions to achieve
b b b b b b b b b b b b b



the most desirable outcomes.
b b Which of the b b b following steps is the b b



nurse applying?
b b



a. Recognizing cues (assessment) b b



b. Analyze cues & prioritize hypothesis (analysis) b b b b b



c. Generate solutions (planning) b b



d. Take action (nursing interventions) b b b




ANS: C
When generating solutions (planning), the nurse identifies expected outcomes
and uses the patient’s problem(s) to define a set of interventions to achieve the
b b b b b b b b b b b b b



most desirable outcomes. Recognizing cues (assessment) involves the gathering of
b b b b b b b b b b



cues (information) from the patient about their health and lifestyle practices,
b b b b b b b b b



whichare important facts that aid
b bthe nurse in makingclinical care
b b b b b



decisions.
b



Prioritizing hypothesis is used to organize and rank the patient problem(s) identified.
b b b b b b b b b b b



Finally, taking action involves implementation of nursing interventions to
b b b b b b b b bbb



accomplishthe expected outcomes.
b b b b




DIF: Cognitive Level: Understanding b b



(Comprehension) TOP: Nursing Process:
b b b



Nursing Intervention b



MSC: NCLEX: Management of Client b b b b Care

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



episodes of hyperglycemia. The parents tell the nurse that they can’t keep track of
b b b b b b b b b b b b b b



beverything that has to be done to care for their child. The nurse reviews b b b b b b b b b b bbb bbb bbb



bmedications, diet, and symptom management with the parents and draws up a daily b b b b b b b b b b b b



bchecklist for the family to use. These activities are completed inwhich step of
b b b bb b b bb b b bb b b bb b b



bthe nursing process?
a. Recognizing cues (assessment) b b



b. Analyze cues & prioritize hypothesis (analysis) b b b b b

, c. Generate solutions (planning) b b



d. Take action (nursing interventions) b b b




ANS: D
Taking action through nursing interventions is where the nurse provides patient health teaching,
b b b b b b b b b b b b



bdrug administration, patient care, and other interventions necessary to assist the
b b b b b b b b b b



patient in accomplishing expected outcomes.
b b b b b




DIF: Cognitive Level: Understanding b b



(Comprehension) TOP: Nursing Process:
b b b



Nursing Intervention b



MSC: NCLEX: Management of Client b b b b Care

4. The nurse is preparing to administer a medication and reviews the patient’s
b b b b b b b b b b b b b b b b b b b b b b b



chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN)
b b b b b b b b b b b b b b b b b b b b b



levels. The nurse’s actions are reflective of which of the following?
b b b b b b b b b b b



a. Recognizing cues (assessment) b b



b. Analyze cues & prioritize hypothesis (analysis) b b b b b



c. Take action (nursing interventions) b b b



d. Generate solutions (planning) b b




ANS: A
Recognizing cues (assessment) involves gathering subjective and objective information
b b b b b b b b



about the patient and the medication. Laboratory values from the patient’s
b b b b b b b b b b b bb



chart would be considered collection of objective data.
b b b b b b b b




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



TOP: Nursing Process: Assessment MSC: NCLEX: Management b b b b of Client b b Care

5. Which of the following would be correctly categorized as objective data?
b b b b b b b b b b



a. A list of herbal supplements regularly used provided by the patient.
b b b b b b b b b b



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



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



d. Usual dietary patterns and food intake. b b b b b




ANS: B
Objective data are measured and detected by another person and would include lab
b b b b b b b b b b b b



values. The other examples are subjective data.
b b b b b b b




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



TOP: Nursing Process: Assessment MSC: NCLEX: Management b b b b of b Client b Care

6. The nurse reviews a patient’s database and learns that the patient lives alone,
bb b bb b bb b



is forgetful, and does not have an established routine. The patient will be sent
b b b b b b b b bbb bbb bbb b bbb bbb



home with three new medications to be taken at different times of the day.
b b b b b b b b b b b b b b



The nurse develops a daily medication chart and enlists a family member to put the
b b b b b b b b b b b b b b b



patient’s pills in a pill organizer. This is b an example of b b b b



which element of thenursing process? b b



a. Recognizing cues (assessment) b b



b. Analyze cues & prioritize hypothesis (analysis) b b b b b



c. Take action (nursing interventions) b b b

, d. Generate solutions (planning) b b




ANS: C
Taking action (nursing interventions) involves education and patient care in order to
b b b b b b b b b b b



assist the patient to accomplish the goals of treatment.
b b b b b b b b b




DIF: Cognitive Level: Applying b b



(Application) TOP: Nursing
b b b



Process:
b



Nursing Intervention MSC: NCLEX: b b b



Management of Client Care b bb b bb b




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
b b b b b b b b b b bbb bbb bbb bbb



decide that the patient may go home when able to perform self-care without
b b b b b b b b b b b b b



dyspneaand hypoxia. This is an example of which phase of the nursing process?
b b b b b b b b b b b b b b



a. Recognizing cues (assessment) b b



b. Analyze cues & prioritize hypothesis (analysis) b b b b b



c. Take action (nursing interventions) b b b



d. Generate solutions (planning) b b




ANS: D
Generating solutions (planning) involves defining a set of interventions to achieve
b b b b b b b b b b b b b b b b b b b bb b b b b b



the most desirable outcomes, which, for this patient, means being able
b b b b b b b b b b b



to perform self-care activities without dyspnea and hypoxia.
b b b b b b b b




DIF: Cognitive Level: Understanding (Comprehension)
bbbb b b b bbbbbb TOP: bbbbbb Nursing bbbbbb Process: Planning b



MSC: NCLEX: Management of Client Care
b b b b b b




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



providing teaching. Which is a correctly written expected outcome for
b b b b b b b b



thisprocess?
b b



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



b. The nurse will teach the patient how to administer medication
b b b b b b b b b



with a metered-dose inhaler.
b b b b



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



usingthe metered- dose inhaler.
b b b b b



d. The patient will independently administer the medication using the
b b b b b b b b



metered- dose inhaler at the end of the session.
b b b b b b b b b




ANS: D
Expected outcomes must be patient-centered and clearly state the outcome
b b b b b b b b b b with b a
reasonable deadline and should identify components for evaluation.
b b b b b b b b




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



MSC: NCLEX: Management of Client Care
b b b b b b




9. The nurse is generating solutions (planning) for a patient who has chronic lung
b b b b b b b b b b b b



disease and hypoxia. The patient has been admitted for increased oxygen needs
b b b b b b b b b b



above a baseline of 2 L/min.
b The nurse generates an
b b expected b b b b b



outcomes stating,“The patient will have oxygen saturations of b b b b b b b b



>95% on room air at the time of discharge from the hospital.” What is wrong with
b b b b b b b b b b b b b b b



b thisgoal? b



a. It cannot be evaluated. b b b

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