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ChapterV01:VTheVNursingVProcessVandVDrugVTherapyVLilley:VPharmacology
VandVtheVNursingVProcess,V10thVEdition
MULTIPLEVCHOICE
1. TheVnurseVisVdevelopingVaVhumanVneedsVstatementVforVaVpatientVwhoVhasVaVnewVdia
gnosisVofVheartVfailure.VIdentificationVofVhumanVneedsVstatementsVoccurVwithVwhichVof
VtheseVactivities?
a. CollectionVofVpatientVdata
b. AdministeringVinterventions
c. DecidingVonVpatientVoutcomes
d. DocumentingVtheVpatient‘sVbehavior
ANS:V A
IdentificationVofVhumanVneedsVoccursVwithVtheVcollectionVofVpatientVdata.
DIF:
CognitiveVLevel:VUnderstandingV(Comprehensio
n)VTOP:V NursingVProcess:VHumanVNeedsVStatement
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VManagementVofVCare
2. TheVpatientVisVtoVreceiveVoralVguaifenesinVtwiceVaVday.VToday,VtheVnurseVwasVbusyVand
VgaveVtheVmedicationV2VhoursVafterVtheVscheduledVdoseVwasVdue.VWhatVtypeVofVproble
mVdoesVthisVrepresent?
a.―RightVtime‖
b.―RightVdose‖
c.―RightVroute‖
d.―RightVmedication‖
ANS:V A
―RightVtime‖VisVcorrectVbecauseVtheVmedicationVwasVgivenVmoreVthanV30VminutesVafterVthe
VscheduledVdoseVwasVdue.V―Dose‖VisVincorrectVbecauseVtheVdoseVisVnotVrelatedVtoVtheVtimeV
theVmedicationVadministrationVisVscheduled.V―Route‖VisVincorrectVbecauseVtheVrouteVisVnotVaff
ected.
―Medication‖VisVincorrectVbecauseVtheVmedicationVorderedVwillVnotVchange.
DIF:
CognitiveVLevel:VApplyingV(Applicatio
n)VTOP:V NursingVProcess:VImplementation
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VSafetyVandVInfectionVControl
3. TheVnurseVhasVbeenVmonitoringVtheVpatient‘sVprogressVonVaVnewVdrugVregimenVsinceV
theVfirstVdoseVandVdocumentingVtheVpatient‘sVtherapeuticVresponseVtoVtheVmedication.V
WhichVphaseVofVtheVnursingVprocessVdoVtheseVactionsVillustrate?
a. HumanVneedsVstatement
b. Planning
c. Implementation
d. Evaluation
ANS:V D
MonitoringVtheVpatient‘sVprogress,VincludingVtheVpatient‘sVresponseVtoVtheVmedication,VisV
partVofVtheVevaluationVphase.VPlanning,Vimplementation,VandVhumanVneedsVstatementVareV
notVillustratedVbyVthisVexample.
DIF: CognitiveVLevel:VUnderstandingV(Comprehension)
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nt:VManagementVofVCare
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4. TheVnurseVisVassignedVtoVaVpatientVwhoVisVnewlyVdiagnosedVwithVtypeV1VdiabetesV
mellitus.VWhichVstatementVbestVillustratesVanVoutcomeVcriterionVforVthisVpatient?
a. TheVpatientVwillVfollowVinstructions.
b. TheVpatientVwillVnotVexperienceVcomplications.
c. TheVpatientVwillVadhereVtoVtheVnewVinsulinVtreatmentVregimen.
d. TheVpatientVwillVdemonstrateVcorrectVbloodVglucoseVtestingVtechnique.
ANS:V D
―DemonstratingVcorrectVbloodVglucoseVtestingVtechnique‖VisVaVspecificVandVmeasurab
leVoutcomeVcriterion.V―FollowingVinstructions‖VandV―notVexperiencingVcomplications‖Va
reVnotVspecificVcriteria.V―AdheringVtoVnewVregimen‖VwouldVbeVdifficultVtoVmeasure.
DIF: CognitiveVLevel:VApplyingV(Application)
TOP:V NursingVProcess:VPlanningVMSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironme
nt:VManagementVofVCare
5. WhichVactivityVbestVreflectsVtheVimplementationVphaseVofVtheVnursingVprocessVforVthe
VpatientVwhoVisVnewlyVdiagnosedVwithVhypertension?
a. ProvidingVeducationVonVkeepingVaVjournalVofVbloodVpressureVreadings
b. SettingVgoalsVandVoutcomeVcriteriaVwithVtheVpatient‘sVinput
c. RecordingVaVdrugVhistoryVregardingVover-the-counterVmedicationsVusedVatVhome
d. FormulatingVhumanVneedsVstatementsVregardingVdeficientVknowledgeVrelatedVt
oVtheVnewVtreatmentVregimen
ANS:V A
EducationVisVanVinterventionVthatVoccursVduringVtheVimplementationVphase.VSettingVgoalsVan
dVoutcomesVreflectsVtheVplanningVphase.VRecordingVaVdrugVhistoryVreflectsVtheVassessmentVph
ase.VFormulatingVhumanVneedsVstatementsVreflectsVanalysisVofVdataVasVpartVofVplanning.
DIF:
CognitiveVLevel:VApplyingV(Applicatio
n)VTOP:V NursingVProcess:VImplementation
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VManagementVofVCare
6. TheVmedicationVorderVreads,V―GiveVondansetronV4Vmg,V30VminutesVbeforeVbeginnin
gVchemotherapyVtoVpreventVnausea.‖VTheVnurseVnotesVthatVtheVrouteVisVmissingVfromV
theVorder.VWhatVisVtheVnurse‘sVbestVaction?
a. GiveVtheVmedicationVintravenouslyVbecauseVtheVpatientVmightVvomit.
b. GiveVtheVmedicationVorallyVbecauseVtheVtabletsVareVavailableVinV4-mgVdoses.
c. ContactVtheVprescriberVtoVclarifyVtheVrouteVofVtheVmedicationVordered.
d. HoldVtheVmedicationVuntilVtheVprescriberVreturnsVtoVmakeVrounds.
ANS:V C
AVcompleteVmedicationVorderVincludesVtheVrouteVofVadministration.VIfVaVmedicationVorde
rVdoesVnotVincludeVtheVroute,VtheVnurseVmustVaskVtheVprescriberVtoVclarifyVit.VTheVintra
venousVandVoralVroutesVareVnotVinterchangeable.VHoldingVtheVmedicationVuntilVtheVpresc
riberVreturnsVwouldVmeanVthatVtheVpatientVwouldVnotVreceiveVaVneededVmedication.
DIF:
CognitiveVLevel:VApplyingV(Applicatio
n)VTOP:V NursingVProcess:VImplementation
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VManagementVofVCare
7. WhenV theVnurseVconsidersVtheVtimingVofVaVdrugVdose,VwhichVfactorVisVapprop
riateVtoVconsiderwhenVdecidingVwhenVtoVgiveVaVdrug?
a. TheVpatient‘sVabilityVtoVswallow