Chapterg1:gOrientationgtogPharmacologyg
TestgBankg g
g
MULTIPLEgCHOICEg
g
1. Thegnursegisgteachinggagpatientghowgagmedicationgworksgtogtreatgangillness.gTogdogthis,gthegnu
rsegwillgrelygongknowledgegof:ga.gclinicalgpharmacology.g
b. druggefficacy.g
c. pharmacokinetics.g
d. pharmacotherapeutics.g
ANS:gDg
Pharmacotherapeuticsgisgthegstudygofgthegusegofgdrugsgtogdiagnose,gtreat,gandgpreventgconditio
ns.gClinicalgpharmacologygisgconcernedgwithgallgaspectsgofgdrug–humanginteractions.g
Druggefficacygmeasuresgthegextentgtogwhichgaggivengdruggcausesgangintendedgeffect.gPharmac
okineticsgisgthegstudygofgthegimpactgofgthegbodygongagdrug.g
g
DIF:gCognitivegLevel:gComprehensiong REF:gFourgBasicgTermsg
TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2. Whatgdoesgitgmeangwhengagdruggisgdescribedgasgeasygtogadminister?g
a. Itgcangbegstoredgindefinitelygwithoutgneedgforgrefrigeration.g
b. Itgdoesgnotginteractgsignificantlygwithgothergmedications.g
c. Itgenhancesgpatientgadherencegtogthegdruggregimen.g
d. Itgisgusuallygrelativelyginexpensivegtogproduce.g
ANS:gCg
Agmajorgbenefitgofgdrugsgthatgaregeasygtogadministergisgthatgpatientsgtakinggthemgaregmoreglik
elygtogcomplygwithgthegdruggregimen.gDrugsgthatgaregeasygtoggivegmayghavegthegothergattribut
esglisted,gbutgthosegpropertiesgaregindependentgofgeasegofgadministration.g
g
DIF:gCognitivegLevel:gComprehensiong
REF:gAdditionalgPropertiesgofgangIdealgDrug:gEasegofgAdministrationg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
3. Agpatientgtellsgthegnursegthatghegwasgtoldgbygthegprescribergthatgtheganalgesicghegisgtakinggisgv
erygeffective.gWhichgstatementgbygthegpatientgdemonstratesgangunderstandinggofgthegdrug’sgef
fectiveness?g
a. “Igdon’tghavegtogworrygaboutgtoxicity,gsincegitgtakesgaglargegamountgofgthisgdruggtogcauseg
angoverdose.”g
b. “Itghasgnogsidegeffectsgandgdoesn’tginteractgwithgothergdrugs.”g
c. “Igonlyghavegtogtakegitgeveryg12ghours.”g
d. “Itgmightgmakegmegsleepy,gandgitglessensgpaingforgseveralghoursgatgagtime.”g
ANS:gDg
MedgCg
, Agdruggisgeffectivegifgitgproducesgthegintendedgeffects,gevengifgitgalsogproducesgsidegeffects.gB
ecausegnogdruggisgcompletelygsafe,gtheglevelgofgtoxicitygdoesgnotgdeterminegeffectiveness.gAllg
drugsghavegsidegeffectsgandgmanygreactgwithgothergsubstances;gthesegdognotgaffectgthegdrug’sg
effectiveness.gEasegofgadministrationgisgindependentgofgagdrug’sgeffectiveness.g
g
DIF:gCognitivegLevel:gComprehensiong REF:gPropertiesgofgangIdealgDrugg
TOP:gNursinggProcess:gEvaluationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
MULTIPLEgRESPONSEg
g
1. Whatgaregthegpropertiesgofgangidealgdrug?g(Selectgallgthatgapply.)g
a. Irreversiblegactiong
b. Predictabilityg
c. Easegofgadministrationg
d. Chemicalgstabilityg
e. Agsimplegtradegnameg
ANS:gB,gC,gDg
Ingadditiongtogpredictability,geasegofgadministration,gandgchemicalgstability,gothergpropertiesgi
ncludegagreversiblegactiongsogthatganygharmgthegdruggmaygcausegcangbegundonegandgagsimpleg
genericgname,gbecauseggenericgnamesgaregusuallygcomplexgandgdifficultgtogremembergandgpro
nounce.g
g
DIF:gCognitivegLevel:gComprehensiong
REF:gPropertiesgofgangIdealgDrugg|gAdditionalgPropertiesgofgangIdealgDrugg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2. Beforegadministeringgagmedication,gwhatgdoesgthegnursegneedgtogknowgtogevaluateghowgindivi
dualgpatientgvariabilitygmightgaffectgthegpatient’sgresponsegtogthegmedication?g(Selectgallgthatg
apply.)g
a. Chemicalgstabilitygofgthegmedicationg
b. Easegofgadministrationg
c. Familygmedicalghistoryg
d. Patient’sgageg
e. Patient’sgdiagnosisg
ANS:gC,gD,gEg
Thegfamilygmedicalghistorygcangindicateggeneticgfactorsgthatgmaygaffectgagpatient’sgresponsegt
ogagmedication.gPatientsgofgdifferentgagesgcangrespondgdifferentlygtogmedications.gThegpatient
’sgillnessgcangaffectghowgdrugsgaregmetabolized.gThegchemicalgstabilitygofgthegmedicationgand
gthegeasegofgadministrationgaregpropertiesgofgdrugs.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gSourcesgofgIndividualgVariationg
TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
Chapterg2:gApplicationgofgPharmacologygingNursinggPracticeg
MedgCg
,TestgBankg g
g
MULTIPLEgCHOICEg
g
1.gAgpatientgisgusinggagmetered-
doseginhalergcontaininggalbuterolgforgasthma.gThegmedicationglabelginstructsgthegpatientgtogad
ministerg“2gpuffsgeveryg4ghoursgasgneededgforgcoughinggorgwheezing.”gThegpatientgreportsgfee
linggjitterygsometimesgwhengtakinggthegmedication,gandgshegdoesn’tgfeelgthatgthegmedicationgi
sgalwaysgeffective.gWhichgisgnotgangappropriategnursingginterventiongforgthisgpatient?g
a. Askinggthegpatientgtogdemonstrategusegofgtheginhalerg
b. Assessinggthegpatient’sgexposuregtogtobaccogsmokeg
c. Auscultatingglunggsoundsgandgobtaininggvitalgsignsg
d. Suggestinggthatgthegpatientgusegonegpuffgtogreducegsidegeffectsg
ANS:gDg
Itgisgnotgwithingthegnurse’sgscopegofgpracticegtogchangegthegdosegofgagmedicationgwithoutgango
rdergfromgagprescriber.gAskinggthegpatientgtogdemonstrateginhalerguseghelpsgthegnursegtogevalu
ategthegpatient’sgabilitygtogadministergthegmedicationgproperlygandgisgpartgofgthegnurse’sgevalu
ation.gAssessinggtobaccogsmokegexposureghelpsgthegnursegdeterminegwhethergnondruggtherapi
es,gsuchgagsmokegavoidance,gcangbegusedgasgangadjunctgtogdruggtherapy.gPerforminggagphysica
lgassessmentghelpsgthegnursegevaluategthegpatient’sgresponsegtogthegmedication.g
g
DIF:gCognitivegLevel:gApplicationg
REF:gApplyinggthegNursinggProcessgingDruggTherapy:gPreadministrationgAssessmentg[andgallgsubsec
tionsgundergthisgheading]g TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2.gAgpostoperativegpatientgisgbeinggdischargedghomegwithgacetaminophen/hydrocodoneg(Lortab)gf
orgpain.gThegpatientgasksgthegnursegaboutgusinggTylenolgforgfever.gWhichgstatementgbygthegnu
rsegisgcorrect?g
a. “Itgisgnotgsafegtogtakegover-the-countergdrugsgwithgprescriptiongmedications.”g
b. “Takinggthegtwogmedicationsgtogethergposesgagriskgofgdruggtoxicity.”g
c. “Theregaregnogknowngdrugginteractions,gsogthisgwillgbegsafe.”g
d. “TylenolgandgLortabgaregdifferentgdrugs,gsogtheregisgnogriskgofgoverdose.”g
ANS:gBg
Tylenolgisgthegtradegnamegandgacetaminophengisgtheggenericgnamegforgthegsamegmedication.gIt
gisgimportantgtogteachgpatientsgtogbegawaregofgthegdifferentgnamesgforgthegsamegdruggtogminim
izegthegriskgofgoverdose.gOver-the-
counterg(OTC)gmedicationsgandgprescriptiongmedicationsgmaygbegtakengtogethergunlessgsignif
icantgharmfulgdrugginteractionsgaregpossible.gEvengthoughgnogdrugginteractionsgaregatgplaygingt
hisgcase,gbothgdrugsgcontaingacetaminophen,gwhichgcouldgleadgtogtoxicity.g
g
DIF:gCognitivegLevel:gApplicationg
REF:gApplicationgofgPharmacologygingPatientgEducation:gDosagegandgAdministrationgTO
P:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
MedgCg
, 3. Thegnursegisgpreparinggtogcaregforgagpatientgwhogwillgbegtakinggangantihypertensivegmedication.
g
Whichgactiongbygthegnursegisgpartgofgthegassessmentgstepgofgthegnursinggprocess?g
a.gAskinggthegprescribergforgangordergtogmonitorgserumgdrugglevelsg
b. Monitoringgthegpatientgforgdrugginteractionsgafterggivinggthegmedicationg
c. Questioninggthegpatientgaboutgover-the-countergmedicationsg
d. Takinggthegpatient’sgbloodgpressuregthroughoutgthegcoursegofgtreatmentg
ANS:gCg
Thegassessmentgpartgofgthegnursinggprocessginvolvesggatheringginformationgbeforegbeginninggt
reatment,gandgthisgincludesgaskinggaboutgothergmedicationsgthegpatientgmaygbegtaking.gMonito
ringgserumgdrugglevels,gwatchinggforgdrugginteractions,gandgcheckinggvitalgsignsgafterggivinggt
hegmedicationgaregallgpartgofgthegevaluationgphase.g
g
DIF:gCognitivegLevel:gApplicationg REF:gPreadministrationgAssessmentg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
g
4. Agpostoperativegpatientgreportsgpain,gwhichgthegpatientgratesgasgang8gongagscalegfromg1gtog10g(1
0gbeinggthegmostgextremegpain).gThegprescriberghasgorderedgacetaminopheng(Tylenol)g650gmggP
Ogeveryg6ghoursgPRNgpain.gWhatgwillgthegnursegdo?g
a. Askgthegpatientgwhatgmedicationsghaveghelpedgwithgpaingingthegpast.g
b. Contactgthegprovidergtogrequestgagdifferentganalgesicgmedication.g
c. Givegthegpaingmedicationgandgrepositiongthegpatientgtogpromotegcomfort.g
d. Requestgangordergtogadministergthegmedicationgeveryg4ghours.g
ANS:gBg
Thegnursinggdiagnosisgforgthisgpatientgisgseveregpain.gAcetaminophengisggivengforgmildgtogmo
derategpain,gsogthegnursegshouldgaskgthegprescribergtogordergagstrongerganalgesicgmedication.g
Askinggthegpatientgtogtellgthegnursegwhatghasghelpedgingthegpastgisgagpartgofganginitialgassessme
ntgandgshouldgbegdonegpreoperativelygandgnotgwhengthegpatientgisghavinggseveregpain.gBecaus
egthegpatientgisghavinggseveregpain,gacetaminophengcombinedgwithgnondruggtherapiesgwillgnot
gbegsufficient.gIncreasinggthegfrequencygofgthegdosegofgagmedicationgforgmildgpaingwillgnotgbeg
effective.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gAnalysisgandgNursinggDiagnosisg
TOP:gNursinggProcess:gDiagnosisg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
5. Agpatientgnewlygdiagnosedgwithgdiabetesgisgtogbegdischargedgfromgtheghospital.gThegnursegtea
chinggthisgpatientgaboutghomegmanagementgshouldgbegingbygdoinggwhat?g
a. Askinggthegpatientgtogdemonstrateghowgtogmeasuregandgadministerginsuling
b. Discussinggmethodsgofgstoringginsulingandgdiscardinggsyringesg
c. Givingginformationgaboutghowgdietgandgexercisegaffectginsulingrequirementsg
d. Teachinggthegpatientgaboutgtheglong-termgconsequencesgofgpoorgdiabetesgcontrolg
ANS:gAg
Becauseginsulingmustgbeggivengcorrectlygtogcontrolgsymptomsgandgbecausegangoverdosegcangb
egfatal,gitgisgmostgimportantgforgthegpatientgtogknowghowgtogadministergit.gAskinggforgagdemon
strationgofgtechniquegisgthegbestgwaygtogdeterminegwhethergthegpatientghasgunderstoodgthegteac
MedgCg
TestgBankg g
g
MULTIPLEgCHOICEg
g
1. Thegnursegisgteachinggagpatientghowgagmedicationgworksgtogtreatgangillness.gTogdogthis,gthegnu
rsegwillgrelygongknowledgegof:ga.gclinicalgpharmacology.g
b. druggefficacy.g
c. pharmacokinetics.g
d. pharmacotherapeutics.g
ANS:gDg
Pharmacotherapeuticsgisgthegstudygofgthegusegofgdrugsgtogdiagnose,gtreat,gandgpreventgconditio
ns.gClinicalgpharmacologygisgconcernedgwithgallgaspectsgofgdrug–humanginteractions.g
Druggefficacygmeasuresgthegextentgtogwhichgaggivengdruggcausesgangintendedgeffect.gPharmac
okineticsgisgthegstudygofgthegimpactgofgthegbodygongagdrug.g
g
DIF:gCognitivegLevel:gComprehensiong REF:gFourgBasicgTermsg
TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2. Whatgdoesgitgmeangwhengagdruggisgdescribedgasgeasygtogadminister?g
a. Itgcangbegstoredgindefinitelygwithoutgneedgforgrefrigeration.g
b. Itgdoesgnotginteractgsignificantlygwithgothergmedications.g
c. Itgenhancesgpatientgadherencegtogthegdruggregimen.g
d. Itgisgusuallygrelativelyginexpensivegtogproduce.g
ANS:gCg
Agmajorgbenefitgofgdrugsgthatgaregeasygtogadministergisgthatgpatientsgtakinggthemgaregmoreglik
elygtogcomplygwithgthegdruggregimen.gDrugsgthatgaregeasygtoggivegmayghavegthegothergattribut
esglisted,gbutgthosegpropertiesgaregindependentgofgeasegofgadministration.g
g
DIF:gCognitivegLevel:gComprehensiong
REF:gAdditionalgPropertiesgofgangIdealgDrug:gEasegofgAdministrationg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
3. Agpatientgtellsgthegnursegthatghegwasgtoldgbygthegprescribergthatgtheganalgesicghegisgtakinggisgv
erygeffective.gWhichgstatementgbygthegpatientgdemonstratesgangunderstandinggofgthegdrug’sgef
fectiveness?g
a. “Igdon’tghavegtogworrygaboutgtoxicity,gsincegitgtakesgaglargegamountgofgthisgdruggtogcauseg
angoverdose.”g
b. “Itghasgnogsidegeffectsgandgdoesn’tginteractgwithgothergdrugs.”g
c. “Igonlyghavegtogtakegitgeveryg12ghours.”g
d. “Itgmightgmakegmegsleepy,gandgitglessensgpaingforgseveralghoursgatgagtime.”g
ANS:gDg
MedgCg
, Agdruggisgeffectivegifgitgproducesgthegintendedgeffects,gevengifgitgalsogproducesgsidegeffects.gB
ecausegnogdruggisgcompletelygsafe,gtheglevelgofgtoxicitygdoesgnotgdeterminegeffectiveness.gAllg
drugsghavegsidegeffectsgandgmanygreactgwithgothergsubstances;gthesegdognotgaffectgthegdrug’sg
effectiveness.gEasegofgadministrationgisgindependentgofgagdrug’sgeffectiveness.g
g
DIF:gCognitivegLevel:gComprehensiong REF:gPropertiesgofgangIdealgDrugg
TOP:gNursinggProcess:gEvaluationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
MULTIPLEgRESPONSEg
g
1. Whatgaregthegpropertiesgofgangidealgdrug?g(Selectgallgthatgapply.)g
a. Irreversiblegactiong
b. Predictabilityg
c. Easegofgadministrationg
d. Chemicalgstabilityg
e. Agsimplegtradegnameg
ANS:gB,gC,gDg
Ingadditiongtogpredictability,geasegofgadministration,gandgchemicalgstability,gothergpropertiesgi
ncludegagreversiblegactiongsogthatganygharmgthegdruggmaygcausegcangbegundonegandgagsimpleg
genericgname,gbecauseggenericgnamesgaregusuallygcomplexgandgdifficultgtogremembergandgpro
nounce.g
g
DIF:gCognitivegLevel:gComprehensiong
REF:gPropertiesgofgangIdealgDrugg|gAdditionalgPropertiesgofgangIdealgDrugg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2. Beforegadministeringgagmedication,gwhatgdoesgthegnursegneedgtogknowgtogevaluateghowgindivi
dualgpatientgvariabilitygmightgaffectgthegpatient’sgresponsegtogthegmedication?g(Selectgallgthatg
apply.)g
a. Chemicalgstabilitygofgthegmedicationg
b. Easegofgadministrationg
c. Familygmedicalghistoryg
d. Patient’sgageg
e. Patient’sgdiagnosisg
ANS:gC,gD,gEg
Thegfamilygmedicalghistorygcangindicateggeneticgfactorsgthatgmaygaffectgagpatient’sgresponsegt
ogagmedication.gPatientsgofgdifferentgagesgcangrespondgdifferentlygtogmedications.gThegpatient
’sgillnessgcangaffectghowgdrugsgaregmetabolized.gThegchemicalgstabilitygofgthegmedicationgand
gthegeasegofgadministrationgaregpropertiesgofgdrugs.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gSourcesgofgIndividualgVariationg
TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
Chapterg2:gApplicationgofgPharmacologygingNursinggPracticeg
MedgCg
,TestgBankg g
g
MULTIPLEgCHOICEg
g
1.gAgpatientgisgusinggagmetered-
doseginhalergcontaininggalbuterolgforgasthma.gThegmedicationglabelginstructsgthegpatientgtogad
ministerg“2gpuffsgeveryg4ghoursgasgneededgforgcoughinggorgwheezing.”gThegpatientgreportsgfee
linggjitterygsometimesgwhengtakinggthegmedication,gandgshegdoesn’tgfeelgthatgthegmedicationgi
sgalwaysgeffective.gWhichgisgnotgangappropriategnursingginterventiongforgthisgpatient?g
a. Askinggthegpatientgtogdemonstrategusegofgtheginhalerg
b. Assessinggthegpatient’sgexposuregtogtobaccogsmokeg
c. Auscultatingglunggsoundsgandgobtaininggvitalgsignsg
d. Suggestinggthatgthegpatientgusegonegpuffgtogreducegsidegeffectsg
ANS:gDg
Itgisgnotgwithingthegnurse’sgscopegofgpracticegtogchangegthegdosegofgagmedicationgwithoutgango
rdergfromgagprescriber.gAskinggthegpatientgtogdemonstrateginhalerguseghelpsgthegnursegtogevalu
ategthegpatient’sgabilitygtogadministergthegmedicationgproperlygandgisgpartgofgthegnurse’sgevalu
ation.gAssessinggtobaccogsmokegexposureghelpsgthegnursegdeterminegwhethergnondruggtherapi
es,gsuchgagsmokegavoidance,gcangbegusedgasgangadjunctgtogdruggtherapy.gPerforminggagphysica
lgassessmentghelpsgthegnursegevaluategthegpatient’sgresponsegtogthegmedication.g
g
DIF:gCognitivegLevel:gApplicationg
REF:gApplyinggthegNursinggProcessgingDruggTherapy:gPreadministrationgAssessmentg[andgallgsubsec
tionsgundergthisgheading]g TOP:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
2.gAgpostoperativegpatientgisgbeinggdischargedghomegwithgacetaminophen/hydrocodoneg(Lortab)gf
orgpain.gThegpatientgasksgthegnursegaboutgusinggTylenolgforgfever.gWhichgstatementgbygthegnu
rsegisgcorrect?g
a. “Itgisgnotgsafegtogtakegover-the-countergdrugsgwithgprescriptiongmedications.”g
b. “Takinggthegtwogmedicationsgtogethergposesgagriskgofgdruggtoxicity.”g
c. “Theregaregnogknowngdrugginteractions,gsogthisgwillgbegsafe.”g
d. “TylenolgandgLortabgaregdifferentgdrugs,gsogtheregisgnogriskgofgoverdose.”g
ANS:gBg
Tylenolgisgthegtradegnamegandgacetaminophengisgtheggenericgnamegforgthegsamegmedication.gIt
gisgimportantgtogteachgpatientsgtogbegawaregofgthegdifferentgnamesgforgthegsamegdruggtogminim
izegthegriskgofgoverdose.gOver-the-
counterg(OTC)gmedicationsgandgprescriptiongmedicationsgmaygbegtakengtogethergunlessgsignif
icantgharmfulgdrugginteractionsgaregpossible.gEvengthoughgnogdrugginteractionsgaregatgplaygingt
hisgcase,gbothgdrugsgcontaingacetaminophen,gwhichgcouldgleadgtogtoxicity.g
g
DIF:gCognitivegLevel:gApplicationg
REF:gApplicationgofgPharmacologygingPatientgEducation:gDosagegandgAdministrationgTO
P:gNursinggProcess:gImplementationg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
MedgCg
, 3. Thegnursegisgpreparinggtogcaregforgagpatientgwhogwillgbegtakinggangantihypertensivegmedication.
g
Whichgactiongbygthegnursegisgpartgofgthegassessmentgstepgofgthegnursinggprocess?g
a.gAskinggthegprescribergforgangordergtogmonitorgserumgdrugglevelsg
b. Monitoringgthegpatientgforgdrugginteractionsgafterggivinggthegmedicationg
c. Questioninggthegpatientgaboutgover-the-countergmedicationsg
d. Takinggthegpatient’sgbloodgpressuregthroughoutgthegcoursegofgtreatmentg
ANS:gCg
Thegassessmentgpartgofgthegnursinggprocessginvolvesggatheringginformationgbeforegbeginninggt
reatment,gandgthisgincludesgaskinggaboutgothergmedicationsgthegpatientgmaygbegtaking.gMonito
ringgserumgdrugglevels,gwatchinggforgdrugginteractions,gandgcheckinggvitalgsignsgafterggivinggt
hegmedicationgaregallgpartgofgthegevaluationgphase.g
g
DIF:gCognitivegLevel:gApplicationg REF:gPreadministrationgAssessmentg
TOP:gNursinggProcess:gAssessmentg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReductiongofgRiskgPotentialg
g
4. Agpostoperativegpatientgreportsgpain,gwhichgthegpatientgratesgasgang8gongagscalegfromg1gtog10g(1
0gbeinggthegmostgextremegpain).gThegprescriberghasgorderedgacetaminopheng(Tylenol)g650gmggP
Ogeveryg6ghoursgPRNgpain.gWhatgwillgthegnursegdo?g
a. Askgthegpatientgwhatgmedicationsghaveghelpedgwithgpaingingthegpast.g
b. Contactgthegprovidergtogrequestgagdifferentganalgesicgmedication.g
c. Givegthegpaingmedicationgandgrepositiongthegpatientgtogpromotegcomfort.g
d. Requestgangordergtogadministergthegmedicationgeveryg4ghours.g
ANS:gBg
Thegnursinggdiagnosisgforgthisgpatientgisgseveregpain.gAcetaminophengisggivengforgmildgtogmo
derategpain,gsogthegnursegshouldgaskgthegprescribergtogordergagstrongerganalgesicgmedication.g
Askinggthegpatientgtogtellgthegnursegwhatghasghelpedgingthegpastgisgagpartgofganginitialgassessme
ntgandgshouldgbegdonegpreoperativelygandgnotgwhengthegpatientgisghavinggseveregpain.gBecaus
egthegpatientgisghavinggseveregpain,gacetaminophengcombinedgwithgnondruggtherapiesgwillgnot
gbegsufficient.gIncreasinggthegfrequencygofgthegdosegofgagmedicationgforgmildgpaingwillgnotgbeg
effective.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gAnalysisgandgNursinggDiagnosisg
TOP:gNursinggProcess:gDiagnosisg
MSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapi
esg
g
5. Agpatientgnewlygdiagnosedgwithgdiabetesgisgtogbegdischargedgfromgtheghospital.gThegnursegtea
chinggthisgpatientgaboutghomegmanagementgshouldgbegingbygdoinggwhat?g
a. Askinggthegpatientgtogdemonstrateghowgtogmeasuregandgadministerginsuling
b. Discussinggmethodsgofgstoringginsulingandgdiscardinggsyringesg
c. Givingginformationgaboutghowgdietgandgexercisegaffectginsulingrequirementsg
d. Teachinggthegpatientgaboutgtheglong-termgconsequencesgofgpoorgdiabetesgcontrolg
ANS:gAg
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