TEST BANK
PHARMACOLOGY: A PATIENT CENTERED NURSING
PROCESS APPROACH
,Table of Contents
1. Clinical Judgment Measurement Model and the Nursing Process
2. Drug Development and Ethical Considerations
3. Pharmacokinetics and Pharmacodynamics
4. Pharmacogenetics
5. Complementary and Alternative Therapies
6. Pediatric Considerations
7. Geriatric Considerations
8. Drugs in Substance Use Disorder
UNIT II: Pharmacotherapy and Drug Administration
9. Safety and Quality
10. Drug Administration
11. Drug Labels and Dosage Calculations
UNIT III: Maintenance of Homeostasis
12. Fluid Volume and Electrolytes
13. Vitamin and Mineral Replacement
14. Nutritional Support
UNIT IV: Autonomic Nervous System Drugs
15. Adrenergic Agonists and Antagonists
16. Cholinergic Agonists and Antagonists
UNIT V: Central and Peripheral Nervous System Drugs
17. Stimulants
18. Depressants
19. Antiseizure Drugs
20. Drugs for Parkinsonism and Alzheimer’s Disease
21. Drugs for Neuromuscular Disorders and Muscle Spasms
UNIT VI: Mental and Behavioral Health Drugs
22. Antipsychotics and Anxiolytics
23. Antidepressants and Mood Stabilizers
UNIT VII: Pain and Inflammation Management Drugs
24. Antiinflammatories
25. Analgesics
UNIT VIII: Antimicrobial Drugs
26. Penicillins, Other Beta-Lactams, and Cephalosporins
27. Macrolides, Oxazolidinones, Lincosamides, Glycopeptides, Ketolides, and Lipopeptides
28. Tetracyclines, Glycylcyclines, Aminoglycosides, and Fluoroquinolones
29. Sulfonamides and Nitroimidazoles Antibiotics
30. Antituberculars, Antifungals, and Antivirals
31. Antimalarials, Anthelmintics, and Peptides
UNIT IX: Immunologic Drugs
,32. HIV- and AIDS-Related Drugs
33. Transplant Drugs
34. Vaccines
UNIT X: Antineoplastics and Biologic Response Modifiers
35. Anticancer Drugs
36. Targeted Therapies to Treat Cancer
37. Biologic Response Modifiers
UNIT XI: Respiratory Drugs
38. Upper Respiratory Disorders
39. Lower Respiratory Disorders
UNIT XII: Cardiovascular Drugs
40. Cardiac Glycosides, Antianginals, and Antidysrhythmics
41. Diuretics
42. Antihypertensives
43. Anticoagulants, Antiplatelets, and Thrombolytics
44. Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow
UNIT XIII: Gastrointestinal Drugs
45. Gastrointestinal Tract Disorders
46. Antiulcer Drugs
UNIT XIV: Eye, Ear, and Skin Drugs
47. Eye and Ear Disorders
48. Dermatologic Disorders
UNIT XV: Endocrine Drugs
49. Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
50. Antidiabetics
UNIT XVI: Renal and Urologic Drugs
51. Urinary Disorders
UNIT XVII: Reproductive and Gender-Related Drugs
52. Pregnancy and Preterm Labor
53. Labor, Delivery, and Postpartum
54. Neonatal and Newborn
55. Women’s Reproductive Health
56. Men’s Reproductive Disorders
57. Sexually Transmitted Infections
UNIT XVIII: Emergency Drugs
58. Adult and Pediatric Emergency Drugs
,Chapter 1: Clinical Judgment Measurement Model and the Nursing
Process
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the
followingsteps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment,
2) patient problem, 3) planning, 4) implementation, and 5) evaluation. ―Right drug‖ is one
of the―Six Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and
interventions thataddress the patient‘s problems. Which step of the nursing process
is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected
outcomesand interventions which address the patient‘s problems. The data was collected
during the ―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the
nurse would determine whether the goals and objectives set during the planning phase
were met.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodesof hyperglycemia. The parents tell the nurse that they can‘t keep track of
everything that has to be done to care for their child. The nurse reviews medications,
diet, and symptom management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
, The implementation phase is the part of the nursing process in which the nurse
provides education, drug administration, patient care, and other interventions
necessary to assist thepatient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient‘s chart
for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
nurse‘s actions arereflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug,
including anyprevious use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNo o d intake
ANS: B
Objective data are measured and detected by another person and would include lab
values.The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is
forgetful, anddoes not have an established routine. The patient will be sent home with
three new medications to be taken at different times of the day. The nurse develops a
daily medication chart and enlists a family member to put the patient‘s pills in a pill
organizer. This is an example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
, ANS: C
The implementation phase involves education and patient care in order to assist the
patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
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 decide that the
patient maygo home when able to perform self-care without dyspnea and hypoxia. This
is an example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-
careactivities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching.Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a
metered-doseinhaler.
c. The patient will know how to self-administer the medication using
themetered-dose inhaler.
d. The patient will independently administer the medication using the
metered-doseinhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline
andshould identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and
hypoxia.The patient has been admitted for increased oxygen needs above a baseline of 2
L/min. The nurse develops a goal stating, ―The patient will have oxygen saturations of
>95% on room airat the time of discharge from the hospital.‖ What is wrong with this
goal?
a. It cannot be evaluated.
, b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should
not beexpected to attain that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
10. The nurse is developing a teaching plan for an elderly patient who will begin
taking an antihypertensive drug that causes dizziness and orthostatic
hypotension. Which patientproblem documented by the nurse is appropriate for
this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriate patient problem to direct the type of care and follow-up the patient will
receive.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process: Nursing
Diagnosis MSC: NCLEX: Management of
Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self-confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication
for thepatient.
ANS: C
Nurses should be sensitive to patient‘s level of frustration when teaching skills. In this
case,breaking the steps down into inNdividual parts will help with this patient‘s frustration
level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three
timesdaily. The child‘s parent tells the nurse that, with a previous use of the drug,
the child repeatedly forgot to bring the medication home from school, resulting in
missed eveningdoses. What will the nurse recommend?
, a. Asking the provider if the medication may be taken before school, after
school,and at bedtime
b. Putting a note on the child‘s locker to encourage the child to take
responsibility formedication administration
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL
may betaken in the evening so that the correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school
nurse toadminister
ANS: C
For busy families with school-age children, it may be necessary to adjust the medication
schedule to one that fits their schedule. The nurse should ask the provider if a revised
schedule is possible. In this case, the most effective revised schedule would involve not
taking the medication while at school. Putting a note on the locker is not likely to be
effective. It is not correct to adjust the dose.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing
Intervention/PlanningMSC: NCLEX: Management of
Care
13. A high-school student regularly forgets to use a twice-daily inhaled corticosteroid to
preventasthma flares and is repeatedly admitted to the hospital. The child‘s parent tells
the nurse thatthe child has been told that forgetting to take the medication causes
frequent hospitalizations.The nurse will:
a. encourage the child to take responsibility for taking the medication.
b. reinforce the need to take prescribed medications to avoid hospitalizations.
c. suggest putting the inhaler with the child‘s toothbrush to use before brushing teeth.
d. suggest that the child‘s parents administer the medication to increase compliance.
ANS: C
It is important to empower patients to take responsibility for managing medications.
Putting the medication with the toothbrush can help this child remember to use it.
Telling the child totake medications and reminding the child that failure to do so results
in hospitalization is not working. Asking the child‘s parents to administer the
medication does not empower the adolescent to take responsibility.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning/Nursing
InterventionMSC: NCLEX: Management of Care
14. An adolescent patient who has acne is given a regimen of topical medications and an
oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks. At a
2-month follow-up, the patient continueN s to have more than 25 lesions. The child‘s
parent affirms that the child is using the medications as prescribed. Which evaluation
statement is correct for thispatient?
a. ―Goal of fewer than 10 lesions in 6 to 8 weeks is not met.‖
b. ―Goal that the medication will be effective is not met.‖
c. ―Goal that the patient will take medications as prescribed is not met.‖
d. ―Goal that the patient understands the medication regimen is not met.‖
, ANS: A
All indications are that this patient is taking the medications and they are not
effective. Thefirst statement is correct because it identifies a measurable goal and a
specific time frame.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
EvaluationMSC: NCLEX: Management of Care
15. During a home visit, the nurse learns that a patient has not been taking their
medications as prescribed. The patient reports having no insurance and tells the nurse
, that the drug is too expensive. After learning that there is no substitute medication, the
nurse will perform whichaction next?
a. Assist the patient to apply for a patient-assist program.
b. Contact the pharmacy to request a reduction in the cost of the drug.
c. Determine the patient‘s annual income.
d. Give the patient the number of a charitable organization that may be able to help.
ANS: C
Patient-assist programs may be helpful, but many are dependent on the patient‘s
income, sothe nurse should determine that first. It is unlikely that the pharmacy
would offer a cost reduction. The patient has demonstrated an inability to navigate
the system by simply not taking the medication, so only providing a phone number to
the patient is not likely to be effective.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Assessment/Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
N
PHARMACOLOGY: A PATIENT CENTERED NURSING
PROCESS APPROACH
,Table of Contents
1. Clinical Judgment Measurement Model and the Nursing Process
2. Drug Development and Ethical Considerations
3. Pharmacokinetics and Pharmacodynamics
4. Pharmacogenetics
5. Complementary and Alternative Therapies
6. Pediatric Considerations
7. Geriatric Considerations
8. Drugs in Substance Use Disorder
UNIT II: Pharmacotherapy and Drug Administration
9. Safety and Quality
10. Drug Administration
11. Drug Labels and Dosage Calculations
UNIT III: Maintenance of Homeostasis
12. Fluid Volume and Electrolytes
13. Vitamin and Mineral Replacement
14. Nutritional Support
UNIT IV: Autonomic Nervous System Drugs
15. Adrenergic Agonists and Antagonists
16. Cholinergic Agonists and Antagonists
UNIT V: Central and Peripheral Nervous System Drugs
17. Stimulants
18. Depressants
19. Antiseizure Drugs
20. Drugs for Parkinsonism and Alzheimer’s Disease
21. Drugs for Neuromuscular Disorders and Muscle Spasms
UNIT VI: Mental and Behavioral Health Drugs
22. Antipsychotics and Anxiolytics
23. Antidepressants and Mood Stabilizers
UNIT VII: Pain and Inflammation Management Drugs
24. Antiinflammatories
25. Analgesics
UNIT VIII: Antimicrobial Drugs
26. Penicillins, Other Beta-Lactams, and Cephalosporins
27. Macrolides, Oxazolidinones, Lincosamides, Glycopeptides, Ketolides, and Lipopeptides
28. Tetracyclines, Glycylcyclines, Aminoglycosides, and Fluoroquinolones
29. Sulfonamides and Nitroimidazoles Antibiotics
30. Antituberculars, Antifungals, and Antivirals
31. Antimalarials, Anthelmintics, and Peptides
UNIT IX: Immunologic Drugs
,32. HIV- and AIDS-Related Drugs
33. Transplant Drugs
34. Vaccines
UNIT X: Antineoplastics and Biologic Response Modifiers
35. Anticancer Drugs
36. Targeted Therapies to Treat Cancer
37. Biologic Response Modifiers
UNIT XI: Respiratory Drugs
38. Upper Respiratory Disorders
39. Lower Respiratory Disorders
UNIT XII: Cardiovascular Drugs
40. Cardiac Glycosides, Antianginals, and Antidysrhythmics
41. Diuretics
42. Antihypertensives
43. Anticoagulants, Antiplatelets, and Thrombolytics
44. Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow
UNIT XIII: Gastrointestinal Drugs
45. Gastrointestinal Tract Disorders
46. Antiulcer Drugs
UNIT XIV: Eye, Ear, and Skin Drugs
47. Eye and Ear Disorders
48. Dermatologic Disorders
UNIT XV: Endocrine Drugs
49. Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
50. Antidiabetics
UNIT XVI: Renal and Urologic Drugs
51. Urinary Disorders
UNIT XVII: Reproductive and Gender-Related Drugs
52. Pregnancy and Preterm Labor
53. Labor, Delivery, and Postpartum
54. Neonatal and Newborn
55. Women’s Reproductive Health
56. Men’s Reproductive Disorders
57. Sexually Transmitted Infections
UNIT XVIII: Emergency Drugs
58. Adult and Pediatric Emergency Drugs
,Chapter 1: Clinical Judgment Measurement Model and the Nursing
Process
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the
followingsteps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment,
2) patient problem, 3) planning, 4) implementation, and 5) evaluation. ―Right drug‖ is one
of the―Six Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and
interventions thataddress the patient‘s problems. Which step of the nursing process
is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected
outcomesand interventions which address the patient‘s problems. The data was collected
during the ―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the
nurse would determine whether the goals and objectives set during the planning phase
were met.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodesof hyperglycemia. The parents tell the nurse that they can‘t keep track of
everything that has to be done to care for their child. The nurse reviews medications,
diet, and symptom management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
, The implementation phase is the part of the nursing process in which the nurse
provides education, drug administration, patient care, and other interventions
necessary to assist thepatient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient‘s chart
for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
nurse‘s actions arereflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug,
including anyprevious use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNo o d intake
ANS: B
Objective data are measured and detected by another person and would include lab
values.The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is
forgetful, anddoes not have an established routine. The patient will be sent home with
three new medications to be taken at different times of the day. The nurse develops a
daily medication chart and enlists a family member to put the patient‘s pills in a pill
organizer. This is an example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
, ANS: C
The implementation phase involves education and patient care in order to assist the
patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
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 decide that the
patient maygo home when able to perform self-care without dyspnea and hypoxia. This
is an example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-
careactivities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching.Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a
metered-doseinhaler.
c. The patient will know how to self-administer the medication using
themetered-dose inhaler.
d. The patient will independently administer the medication using the
metered-doseinhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline
andshould identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and
hypoxia.The patient has been admitted for increased oxygen needs above a baseline of 2
L/min. The nurse develops a goal stating, ―The patient will have oxygen saturations of
>95% on room airat the time of discharge from the hospital.‖ What is wrong with this
goal?
a. It cannot be evaluated.
, b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should
not beexpected to attain that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
10. The nurse is developing a teaching plan for an elderly patient who will begin
taking an antihypertensive drug that causes dizziness and orthostatic
hypotension. Which patientproblem documented by the nurse is appropriate for
this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriate patient problem to direct the type of care and follow-up the patient will
receive.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process: Nursing
Diagnosis MSC: NCLEX: Management of
Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self-confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication
for thepatient.
ANS: C
Nurses should be sensitive to patient‘s level of frustration when teaching skills. In this
case,breaking the steps down into inNdividual parts will help with this patient‘s frustration
level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three
timesdaily. The child‘s parent tells the nurse that, with a previous use of the drug,
the child repeatedly forgot to bring the medication home from school, resulting in
missed eveningdoses. What will the nurse recommend?
, a. Asking the provider if the medication may be taken before school, after
school,and at bedtime
b. Putting a note on the child‘s locker to encourage the child to take
responsibility formedication administration
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL
may betaken in the evening so that the correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school
nurse toadminister
ANS: C
For busy families with school-age children, it may be necessary to adjust the medication
schedule to one that fits their schedule. The nurse should ask the provider if a revised
schedule is possible. In this case, the most effective revised schedule would involve not
taking the medication while at school. Putting a note on the locker is not likely to be
effective. It is not correct to adjust the dose.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing
Intervention/PlanningMSC: NCLEX: Management of
Care
13. A high-school student regularly forgets to use a twice-daily inhaled corticosteroid to
preventasthma flares and is repeatedly admitted to the hospital. The child‘s parent tells
the nurse thatthe child has been told that forgetting to take the medication causes
frequent hospitalizations.The nurse will:
a. encourage the child to take responsibility for taking the medication.
b. reinforce the need to take prescribed medications to avoid hospitalizations.
c. suggest putting the inhaler with the child‘s toothbrush to use before brushing teeth.
d. suggest that the child‘s parents administer the medication to increase compliance.
ANS: C
It is important to empower patients to take responsibility for managing medications.
Putting the medication with the toothbrush can help this child remember to use it.
Telling the child totake medications and reminding the child that failure to do so results
in hospitalization is not working. Asking the child‘s parents to administer the
medication does not empower the adolescent to take responsibility.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning/Nursing
InterventionMSC: NCLEX: Management of Care
14. An adolescent patient who has acne is given a regimen of topical medications and an
oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks. At a
2-month follow-up, the patient continueN s to have more than 25 lesions. The child‘s
parent affirms that the child is using the medications as prescribed. Which evaluation
statement is correct for thispatient?
a. ―Goal of fewer than 10 lesions in 6 to 8 weeks is not met.‖
b. ―Goal that the medication will be effective is not met.‖
c. ―Goal that the patient will take medications as prescribed is not met.‖
d. ―Goal that the patient understands the medication regimen is not met.‖
, ANS: A
All indications are that this patient is taking the medications and they are not
effective. Thefirst statement is correct because it identifies a measurable goal and a
specific time frame.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
EvaluationMSC: NCLEX: Management of Care
15. During a home visit, the nurse learns that a patient has not been taking their
medications as prescribed. The patient reports having no insurance and tells the nurse
, that the drug is too expensive. After learning that there is no substitute medication, the
nurse will perform whichaction next?
a. Assist the patient to apply for a patient-assist program.
b. Contact the pharmacy to request a reduction in the cost of the drug.
c. Determine the patient‘s annual income.
d. Give the patient the number of a charitable organization that may be able to help.
ANS: C
Patient-assist programs may be helpful, but many are dependent on the patient‘s
income, sothe nurse should determine that first. It is unlikely that the pharmacy
would offer a cost reduction. The patient has demonstrated an inability to navigate
the system by simply not taking the medication, so only providing a phone number to
the patient is not likely to be effective.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Assessment/Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
N
