TEST BANK
Pharmacology
& the Nursing Process
9th Edition — 58 Chapters
Linda Lane Lilley • Shelly Rainforth Collins • Julie S. Snyder
――――――――――――――――――――――――――――――――――――
★ Verified Study Guide ★
All Chapters Included • Full Answer Keys • Rationales Provided
NCLEX-Style Questions • Cognitive Level Tags • Nursing Process Mapped
Available exclusively on
STUVIA
stuvia.com
, Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
and numbnessin his toes and fingers. What will the nurse do first?
a. Discontinue the infusion immediately.
b. Reduce the infusion rate gradually until the adverse effects
subside.
c. Administer the medication by rapid IV infusion to reduce
these effects.
d. Nothing; these are expected side effects of this medication.
ANS: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
The nurse is writing a nursing diagnosis for a plan of care for a patient who
?
,has been newlydiagnosed with type 2 diabetes. Which statement reflects the
correct format for a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as
“I’m
upset about having to test my blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety
related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The statementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding
?
, (Comprehension)TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse
was busy andgave the medication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “Right
medication”
ANS: A
“Right time” is correct because the medication was given more than 30
minutes after the scheduled dose was due. “Dose” is incorrect because the
dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route
is not affected.“Medication” is incorrect because the medication ordered will
not change.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
?
Pharmacology
& the Nursing Process
9th Edition — 58 Chapters
Linda Lane Lilley • Shelly Rainforth Collins • Julie S. Snyder
――――――――――――――――――――――――――――――――――――
★ Verified Study Guide ★
All Chapters Included • Full Answer Keys • Rationales Provided
NCLEX-Style Questions • Cognitive Level Tags • Nursing Process Mapped
Available exclusively on
STUVIA
stuvia.com
, Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. During an intravenous (IV) infusion of amphotericin B, a patient develops tingling
and numbnessin his toes and fingers. What will the nurse do first?
a. Discontinue the infusion immediately.
b. Reduce the infusion rate gradually until the adverse effects
subside.
c. Administer the medication by rapid IV infusion to reduce
these effects.
d. Nothing; these are expected side effects of this medication.
ANS: A
Once the intravenous infusion of amphotericin B has begun, vital signs must be
monitored frequently to assess for adverse reactions such as cardiac dysrhythmias,
visual disturbances, paresthesias (numbness or tingling of the hands or feet),
respiratory difficulty, pain, fever, chills,and nausea. If these adverse effects or a
severe reaction occur, the infusion must be discontinued(while the patient is
closely monitored) and the prescriber contacted. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
The nurse is writing a nursing diagnosis for a plan of care for a patient who
?
,has been newlydiagnosed with type 2 diabetes. Which statement reflects the
correct format for a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as
“I’m
upset about having to test my blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is
missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety
related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The statementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding
?
, (Comprehension)TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse
was busy andgave the medication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “Right
medication”
ANS: A
“Right time” is correct because the medication was given more than 30
minutes after the scheduled dose was due. “Dose” is incorrect because the
dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route
is not affected.“Medication” is incorrect because the medication ordered will
not change.
DIF: COGNITIVE LEVEL: Applying
(Application)TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first doseand documenting the patient’s therapeutic response to the
?
