PHARMACOLOGY || NCLEX STUDY
GUIDE WITH ACCURATE QUESTIONS,
DETAILED ANSWERS, AND
RATIONALES || 100% GUARANTEED
PASS
Description:
This study guide focuses on the essential integration of the
nursing process in pharmacology. It provides a comprehensive
review of how nurses apply pharmacological principles during
patient care, including drug classifications, pharmacokinetics,
and medication administration. The guide emphasizes nursing
interventions, patient safety, and the crucial steps of the nursing
process when managing medications. It includes NCLEX-style
questions, detailed answers, and rationales to reinforce
understanding and ensure mastery of these critical concepts.
This guide is designed to ensure a 100% guaranteed pass for
NCLEX preparation and success in pharmacology and nursing
practice.
Keywords:
Nursing Process, Pharmacology, NCLEX Study
Guide, Nursing Interventions, Medication Safety,
Drug Administration, NCLEX Preparation,
Guaranteed Pass
assessment phase
the systematic collection, organization, validation, and documentation of patient data,
(medication assessment) focus on whether the patient is experiencing the expected
therapeutic benefits from the medications, dosage review, serum levels obtained, also
,identify any adverse effects,baseline data compared with current assessment to
determine what changes have occured, assess the ability of the patient to assume
responsibility for self-administration of medications-next diagnosis phase
baseline data
patient information that is gathered before pharmacotherapy is implemented
evaluation phase
compares the patient's current health status with the desired outcome,
nursing diagnoses
clinically based judgment about the patient and his or her response to health and
illness, addresses the patient's responsed related to drug administration, developed
after assessment data, focused on patient's problems and verified with the patient or
caregiver, these diagnoses will form the basis for the remaining steps of the nursing
process, compares patient's current health status with the desired outcome
nursing process
five-part decisions-making system that includes assessment, nursing diagnosis,
planning, implementation and evaluation
objective data
information gathered through physical assessment, laboratory tests, and other
diagnostic sources
outcome (goals)
objective measurement of goals, developed from nursing diagnosis, direct the
interventions required by the plan of care, focus on what patient is able to achieve,
provides specific, measurable criteria that is used to measure goal attainment, written to
include the patient, the actions required by that subject and the specific time frame the
subject will accomplish that performance
planning phase
prioritizes diagnoses, formulated desired outcomes, and selects nursing interventions
that can assist the patient to return to establish an optimum of wellness, short and long
term goals are established, links the strategies, or interventions to the established goals
and outcomes, involves drug administration and patient teaching
subjective data
information gathered regarding what a patient states or perceives
What information do you collect during assessment?
medications patient receiving, health history information, physical assessment data, lab
values, other measurable data and assessment of medication effects including both
therapeutic and side effects
implementation phase
involves administering the drugs, carrying out interventions to promote a therapeutic
response and minimize adverse effects of the drug, nurse interventions- monitoring side
effects, documenting medications and patient teaching, nurse applies the knowledge,
skills, and principles of nursing care to help move the patient toward the desired goal
and optimal wellness
Does the nursing diagnosis identify medical problems experienced by the
patient?
no
An appropriate stated goal for a patient with type 1 diabetes mellitus is?
,the patient will demonstrate self-injection of insuling, using a preloaded syringe, into the
subcutaneous tissue of the thigh prior to discharge
A 15 year old with a history of type 1 diabetes presents to the emergency
department in diabetic ketoacidosis. She has successfully self-managed her diet
and insulin therapy for the last two years. She confides in the nurse that she
deliberately skipped some of her insulin doses because she did not want to gain
weight, and she is afraid of needle marks. What nursing diagnoses is most
appropriate in this situation?
Deficient Knowledge
Which factor is most important for the nurses to assess when evaluating the
effectiveness of a patient's drug therapy?
Evidence of therapeutic benefit
Which part of the nursing process is where the nurse assesses the effectiveness
of the medication?
Evaluation
During the evaluation phase of drug administration, the nurse completes what
responsibilities?
Monitors the patient for therapeutic and adverse effects.
How long does the assessment phase last?
it is an ongoing process that begins with the nurse's initial contact with the patient and
continues with every interaction thereafter
Once pharmacotherapy is initiated, ongoing assessment are conducted to
determine?
the effectiveness of the medication
What does the nursing diagnoses focus on?
the patients needs not the nurses needs
During the diagnosis phase of pharmacotherpay what are the three main areas of
concern?
promoting therapeutic drug effects, minimizing adverse drug effects and toxicity,
maximizing the ability of the patient for self-care, including the knowledge, skills and
resources necessary for safe and effective drug administration.
How is the diagnosis written?
one-two or three part statemtn depending on whether the nurse has identified a
wellness, risk or actual problem
What is in the third part of the diagnoses?
the evidence gathered to support the chosen statement
What do short and long term goals focus on?
What the patient will be able to do or achieve, not what the nurse will do
What are the two most common nursing diagnoses for medication
administration?
deficient knowledge and noncompliance
define deficient knowledge
occurs when patient was given a new prescription and has no previous experience with
the medication, also may be applicable if the patient has not received adequate
education about the drugs being prescribed
define non compliance
, also called nonadherence assumes that the patient was properly educated but made
the decision not to take the medication
Before establishing the diagnosis of non compliance what should the nurse
assess?
does the patient understand why the medication was prescribed?, was dosing and
scheduling information explained? are adverse effects causing the patient to refuse the
medication? Is noncompliance related on inadequate financial resources
What is the overall goal of the nursing plan of care?
safe and effective administration of medication
What is an integral step of the planning phase?
planning for the prevention or treatment of expected adverse effects
What does the intervension phase include?
appropriate documentation of the administration of medication, as well as any adverse
effects observed or reported by patient
In the evaluation phase why is it important to compare the patient's current health
status with the desired outcome?
to determine if the plan of care is appropriate, if it was met or if it needs revisions
As it related to pharmacotherapy what is evaluation used to determine?
whether the therapeutic effects of the drug were achieved, as well as whether adverse
effects were prevented or kept to acceptable levels.
Appraisal of a patient's condition that involves gathering and interpreting data
assessment phase
Patient information that is gathered before pharmacotherapy is implemented
baseline data
Objective assessment of the effectiveness and impact of interventions
evaluation phase
Any object or objective that the patient or nurse seeks to attain or achieve>
goal
When the nurse applied knowledge, skill and principles of nursing care to help
move the patient toward the desired goal and optimal wellness.
implementation phase
Clinically based judgment about the patient and his or her response
nursing diagnosis
Five-part decision-making system that includes assessment, nursing diagnosis,
planning, implementation and evaluation
nursing process
Information gathered through physical assessment, laboratory tests and other
diagnostic sources.
objective data
Linkage of strategies or interventions to established goals and outcomes.
planning phase
Information gathered regarding what a patient states or perceives.
subjective data
____ and ____ are taken during the initial meeting between the nurse and the
patient
health history, physical assessment