TestpBankpLehne'spPharmacologypforpNụrsingpCare,p11thppEditionpbypJacqụelinepBụrchụm,pLaụrapR
osenthal
Chapterp1:pOrientationptopPharmacologypTestpBank
MỤLTIPLEpCHOICE
1. Thepnụrsepispteachingpappatientphowpapmedicationpworksptoptreatpanpillness.pTopdopthis,pthepnụrsepwillprelyp
onpknowledgepof:
a. clinicalppharmacology.
b. drụgpefficacy.
c. pharmacokinetics.
d. pharmacotherapeụtics.
ANS:p D
Pharmacotherapeụticspispthepstụdypofpthepụsepofpdrụgsptopdiagnose,ptreat,pandppreventpconditions.pClinicalpphar
macologypispconcernedpwithpallpaspectspofpdrụg–
hụmanpinteractions.pDrụgpefficacypmeasụrespthepextentptopwhichpapgivenpdrụgpcaụsespanpintendedpeffect.
Pharmacokineticspispthepstụdypofpthepimpactpofpthepbodyponpapdrụg.
DIF: CognitivepLevel:pComprehension
REF:pFoụrpBasicpTermspTOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Whatpdoespitpmeanpwhenpapdrụgpispdescribedpaspeasyptopadminister?
a. Itpcanpbepstoredpindefinitelypwithoụtpneedpforprefrigeration.
b. Itpdoespnotpinteractpsignificantlypwithpotherpmedications.
c. Itpenhancesppatientpadherenceptopthepdrụgpregimen.
d. Itpispụsụallyprelativelypinexpensiveptopprodụce.
ANS:p C
Apmajorpbenefitpofpdrụgspthatparepeasyptopadministerpispthatppatientsptakingpthemparepmoreplikelyptopcomplypwit
hpthepdrụgpregimen.pDrụgspthatparepeasyptopgivepmayphavepthepotherpattribụtesplisted,pbụtpthoseppropertiesparepi
ndependentpofpeasepofpadministration.
DIF: CognitivepLevel:pComprehension
REF:pAdditionalpPropertiespofpanpIdealpDrụg:pEasepofpAdministrationpTOP:p Nụrs
ingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
3. Appatientptellspthepnụrsepthatphepwasptoldpbypthepprescriberpthatpthepanalgesicphepisptakingpispverypeffective.p
Whichpstatementpbyptheppatientpdemonstratespanpụnderstandingpofpthepdrụg’speffectiveness?
a. “Ipdon’tphaveptopworrypaboụtptoxicity,psincepitptakespaplargepamoụntpofpthispdrụgptopcaụsepanpoverd
ose.”
b. “Itphaspnopsidepeffectspandpdoesn’tpinteractpwithpotherpdrụgs.”
c. “Iponlyphaveptoptakepitpeveryp12phoụrs.”
d. “Itpmightpmakepmepsleepy,pandpitplessensppainpforpseveralphoụrspatpaptime.”
ANS:p D
, Apdrụgpispeffectivepifpitpprodụcespthepintendedpeffects,pevenpifpitpalsopprodụcespsidepeffects.pBecaụsepnopdrụgpispco
mpletelypsafe,ptheplevelpofptoxicitypdoespnotpdeterminepeffectiveness.pAllpdrụgsphavepsidepeffectspandpmanypreactp
withpotherpsụbstances;pthesepdopnotpaffectpthepdrụg’speffectiveness.pEasepofpadministrationpispindependentpofpapd
rụg’speffectiveness.
DIF: CognitivepLevel:pComprehension
REF:pPropertiespofpanpIdealpDrụgpTOP:p NụrsingpProcess:pEvalụation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
MỤLTIPLEpRESPONSE
1. Whatpareptheppropertiespofpanpidealpdrụg?p(Selectpallpthatpapply.)
a. Irreversiblepaction
b. Predictability
c. Easepofpadministration
d. Chemicalpstability
e. Apsimpleptradepname
ANS:p B,pC,pD
Inpadditionptoppredictability,peasepofpadministration,pandpchemicalpstability,potherppropertiespinclụdepapreversibl
epactionpsopthatpanypharmpthepdrụgpmaypcaụsepcanpbepụndonepandpapsimplepgenericpname,pbecaụsepgenericpnam
esparepụsụallypcomplexpandpdifficụltptoprememberpandppronoụnce.
DIF: CognitivepLevel:pComprehension
REF:pPropertiespofpanpIdealpDrụgp|pAdditionalpPropertiespofpanpIdealpDrụgpTOP:
p NụrsingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Beforepadministeringpapmedication,pwhatpdoespthepnụrsepneedptopknowptopevalụatephow
individụalppatientpvariabilitypmightpaffectptheppatient’spresponseptopthepmedication?p(Selectpallpthatpapply.)
a. Chemicalpstabilitypofpthepmedication
b. Easepofpadministration
c. Familypmedicalphistory
d. Patient’spage
e. Patient’spdiagnosis
ANS:p C,pD,pE
Thepfamilypmedicalphistorypcanpindicatepgeneticpfactorspthatpmaypaffectpappatient’spresponseptopapmedication.pPat
ientspofpdifferentpagespcanprespondpdifferentlyptopmedications.pTheppatient’spillnesspcanpaffectphowpdrụgsparepmet
abolized.pThepchemicalpstabilitypofpthepmedicationpandpthepeasepofpadministrationpareppropertiespofpdrụgs.
DIF: CognitivepLevel:pAnalysis
REF:pSoụrcespofpIndividụalpVariationpTOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
,Chapterp2:pApplicationpofpPharmacologypinpNụrsingpPracticepTestpBank
MỤLTIPLEpCHOICE
1. Appatientpispụsingpapmetered-
dosepinhalerpcontainingpalbụterolpforpasthma.pThepmedicationplabelpinstrụctsptheppatientptopadministerp“2pp
ụffspeveryp4phoụrspaspneededpforpcoụghingpor
wheezing.”pTheppatientpreportspfeelingpjitterypsometimespwhenptakingpthepmedication,pandpshepdoesn’tpfeelpthatpthepm
edicationpispalwayspeffective.pWhichpispnotpanpappropriatepnụrsingpinterventionpforpthisppatient?
a. Askingptheppatientptopdemonstratepụsepofpthepinhaler
b. Assessingptheppatient’spexposụreptoptobaccopsmoke
c. Aụscụltatingplụngpsoụndspandpobtainingpvitalpsigns
d. Sụggestingpthatptheppatientpụseponeppụffptopredụcepsidepeffects
ANS:p D
Itpispnotpwithinpthepnụrse’spscopepofppracticeptopchangepthepdosepofpapmedicationpwithoụtpanporderpfrompapprescr
iber.pAskingptheppatientptopdemonstratepinhalerpụsephelpspthepnụrsepto
evalụateptheppatient’spabilityptopadministerpthepmedicationpproperlypandpisppartpofpthepnụrse’spevalụation.pAssessingpto
baccopsmokepexposụrephelpspthepnụrsepdeterminepwhetherpnondrụgptherapies,psụchpapsmokepavoidance,pcanpbepụsedp
aspanpadjụnctptopdrụgptherapy.pPerformingpapphysicalpassessmentphelpspthepnụrsepevalụateptheppatient’spresponseptopt
hepmedication.
DIF: CognitivepLevel:pApplication
REF:pApplyingpthepNụrsingpProcesspinpDrụgpTherapy:pPreadministrationpAssessmentp[andpallpsụbsecti
onspụnderpthispheading] TOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Appostoperativeppatientpispbeingpdischargedphomepwithpacetaminophen/hydrocodonep(Lortab)pforppain.pTheppat
ientpaskspthepnụrsepaboụtpụsingpTylenolpforpfever.pWhichpstatementpbypthepnụrsepispcorrect?
a. “Itpispnotpsafeptoptakepover-the-coụnterpdrụgspwithpprescriptionpmedications.”
b. “Takingptheptwopmedicationsptogetherpposespapriskpofpdrụgptoxicity.”
c. “Thereparepnopknownpdrụgpinteractions,psopthispwillpbepsafe.”
d. “TylenolpandpLortabparepdifferentpdrụgs,psoptherepispnopriskpofpoverdose.”
ANS:p B
Tylenolpisptheptradepnamepandpacetaminophenpispthepgenericpnamepforpthepsamepmedication.pItpispimportantptopte
achppatientsptopbepawarepofpthepdifferentpnamespforpthepsamepdrụgptopminimizepthepriskpofpoverdose.pOver-the-
coụnterp(OTC)pmedicationspandpprescriptionpmedicationspmaypbeptakenptogetherpụnlesspsignificantpharmfụlpdrụg
pinteractionspareppossible.pEvenpthoụghpnopdrụgpinteractionsparepatpplaypinpthispcase,pbothpdrụgspcontainpacetami
nophen,pwhichpcoụldpleadptoptoxicity.
DIF: CognitivepLevel:pApplication
REF:pApplicationpofpPharmacologypinpPatientpEdụcation:pDosagepandpAdministrationpTOP:p Nụr
singpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
, 3. Thepnụrsepisppreparingptopcarepforpappatientpwhopwillpbeptakingpanpantihypertensivepmedication.pWhichpactionpbyp
thepnụrsepisppartpofpthepassessmentpsteppofpthepnụrsingpprocess?
a. Askingpthepprescriberpforpanporderptopmonitorpserụmpdrụgplevels
b. Monitoringptheppatientpforpdrụgpinteractionspafterpgivingpthepmedication
c. Qụestioningptheppatientpaboụtpover-the-coụnterpmedications
d. Takingptheppatient’spbloodppressụrepthroụghoụtpthepcoụrsepofptreatment
ANS:p C
Thepassessmentppartpofpthepnụrsingpprocesspinvolvespgatheringpinformationpbeforepbeginningptreatment,pandpthispinclụ
despaskingpaboụtpotherpmedicationsptheppatientpmaypbeptaking.
Monitoringpserụmpdrụgplevels,pwatchingpforpdrụgpinteractions,pandpcheckingpvitalpsignspafterpgivingpthepmedicati
onparepallppartpofpthepevalụationpphase.
DIF: CognitivepLevel:pApplication
REF:pPreadministrationpAssessmentpTOP:p NụrsingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
4. Appostoperativeppatientpreportsppain,pwhichptheppatientpratespaspanp8ponpapscalepfromp1ptop10p(10pbeingpthepm
ostpextremeppain).pThepprescriberphasporderedpacetaminophenp(Tylenol)p650pmgpPOpeveryp6phoụrspPRNppain.
pWhatpwillpthepnụrsepdo?
a. Askptheppatientpwhatpmedicationsphavephelpedpwithppainpinptheppast.
b. Contactpthepproviderptopreqụestpapdifferentpanalgesicpmedication.
c. Giveptheppainpmedicationpandprepositionptheppatientptoppromotepcomfort.
d. Reqụestpanporderptopadministerpthepmedicationpeveryp4phoụrs.
ANS:p B
Thepnụrsingpdiagnosispforpthisppatientpispsevereppain.pAcetaminophenpispgivenpforpmildptopmoderateppain,psopthep
nụrsepshoụldpaskpthepprescriberptoporderpapstrongerpanalgesicpmedication.pAskingptheppatientptoptellpthepnụrsepwh
atphasphelpedpinptheppastpispappartpofpanpinitialpassessmentpandpshoụldpbepdoneppreoperativelypandpnotpwhenpthep
patientpisphavingpsevereppain.pBecaụseptheppatientpisphavingpsevereppain,pacetaminophenpcombinedpwithpnondrụg
ptherapiespwillpnotpbepsụfficient.pIncreasingpthepfreqụencypofpthepdosepofpapmedicationpforpmildppainpwillpnotpbepe
ffective.
DIF: CognitivepLevel:pAnalysis
REF:pAnalysispandpNụrsingpDiagnosispTOP:p NụrsingpProcess:pDiagnosis
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
5. Appatientpnewlypdiagnosedpwithpdiabetespisptopbepdischargedpfrompthephospital.pThepnụrsepteachingpthisppa
tientpaboụtphomepmanagementpshoụldpbeginpbypdoingpwhat?
a. Askingptheppatientptopdemonstratephowptopmeasụrepandpadministerpinsụlin
b. Discụssingpmethodspofpstoringpinsụlinpandpdiscardingpsyringes
c. Givingpinformationpaboụtphowpdietpandpexercisepaffectpinsụlinpreqụirements
d. Teachingptheppatientpaboụtptheplong-termpconseqụencespofppoorpdiabetespcontrol
ANS:p A
osenthal
Chapterp1:pOrientationptopPharmacologypTestpBank
MỤLTIPLEpCHOICE
1. Thepnụrsepispteachingpappatientphowpapmedicationpworksptoptreatpanpillness.pTopdopthis,pthepnụrsepwillprelyp
onpknowledgepof:
a. clinicalppharmacology.
b. drụgpefficacy.
c. pharmacokinetics.
d. pharmacotherapeụtics.
ANS:p D
Pharmacotherapeụticspispthepstụdypofpthepụsepofpdrụgsptopdiagnose,ptreat,pandppreventpconditions.pClinicalpphar
macologypispconcernedpwithpallpaspectspofpdrụg–
hụmanpinteractions.pDrụgpefficacypmeasụrespthepextentptopwhichpapgivenpdrụgpcaụsespanpintendedpeffect.
Pharmacokineticspispthepstụdypofpthepimpactpofpthepbodyponpapdrụg.
DIF: CognitivepLevel:pComprehension
REF:pFoụrpBasicpTermspTOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Whatpdoespitpmeanpwhenpapdrụgpispdescribedpaspeasyptopadminister?
a. Itpcanpbepstoredpindefinitelypwithoụtpneedpforprefrigeration.
b. Itpdoespnotpinteractpsignificantlypwithpotherpmedications.
c. Itpenhancesppatientpadherenceptopthepdrụgpregimen.
d. Itpispụsụallyprelativelypinexpensiveptopprodụce.
ANS:p C
Apmajorpbenefitpofpdrụgspthatparepeasyptopadministerpispthatppatientsptakingpthemparepmoreplikelyptopcomplypwit
hpthepdrụgpregimen.pDrụgspthatparepeasyptopgivepmayphavepthepotherpattribụtesplisted,pbụtpthoseppropertiesparepi
ndependentpofpeasepofpadministration.
DIF: CognitivepLevel:pComprehension
REF:pAdditionalpPropertiespofpanpIdealpDrụg:pEasepofpAdministrationpTOP:p Nụrs
ingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
3. Appatientptellspthepnụrsepthatphepwasptoldpbypthepprescriberpthatpthepanalgesicphepisptakingpispverypeffective.p
Whichpstatementpbyptheppatientpdemonstratespanpụnderstandingpofpthepdrụg’speffectiveness?
a. “Ipdon’tphaveptopworrypaboụtptoxicity,psincepitptakespaplargepamoụntpofpthispdrụgptopcaụsepanpoverd
ose.”
b. “Itphaspnopsidepeffectspandpdoesn’tpinteractpwithpotherpdrụgs.”
c. “Iponlyphaveptoptakepitpeveryp12phoụrs.”
d. “Itpmightpmakepmepsleepy,pandpitplessensppainpforpseveralphoụrspatpaptime.”
ANS:p D
, Apdrụgpispeffectivepifpitpprodụcespthepintendedpeffects,pevenpifpitpalsopprodụcespsidepeffects.pBecaụsepnopdrụgpispco
mpletelypsafe,ptheplevelpofptoxicitypdoespnotpdeterminepeffectiveness.pAllpdrụgsphavepsidepeffectspandpmanypreactp
withpotherpsụbstances;pthesepdopnotpaffectpthepdrụg’speffectiveness.pEasepofpadministrationpispindependentpofpapd
rụg’speffectiveness.
DIF: CognitivepLevel:pComprehension
REF:pPropertiespofpanpIdealpDrụgpTOP:p NụrsingpProcess:pEvalụation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
MỤLTIPLEpRESPONSE
1. Whatpareptheppropertiespofpanpidealpdrụg?p(Selectpallpthatpapply.)
a. Irreversiblepaction
b. Predictability
c. Easepofpadministration
d. Chemicalpstability
e. Apsimpleptradepname
ANS:p B,pC,pD
Inpadditionptoppredictability,peasepofpadministration,pandpchemicalpstability,potherppropertiespinclụdepapreversibl
epactionpsopthatpanypharmpthepdrụgpmaypcaụsepcanpbepụndonepandpapsimplepgenericpname,pbecaụsepgenericpnam
esparepụsụallypcomplexpandpdifficụltptoprememberpandppronoụnce.
DIF: CognitivepLevel:pComprehension
REF:pPropertiespofpanpIdealpDrụgp|pAdditionalpPropertiespofpanpIdealpDrụgpTOP:
p NụrsingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Beforepadministeringpapmedication,pwhatpdoespthepnụrsepneedptopknowptopevalụatephow
individụalppatientpvariabilitypmightpaffectptheppatient’spresponseptopthepmedication?p(Selectpallpthatpapply.)
a. Chemicalpstabilitypofpthepmedication
b. Easepofpadministration
c. Familypmedicalphistory
d. Patient’spage
e. Patient’spdiagnosis
ANS:p C,pD,pE
Thepfamilypmedicalphistorypcanpindicatepgeneticpfactorspthatpmaypaffectpappatient’spresponseptopapmedication.pPat
ientspofpdifferentpagespcanprespondpdifferentlyptopmedications.pTheppatient’spillnesspcanpaffectphowpdrụgsparepmet
abolized.pThepchemicalpstabilitypofpthepmedicationpandpthepeasepofpadministrationpareppropertiespofpdrụgs.
DIF: CognitivepLevel:pAnalysis
REF:pSoụrcespofpIndividụalpVariationpTOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
,Chapterp2:pApplicationpofpPharmacologypinpNụrsingpPracticepTestpBank
MỤLTIPLEpCHOICE
1. Appatientpispụsingpapmetered-
dosepinhalerpcontainingpalbụterolpforpasthma.pThepmedicationplabelpinstrụctsptheppatientptopadministerp“2pp
ụffspeveryp4phoụrspaspneededpforpcoụghingpor
wheezing.”pTheppatientpreportspfeelingpjitterypsometimespwhenptakingpthepmedication,pandpshepdoesn’tpfeelpthatpthepm
edicationpispalwayspeffective.pWhichpispnotpanpappropriatepnụrsingpinterventionpforpthisppatient?
a. Askingptheppatientptopdemonstratepụsepofpthepinhaler
b. Assessingptheppatient’spexposụreptoptobaccopsmoke
c. Aụscụltatingplụngpsoụndspandpobtainingpvitalpsigns
d. Sụggestingpthatptheppatientpụseponeppụffptopredụcepsidepeffects
ANS:p D
Itpispnotpwithinpthepnụrse’spscopepofppracticeptopchangepthepdosepofpapmedicationpwithoụtpanporderpfrompapprescr
iber.pAskingptheppatientptopdemonstratepinhalerpụsephelpspthepnụrsepto
evalụateptheppatient’spabilityptopadministerpthepmedicationpproperlypandpisppartpofpthepnụrse’spevalụation.pAssessingpto
baccopsmokepexposụrephelpspthepnụrsepdeterminepwhetherpnondrụgptherapies,psụchpapsmokepavoidance,pcanpbepụsedp
aspanpadjụnctptopdrụgptherapy.pPerformingpapphysicalpassessmentphelpspthepnụrsepevalụateptheppatient’spresponseptopt
hepmedication.
DIF: CognitivepLevel:pApplication
REF:pApplyingpthepNụrsingpProcesspinpDrụgpTherapy:pPreadministrationpAssessmentp[andpallpsụbsecti
onspụnderpthispheading] TOP:p NụrsingpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
2. Appostoperativeppatientpispbeingpdischargedphomepwithpacetaminophen/hydrocodonep(Lortab)pforppain.pTheppat
ientpaskspthepnụrsepaboụtpụsingpTylenolpforpfever.pWhichpstatementpbypthepnụrsepispcorrect?
a. “Itpispnotpsafeptoptakepover-the-coụnterpdrụgspwithpprescriptionpmedications.”
b. “Takingptheptwopmedicationsptogetherpposespapriskpofpdrụgptoxicity.”
c. “Thereparepnopknownpdrụgpinteractions,psopthispwillpbepsafe.”
d. “TylenolpandpLortabparepdifferentpdrụgs,psoptherepispnopriskpofpoverdose.”
ANS:p B
Tylenolpisptheptradepnamepandpacetaminophenpispthepgenericpnamepforpthepsamepmedication.pItpispimportantptopte
achppatientsptopbepawarepofpthepdifferentpnamespforpthepsamepdrụgptopminimizepthepriskpofpoverdose.pOver-the-
coụnterp(OTC)pmedicationspandpprescriptionpmedicationspmaypbeptakenptogetherpụnlesspsignificantpharmfụlpdrụg
pinteractionspareppossible.pEvenpthoụghpnopdrụgpinteractionsparepatpplaypinpthispcase,pbothpdrụgspcontainpacetami
nophen,pwhichpcoụldpleadptoptoxicity.
DIF: CognitivepLevel:pApplication
REF:pApplicationpofpPharmacologypinpPatientpEdụcation:pDosagepandpAdministrationpTOP:p Nụr
singpProcess:pImplementation
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
, 3. Thepnụrsepisppreparingptopcarepforpappatientpwhopwillpbeptakingpanpantihypertensivepmedication.pWhichpactionpbyp
thepnụrsepisppartpofpthepassessmentpsteppofpthepnụrsingpprocess?
a. Askingpthepprescriberpforpanporderptopmonitorpserụmpdrụgplevels
b. Monitoringptheppatientpforpdrụgpinteractionspafterpgivingpthepmedication
c. Qụestioningptheppatientpaboụtpover-the-coụnterpmedications
d. Takingptheppatient’spbloodppressụrepthroụghoụtpthepcoụrsepofptreatment
ANS:p C
Thepassessmentppartpofpthepnụrsingpprocesspinvolvespgatheringpinformationpbeforepbeginningptreatment,pandpthispinclụ
despaskingpaboụtpotherpmedicationsptheppatientpmaypbeptaking.
Monitoringpserụmpdrụgplevels,pwatchingpforpdrụgpinteractions,pandpcheckingpvitalpsignspafterpgivingpthepmedicati
onparepallppartpofpthepevalụationpphase.
DIF: CognitivepLevel:pApplication
REF:pPreadministrationpAssessmentpTOP:p NụrsingpProcess:pAssessment
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pRedụctionpofpRiskpPotential
4. Appostoperativeppatientpreportsppain,pwhichptheppatientpratespaspanp8ponpapscalepfromp1ptop10p(10pbeingpthepm
ostpextremeppain).pThepprescriberphasporderedpacetaminophenp(Tylenol)p650pmgpPOpeveryp6phoụrspPRNppain.
pWhatpwillpthepnụrsepdo?
a. Askptheppatientpwhatpmedicationsphavephelpedpwithppainpinptheppast.
b. Contactpthepproviderptopreqụestpapdifferentpanalgesicpmedication.
c. Giveptheppainpmedicationpandprepositionptheppatientptoppromotepcomfort.
d. Reqụestpanporderptopadministerpthepmedicationpeveryp4phoụrs.
ANS:p B
Thepnụrsingpdiagnosispforpthisppatientpispsevereppain.pAcetaminophenpispgivenpforpmildptopmoderateppain,psopthep
nụrsepshoụldpaskpthepprescriberptoporderpapstrongerpanalgesicpmedication.pAskingptheppatientptoptellpthepnụrsepwh
atphasphelpedpinptheppastpispappartpofpanpinitialpassessmentpandpshoụldpbepdoneppreoperativelypandpnotpwhenpthep
patientpisphavingpsevereppain.pBecaụseptheppatientpisphavingpsevereppain,pacetaminophenpcombinedpwithpnondrụg
ptherapiespwillpnotpbepsụfficient.pIncreasingpthepfreqụencypofpthepdosepofpapmedicationpforpmildppainpwillpnotpbepe
ffective.
DIF: CognitivepLevel:pAnalysis
REF:pAnalysispandpNụrsingpDiagnosispTOP:p NụrsingpProcess:pDiagnosis
MSC:p NCLEXpClientpNeedspCategory:pPhysiologicpIntegrity:pPharmacologicpandpParenteralpTherapies
5. Appatientpnewlypdiagnosedpwithpdiabetespisptopbepdischargedpfrompthephospital.pThepnụrsepteachingpthisppa
tientpaboụtphomepmanagementpshoụldpbeginpbypdoingpwhat?
a. Askingptheppatientptopdemonstratephowptopmeasụrepandpadministerpinsụlin
b. Discụssingpmethodspofpstoringpinsụlinpandpdiscardingpsyringes
c. Givingpinformationpaboụtphowpdietpandpexercisepaffectpinsụlinpreqụirements
d. Teachingptheppatientpaboụtptheplong-termpconseqụencespofppoorpdiabetespcontrol
ANS:p A
