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TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION; A Patient-Centered Nursing Process Approach 10TH EDITIO

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TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION; A Patient-Centered Nursing Process Approach 10TH EDITIO

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10/19/23,r4:32rPM Pharmr10threditionrtestrbank
TESTrBANKrFORrPHARMACOLOGYr10THrEDITIONrBYrMCCUISTION



Pharmacology 10th Edition McCuistionTes r r r r


t Bank r



Chapterr01:r Ther Nursingr Processr andr Patient-CenteredrCare
McCuistion:rPharmacology:rArPatient-
CenteredrNursingrProcessrApproach,r10thrEdition


MULTIPLEr CHOICE

1. Ther nursingr processr isr ar five-stepr decision-
makingr approachr thatr includesr allr ofr ther followingrsteps,rEXCEPT:
a. Assessment
b. Patientr problem
c. Planning
d. Rightr Drug
ANS:r D
Ther nursingr processr isr ar five-stepr decision-
makingr approachr thatr includes:r 1)r assessment,r 2)rpatientr problem,r 3)rplanning,r 4)r implementa
tion,r andr 5)revaluation.r “Rightr drug”risr onerofrther“SixrRights”rofr medicationradministration.

DIF:rrrrCognitiverLevel:rUnderstandingr(Comprehension)
TOP:r NursingrProcess:rPlanningr
MSC:rNCLEX:rManagementrofrCare

2. Thernurserisr usingrdatar collectedr tor setr goalsr orr expectedroutcomesr andr interventionsr thatr
addressr therpatient’sr problems.r Whichr stepr ofr ther nursingrprocessr isr ther nurserapplying?
a. Assessment
b. Patientrproblem
c. Planning
d. Evaluation
ANS:r C
Duringrther planningr phase,r ther nurserusesr ther datar collectedr tor setr goalsr orr expectedr outcomesr
andr interventionsr whichr addressr ther patient’sr problems.r Ther datar wasr collectedr duringr ther“As
sessment”r andr “Patientr problem”r steps.r Duringr ther “Evaluation”r phaser ther nurser wouldrdeterm
inerwhetherr ther goalsr andr objectivesr setr duringr ther planningrphaser werermet.

DIF:r CognitiverLevel:rUnderstandingr(Comprehension)rTO
P:r NursingrProcess:rNursingrIntervention
MSC:r NCLEX:rManagementr ofrCare

3. Ar5-year-
oldr childrwithr typer 1rdiabetesr mellitusr hasrhadr repeatedr hospitalizationsr forrepisodesrofr hyperg
lycemia.r Ther parentsr tellr ther nurser thatr theyr can’tr keepr trackr ofr everythingr thatr hasrtorber doner
tor carer forr theirr child.r Ther nurser reviewsr medications,r diet,r andr symptomr managementr withr th
er parentsr andr drawsr upr ar dailyrchecklistr forr ther familyrtor use.r These

activitiesr arercompletedr inr whichr stepr ofr thernursingr process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
PRIMEXAM.COM




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,10/19/23,r4:32rPM Pharmr10threditionrtestrbank
TESTrBANKrFORrPHARMACOLOGYr10THrEDITIONrBYrMCCUISTION
ANS:r C

Ther implementationr phaser isr ther partr ofr ther nursingrprocessr inr whichr ther nurser providesred
ucation,rdrugr administration,r patientr care,r androtherrinterventionsr necessaryrtor assistr therpa
tientrinraccomplishingrestablishedr medicationr goals.

DIF:r CognitiverLevel:rUnderstandingr(Comprehension)rTO
P:r NursingrProcess:rNursingrIntervention
MSC:r NCLEX:rManagementr ofrCare

4. Thernurserisrpreparingrtoradministerrar medicationrandrreviewsrtherpatient’srchartrforrdrugra
llergies,rserumrcreatinine,randrbloodrurearnitrogenr(BUN)rlevels.rThernurse’sractionsrarerre
flectiverofrwhichrphaser ofrthernursingrprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:r A
Assessmentr involvesr gatheringr informationr aboutr ther patientr andr therdrug,r includingranyr
previousruserofrtherdrug.

DIF:rrr CognitiverLevel:rUnderstandingr(Comprehension)
TOP:r NursingrProcess:rAssessment MSC:r NCLEX:rManagementr ofr Care

5. Whichr assessmentr isrcategorizedr asr objectiverdata?
a. Arlistr ofr herbalr supplementsr regularlyrused
b. Labr valuesr associatedr withr therdrugsr ther patientr isr taking
c. Theragesr andr relationshipr tor therpatientr ofr allrhouseholdr members
d. Usualr dietaryrpatternsrandrfNoodrintake
ANS:r B
Objectiverdatar arer measuredr andr detectedr byranotherr personr andr wouldr includer labr values.r
Therotherrexamplesrarersubjectiverdata.

DIF:rrr CognitiverLevel:r Understandingr(Comprehension)
TOP:r NursingrProcess:rAssessment MSC:r NCLEX:rManagementr ofr Care

6. Thernurserreviewsr ar patient’sr databaserandr learnsr thatr therpatientr livesr alone,r isr forgetful,r andr
doesr notr haver anr establishedr routine.r Ther patientr willr ber sentr homer withr threer newr medication
sr tor ber takenr atr differentr timesr ofr ther day.r Ther nurser developsr ar dailyr medicationrchartr andr en
listsr ar familyr memberr tor putr ther patient’sr pillsr inr ar pillr organizer.r Thisr isr anrexamplerofrwhich
rphaser ofrthernursingrprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:r C
Therimplementationr phaserinvolvesr educationr andr patientr carerinr orderr tor assistr ther patientrto


accomplishr ther goalsr ofr treatment.

DIF:rCognitiverLevel:rApplyingr(Application)rT
OP:r NursingrProcess:rNursingr Intervention

PRIMEXAM.COM




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,10/19/23,r4:32rPM Pharmr10threditionrtestrbank
TESTrBANKrFORrPHARMACOLOGYr10THrEDITIONrBYrMCCUISTION


MSC:r NCLEX:rManagementr ofrCare

7. Ar patientr whor isr hospitalizedr forr chronicr obstructiver pulmonaryr diseaser (COPD)r wantsr tor gorh
ome.r Ther nurser andr ther patientr discussr ther patient’sr situationr andr decider thatr ther patientr mayrg
or homer whenr abler tor performr self-
carer withoutr dyspnear andr hypoxia.r Thisr isr anr exampler ofrwhichrphaserofrthernursingrprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:r D
Planningr involvesr goalr setting,r which,r forr thisr patient,r meansr beingr abler tor performr self-
careractivitiesrwithoutrdyspnearandrhypoxia.

DIF:rrr CognitiverLevel:rUnderstandingr(Comprehension)
TOP:rNursingrProcess:rPlanningr
MSC:rNCLEX:rManagementrofrCare

8. Arpatientr willr ber sentr homerwithr ar metered-
doser inhaler,randr ther nurserisr providingr teaching.rWhichrisrarcorrectlyrwrittenrgoalr forrthisrpro
cess?
a. Thernurserwillr demonstrater ther correctr user ofr armetered-doser inhalerrtor ther patient.
b. Thernurser willr teachr ther patientr howr tor administerrmedicationr withr ar metered-
doserinhaler.
c. Therpatientr willr knowr howrtor self-
administerr ther medicationr usingrthermetered-doserinhaler.
d. Ther patientr willr independentlyr administerr ther medicationr usingrther metered-
doserinhalerratrtherendrofrthersession.
ANS:r D
Goalsr mustr ber patient-
centeredr andr clearlyrstaterther outcomerwithr ar reasonabler deadliner andrshouldridentifyrcompo
nentsr forrevaluation.

DIF:rrrr CognitiverLevel:rApplyingr(Application)
TOP:r NursingrProcess:rPlanningr
MSC:rNCLEX:rManagementrofrCare

9. Thernurser isr developingr ar planr ofrcarer forr ar patientr whor hasr chronicr lungrdiseaser andr hypoxia.r
Ther patientr hasr beenr admittedr forr increasedr oxygenr needsr abover ar baseliner ofr 2r L/min.r Thernu
rser developsr ar goalr stating,r “Ther patientr willr haver oxygenr saturationsr ofr >95%r onr roomr airratrt
hertimerofrdischargerfromrther hospital.”rWhatrisr wrongrwithrthisr goal?
a. Itr cannotr berevaluated.
b. Itrisr notrmeasurable.
c. Itr isrnotr patient-centered.
d. Itrisr notrrealistic.
ANS:r D
Thisr goalr isr notr realisticrbecauser ther patientr isr notr usuallyronr roomr airr andr shouldr notr ber
expectedrtor attainrthatr goalrbyrdischarger fromrthisrhospitalization.

DIF:rrrr CognitiverLevel:rApplyingr(Application)

TOP:r NursingrProcess:rPlanningr

MSC:rNCLEX:rManagementrofrCare

10. Thernurserisrdevelopingrarteachingrplanr forranrelderlyrpatientrwhorwillrbeginrtakingranra
ntihypertensiverdrugrthatrcausesrdizzinessrandrorthostaticr hypotension.rWhichrpatientrpr
oblemrdocumentedrbyrther nurserisrappropriaterforr thisrpatient?
PRIMEXAM.COM




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, 10/19/23,r4:32rPM Pharmr10threditionrtestrbank
TESTrBANKrFORrPHARMACOLOGYr10THrEDITIONrBYrMCCUISTION
a. Deficientrknowledger relatedr tor drugrsidereffects
b. Ineffectiverhealthr maintenancer relatedr torage
c. Readinessrforr enhancedr knowledgerrelatedr tormedicationr sider effects
d. Riskr forrinjuryrrelatedr tor sider effectsr ofr thermedication
ANS:r D
Thisr patientr hasr anr increasedr riskr forr injuryr becauser ofr drugr sider effects,r sor thisr isr anrapprop
riaterpatientr problemr tor directr thertyperofr carerandr follow-upr ther patientr willr receive.

DIF:rCognitiverLevel:rApplyingr(Application)rT
OP:r NursingrProcess:r NursingrDiagnosisrMSC:
r NCLEX:rManagementr ofrCare


11. Anr olderr patientr mustr learnr tor administerr ar medicationr usingr ardevicer thatr requiresr manualrde
xterity.r Therpatientr becomesr frustratedr andr expressesr lackrofr self-
confidencerinr performingrthisrtask.rWhichractionrwillrthernurserperformr next?
a. Askrther patientr tor keepr tryingruntilr ther skillrisr learned.
b. Providerwrittenr instructionsr withr illustrationsr showingr eachr steprofrther skill.
c. Scheduler multipler sessionsrandr practicereachr stepr separately.
d. Teachr therprocedurertor familyrmembersr whorcanr administerr ther medicationr forr ther
patient.
ANS:r C
Nursesrshouldr ber sensitiver torpatient’srlevelr ofr frustrationrwhenr teachingr skills.r Inrthisr case,r
breakingrtherstepsrdownrintorinNdividualrpartsr willrhelpr withrthisrpatient’srfrustrationrlevel.
DIF:rrrr CognitiverLevel:rApplyingr(Application)
TOP:rNursingrProcess:rPlanningr
MSC:rNCLEX:rManagementrofrCare

12. Arschool-
ager childr willr beginr takingrar medicationr tor ber administeredr atr 5r mLrthreer timesrdaily.r The
r child’sr parentr tellsr ther nurser that,r withr ar previousr user ofr ther drug,r ther childrrepeatedlyr fo
rgotr tor bringr ther medicationr homer fromr school,r resultingr inr missedr eveningrdoses.rWhatr
willrthernurserrecommend?
a. Askingr ther providerr ifr ther medicationr mayr ber takenr beforer school,r afterr school,r
andratrbedtime
b. Puttingr arnoter onr ther child’sr lockerr tor encourager ther childr tor taker responsibilityrforr
medicationradministration
c. Askingrther providerr ifr 7.5r mLrmayrbertakenr inr ther morningr andr 7.5r mLr mayrbert
akenr inrthereveningrsor thatrthercorrectramountr isr givenrdaily
d. Takingr ther noonr doser tor schoolr everyr dayr andr givingr itr tor ther schoolr nurser tor
administer
ANS:r C
Forr busyr familiesr withr school-
ager children,r itr mayr ber necessaryr tor adjustr ther medicationrschedulertor onerthatr fitsr theirrschedu
le.r Thernurser shouldr askr therproviderr ifr arrevisedr schedulerisr possible.r Inr thisr case,r ther mostr eff
ectiver revisedr scheduler wouldr involver notr takingr ther medicationr whiler atr school.r Puttingr ar note
r onr ther lockerr isr notr likelyrtor ber effective.r Itr isr notrcorrectrtoradjustrtherdose.




DIF:rrr CognitiverLevel:rApplyingr(Application)
TOP:r NursingrProcess:rNursingrIntervention/PlanningrMSC
:r NCLEX:rManagementrofrCare

13. Ar high-schoolr studentr regularlyr forgetsr tor user ar twice-dailyr inhaledr corticosteroidr tor prevent
PRIMEXAM.COM




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