THE NURSING PROCESS AND DRUG THERAPY
How does the nursing process apply to pharmacology?
It guides individualized medication therapy and related care for a patient.
What is pre-administration assessment data?
Data that establishes a patient's baseline before administration of a medication.
What is the purpose of the nursing process in terms of pharmacology?
1. Identify
2. Treat
3. Evaluate
4. Diagnose
The nurse is reviewing discharge medications with Mr. Jackson and his mother. Which
statements made by the mother would be important for the nurse to consider during the
assessment stage of the nursing process?
1. "Ricky occasionally takes a laxative for intermittent constipation."
2. "Ricky takes extra strength acetaminophen 1-2 times a day for shoulder pain after a baseball
injury."
The next medication the nurse reviews with Mr. Jackson is his prescribed antibiotic, which will
need to be taken twice a day (bid) for 7 days. Which question should the nurse ask during the
pre-administration assessment?
"How will you remember to take the medication at each dosing time?"
What actions take place during the planning stage of the pharmacologic process?
1. Defining goals
2. Setting priorities
3. Identifying interventions
4. Establishing evaluation criteria
How is a nursing diagnosis defined?
A diagnosis based on information found in the nursing assessment regarding patient responses to
actual or potential health processes.
How does a medical diagnosis differ from a nursing diagnosis?
1. A medical diagnosis identifies a disease condition.
2. A medical diagnosis identifies results of procedures.
3. A medical diagnosis identifies results of diagnostic tests.
,Which are components of the original five rights of medication administration?
1. Right time
2. Right dose
3. Right patient
4. Right medication
5. Right route
The Joint Commission requires two forms of identification verification before administering
medications. Which right of medication administration does this support?
Right patient
What are the additional five rights to medication administration?
1. Right evaluation
2. Right assessment
3. Right documentation
4. Patient's right to refuse
Using the nursing process, what is the nurse discerning during the evaluation phase?
Degree of goal attainment
What must the nurse know to evaluate the patient for a therapeutic response?
The anticipated patient outcome
Which methods can be used to evaluate the patient's adherence to a drug regimen?
1. Counting pills
2. Interviewing patient
3. Measuring plasma drug levels
Which type of data collection is obtaining the patient's vital signs?
Objective
An older adult patient is confused. How does the nurse assess self-care capacity?
Asking how the patient takes medications at home
The patient describes to the nurse how a new medication made him feel. What kind of data
collection is this?
Subjective
Which people may provide subjective data about the patient's health?
, 1. Patient
2. Family
3. Friends
Which nursing diagnoses are most appropriate for a patient on a post-operative medication
regimen?
1. Acute Pain related to surgery
2. Risk for Injury related to side effects of medication
3. Readiness for Enhanced Knowledge related to medication schedule and medication
side/adverse effects
Which nursing diagnosis has the highest priority for the nurse?
Ineffective Breathing Pattern related to adverse reaction to a medication
How does the nurse evaluate the treatment of a patient who recently started insulin?
Review glucose and insulin dose log.
A patient has been admitted for intractable nausea, and her morning medications are due. Which
of the original rights of medication administration will require special attention by the health care
provider?
Right route
What is missing from this drug administration documentation: Metoprolol 25 mg given at 0900
on 6/12/16 By A.B, RN
The route
Pediatric medications are often given based on weight. This could affect which of the 5 rights of
medication administration?
Right dose
The patient is refusing her prescribed beta-blocker. The patient is of sound mind. What is the
nurse's next action?
Document the refusal in the patient's medical record.
A patient reports losing his job. How would the nurse evaluate for medication compliance?
Resources to obtain medications
A patient states dissatisfaction with her current medication regimen. Which factors may be the
cause of the patient's dissatisfaction?
How does the nursing process apply to pharmacology?
It guides individualized medication therapy and related care for a patient.
What is pre-administration assessment data?
Data that establishes a patient's baseline before administration of a medication.
What is the purpose of the nursing process in terms of pharmacology?
1. Identify
2. Treat
3. Evaluate
4. Diagnose
The nurse is reviewing discharge medications with Mr. Jackson and his mother. Which
statements made by the mother would be important for the nurse to consider during the
assessment stage of the nursing process?
1. "Ricky occasionally takes a laxative for intermittent constipation."
2. "Ricky takes extra strength acetaminophen 1-2 times a day for shoulder pain after a baseball
injury."
The next medication the nurse reviews with Mr. Jackson is his prescribed antibiotic, which will
need to be taken twice a day (bid) for 7 days. Which question should the nurse ask during the
pre-administration assessment?
"How will you remember to take the medication at each dosing time?"
What actions take place during the planning stage of the pharmacologic process?
1. Defining goals
2. Setting priorities
3. Identifying interventions
4. Establishing evaluation criteria
How is a nursing diagnosis defined?
A diagnosis based on information found in the nursing assessment regarding patient responses to
actual or potential health processes.
How does a medical diagnosis differ from a nursing diagnosis?
1. A medical diagnosis identifies a disease condition.
2. A medical diagnosis identifies results of procedures.
3. A medical diagnosis identifies results of diagnostic tests.
,Which are components of the original five rights of medication administration?
1. Right time
2. Right dose
3. Right patient
4. Right medication
5. Right route
The Joint Commission requires two forms of identification verification before administering
medications. Which right of medication administration does this support?
Right patient
What are the additional five rights to medication administration?
1. Right evaluation
2. Right assessment
3. Right documentation
4. Patient's right to refuse
Using the nursing process, what is the nurse discerning during the evaluation phase?
Degree of goal attainment
What must the nurse know to evaluate the patient for a therapeutic response?
The anticipated patient outcome
Which methods can be used to evaluate the patient's adherence to a drug regimen?
1. Counting pills
2. Interviewing patient
3. Measuring plasma drug levels
Which type of data collection is obtaining the patient's vital signs?
Objective
An older adult patient is confused. How does the nurse assess self-care capacity?
Asking how the patient takes medications at home
The patient describes to the nurse how a new medication made him feel. What kind of data
collection is this?
Subjective
Which people may provide subjective data about the patient's health?
, 1. Patient
2. Family
3. Friends
Which nursing diagnoses are most appropriate for a patient on a post-operative medication
regimen?
1. Acute Pain related to surgery
2. Risk for Injury related to side effects of medication
3. Readiness for Enhanced Knowledge related to medication schedule and medication
side/adverse effects
Which nursing diagnosis has the highest priority for the nurse?
Ineffective Breathing Pattern related to adverse reaction to a medication
How does the nurse evaluate the treatment of a patient who recently started insulin?
Review glucose and insulin dose log.
A patient has been admitted for intractable nausea, and her morning medications are due. Which
of the original rights of medication administration will require special attention by the health care
provider?
Right route
What is missing from this drug administration documentation: Metoprolol 25 mg given at 0900
on 6/12/16 By A.B, RN
The route
Pediatric medications are often given based on weight. This could affect which of the 5 rights of
medication administration?
Right dose
The patient is refusing her prescribed beta-blocker. The patient is of sound mind. What is the
nurse's next action?
Document the refusal in the patient's medical record.
A patient reports losing his job. How would the nurse evaluate for medication compliance?
Resources to obtain medications
A patient states dissatisfaction with her current medication regimen. Which factors may be the
cause of the patient's dissatisfaction?
