P P P P P P
rocess 10th Edition Linda Lilley, Shelly Collin
P P P P P P
s, Julie Snyder Chapter 1-
P P P P
58 | Complete Guide | Newest Version 2022
P P P P P P P
, 4
PPP
Chapter 01: The Nursing Process and Drug Therapy
P P P P P P P
MULTIPLEPCHOICE
1. ThePnursePisPwritingPaPnursingPdiagnosisPforPaPplanPofPcarePforPaPpatientPwhoPhasPbeenPnewlyP
diagnosedPwithPtypeP2Pdiabetes.PWhichPstatementPreflectsPthePcorrectPformatPforPaPnursingPdi
agnosis?
a. Anxiety
b. AnxietyPrelatedPtoPnewPdrugPtherapy
c. AnxietyPrelatedPtoPanxiousPfeelingsPaboutPdrugPtherapy,PasPevidencedPbyPstatementsP
suchPasP“I’mPupsetPaboutPhavingPtoPtestPmyPbloodPsugars.”
d. AnxietyPrelatedPtoPnewPdrugPtherapy,PasPevidencedPbyPstatementsPsuchPasP“I’mP
upsetPaboutPhavingPtoPtestPmyPbloodPsugars.”
ANS:P D
FormulationPofPnursingPdiagnosesPisPusuallyPaPthree-
stepPprocess.P“Anxiety”PisPmissingPtheP“relatedPto”PandP“asPevidencedPby”PportionsPofPdefiningPcha
racteristics.P“AnxietyPrelatedPtoPnewPdrugPtherapy”PisPmissingPtheP“asPevidencedPby”PportionPofPdef
iningPcharacteristics.PThePstatementPbeginningP“AnxietyPrelatedPtoPanxiousPfeelings”PisPincorrectPbe
causePtheP“relatedPto”PsectionPisPsimplyPaPrestatementPofPthePproblemP“anxiety,”PnotPaPseparatePfact
orPrelatedPtoPthePresponse.
DIF:
COGNITIVEPLEVEL:PUnderstandingP(Comprehension)P
TOP:PPPNURSINGPPROCESS:PNursingPDiagNnUoRsiSsINGTB.COM
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
2. ThePpatientPisPtoPreceivePoralPguaifenesinP(Mucinex)PtwicePaPday.PToday,PthePnursePwasPbusyPandP
gavePthePmedicationP2PhoursPafterPthePscheduledPdosePwasPdue.PWhatPtypePofPproblemPdoesPthisPr
epresent?
a. “RightPtime”
b. “RightPdose”
c. “RightProute”
d. “RightPmedication”
ANS:P A
“RightPtime”PisPcorrectPbecausePthePmedicationPwasPgivenPmorePthanP30PminutesPafterPthePschedule
dPdosePwasPdue.P“Dose”PisPincorrectPbecausePthePdosePisPnotPrelatedPtoPthePtimePthePmedicationPadm
inistrationPisPscheduled.P“Route”PisPincorrectPbecausePtheProutePisPnotPaffected.P“Medication”PisPinco
rrectPbecausePthePmedicationPorderedPwillPnotPchange.
DIF:
COGNITIVEPLEVEL:PApplyingP(Application)P
TOP:P NURSINGPPROCESS:PImplementation
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PSafetyPandPInfectionPControl
3. ThePnursePhasPbeenPmonitoringPthePpatient’sPprogressPonPaPnewPdrugPregimenPsincePthePfirstPdoseP
andPdocumentingPthePpatient’sPtherapeuticPresponsePtoPthePmedication.PWhichPphasePofPthePnursi
ngPprocessPdoPthesePactionsPillustrate?
a. NursingPdiagnosis
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, LEHNESPPHARMACOLOGYPFORPNURSINGPCAREP10THPEDITIONPBURCHUMPTESTPBANK
ChapterP01:PThePNursingPProcessPandPDrugPTherapyPPPPP 5
b. Planning
c. Implementation
d. Evaluation
ANS:P D
MonitoringPthePpatient’sPprogress,PincludingPthePpatient’sPresponsePtoPthePmedication,PisPpartPofPt
hePevaluationPphase.PPlanning,Pimplementation,PandPnursingPdiagnosisParePnotPillustratedPbyPthisPe
xample.
DIF:
COGNITIVEPLEVEL:PUnderstandingP(Comprehension)P
TOP:P NURSINGPPROCESS:PEvaluation
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
4. ThePnursePisPassignedPtoPaPpatientPwhoPisPnewlyPdiagnosedPwithPtypeP1PdiabetesPmellitus.PWhichPs
tatementPbestPillustratesPanPoutcomePcriterionPforPthisPpatient?
a. ThePpatientPwillPfollowPinstructions.
b. ThePpatientPwillPnotPexperiencePcomplications.
c. ThePpatientPwillPadherePtoPthePnewPinsulinPtreatmentPregimen.
d. ThePpatientPwillPdemonstratePcorrectPbloodPglucosePtestingPtechnique.
ANS:P D
“DemonstratingPcorrectPbloodPglucosePtestingPtechnique”PisPaPspecificPandPmeasurablePoutcomePcr
iterion.P“FollowingPinstructions”PandP“notPexperiencingPcomplications”ParePnotPspecificPcriteria.P“
AdheringPtoPnewPregimen”PwouldPbePdifficultPtoPmeasure.
NURSINGTB.COM
DIF: COGNITIVEPLEVEL:PApplyingP(Application)
TOP:P NURSINGPPROCESS:PPlanning
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
5. WhichPactivityPbestPreflectsPthePimplementationPphasePofPthePnursingPprocessPforPthePpatientPwhoPi
sPnewlyPdiagnosedPwithPhypertension?
a. ProvidingPeducationPonPkeepingPaPjournalPofPbloodPpressurePreadings
b. SettingPgoalsPandPoutcomePcriteriaPwithPthePpatient’sPinput
c. RecordingPaPdrugPhistoryPregardingPover-the-counterPmedicationsPusedPatPhome
d. FormulatingPnursingPdiagnosesPregardingPdeficientPknowledgePrelatedPtoPthePnewP
treatmentPregimen
ANS:P A
EducationPisPanPinterventionPthatPoccursPduringPthePimplementationPphase.PSettingPgoalsPandPoutco
mesPreflectsPthePplanningPphase.PRecordingPaPdrugPhistoryPreflectsPthePassessmentPphase.PFormulati
ngPnursingPdiagnosesPreflectsPanalysisPofPdataPasPpartPofPplanning.
DIF:
COGNITIVEPLEVEL:PApplyingP(Application)P
TOP:P NURSINGPPROCESS:PImplementation
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
6. ThePmedicationPorderPreads,P“GivePondansetronP(Zofran)P4Pmg,P30PminutesPbeforePbeginningPche
motherapyPtoPpreventPnausea.”PThePnursePnotesPthatPtheProutePisPmissingPfromPthePorder.PWhatPisPth
ePnurse’sPbestPaction?
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, LEHNESPPHARMACOLOGYPFORPNURSINGPCAREP10THPEDITIONPBURCHUMPTESTPBANK
ChapterP01:PThePNursingPProcessPandPDrugPTherapyPPPPP 6
a. GivePthePmedicationPintravenouslyPbecausePthePpatientPmightPvomit.
b. GivePthePmedicationPorallyPbecausePthePtabletsParePavailablePinP4-mgPdoses.
c. ContactPthePprescriberPtoPclarifyPtheProutePofPthePmedicationPordered.
d. HoldPthePmedicationPuntilPthePprescriberPreturnsPtoPmakeProunds.
ANS:P C
APcompletePmedicationPorderPincludesPtheProutePofPadministration.PIfPaPmedicationPorderPdoesPnotPi
ncludePtheProute,PthePnursePmustPaskPthePprescriberPtoPclarifyPit.PThePintravenousPandPoralProutesPar
ePnotPinterchangeable.PHoldingPthePmedicationPuntilPthePprescriberPreturnsPwouldPmeanPthatPthePpati
entPwouldPnotPreceivePaPneededPmedication.
DIF:
COGNITIVEPLEVEL:PApplyingP(Application)P
TOP:P NURSINGPPROCESS:PImplementation
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
7. WhenPthePnursePconsidersPthePtimingPofPaPdrugPdose,PwhichPfactorPisPappropriatePtoPconsiderPwhenP
decidingPwhenPtoPgivePaPdrug?
a. ThePpatient’sPabilityPtoPswallow
b. ThePpatient’sPheight
c. ThePpatient’sPlastPmeal
d. ThePpatient’sPallergies
ANS:P C
ThePnursePmustPconsiderPspecificPpharmacokinetic/pharmacodynamicPdrugPpropertiesPthatPmayPbeP
affectedPbyPthePtimingPofPthePlastPmeal.PTNhU
ePRpSaItN
ieGnTt’Bs.CabOiM
lityPtoPswallow,Pheight,PandPallergiesParePn
otPfactorsPtoPconsiderPregardingPthePtimingPofPthePdrug’sPadministration.
DIF:
COGNITIVEPLEVEL:PUnderstandingP(Comprehension)P
TOP:P NURSINGPPROCESS:PAssessment
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
8. ThePnursePisPperformingPanPassessmentPofPaPnewlyPadmittedPpatient.PWhichPisPanPexamplePofP
subjectivePdata?
a. BloodPpressureP158/96PmmPHg
b. WeightP255Ppounds
c. ThePpatientPreportsPthatPhePusesPthePherbalPproductPginkgo.
d. ThePpatient’sPlaboratoryPworkPincludesPaPcompletePbloodPcountPandPurinalysis.
ANS:P C
SubjectivePdataPincludePinformationPsharedPthroughPthePspokenPwordPbyPanyPreliablePsource,PsuchPa
sPthePpatient.PObjectivePdataPmayPbePdefinedPasPanyPinformationPgatheredPthroughPthePsensesPorPtha
tPwhichPisPseen,Pheard,Pfelt,PorPsmelled.PAPpatient’sPbloodPpressure,Pweight,PandPlaboratoryPtestsPareP
allPexamplesPofPobjectivePdata.
DIF:
COGNITIVEPLEVEL:PUnderstandingP(Comprehension)P
TOP:P NURSINGPPROCESS:PAssessment
MSC:PNCLEX:PSafePandPEffectivePCarePEnvironment:PManagementPofPCare
MULTIPLEPRESPONSE
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