Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E Chapter 6

The nurse follows the nursing process when conducting medication education about insulin. The step of evaluation is best demonstrated by which question? 1. "Is your abdomen the best place to inject insulin?" 2. "What questions do you have about insulin?" 3. "Can you recognize when you are experiencing hypoglycemia?" 4. "Can you tell me four points you remember about how to take your insulin?" Correct Answer: 4 Rationale 1: Asking the patient what questions she has about insulin is an assessment question. Rationale 2: Asking the patient what questions she has about insulin is an assessment question. Rationale 3: Asking the patient if she can recognize when she is experiencing hypoglycemia is an assessment question. Rationale 4: The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided. Global Rationale: The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided. Asking the patient what questions she has about insulin is an assessment question. Asking the patient if her abdomen is the best place to inject insulin is an assessment question. Asking the patient if she can recognize when she is experiencing hypoglycemia is an assessment question. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research. NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 6-1 Compare and contrast the different steps of the nursing process. MNL Learning Outcome: 1.2.1 Apply the five steps of the nursing process as it relates to pharmacotherapy. Page Number: 67 Question 2 Type: MCMA The nurse assesses the patient with diabetes mellitus prior to administering medications. Which questions are important to ask the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Are you allergic to any medications?" 2. "Are you taking any herbal or over-the-counter medications?" 3. "How difficult is it for you to maintain your ideal body weight?" 4. "Will you please tell me about the kind of diet you follow?" 5. "What other medications are you currently taking?" Correct Answer: 1,2,4,5 Rationale 1: Questions about allergies are important during assessment. Rationale 2: Questions about herbal and OTC medications are an important part of assessment. Rationale 3: Ideal body is an important question, but does not refer specifically to medication administration. Rationale 4: Questions about normal diet help to assess health management and are pertinent to drug administration. Rationale 5: Questions about current medication are important during assessment. Global Rationale: Questions about allergies and which medications are being taken are assessment questions. Questions about normal diet help to assess health management and are pertinent to drug administration. Ideal body weight is an important question but does not refer specifically to medication administration. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. AACN Essentials Competencies: IX.1 Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. NLN Competencies: Relationship C