Deck 7: The Nursing Process in Pharmacology

Question 1

The physician has prescribed a nitroglycerine (Nitrodur) patch for the client. What is the best outcome for this client as it relates to use of the medication?

A) Client will state the reason for receiving the medication prior to discharge.
B) Client will demonstrate correct application of the patch prior to discharge.
C) Client will verbalize three side effects of the medication prior to discharge.
D) Client will be able to identify the expiration date of the medication prior to discharge.

Answer 1

Client will demonstrate correct application of the patch prior to discharge.

Question 2

The nurse has several educational pamphlets for the client about medications the client is receiving. Prior to giving the client these pamphlets, what is a primary assessment for the nurse?

A) Assess the client's religious attitudes toward medicine.
B) Assess the client's reading level.
C) Assess the client's readiness to learn new information.
D) Assess the client's cultural bias toward taking medicine.

Answer 2

Assess the client's reading level.

Question 3

The nurse is assessing a newly admitted client's current medications. What does the best objective data include?

A) The nurse asks the physician what medications the client was currently taking.
B) The client lists the medications that have been prescribed.
C) The client's wife tells the nurse what medications the client has been receiving.
D) The nurse checks the prescription bottles the client has brought to the hospital.

Answer 3

The nurse checks the prescription bottles the client has brought to the hospital.

Question 4

The Canadian Nurses Association (CNA) documented that client education was deficient on several medical -surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention?

A) discussing medications each time they are administered to clients
B) requesting more frequent pharmacy consults for the clients
C) providing educational pamphlets about medications to the clients
D) asking the physicians to provide medication education to the clients

Question 5

The nurse follows the Nursing Process when conducting medication education about insulin. The step of evaluation is best demonstrated by which question?

A) "Is your abdomen the best place to inject insulin?"
B) "Can you tell me four points you remember about how to take your insulin?"
C) "What questions do you have about insulin?"
D) "Can you recognize when you are experiencing hypoglycemia?"

Question 6

The physician has prescribed quetiapine (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance." What is essential for the nurse to assess prior to using this
Nursing diagnosis? Select all that apply.

A) Has the client made an informed decision not to take the medication?
B) Is the noncompliance related to a lack of finances?
C) Did the client understand why the medication had been prescribed?
D) Are side effects causing the client to refuse the medication?
E) Do cultural or religious issues have an impact on taking the medication?

Question 7

The nurse is preparing for medication administration to a group of clients. What is the best overall outcome for the clients?

A) Clients will experience minimal side effects after taking the medications.
B) Clients will state the reason they are receiving the medications.
C) Clients will take the medications after receiving medication instruction.
D) Clients will receive the best therapeutic outcome from the medications.

Question 8

The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the client? Select all that apply.

A) "What other medications are you currently taking?"
B) "How difficult is it for you to maintain your ideal body weight?"
C) "Are you allergic to any medications?"
D) "Will you please tell me about the kind of diet you follow?"
E) "Are you taking any herbal or over -the -counter medications?"

Question 9

The client is receiving albuterol (Salbutamol) for treatment of bronchospasm related to asthma. What is the initial nursing intervention as it relates to this medication?

A) Monitor the client's serum drug levels.
B) Monitor the client for nausea and headache.
C) Provide the client with age -appropriate education about albuterol (Salbutamol).
D) Monitor the client for relief of bronchospasms.

Question 10

The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement by the client provides the best evaluation by the nurse at this time?

A) "If the pain gets too bad, I can take my prescribed pain medication."
B) "I must keep my leg elevated until the swelling goes down."
C) "If the swelling continues, I can apply an ice pack."
D) "I need to take all the pills, even if my leg looks better."

Question 11

The nurse is administering medications to an elderly client. Which laboratory tests are important for the nurse to assess prior to the administration of medication?

A) kidney and liver function tests
B) lipid panel and thyroid function tests
C) arterial blood gases (ABGs) and basic metabolic panel
D) complete blood count (CBC) and electrolytes

Question 12

The physician has prescribed temazepam (Restoril) for an elderly client with primary insomnia. Prioritize the risks for this client.

A) Client is at risk for constipation.
B) Client is at risk for diarrhea.
C) Client is at risk for nausea.
D) Client is at risk for dizziness.

Question 13

The nurse is managing care for several clients at a diabetic treatment centre. What is the primary intervention for the nurse?

A) To return the client to an optimum level of wellness while limiting adverse effects related to the client's medical diagnosis.
B) To answer any questions the client may have about the medicine, or any possible side effect of the medication.
C) To administer the correct medicine to the correct client, at the correct dose and the correct time via the correct route.
D) To include any cultural or ethnic preferences in the administration of the medication.

Question 14

The nurse is caring for an adolescent with depression and suicidal thoughts. The nursing diagnosis is "risk for suicide related to depression." What is the best outcome for this adolescent?

A) The client will list five reasons why he should not harm himself today.
B) The client will not commit any acts of self -harm today.
C) The client will discuss his feelings in group therapy today.
D) The client will take the antidepressant medication as prescribed today.

Question 15

What are the steps within the nursing process as they relate to Pharmacology and thus medication administration?

A) assessment, baseline date, nursing diagnosis, goals and evaluation
B) assessment, diagnosis, planning, implementing and evaluating.
C) planning care, obtaining consent, assessing, and evaluation.
D) evaluating care, assessing needs and outcomes, education, assessment and diagnosis.