Deck 6: The Nursing Process in Pharmacology

Question 1

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 would the nurse evaluate as best indicating this outcome has been met?

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

Answer 1

"I need to take all the pills even if my leg looks better."

Question 2

The nurse is reviewing the steps of the nursing process with a student. The nurse knows that the student understands the teaching when the student correctly lists which of the following as the correct order of the nursing process?

A) Establish nursing diagnosis, assessment, intervene, collaborate, evaluation
B) Establish goals, assessment, intervention, planning, communication
C) Assessment, establish nursing diagnosis, planning, interventions, evaluation
D) Assessment, planning, establish objectives, communication, evaluation

Answer 2

Assessment, establish nursing diagnosis, planning, interventions, evaluation

Question 3

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

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

Answer 3

Clients will receive the best therapeutic outcome from the medications.

Question 4

Which statement about the nursing process is accurate?

A) Generally, goals are more measurable than outcomes.
B) Goals involve very specific criteria that evaluate interventions.
C) Obtaining the outcomes is essential for goal attainment.
D) After selecting the nursing diagnosis, interventions are completed.

Question 5

Which nursing intervention would take priority following administration of a new medication?

A) Evaluating the results of recent labs
B) Monitoring the client's respiratory status
C) Administering additional medications if side effects occur
D) Measuring client's weight daily

Question 6

The nurse uses a newly admitted client's armband barcode to identify the client prior to administering medications. The nurse should use at least ________ other means of identifying this client. Record your answer rounding to the nearest whole number.

Question 7

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

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

Question 8

The Joint Commission documented that client education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem. What is the best intervention to improve client education?

A) Providing educational pamphlets about medications to the clients
B) Asking the healthcare providers to provide medication education to the clients
C) Discussing medications each time they are administered to clients
D) Requesting more frequent pharmacy consults for the clients

Question 9

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

A) Assess the client's ability to pay for the medication.
B) Assess the client's religious attitudes toward medicine.
C) Assess the client's reading level.
D) Assess the client's cultural bias toward taking medicine.

Question 10

A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication administration?

A) Asking the client if they have adhered to the prescribed treatment
B) Determining that goals were not met 3 days following medication administration
C) Administration of IV antihypertensive agents
D) Determination of the client's baseline blood pressure

Question 11

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

A) Complete blood count (CBC) and electrolytes
B) Kidney and liver function tests
C) Arterial blood gases (ABGs) and basic metabolic panel
D) Lipid panel and thyroid function tests

Question 12

The nurse follows the nursing process when conducting medication education about insulin. What will the nurse ask the client to evaluate the client's knowledge of insulin?

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

Question 13

The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

Question 14

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission?

A) Prescribing medication
B) Client teaching
C) Ordering lab tests
D) Discharging clients

Question 15

The nurse is assessing a newly admitted client's current medication. Which of the following is an example of objective data?

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

Question 16

The healthcare provider 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." In which situation would this diagnosis be appropriate?

A) The client reported a physical change as the reason for stopping the medication.
B) The client made an informed decision not to take the medication.
C) The client was unsure about how to order a refill for the prescription.
D) The client did not understand why the medication was prescribed.

Question 17

The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that it is most important to be accurate in which portion of the nursing process?

A) Evaluation
B) Assessment
C) Diagnosis
D) Planning

Question 18

Place these nursing activities in the correct order of the nursing process.

A) The nurse analyzes the data collected.
B) The nurse documents the time and route of an administered medication.
C) The nurse weighs the client.
D) The nurse writes an individualized nursing intervention.
E) The nurse changes a nursing intervention that is not working.

Question 19

The nurse is managing care for several clients at a diabetic treatment center. The nurse understands that which of the following is the priority nursing intervention?

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

Question 20

The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the medication?

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

Question 21

A nurse is assessing a client recently admitted to the unit. The nurse understands that which assessment identifies the collection of objective data?

A) The client rates his or her pain a 5 on a 0-10 pain scale.
B) The client states he or she is anxious.
C) The client has a wound measured at 5 cm in length.
D) The client informs the nurse that he or she weighs 150 pounds.

Question 22

Which information is essential for the nurse to collect when reviewing a client's medication list? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Drug names
B) Drug manufacturer
C) Dosage being taken
D) Frequency of administration
E) When last refill was obtained

Question 23

When teaching the client about a new medication, the nurse should include which information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Adverse effects that can be expected
B) Which adverse effect to report to the healthcare provider
C) The drug's therapeutic action
D) Chemical composition of the drug
E) Name of the drug manufacturer

Question 24

A client returns to the clinic for follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the client makes which statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I've been taking my medication on an empty stomach like the prescription label said to."
B) "I take my medication first thing in the morning, just like you said."
C) "I have been able to decrease my medication to every other day and that saves me some money."
D) "I switched all my medications to one pharmacy like you suggested."
E) "Did you say I need to take this medication with water or milk?"

Question 25

A nurse is preparing care for a newly admitted client with diabetes. Which information would be critical for the nurse to assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Medical history
B) Current lab results
C) Medication allergies
D) Use of dietary supplements
E) Number of previous hospitalizations

Question 26

A nurse has admitted a new client to the unit. Which concepts should the nurse use when developing a nursing diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Base the nursing diagnosis on the medical diagnosis.
B) Focus on what the nurse needs to help the client return to health.
C) Include the client in the identification of needs.
D) Consider the client's response to the current health problem.
E) Be certain the diagnosis is measurable.

Question 27

During evaluation, the nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Review the dosage of the medication.
B) Consider checking serum drug levels.
C) Discard the idea that the infection is treatable.
D) Consider prolonging therapy.
E) Consider using a different antibiotic.

Question 28

A nurse is developing a care plan for a client. Which client outcome statements are correctly formatted? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) The client will understand the effects of the medication administered prior to discharge.
B) The nurse will administer all medications within ten minutes of their scheduled time.
C) The client will identify two adverse effects of enoxaprarin (Lovenox) prior to self-administering the drug.
D) The client will verbalize the storage requirements for NPH insulin prior to discharge.
E) The healthcare provider will discuss the desired effects of discharge medications with the client the evening before discharge.

Question 29

The nurse who is writing a risk nursing diagnosis will write a ________ part statement. Record your answer rounding to the nearest whole number.

Question 30

Place these methods of communicating with a non-English speaking client in order of their desirability and usefulness.

A) Adult family member interprets
B) Healthcare agency interpreter is present
C) The nurse uses drawings and body language to communicate
D) Child relative interprets
E) No interpretation is attempted