Deck 6: The Nursing Process in Pharmacology

Question 1

The patient is receiving albuterol (Proventil)for treatment of bronchospasm related to asthma.What is the initial nursing intervention as it relates to this medication?
1)Monitor the patient for relief of bronchospasms.
2)Monitor the patient for nausea and headache.
3)Monitor the patient's serum drug levels.
4)Provide the patient with age-appropriate education about albuterol (Proventil).

Answer 1

1

Question 2

The nurse is managing care for several patients at a diabetic treatment center.What is the primary intervention for the nurse?
1)To administer the correct medicine to the correct patient at the correct dose and the correct time via the correct route
2)To return the patient to an optimum level of wellness while limiting adverse effects related to the patient's medical diagnosis
3)To include any cultural or ethnic preferences in the administration of the medication
4)To answer any questions the patient may have about the medicine,or any possible side effect of the medication

Answer 2

2

Question 3

The nurse assesses the patient with diabetes mellitus prior to administering medications.Which s are important to ask the patient? Credit will be given only if all correct choices and no incorrect choices are selected.
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?"

Answer 3

1,2,5

Question 4

A patient with hypertension is receiving medication to lower his blood pressure.Which of the following demonstrates the evaluation process related to medication administration?
1)Asking the patient whether he is compliant in taking his medications
2)Determining that goals were not met 3 days following medication administration
3)Administration of IV antihypertensive agents
4)Determination of the patient's baseline blood pressure

Question 5

Which nursing intervention would take priority following administration of a new medication?
1)Monitoring lab values
2)Monitoring the patient's respiratory status
3)Prescribing additional medications if side effects occur
4)Measuring patient weight

Question 6

Which of the following correctly identifies and orders the primary steps of the nursing process?
1)Establish nursing diagnosis,assessment,intervene,collaborate,evaluation
2)Establish goals,assessment,intervention,planning,communication
3)Assessment,establish nursing diagnosis,planning,interventions,evaluation
4)Assessment,planning,establish objectives,communication,evaluation

Question 7

A trauma patient in the emergency department has a low hemoglobin and hematocrit,and has an order to receive normal saline IV solution.Which nursing diagnosis would be most appropriate regarding the need for administering the IV solution?
1)Activity intolerance
2)Fluid volume deficit
3)Decreased cardiac output
4)Risk for Infection

Question 8

The nurse is preparing for medication administration to a group of patients.What is the best overall outcome for the patients?
1)Patients will take the medications after receiving medication instruction.
2)Patients will receive the best therapeutic outcome from the medications.
3)Patients will state the reason they are receiving the medications.
4)Patients will experience minimal side effects after taking the medications.

Question 9

About which of the following patient assessment data sets would the nurse be most concerned prior to medication administration?
1)White blood cell count,ability to speak,and temperature
2)Age,allergies,and level of consciousness
3)Hair color,gender,and body mass index
4)Weight,height,and blood type

Question 10

The nurse is assessing a newly admitted patient's current medications.What does the best objective data include?
1)The patient's wife tells the nurse what medications the patient has been receiving.
2)The nurse checks the prescription bottles the patient has brought to the hospital.
3)The nurse asks the physician what medications the patient was currently taking.
4)The patient lists the medications that have been prescribed.

Question 11

The patient is receiving an oral antibiotic as treatment for cellulitis of the lower extremity.The patient's outcome is "Patient will state a key point about antibiotic treatment for cellulitis." Which statement by the patient provides the best evaluation by the nurse at this time?
1)"If the pain gets too bad,I can take my prescribed pain medication."
2)"If the swelling continues,I can apply an ice pack."
3)"I need to take all the pills even if my leg looks better."
4)"I must keep my leg elevated until the swelling goes down."

Question 12

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission (TJC)?
1)Planning care
2)Teaching
3)Assessment
4)Evaluating care

Question 13

The nurse is administering medications to an elderly patient.Which laboratory tests are important for the nurse to assess prior to the administration of medication?
1)Complete blood count (CBC)and electrolytes
2)Kidney and liver function tests
3)Arterial blood gases (ABGs)and basic metabolic panel
4)Lipid panel and thyroid function tests

Question 14

The nurse has several educational pamphlets for the patient about medications the patient is receiving.Prior to giving the patient these pamphlets,what is a primary assessment for the nurse?
1)Assess the patient's readiness to learn new information.
2)Assess the patient's religious attitudes toward medicine.
3)Assess the patient's reading level.
4)Assess the patient's cultural bias toward taking medicine.

Question 15

The physician has prescribed quetiapine (Seroquel)for the patient with chronic auditory hallucinations.The patient 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? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Do cultural or religious issues have an impact on taking the medication?
2)Has the patient made an informed decision not to take the medication?
3)Is the noncompliance related to a lack of finances?
4)Did the patient understand why the medication had been prescribed?
5)Are side effects causing the patient to refuse the medication?

Question 16

The Joint Commission (TJC)documented that patient 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?
1)Providing educational pamphlets about medications to the patients.
2)Asking the physicians to provide medication education to the patients.
3)Discussing medications each time they are administered to patients.
4)Requesting more frequent pharmacy consults for the patients.

Question 17

The physician has prescribed a nitroglycerine (Nitrodur)patch for the patient.What is the best outcome for this patient as it relates to use of the medication?
1)Patient will be able to identify the expiration date of the medication prior to discharge.
2)Patient will verbalize three side effects of the medication prior to discharge.
3)Patient will state the reason for receiving the medication prior to discharge.
4)Patient will demonstrate correct application of the patch prior to discharge.

Question 18

The nurse follows the nursing process when conducting medication education about insulin.The step of evaluation is best demonstrated by which ?
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?"

Question 19

Which statement about the nursing process is accurate?
1)Generally,goals are more measurable than outcomes.
2)Goals involve very specific criteria that evaluate interventions.
3)Obtaining the outcomes is essential for goal attainment.
4)After selecting the nursing diagnosis,interventions are completed.

Question 20

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?
1)The patient will discuss his feelings in group therapy today.
2)The patient will list five reasons why he should not harm himself today.
3)The patient will not commit any acts of self-harm today.
4)The patient will take the antidepressant medication as prescribed today.

Question 21

A patient 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 patient makes which statement? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"I've been taking my medication on an empty stomach like the prescription label said to."
2)"I always take my medication with a full glass of water."
3)"I'm not drinking any alcohol close to the time that I take my medication."
4)"I switched all my medications to one pharmacy like you suggested."
5)"I was glad I could take my medications and supplements together.I don't really like to take a lot of pills during the day."

Question 22

When teaching the patient about a new medication,the nurse should include which information? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Adverse effects that can be expected
2)Which adverse effect to report to the health care provider
3)The drug's therapeutic action
4)Chemical composition of the drug
5)Name of the drug manufacturer

Question 23

A nurse is caring for a patient who is exhibiting signs of an adverse reaction to warfarin (Coumadin).Which statements made by the patient would lead the nurse to suspect that this is the case? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"I'm from the South,and we have buttermilk almost every meal."
2)"I was suffering so much from hot flashes until my friend told me to try an herb called St.John's wort.I don't seem to have as many symptoms as before."
3)"My husband makes me put garlic in everything! He heard it helps keep our blood pressure normal."
4)"I heard ginkgo was really good for improving memory so I started taking it a couple of months ago."
5)"I was having difficulty sleeping a couple months ago,and my neighbor recommended I try kava.It seems to calm my nerves."

Question 24

A nurse is caring for a patient diagnosed with acute asthma who is taking several medications.The nurse would suspect a common adverse drug effect with which symptoms? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Headache
2)Nausea
3)Vomiting
4)Changes in blood pressure
5)Loss of hearing

Question 25

Which of the following identifies the collection of objective data?
1)The patient rates her pain a 5 on a 0-10 pain scale.
2)The patient states she is anxious.
3)The patient has a wound measured at 5 centimeters in length.
4)The patient informs the nurse that she weighs 150 pounds.

Question 26

A nurse is preparing care for a newly admitted diabetic patient.Which information would be critical for the nurse to assess? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Medical history
2)Current lab results
3)Medication allergies
4)Use of dietary supplements
5)Number of previous hospitalizations

Question 27

A nurse is reinforcing discharge instructions concerning foodÂ?drug interactions.The nurse determines that the patient understands when the patient makes which statement? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"I should take my medications with water to avoid any problems with my medications being absorbed."
2)"I cannot take one of my medications with grapefruit juice because it will decrease the absorption of the medication."
3)"I need to be sure to read the prescription label because the pharmacist will indicate if I need to take my medication with food or without food."
4)"I should take my daily vitamin 2 hours after my medication so they do not affect each other."
5)"If I take my medication with hot tea,it will not affect absorption."