Question 1

The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.Which statement best illustrates an outcome criterion for this patient?&#10;A) The patient will follow instructions.&#10;B) The patient will not experience complications.&#10;C) The patient will adhere to the new insulin treatment regimen.&#10;D) The patient will demonstrate correct blood glucose testing technique.

Accepted Answer

"Demonstrating correct blood glucose testing technique" is a specific and measurable outcome criterion. "Following instructions" and "not experiencing complications" are not specific criteria. "Adhering to new regimen" would be difficult to measure.

Question 2

The nurse has been monitoring the patient's progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication.Which phase of the nursing process do these actions illustrate?

A) Nursing diagnosis
B) Planning
C) Implementation
D) Evaluation

Evaluation

Accepted Answer

The nurse is evaluating the patient's response to the new drug regimen, which is a part of the Evaluation phase of the nursing process. The nurse has already completed the Nursing diagnosis and Planning phases by determining a need for medication and developing a plan of action for the patient. The Implementation phase involves actually administering the medication, which may have already occurred based on the question stem.

Question 3

Place the phases of the nursing process in the correct order,with 1 as the first phase and 5 as the last phase.&#10;A) Planning&#10;B) Evaluation&#10;C) Assessment&#10;D) Implementation&#10;E) Nursing Diagnoses

Accepted Answer

A,B,C,D,E

Question 4

The nurse is performing an assessment of a newly admitted patient.Which is an example of subjective data?&#10;A) Blood pressure 158/96 mm Hg&#10;B) Weight 255 pounds&#10;C) The patient reports that he uses the herbal product ginkgo.&#10;D) The patient's laboratory work includes a complete blood count and urinalysis.

Accepted Answer

Subjective data refers to information that is reported by the patient, such as thoughts, feelings, or symptoms. In this case, the patient's report of using a herbal product is an example of subjective data. Blood pressure, weight, and laboratory results are all objective data that can be measured or observed.

Question 5

When the nurse considers the timing of a drug dose,which factor is appropriate to consider when deciding when to give a drug?&#10;A) The patient's ability to swallow&#10;B) The patient's height&#10;C) The patient's last meal&#10;D) The patient's allergies

Accepted Answer

The patient's last meal should be considered when deciding when to give a drug because some drugs may need to be taken on an empty stomach, while others may need to be taken with food to increase absorption or decrease gastrointestinal side effects.

Question 6

The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes.Which statement reflects the correct format for a nursing diagnosis?&#10;A) Anxiety&#10;B) Anxiety related to new drug therapy&#10;C) Anxiety related to anxious feelings about drug therapy,as evidenced by statements such as &#34;I'm upset about having to test my blood sugars.&#34;&#10;D) Anxiety related to new drug therapy,as evidenced by statements such as &#34;I'm upset about having to test my blood sugars.&#34;

Accepted Answer

A nursing diagnosis should include the problem (anxiety), the related factor (new drug therapy), and evidence or defining characteristics (statements about being upset about testing blood sugars). Choice D includes all of these components.

Question 7

The medication order reads,&#34;Give ondansetron (Zofran)4 mg,30 minutes before beginning chemotherapy to prevent nausea.&#34; The nurse notes that the route is missing from the order.What is the nurse's best action?&#10;A) Give the medication intravenously because the patient might vomit.&#10;B) Give the medication orally because the tablets are available in 4-mg doses.&#10;C) Contact the prescriber to clarify the route of the medication ordered.&#10;D) Hold the medication until the prescriber returns to make rounds.

Accepted Answer

The nurse should contact the prescriber to clarify the route of the medication ordered before administering it. Giving the medication intravenously or orally without clarifying the route can lead to potential harm to the patient. Holding the medication until the prescriber returns is not appropriate as it delays necessary treatment.

Question 8

The patient is to receive oral guaifenesin (Mucinex)twice a day.Today,the nurse was busy and gave the medication 2 hours after the scheduled dose was due.What type of problem does this represent?&#10;A) &#34;Right time&#34;&#10;B) &#34;Right dose&#34;&#10;C) &#34;Right route&#34;&#10;D) &#34;Right medication&#34;

Accepted Answer

The medication was not given at the scheduled time, indicating a deviation from the "right time" principle of medication administration. The other principles (right dose, route, and medication) have not been affected by the delay in timing.

Question 9

Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension?&#10;A) Providing education on keeping a journal of blood pressure readings&#10;B) Setting goals and outcome criteria with the patient's input&#10;C) Recording a drug history regarding over-the-counter medications used at home&#10;D) Formulating nursing diagnoses regarding deficient knowledge related to the new treatment regimen

Accepted Answer

Providing education on keeping a journal of blood pressure readings is part of the implementation phase of the nursing process for a patient newly diagnosed with hypertension. This activity involves carrying out the planned interventions and treatments, such as educating the patient on the importance of monitoring their blood pressure regularly and how to keep track of their readings. Setting goals and outcome criteria (B) is part of the planning phase, recording a drug history (C) is part of the assessment phase, and formulating nursing diagnoses (D) is part of the diagnosis phase.

Deck 1: The Nursing Process and Drug Therapy