Deck 9: Pharmacology and the Nursing Process

Question 1

The nurse assesses the client with diabetes mellitus prior to administering medications.Which questions are important to ask the client? Select all that apply.
1)"Are you allergic to any medications?"
2)"What other medications are you currently taking?"
3)"Will you please tell me about the kind of diet you follow?"
4)"Are you taking any herbal or over-the-counter medications?"
5)"How difficult is it for you to maintain your ideal body weight?"

Answer 1

1, 2, 4

Question 2

The physician has prescribed temazepam (Restoril)for an elderly client with primary insomnia.List the risks for the client in order of priority.
1)Client is at risk for constipation.
2)Client is at risk for diarrhea.
3)Client is at risk for nausea.
4)Client is at risk for dizziness.

Answer 2

4, 2, 3, 1

Question 3

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?
1)Kidney and liver function tests
2)Complete blood count (CBC)and electrolytes
3)Lipid panel and thyroid function tests
4)Arterial blood gases (ABGs)and basic metabolic panel

Answer 3

1

Question 4

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

Question 5

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.
1)Did the client understand why the medication had been prescribed?
2)Are side effects causing the client to refuse medication?
3)Do cultural or religious issues have an impact on taking the medication?
4)Has the client made an informed decision not to take the medication?
5)Is the noncompliance related to a lack of finances?

Question 6

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?
1)Assess the client's readiness to learn new information.
2)Assess the client's cultural bias toward taking medicine.
3)Assess the client's reading level.
4)Assess the client's religious attitudes toward medicine.

Question 7

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

Question 8

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

Question 9

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

Question 10

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

Question 11

The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)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?
1)Discussing medications each time they are administered to clients
2)Asking the physicians to provide medication education to the clients
3)Requesting more frequent pharmacy consults for the clients
4)Providing educational pamphlets about medications to the clients

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 on the Accreditation of Healthcare Organizations (JCAHO)?
1)Assessment
2)Planning care
3)Evaluating care
4)Teaching

Question 13

The nurse is caring for an adolescent with depression and suicidal thoughts.The nursing diagnosis is "Suicide, risk for related to depression." What is the best outcome for this adolescent?
1)The client will not commit any acts of self-harm today.
2)The client will list five reasons why he should not harm himself today.
3)The client will take the antidepressant medication as prescribed today.
4)The client will discuss his feelings in group therapy today.

Question 14

The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity.The client's outcome is "The 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?
1)"I must keep my leg elevated until the swelling goes down."
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)"If the pain gets too bad, I can take my prescribed pain medication."

Question 15

The nurse follows the nursing process when conducting medication education about insulin.The step of evaluation is best begun by asking which question?
1)"What questions do you have about insulin?"
2)"Is your abdomen the best place to inject insulin?"
3)"Can you tell me four points you remember about how to take your insulin?"
4)"Can you recognize when you are experiencing hypoglycemia?"