Chapter 01: The Nursing Process and Drug Therapy

Lilley: Pharmacology and the Nursing Process, 9th Edition

MULTIPLE CHOICE

1.      The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure. Identification of human needs statements occur with which of these activities?

a.       Collection of patient data

b.      Administering interventions

c.       Deciding on patient outcomes

d.      Documenting the patient’s behavior

ANS: A

Identification of human needs occurs with the collection of patient data.

DIF: Cognitive Level: Understanding (Comprehension)

TOP: Nursing Process: Human Needs Statement 

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

2.      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? a.      “Right time”

b.      “Right dose”

c.       “Right route”

d.      “Right medication”

ANS: A

“Right time” is correct because the medication was given more than 30 minutes after the scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the medication administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is incorrect because the medication ordered will not change.

              DIF: Cognitive Level: Applying (Application)      

             TOP: Nursing Process: Implementation      

MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control

3.      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.  Human needs statement

b.      Planning

c.       Implementation

d.      Evaluation

ANS: D

Monitoring the patient’s progress, including the patient’s response to the medication, is part of the evaluation phase. Planning, implementation, and human needs statement are not illustrated by this example.

             DIF: Cognitive Level: Understanding (Comprehension)             TOP: Nursing Process:

Evaluation