{"id":118238,"date":"2023-09-02T20:18:03","date_gmt":"2023-09-02T20:18:03","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118238"},"modified":"2023-09-02T20:18:06","modified_gmt":"2023-09-02T20:18:06","slug":"complete-answered-test-bank-pharmacology-a-patient-centered-nursing-process-approach-11th-edition-by-linda-e-mccuistion-chapter-1-58","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/02\/complete-answered-test-bank-pharmacology-a-patient-centered-nursing-process-approach-11th-edition-by-linda-e-mccuistion-chapter-1-58\/","title":{"rendered":"(Complete Answered) Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58"},"content":{"rendered":"\n<p>Chapter 01: The Nursing Process and Patient-Centered Care<br>McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition MULTIPLE CHOICE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>All of the following would be considered subjective data, EXCEPT:<br>a. Patient-reported health history<br>b. Patient-reported signs and symptoms of their illness<br>c. Financial barriers reported by the patient\u2019s caregiver<br>d. Vital signs obtained from the medical record<br>ANS: D<br>Subjective data is based on what patients or family members communicate to the nurse. Patientreported health history, signs and symptoms, and caregiver reported financial barriers would be considered subjective data. Vital signs obtained from the medical record would be considered objective data.<br>DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>The nurse is using data collected to define a set of interventions to achieve the most desirable outcomes. Which of the following steps is the nurse applying?<br>a. Recognizing cues (assessment)<br>b. Analyze cues &amp; prioritize hypothesis (analysis)<br>c. Generate solutions (planning)<br>d. Take action (nursing interventions)<br>ANS: C<br>When generating solutions (planning), the nurse identifies expected outcomes and uses the<br>patient\u2019s problem(s) to define a set of interventions to achieve the most desirable outcomes.<br>Recognizing cues (assessment) involves the gathering of cues (information) from the patient<br>about their health and lifestyle practices, which are important facts that aid the nurse in making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient problem(s) identified. Finally, taking action involves implementation of nursing interventions to accomplish the expected outcomes.<br>DIF: Cognitive Level: Understanding (Comprehension)<br>TOP: Nursing Process: Nursing Intervention<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the nurse that they can\u2019t keep track of everything that has to bedone to care for their child. The nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in which step of the nursing process?<br>a. Recognizing cues (assessment)<br>b. Analyze cues &amp; prioritize hypothesis (analysis)<\/li>\n<\/ol>\n\n\n\n<p>c. Generate solutions (planning)<br>d. Take action (nursing interventions)<br>ANS: D<br>Taking action through nursing interventions is where the nurse provides patient health teaching, drug administration, patient care, and other interventions necessary to assist the patient in<br>accomplishing expected outcomes.<br>DIF: Cognitive Level: Understanding (Comprehension)<br>TOP: Nursing Process: Nursing Intervention<br>MSC: NCLEX: Management of Client Care<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>The nurse is preparing to administer a medication and reviews the patient\u2019s chart for drugallergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse\u2019s actions arereflective of which of the following?<br>a. Recognizing cues (assessment)<br>b. Analyze cues &amp; prioritize hypothesis (analysis)<br>c. Take action (nursing interventions)<br>d. Generate solutions (planning)<br>ANS: A<br>Recognizing cues (assessment) involves gathering subjective and objective information about the patient and the medication. Laboratory values from the patient\u2019s chart would be consideredcollection of objective data.<br>DIF: Cognitive Level: Understanding (Comprehension)<br>TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>Which of the following would be correctly categorized as objective data?<br>a. A list of herbal supplements regularly used provided by the patient.<br>b. Lab values associated with the drugs the patient is taking.<br>c. The ages and relationship of all household members to the patient.<br>d. Usual dietary patterns and food intake.<br>ANS: B<br>Objective data are measured and detected by another person and would include lab values. The other examples are subjective data.<br>DIF: Cognitive Level: Understanding (Comprehension)<br>TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>The nurse reviews a patient\u2019s database and learns that the patient lives alone, is forgetful, anddoes not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient\u2019s pills in a pill organizer. This is an example of whichelement of the nursing process?<br>a. Recognizing cues (assessment)<br>b. Analyze cues &amp; prioritize hypothesis (analysis)<br>c. Take action (nursing interventions)<\/li>\n<\/ol>\n\n\n\n<p>d. Generate solutions (planning)<br>ANS: C<br>Taking action (nursing interventions) involves education and patient care in order to assist the patient to accomplish the goals of treatment.<br>DIF: Cognitive Level: Applying (Application)<br>TOP: Nursing Process: Nursing Intervention<br>MSC: NCLEX: Management of Client Care<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go<br>home. The nurse and the patient discuss the patient\u2019s situation and decide that the patient may gohome when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process?<br>a. Recognizing cues (assessment)<br>b. Analyze cues &amp; prioritize hypothesis (analysis)<br>c. Take action (nursing interventions)<br>d. Generate solutions (planning)<br>ANS: D<br>Generating solutions (planning) involves defining a set of interventions to achieve the most<br>desirable outcomes, which, for this patient, means being able to perform self-care activities<br>without dyspnea and hypoxia.<br>DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.<br>Which is a correctly written expected outcome for this process?<br>a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.<br>b. The nurse will teach the patient how to administer medication with a metered-dose<br>inhaler.<br>c. The patient will know how to self-administer the medication using the metereddose inhaler.<br>d. The patient will independently administer the medication using the metered-dose<br>inhaler at the end of the session.<br>ANS: D<br>Expected outcomes must be patient-centered and clearly state the outcome with a reasonable<br>deadline and should identify components for evaluation.<br>DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>The nurse is generating solutions (planning) for a patient who has chronic lung disease and<br>hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L\/min. The nurse generates an expected outcomes stating, \u201cThe patient will have oxygen saturations of &gt;95% on room air at the time of discharge from the hospital.\u201d What is wrong with this goal?<br>a. It cannot be evaluated.<\/li>\n<\/ol>\n\n\n\n<p>b. It is not measurable.<br>c. It is not patient-centered.<br>d. It is not realistic.<br>ANS: D<br>The expected outcome is not realistic because the patient is not usually on room air and should not be expected to attain that expected outcome by discharge from this hospitalization.<br>DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Management of Client Care<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"10\">\n<li>The nurse is developing a teaching plan for an elderly patient who will begin taking an<br>antihypertensive drug that causes dizziness and orthostatic hypotension. Which hypothesis<br>(problem) documented by the nurse is appropriate for this patient?<br>a. Deficient knowledge related to drug side effects.<br>b. Ineffective health maintenance related to age.<br>c. Readiness for enhanced knowledge related to medication side effects.<br>d. Risk for injury related to side effects of the medication.<br>ANS: D<br>This patient has an increased risk for injury because of drug side effects, so this is an appropriate hypothesis (problem) to direct the type of care and follow-up the patient will receive.<br>DIF: Cognitive Level: Applying (Application)<br>TOP: Nursing Process: Nursing Diagnosis<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>An older patient must learn to administer a medication using a device that requires manual<br>dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing this task. Which action will the nurse perform next?<br>a. Ask the patient to keep trying until the skill is learned.<br>b. Provide written instructions with illustrations showing each step of the skill.<br>c. Schedule multiple sessions and practice each step separately.<br>d. Teach the procedure to family members who can administer the medication for the<br>patient.<br>ANS: C<br>Nurses should be sensitive to patient\u2019s level of frustration when teaching skills. In this case,<br>breaking the steps down into individual parts will help with this patient\u2019s frustration level.<br>DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n<li>A school-age child will begin taking a medication to be administered at 5 mL three times daily. The child\u2019s parent tells the nurse that, with a previous use of the drug, the child repeatedly forgotto bring the medication home from school, resulting in missed evening doses. What will the<br>nurse recommend?<br>a. Encourage the child to be more responsible and that it is important to take the<br>medication as prescribed.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 01: The Nursing Process and Patient-Centered CareMcCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition MULTIPLE CHOICE c. Generate solutions (planning)d. Take action (nursing interventions)ANS: DTaking action through nursing interventions is where the nurse provides patient health teaching, drug administration, patient care, and other interventions necessary to assist the patient inaccomplishing expected outcomes.DIF: Cognitive [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118238","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118238"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118238\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}