Chapter 03 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 03 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The physician has ordered several medications for the patient. What does the nurse recognize as responsibilities regarding administration of medications?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Knowing whether or not the medication is on the hospital formulary
2. Knowing the reason the medication was prescribed for this patient
3. Knowing how the medication is to be administered
4. Knowing how the medication is supplied by the pharmacy
5. Knowing the name of the medication

Correct Answer: 2,3,4,5

Rationale 1: Whether or not a drug is on a hospital formulary list is not a primary responsibility of the nurse.

Rationale 2: Knowing the reason the medication was prescribed for the patient is the responsibility of the nurse regarding medication administration.

Rationale 3: Knowing how the medication is to be administered is the responsibility of the nurse regarding medication administration.

Rationale 4: Knowing how the medication is to be administered is the responsibility of the nurse regarding medication administration.

Rationale 5: Knowing how the medication is supplied by the pharmacy is the responsibility of the nurse regarding medication administration.

Global Rationale: How the medication is supplied by the pharmacy, how the medication is to be administered, the name of the medication, and the reason the medication was prescribed for the patient are the responsibilities of the nurse regarding medication administration. Whether or not a drug is on a hospital formulary list is not a primary responsibility of the nurse.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality.

AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings.

NLN Competencies: Quality and Safety: Current best practices.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3-2 Describe the roles and responsibilities of nurses regarding safe drug administration.

MNL Learning Outcome: 1.3.2 Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 21

 

Question 2

Type: MCMA

The nurse is preparing medications prior to administration. To promote patient safety, the nurse uses “rights” of drug administration. What do these “rights” include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The right medication
2. The right time of delivery
3. The right dose
4. The right route of administration
5. The right nurse

Correct Answer: 1,2,3,4

Rationale 1: The right medication is an essential consideration of medication administration and is considered one of the five rights.

Rationale 2: The right time of delivery is an essential consideration of medication administration and is considered one of the five rights.

Rationale 3: The right dose is an essential consideration of medication administration and is considered one of the five rights.

Rationale 4: The right route of delivery is an essential consideration of medication administration and is considered one of the five rights.

Rationale 5: The right nurse is not one of the listed rights of medication delivery.

 

Global Rationale: The five rights of drug administration are the right patient, the right medication, the right dose, the right route of administration, and the right time of delivery. The right nurse is not one of the listed rights.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality.

AACN Essential Competencies: IX.12 Create a safe environment that results in high quality patient outcomes.

NLN Competencies: Quality and Safety: Current best practices.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3-3 Explain how the five rights of drug administration affect patient safety.

MNL Learning Outcome: 1.3.2 Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 22

 

 

Question 3

Type: MCSA

The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patient’s blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?

1. “Taking medication is difficult for many people. What are some of your concerns about the medication?”
2. “Your blood pressure is really high; do you realize the serious consequences of not taking your medication?”
3. “I really doubt that you are taking your medication. What would you think about talking to the doctor?”
4. “You are one of my favorite patients and I want you to be safe. Are you really taking your medication?”

Correct Answer: 1

Rationale 1: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication.

Rationale 2: Telling the patient his blood pressure is high and there are serious consequences is using the “scare tactic,” and is non-therapeutic; the patient most likely is aware of the consequences.

Rationale 3: Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening.

Rationale 4: Telling the patient that he is a favorite is manipulating.

Global Rationale: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication. Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening. Telling the patient his blood pressure is high and there are serious consequences is using the “scare tactic,” and is non-therapeutic; the patient most likely is aware of the consequences. Telling the patient that he is a favorite is manipulating.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.1 Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care.

AACN Essential Competencies: IX.5 Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences.

NLN Competencies: Relationship centered care: Respect the patient’s dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing process.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3-4 Give specific examples of how nurses can increase patient compliance in taking medications.

MNL Learning Outcome: 1.3.3 Implement the nursing process in the administration of medications.

Page Number: 23

 

 

Question 4

Type: MCSA

The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse obtains the medication from the pharmacy and administers it to the patient 30 minutes later. Which statement best describes the nurse’s action?

1. The medication should have been administered immediately.
2. The physician should have specified the time frame for the medication.
3. The medication should have been administered within a 5-minute time frame.
4. The nursing action was correct because the medication was not on the unit.

Correct Answer: 3

Rationale 1: Although the drug does not need to be administered immediately, there is a time limit in which it should be administered.

Rationale 2: For a STAT order, the time frame between writing the order and administering the drug should be 5 minutes or less. Not having a drug on the unit is not an excuse, as commonly ordered STAT medications should be kept in stock. Although the drug does not need to be administered immediately, it should be done within 5 minutes. By using the abbreviation STAT, the physician has specified the time frame for the medication.

Rationale 3: For a STAT order, the time frame between writing the order and administering the drug should be 5 minutes or less.

Rationale 4: Not having a drug on the unit is not an excuse, as commonly ordered STAT medications should be kept in stock.

Global Rationale: For a STAT order, the time frame between writing the order and administering the drug should be 5 minutes or less. Although the drug does not need to be administered immediately, there is a time limit in which it should be administered. By using the abbreviation STAT, the physician has specified the time frame for the medication. Not having a drug on the unit is not an excuse, as commonly ordered STAT medications should be kept in stock.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality.

AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings.

NLN Competencies: Quality and Safety: Current best practices.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-5 Interpret drug orders that contain abbreviations.

MNL Learning Outcome: 1.3.2 Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 24