Chapter 06 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 06 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse follows the nursing process when conducting medication education about insulin. The step of evaluation is best demonstrated by which question?

1. “Is your abdomen the best place to inject insulin?”
2. “What questions do you have about insulin?”
3. “Can you recognize when you are experiencing hypoglycemia?”
4. “Can you tell me four points you remember about how to take your insulin?”

Correct Answer: 4

Rationale 1: Asking the patient what questions she has about insulin is an assessment question.

Rationale 2: Asking the patient what questions she has about insulin is an assessment question.

Rationale 3: Asking the patient if she can recognize when she is experiencing hypoglycemia is an assessment question.

Rationale 4: The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided.

Global Rationale: The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided. Asking the patient what questions she has about insulin is an assessment question. Asking the patient if her abdomen is the best place to inject insulin is an assessment question. Asking the patient if she can recognize when she is experiencing hypoglycemia is an assessment question.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity.

AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 6-1 Compare and contrast the different steps of the nursing process.

MNL Learning Outcome: 1.2.1 Apply the five steps of the nursing process as it relates to pharmacotherapy.

Page Number: 67

 

Question 2

Type: MCMA

The nurse assesses the patient with diabetes mellitus prior to administering medications. Which questions are important to ask the patient?

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

 

Standard Text: Select all that apply.

1. “Are you allergic to any medications?”
2. “Are you taking any herbal or over-the-counter medications?”
3. “How difficult is it for you to maintain your ideal body weight?”
4. “Will you please tell me about the kind of diet you follow?”
5. “What other medications are you currently taking?”

Correct Answer: 1,2,4,5

Rationale 1: Questions about allergies are important during assessment.

Rationale 2: Questions about herbal and OTC medications are an important part of assessment.

Rationale 3: Ideal body is an important question, but does not refer specifically to medication administration.

Rationale 4: Questions about normal diet help to assess health management and are pertinent to drug administration.

Rationale 5: Questions about current medication are important during assessment.

Global Rationale: Questions about allergies and which medications are being taken are assessment questions. Questions about normal diet help to assess health management and are pertinent to drug administration. Ideal body weight is an important question but does not refer specifically to medication administration.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity.

AACN Essentials Competencies: IX.1 Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 6-2 Identify health history questions to ask during the assessment phase that are pertinent to medication administration.

MNL Learning Outcome: 1.2.1 Apply the five steps of the nursing process as it relates to pharmacotherapy.

Page Number: 63

 

Question 3

Type: MCSA

The physician has prescribed a nitroglycerine (Nitrodur) patch for the patient. What is the best outcome for this patient as it relates to use of the medication?

1. Patient will be able to identify the expiration date of the medication prior to discharge.
2. Patient will verbalize three side effects of the medication prior to discharge.
3. Patient will state the reason for receiving the medication prior to discharge.
4. Patient will demonstrate correct application of the patch prior to discharge.

Correct Answer: 4

Rationale 1: The patient does not need to identify the expiration date of the medication in order to correctly apply the patch.

Rationale 2: The patient does not need to identify side effects of the medication in order to correctly apply the patch. The patient does not need to state the reason for the medication in order to correctly apply the patch. The patient does not need to identify the expiration date of the medication in order to correctly apply the patch.

Rationale 3: The patient does not need to state the reason for the medication in order to correctly apply the patch.

Rationale 4: The overall goal of nursing care related to pharmacotherapy is the safe and effective administration of medication. In this instance, the most important aspect of patient teaching is that the patient be able to correctly apply the patch. If the patch is not correctly applied, the other issues are irrelevant. The patient does not need to identify side effects of the medication in order to correctly apply the patch. The patient does not need to state the reason for the medication in order to correctly apply the patch. The patient does not need to identify the expiration date of the medication in order to correctly apply the patch.

Global Rationale: The overall goal of nursing care related to pharmacotherapy is the safe and effective administration of medication. In this instance, the most important aspect of patient teaching is that the patient be able to correctly apply the patch. If the patch is not correctly applied, the other issues are irrelevant. The patient does not need to identify side effects of the medication in order to correctly apply the patch. The patient does not need to state the reason for the medication in order to correctly apply the patch. The patient does not need to identify the expiration date of the medication in order to correctly apply the patch.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: III.6 Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

NLN Competencies: Knowledge and Science: Relationships between knowledge and science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 6-4 Identify the main components of the planning phase of the nursing process.

MNL Learning Outcome: 1.2.1 Apply the five steps of the nursing process as it relates to pharmacotherapy.

Page Number: 65

 

 

 

Question 4

Type: MCSA

The patient is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication?

1. Monitor the patient for relief of bronchospasms.
2. Monitor the patient for nausea and headache.
3. Monitor the patient’s serum drug levels.
4. Provide the patient with age-appropriate education about albuterol (Proventil).

Correct Answer: 1

Rationale 1: Monitoring drug effects, in this case, the relief of bronchospasms, is a primary intervention that nurses perform.

Rationale 2: Nausea and headache are expected side effects, but monitoring for these side effects is not part of the primary intervention.

Rationale 3: Monitoring of serum drug levels for albuterol (Proventil) is not indicated.

Rationale 4: Education about medication is important but is not part of the primary intervention.

Global Rationale: Monitoring drug effects, in this case, the relief of bronchospasms, is a primary intervention that nurses perform. Nausea and headache are expected side effects, but monitoring for these side effects is not part of the primary intervention. Education about medication is important but is not part of the primary intervention. Monitoring of serum drug levels for albuterol (Proventil) is not indicated.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: III.6 Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

NLN Competencies: Knowledge and Science: Relationships between knowledge and science and quality and safe patient care.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 6-5 Discuss key nursing interventions required in the implementation phase of the nursing process for patients receiving medications.

MNL Learning Outcome: 1.2.1 Apply the five steps of the nursing process as it relates to pharmacotherapy.

Page Number: 66