Test Bank Pharmacology APatient-Centered NursingProcess Approach, 11thEdition/
c.Generate solutions (planning)d.Take action (nursing interventions)ANS:
... [Show More] DTaking action through nursing interventions is where the nurse provides patient healthteaching, drug administration, patient care, and other interventions necessary to assistthe patient in accomplishing expected outcomes.DIF: Cognitive Level: Understanding(Comprehension) TOP: Nursing Process: NursingInterventionMSC: NCLEX: Management of Client CareThe nurse is preparing to administer a medication and reviews the patient's chart4.for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. Thenurse's actions arereflective of which of the following?a.Recognizing cues (assessment)b.Analyze cues & prioritize hypothesis (analysis)c.Take action (nursing interventions)d.Generate solutions (planning)ANS: ARecognizing cues (assessment) involves gathering subjective and objective informationabout thepatient and the medication. Laboratory values from the patient's chart wouldbe considered collection of objective data.DIF:Cognitive Level: Understanding (Comprehension)TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client CareWhich of the following would be correctly categorized as objective data?5.a.A list of herbal supplements regularly used provided by the patient.b.Lab values associated with the drugs the patient is taking.c.The ages and relationship of all household members to the patient.d.Usual dietary patterns and food intake.ANS: BObjective data are measured and detected by another person and would include labvalues. The other examples are subjective data.DIF:Cognitive Level: Understanding (Comprehension)TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client CareThe nurse reviews a patient's database and learns that the patient lives alone, is6.forgetful, and does not have an established routine. The patient will be sent home withthree new medications to be taken at different times of the day. The nurse develops adaily medication chart and enlistsa family member to put the patient's pills in a pillorganizer. This is an example of which element of the nursing process?a.Recognizing cues (assessment)b.Analyze cues & prioritize hypothesis (analysis)c.Take action (nursing interventions)
d.Generate solutions (planning)ANS: CTaking action (nursing interventions) involves education and patient care in order toassist the patient to accomplish the goals of treatment.DIF: Cognitive Level: Applying(Application) TOP: Nursing Process:Nursing Intervention MSC: NCLEX:Management of Client CareA patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants7.to gohome. The nurse and the patient discuss the patient's situation and decide thatthe patient may go home when able to perform self-care without dyspnea and hypoxia.This is an example of which phase of the nursing process?a.Recognizing cues (assessment)b.Analyze cues & prioritize hypothesis (analysis)c.Take action (nursing interventions)d.Generate solutions (planning)ANS: DGenerating solutions (planning) involves defining a set of interventions to achievethe most desirable outcomes, which, for this patient, means being able to performself-care activities without dyspnea and hypoxia.DIF:Cognitive Level: Understanding (Comprehension)TOP:NursingProcess:Planning MSC: NCLEX: Management of Client CareA patient will be sent home with a metered-dose inhaler, and the nurse is providing8.teaching. Which is a correctly written expected outcome for this process?a.The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.b.The nurse will teach the patient how to administer medication with ametered-doseinhaler.c.The patient will know how to self-administer the medication using themetered- dose inhaler.d.The patient will independently administer the medication using themetered-doseinhaler at the end of the session.ANS: DExpected outcomes must be patient-centered and clearly state the outcome with areasonable deadline and should identify components for evaluation.DIF:Cognitive Level: Applying (Application)TOP:NursingProcess:Planning MSC: NCLEX: Management of Client CareThe nurse is generating solutions (planning) for a patient who has chronic lung disease9.and hypoxia. The patient has been admitted for increased oxygen needs above abaseline of 2 L/min. The nurse generates an expected outcomes stating,"Thepatientwill have oxygen saturations of>95% on room air at the time of discharge fromthe hospital." Whatis wrong with this goal?a.It cannot be evaluated. [Show Less]