Chapter 01: The Nursing Process and Drug Therapy

Chapter 01: The Nursing Process and Drug Therapy NURSINGTB.COM MULTIPLE CHOICE 1.The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which sta ...

Chapter 01: The Nursing Process and Drug Therapy NURSINGTB.COM MULTIPLE CHOICE 1.The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis? a.Anxiety b.Anxiety related to new drug therapy c.Anxiety related to anxious feelings about drug therapy, as evidenced by statements VXch aV ³I¶P XSVeW abRXW haYiQg WR WeVW P\ bORRd VXgaUV.´ d.AQ[ieW\ UeOaWed WR QeZ dUXg WheUaS\, aV eYideQced b\ VWaWePeQWV VXch aV ³I¶P upset about having to test my blood VXgaUV.´ ANS:D Formulation of nursing diagnoses is usually a three-VWeS SURceVV. ³AQ[ieW\´ iV PiVViQg Whe ³UeOaWed WR´ aQd ³aV eYideQced b\´ SRUWiRQV Rf defiQiQg chaUacWeUiVWicV. ³AQ[ieW\ UeOaWed WR QeZ dUXg WheUaS\´ iV PiVViQg Whe ³aV eYideQced b\´ portion of defining characteristics. The statement begiQQiQg ³AQ[ieW\ UeOaWed WR aQ[iRXV feeOiQgV´ iV iQcRUUecW becaXVe Whe ³UeOaWed WR´ VecWiRQ iV ViPSO\ a UeVWaWePeQW Rf Whe SURbOeP ³aQ[ieW\,´ QRW a VeSaUaWe facWRU UeOaWed WR Whe UeVSRQVe. DIF:COGNITIVE LEVEL: Understanding (Comprehension) TOP:NURSING PROCESS: Nursing Diagnosis 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.³RighW WiPe´ b.³RighW dRVe´ c.³RighW URXWe´ d.³RighW PedicaWiRQ´ ANS:A ³RighW WiPe´ iV cRUUecW becaXVe Whe PedicaWiRQ ZaV giYeQ PRUe WhaQ 30 minutes after the VchedXOed dRVe ZaV dXe. ³DRVe´ iV iQcRUUecW becaXVe Whe dRVe iV QRW UeOaWed WR Whe WiPe Whe PedicaWiRQ adPiQiVWUaWiRQ iV VchedXOed. ³RRXWe´ iV iQcRUUecW becaXVe Whe URXWe iV QRW affecWed. ³MedicaWiRQ´ iV iQcRUUecW becaXVe Whe PedicaWiRQ Rrdered 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 QXUVe haV beeQ PRQiWRUiQg Whe SaWieQW¶V SURgUeVV RQ a QeZ drug regimen since the first dose aQd dRcXPeQWiQg Whe SaWieQW¶V WheUaSeXWic UeVSRQVe WR Whe PedicaWiRQ. Which ShaVe Rf Whe nursing process do these actions illustrate? a.Nursing diagnosis NURSINGTB.COM