Test Bank Pharmacology for Nurses Pathophysiologic Approach 4th Edition Adams Holland Urban

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Sample Provided Below:

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Chapter 3

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: 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.

Rationale 2: 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.

Rationale 3: 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.

Rationale 4: 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.

Rationale 5: 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.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-2

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 patient

Correct Answer: 1,2,3,4,5

Rationale 1: 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.

Rationale 2: 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.

Rationale 3: 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.

Rationale 4: 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.

Rationale 5: 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.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3-3

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. 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.

Rationale 2: 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.

Rationale 3: 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.

Rationale 4: 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.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3-4

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: 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. It is not the physician’s responsibility to specify the time frame.

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. It is not the physician’s responsibility to specify the time frame.

Rationale 3: 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. It is not the physician’s responsibility to specify the time frame.

Rationale 4: 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. It is not the physician’s responsibility to specify the time frame.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-5

Question 5

Type: MCSA

The nurse uses the nursing process prior to administering any medications. Which step will assure the best patient safety?

1. Assess the patient’s developmental level.

2. Assess the patient’s medical history.

3. Assess the patient’s disease process.

4. Assess the patient’s learning needs.

Correct Answer: 2

Rationale 1: An assessment of the patient’s medical history, which includes allergies, is the most important assessment prior to administering medications. Assessing the patient’s learning needs is important for medication education, but not for safely administering medications. Assessing the patient’s developmental level is important for medication education, but not for safely administering medications. Assessing the patient’s disease process is important in evaluating the effects of the medications, but not for safely administering medications.

Rationale 2: An assessment of the patient’s medical history, which includes allergies, is the most important assessment prior to administering medications. Assessing the patient’s learning needs is important for medication education, but not for safely administering medications. Assessing the patient’s developmental level is important for medication education, but not for safely administering medications. Assessing the patient’s disease process is important in evaluating the effects of the medications, but not for safely administering medications.

Rationale 3: An assessment of the patient’s medical history, which includes allergies, is the most important assessment prior to administering medications. Assessing the patient’s learning needs is important for medication education, but not for safely administering medications. Assessing the patient’s developmental level is important

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