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Pharmacology Study Guide Chapter 4
Focus on Nursing Pharmacology - karch
Terms in this set (36)
Actual or potential problem statement
Actions undertaken to meet a patient's need.
Determination of effectiveness
Explain what the nurse accomplishes when applying the nursing process to drug therapy.
Application of the nursing process with drug therapy ensures that the patient receives the best, safest, most efficient, scientifically based, holistic care.
List two major aspects associated with assessment.
Two major aspects associated with assessment are the patient's history (past illnesses and the current problem) and examination of his or her physical status.
Identify the seven rights to ensure a safe and effective drug administration.
The seven rights are as follows: right drug, right storage, right route, right dosage, right preparation, right time, and right recording.
Name two areas that need to be addressed when obtaining a patient's history related to drug therapy.
Areas to address when obtaining a patient's history include chronic conditions, drug use, allergies, level of education and understanding, social supports, financial supports, and pattern of health care.
Describe one reason why a patient may not reveal the nurse of over-the-counter drugs or alternative therapies during a history.
Patients often neglect to mention over-the-counter or alternative therapies because they do not consider them to be actual drugs or they may be unwilling to admit their use to the health care provider.
Explain why it is important to obtain a patient's weight before beginning drug therapy.
A patient's weight helps determine whether the recommended drug dosage is appropriate. Because the recommended dosage typically is based on a 150-pound adult male, patients who are much lighter or much heavier often need a dosage adjustment.
Describe the rationale for assessing physical parameters related to disease or drug effects before drug therapy begins.
The specific parameters that need to be assessed depend on the disease process being treated as well as the expected therapeutic and adverse effects of the drug therapy. Assessing these factors before drug therapy begins provides a baseline level to which future assessments can be compared to determine the effects of drug therapy.
Explain the term placebo effect.
The placebo effect refers to the anticipation that a drug will be helpful.
Which step of the nursing process does this statement relate? Diagnosed with type 2 diabetes 5 years ago.
Which step of the nursing process does this statement relate? Takes omega-3 fish oil three times per week.
Which step of the nursing process does this statement relate? Patient lives with husband in a two-bedroom apartment.
Which step of the nursing process does this statement relate? Deficient knowledge related to possible adverse effects of antihypertensive therapy.
Which step of the nursing process does this statement relate? Risk for injury related to drug's effect on balance and alertness.
Which step of the nursing process does this statement relate? Administer the drug with food to minimize gastric upset.
Which step of the nursing process does this statement relate? Obtain serum drug levels as ordered.
Which step of the nursing process does this statement relate? Patient demonstrates independence in administering subcutaneous insulin administration.
A nurse is gathering information about a patient. The nurse is participating in which step of the nursing process?
Which of the following would the nurse expect to do during implementation?
a. Develop statements about a patient's actual problem.
b. Obtain baseline information about the patient's pattern of health care.
c. Identify the patient's social support network.
d. Provide patient teaching about a drug therapy regimen.
Provide patient teaching about a drug therapy regimen.
A group of students are reviewing information about the nursing process and drug therapy in preparation for an examination on the material. The students demonstrate understanding of the material when they state which of the following about the nursing process?
a. A continuous linear approach to problem solving.
b. A set of sequential steps that are dynamic in nature.
c. A method for determining a patient's priority needs.
d. A means to gather information about a patient's current status.
A set of sequential steps that are dynamic in nature.
During assessment, a nurse asks a patient about any chronic conditions that might have an impact on the patient's prescribed drug therapy. Which of the following, if reported by the patient, would alert the nurse to a possible problem?
a. Two episodes of pneumonia over the last 5 years.
b. Kidney disease diagnosed 2 years ago
c. Nearsightedness for the past 10 years
d. Episode of gastroenteritis last month.
Kidney disease diagnosed 2 years ago
Which of the following would be least important to include when teaching a patient about drug therapy?
a. Alternative therapies to avoid
b. Timing of administration
c. Drug toxicity warning signs
d. How to report a medication error.
How to report a medication error.
The nurse is reviewing several orders for medications. Which dosage would cause the nurse to be concerned?
a. 0.5 mg
b. 50 mg
c. 0.5 mg
d. 500 mg
A patient is to receive a topical drug. Which of the following would the nurse need to do?
a. Check to see if it needs to be reconstituted.
b. Determine the possible need for skin preparation.
c. Question if the drug can be crushed
d. Use a large amount of the drug to ensure effectiveness.
Determine the possible need for skin preparation.
Which of the following instructions would be most appropriate for the nurse to teach the patient to reduce the risk of medication errors in the home setting?
a. Keep a written record of all prescription medications taken.
b. Store the medications in the bathroom medicine cabinet.
c. Take the medications according to what works best with the patient's schedule.
d. Know what each drug is used for as treatment.
Know what each drug is used for as treatment
A nurse who is caring for a patient receiving drug therapy performs the actions below. Place the actions in the proper sequence to reflect the steps of the nursing process.
a. Teaches the patient how to minimize adverse reactions.
b. Identifies pertinent problems related to functioning.
c. Determines that the drug is therapeutically effective
d. Questions the patient about any chronic conditions.
1. Identifies pertinent problems related to functioning.
2. Questions the patient about any chronic conditions.
3. Teaches the patient how to minimize adverse reactions.
4. Determines that the drug is therapeutically effective
After teaching the parents of a child who is receiving drug therapy, which statement indicates the need for additional teaching?
a. "Some over-the-counter drugs contain the same ingredients, so we need to read each label closely before giving the medication."
b. "We can use the same medications that we use for similar problems in our child, but we might need to adjust the dosage."
c. "When measuring a liquid medication, we should use a measured device or spoon rather than a kitchen tablespoon or teaspoon."
d. "We need to tell each health care provider about all the medications that our child is taking, even nonprescription ones."
"We can use the same medications that we use for similar problems in our child, but we might need to adjust the dosage."
Assessment of a patient receiving drug therapy reveals that the patient has been experiencing gastrointestinal upset related to the drug. The patient's states, "My stomach has been so upset that I've been able to eat is soup and dry crackers." Which nursing diagnosis would be most likely?
a. Imbalanced nutrition: Less than body requirements.
b. Risk for imbalanced fluid volume
c. Feeding self-care deficit
Imbalanced nutrition: Less than body requirements.
Which of the following would be least likely to occur during the assessment phase of the nursing process for drug therapy?
a. Obtaining information about the patient's drug use.
b. Determining relevant data about financial constraints.
c. Developing outcomes for effective response to drug therapy.
d. Identifying the patient's level of understanding.
Developing outcomes for effective response to drug therapy.
The following are steps of the nursing process. Place the steps in the proper sequence from beginning to end.
a. Nursing diagnosis
2. Nursing Diagnosis
The nurse questions a patient about the use of alternative therapies based on the understanding of which of the following?
a. These therapies may lead to possible interactions with other drugs.
b. The alternative therapies will need to be stopped with the newly prescribed drug.
c. These therapies can lead to an increased risk for addiction.
d. Alternative therapies provide information about the patient's health beliefs.
These therapies may lead to possible interactions with other drugs.
A nurse notes a medication error. Which action should be most appropriate?
a. Notify the drug manufacturer.
b. Make a report to the institution.
c. Contact the Food and Drug Administration.
d. Information the Institute for Safe Medication Practices.
Make a report to the institution.
THIS SET IS OFTEN IN FOLDERS WITH...
Pharmacology Study Guide Chapter 1
Pharmacology Study Guide Chapter 2
Pharmacology Study Guide Chapter 3
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