The Nursing Process in Pharmacology (330)

A patient arrives for a routine medical evaluation. Which question should the nurse ask to determine if the patient's chief complaint is related to medications?

"Are you experiencing other symptoms?"

A patient seeks medical attention for a new health problem. Which question should the nurse ask to assess the patient's health management practices?

"Describe your current diet."

The nurse is asked to explain the evaluation phase of the nursing process. Which should the nurse say in response?

"It begins another cycle of the nursing process."

A patient provides information about medications during an assessment. Which diagnosis should the nurse select that addresses a specific patient problem?

Actual

The nurse is entering the implementation phase of the nursing process. Which action should be taken when providing a patient with pharmacotherapy during this phase?

Administer a medication.

The nurse notes that a patient is prescribed several new medications. What should the nurse identify as the overall goal when planning care for this patient?

Administer medications safety and effectively.

The nurse reassesses a patient taking prescribed medications. Which should the nurse do if the baseline data and reassessed data are the same?

Alter the plan of care.

The nurse is assessing a patient who has been taking a medication for several weeks. Which should the nurse do to determine if the patient is experiencing any adverse effects of the medication?

Compare the current assessment with the baseline data.

The nurse is evaluating the care provided to a patient. Which action should the nurse take at this time?

Compare the patient's current health status with the desired outcome.

The nurse is reviewing the pharmacotherapeutic plan of care prepared for a patient. Which should the nurse recall as the purpose of the evaluation phase?

Determine if the plan of care is appropriate

The nurse notes that a patient is prescribed a new medication. For which reason should the nurse prepare teaching about this medication?

Ensure safe medication administration.

A patient reports taking a medication for two weeks for an acute health problem. In which phase of the nursing process should the nurse consider preparing additional medication teaching for a patient?

Evaluation

A patient takes several medications as prescribed for a chronic health problem. For which part of the health history should the nurse ask about the patient's current diet?

Health management

A patient was prescribed medication for a health problem two weeks ago. Which reason should the nurse make a priority to complete an additional assessment of this patient?

Health problem has not improved.

The nurse is completing a pharmacologic baseline assessment with a patient. For which reason should the nurse ask if the patient is experiencing any other symptoms?

Identifies if the chief complaint is related to medications.

The nurse is asked to explain the value of nursing diagnoses when planning patient care. Which response should the nurse make?

Improves the patient's quality of life.

It is discovered that a patient has been taking a prescribed medication incorrectly. Which type of nursing diagnosis should be used to address this issue?

Knowledge

The nurse is completing a physical assessment on a patient. For which reason should the nurse carefully measure the patient's heart rate and blood pressure?

Many medications affect the cardiovascular system.

A patient is provided with a new antibiotic. For which part of teaching should the nurse instruct the patient to report nausea and vomiting to the healthcare provider?

Monitoring side and adverse effects

An older adult is prescribed an oral antibiotic for an infection. For which reason should the nurse be concerned about the patient's ability to adhere to prescribed medication therapy?

Patient has difficulty swallowing large pills.

The nurse prepares a plan of care for a patient. For which reason should the nurse identify an actual nursing diagnosis for the patient?

Patient identified a specific problem.

A patient received pain medication several hours ago. Which finding should indicate that the medication has been effective?

Patient reports pain level 2 on a scale of 1 to 10.

The nurse is planning care for a patient receiving pharmacotherapy. Which should the nurse identify as an appropriate goal for this patient?

Patient will state the expected effects of the prescribed medication.

The nurse is caring for a patient who is taking several prescribed medication. Which should the nurse anticipate completing during the evaluation phase of the nursing process?

Prepare additional medication teaching for the patient.

The nurse reviews information collected while completing a medication health history with a patient. For which reason should the nurse identify a knowledge diagnosis for this patient?

Prescribed a new medication.

A patient is being prepared to receive a new medication. Which action should the nurse take to ensure that the medication is safely provided?

Provide teaching

The nurse is planning care for a patient prescribed medication for a cardiovascular health problem. For which reason should the nurse identify outcomes before providing the patient with the medication?

Provides a method to measure goal achievement.

A patient has been taking a prescribed medication for several months. Which finding should indicate that the nurse needs to alter the plan of care?

Reassessed data the same as baseline data.

The nurse evaluates the effectiveness of a patient's pharmacotherapy plan of care. Which action should be anticipated if the patient's chronic health problem has improved?

Reduce or keep the current medication dose the same.

The nurse prepares to provide a patient with a new medication. Which information should the nurse instruct the patient about monitoring side and adverse effects?

Report nausea and vomiting to the healthcare provider.

A patient preparing to take a medication asks for a full glass of water. Which should the patient's request indicate to the nurse?

Teaching about taking the medication was effective.

A patient takes a newly prescribed medication. Which action should the nurse take before monitoring the effectiveness of the medication?

Understand the expected actions of the medication.