Nursing Process and Drug Therapy

A nurse is reviewing a patient's medical record before administering a medication. Which factors can alter the patient's physiologic response to the drug? Select all that apply.

*Gender *Genetic Factors *Age

As part of your nursing assessment, the medication profile (i.e. medication history review) includes, but is not limited to, the following information: Select all that apply.

*List of herbal and/or homeopathic treatments, plant or animal extracts, and dietary supplements *Allergies *List of all prescribed medications *Any and all drug use *Past and present health history and associated drug therapy *Use of OTC medications

After the nurse obtains patient data during the assessment phase, a nursing diagnosis would be selected from an approved NANDA list. The nursing diagnosis contains which of the following? Select all that apply.

*Listing of cues, clues, evidence, signs, symptoms, or other data to support human need *Attention to the differences in human need fulfillment or alteration occurring *Statement of human need

The nursing process is an evidence-based framework that is used to guide professional nursing practice. The nursing process consists of five steps. These include which of the following? Select all that apply.

*Planning *Evaluation *Implementation *Assessment

A nurse is reviewing a patient's medical record before administering a medication. Which factors can alter the patient's physiologic response to the drug? Select all that apply.

-Genetic Factors -Gender -Age

Drag and Drop

1. Self-Actualization 2. Esteem 3. Love/Belonging 4. Safety 5. Physiological

A nurse is preparing to administer medications. Which patient would the nurse consider to have the greatest predisposition to an adverse reaction?

A 75-year-old woman with impaired kidney function

A nurse is preparing to administer medications. Which patient would the nurse consider to have the least predisposition to an adverse reaction?

A 9-year-old boy with a skin infection

A nurse consults a drug manual before giving a medication to an 80-year-old patient. The manual states that older adult patients are at increased risk for hepatic side effects. Which action by the nurse is correct?

Contact the provider to discuss an order for pretreatment laboratory work

A nurse consults a drug manual before giving a medication to an 80-year-old patient. The manual states that older adult patients are at increased risk for hepatic side effects. Which action by the nurse is correct?

Contact the provider to discuss an order for pretreatment laboratory work.

A postoperative patient reports pain, which the patient rates as a 9 on a scale from 1 to 10 (10 being the most extreme pain). The prescriber has ordered acetaminophen [Tylenol] 650 mg PO every 6 hours PRN pain. What will the nurse do?

Contact the provider to request a different analgesic medication

A patient has been receiving intravenous penicillin for pneumonia for several days and begins to complain of generalized itching. The nurse auscultates bilateral wheezing and notes a temperature of 38.5°C (101°F). Which is the correct action by the nurse?

Hold the next dose and notify the prescriber of the symptoms.

The nurse is demonstrating the correct way to administer insulin via a syringe to a patient with diabetes mellitus. This represents which aspect of the nursing process?

Implementation

The nurse is teaching a patient about their insulin to treat diabetes mellitus. As part of the teaching, the patient and nurse identify goals to maintain specific blood glucose ranges. This represents which aspect of the nursing process?

Planning

The nurse is preparing to care for a patient who will be taking an antilipidemic medication. Which action by the nurse is part of the assessment step of the nursing process?

Questioning the patient about over-the-counter medications

A patient has been receiving intravenous penicillin for pneumonia for one week and begins to complain of generalized itching. The nurse auscultates lungs and clear bilateral. No reports of shortness of breath and vital signs (temperature, pulse, respirations, and pulse oximetry) are within normal limits. No evidence of skin redness or edema. Which is the correct action by the nurse?

Report symptoms to provider and ask if an antihistamine can be given to relieve the itching

A patient is using an inhaler containing albuterol for asthma. The medication label instructs the patient to administer "2 puffs every 4-6 hours as needed for coughing or wheezing." The patient reports feeling "jittery" and lightheaded sometimes when taking the medication. They do feel that the medication is always effective. Which action is outside the nurse's scope of practice?

Suggesting that the patient use 1 puff to reduce side effects