Chapter 01: The Nursing Process and Drug Therapy MULTIPLE CHOICE

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Chapter 01: The Nursing Process and Drug Therapy 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. Wh... ich 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 [Show More]

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