Term
| The nurse follows the Nursing Process when conducting medication education about insulin. The step of evaluation is best demonstrated by which question? |
|
Definition
| “Can you tell me four points you remember about how to take your insulin?” |
|
|
Term
| The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the client? |
|
Definition
1.“Are you allergic to any medications?”
2.“What other medications are you currently taking?”
4.“Are you taking any herbal or over-the-counter medications?” |
|
|
Term
| The physician has prescribed temazepam (Restoril) for an elderly client with primary insomnia. Prioritize the risks for this client. |
|
Definition
1.Client is at risk for constipation.
2.Client is at risk for diarrhea.
3.Client is at risk for nausea.
4.Client is at risk for dizziness. |
|
|
Term
| The physician has prescribed a nitroglycerine (Nitrodur) patch for the client. What is the best outcome for this client as it relates to use of the medication? |
|
Definition
| Client will demonstrate correct application of the patch prior to discharge. |
|
|
Term
| The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the initial nursing intervention as it relates to this medication? |
|
Definition
| Monitor the client for relief of bronchospasms. |
|
|
Term
| The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client’s outcome is “Client will state a key point about antibiotic treatment for cellulitis.” Which statement by the client provides the best evaluation by the nurse at this time? |
|
Definition
| “I need to take all the pills, even if my leg looks better.” |
|
|
Term
| The physician has prescribed quetiapine (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of “noncompliance.” What is essential for the nurse to assess prior to using this nursing diagnosis? Select all that apply. |
|
Definition
1. Did the client understand why the medication had been prescribed?
2.Are side effects causing the client to refuse the medication?
3.Do cultural or religious issues have an impact on taking the medication?
5.Is the noncompliance related to a lack of finances? |
|
|
Term
| The nurse is preparing for medica¬tion administration to a group of clients. What is the best overall outcome for the clients? |
|
Definition
| Clients will receive the best therapeutic outcome from the medications. |
|
|
Term
| The nurse is managing care for several clients at a diabetic treatment center. What is the primary intervention for the nurse? |
|
Definition
| To return the client to an optimum level of wellness while limiting adverse effects related to the client’s medical diagnosis. |
|
|
Term
| What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)? |
|
Definition
|
|
Term
| The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) documented that client education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention? |
|
Definition
| Discussing medications each time they are administered to clients. |
|
|
Term
| The nurse has several educational pamphlets for the client about medica¬tions the client is receiving. Prior to giving the client these pamphlets, what is a primary assessment for the nurse? |
|
Definition
| Assess the client’s reading level. |
|
|
Term
| The nurse is caring for an adoles¬cent with depression and suicidal thoughts. The nursing diagnosis is “risk for suicide related to depression.” What is the best outcome for this adolescent? |
|
Definition
| The client will not commit any acts of self-harm today. |
|
|
Term
| The nurse is assessing a newly admitted client’s current medications. What does the best objective data include? |
|
Definition
| The nurse checks the prescription bottles the client has brought to the hospital. |
|
|
Term
| The nurse is administering medications to an elderly client. Which laboratory tests are important for the nurse to assess prior to the administration of medication? |
|
Definition
| Kidney and liver function tests |
|
|
Term
| Which of the following correctly identifies and orders the primary steps of the nursing process? |
|
Definition
| 2. Assessment, establish nursing diagnosis, planning, interventions, evaluation |
|
|
Term
| About which of the following patient assessment data sets would the nurse be most concerned prior to medication administration? |
|
Definition
| Age, allergies, and level of consciousness |
|
|
Term
| A trauma patient in the Emergency Department has a low hemoglobin and hematocrit, and has an order to receive normal saline IV solution. Which nursing diagnosis would be most appropriate regarding the need for administering the IV solution? |
|
Definition
|
|
Term
| Which statement about the nursing process is accurate? |
|
Definition
| 2. Obtaining the outcomes is essential for goal attainment. |
|
|
Term
| Which nursing intervention would take priority following administration of a new medication? |
|
Definition
| 3. Monitoring the patient's respiratory status |
|
|
Term
| A patient with hypertension is receiving medication to lower his blood pressure. Which of the following demonstrates the evaluation process related to medication administration? |
|
Definition
| 4. Determining that goals were not met 3 days following medication administration |
|
|
Term
| Which of the following identifies the collection of objective data? |
|
Definition
| The patient has a wound measured at 5 centimeters in length. |
|
|
