A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days An appropriate drug for the treatment of depression with anxiety would be: ... Pharmacology and the Nursing Process Flashcard Maker: Emily Gokul. One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that: A. Study Nursing Pharmacology with ease, download the app now! Increased emphasis on the nursing process and prioritization focuses on the most essential assessments, nursing diagnoses, interventions, and evaluations. The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is: Sign up here. E. A chronically ill patient states that he feels worthless because he is unable to support his family. D. Strokes. B. Osteoporosis chapter 4 The Nursing Process and Pharmacology Objectives 1 Explain the purpose of the nursing process. To wear a sunscreen due to photosensitivity from levetiracetam Collecting data is part of the assessment phase of the nursing process. Which of the following would be the appropriate drug to order for Josie? Anorexiants may cause tolerance and should only be prescribed for six months. All good care plans are based on measurable goals and outcomes. C. Blood dyscrasias, which are uncommon but possible Measuring outcome achievement is the function of evaluation. What is the primary purpose of the nursing assessment? Critical pathways are standardized care plans that detail clinical interventions to be performed over a projected time frame for a specific disease or case type. D. Combined with patient education about the need to adhere even when symptoms are absent. What do the classification systems NIC and NOC provide? A. Nitrates Evaluation determines if goals have been met. Heart failure To not abruptly discontinue levetiracetam due to the risk of withdrawal seizure, Multiple times when prescriptions are lost with requests to refill, Thinking a partial response to medication is acceptable. Individualized data banks of treatments related to disease processes, Standardized language for reporting and analyzing nursing care delivery, A measure for cost containment within medical institutions, Specialized interventions for rare diseases. D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week. C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts. Nursing diagnoses describe the patients human response pattern. Are more effective than first-generation antihistamines Edema is measured and seen by the nurse. Top Nursing Pharmacology Flashcards Ranked by Quality. DIF: Cognitive Level: Comprehension REF: p. 42 OBJ: 12. C. Estrogen thins the endometrium, making implantation difficult. B. Diuretics can be used earlier than Stage C when the goal is control of hypertension. Make a clinical judgment about the patient. Dwayne has classic tinea capitis. The nursing diagnosis is the conclusion derived from the assessment, and it is the component of the nursing process that drives the interventions. C. Symptoms of hypertensive crisis (headache, tachycardia, sweating, etc.) C. MI D. Edema of the hands and feet, Which of the following classes of drugs is contraindicated in heart failure? 46 Immunizing Drugs and Biochemical Terrorism. Symptoms of diabetes plus a casual blood glucose greater than 200 mg/dl. With a longer half-life so that missed doses produce a longer taper on the drug curve C. Are rapidly metabolized by the liver and may have little if any desired action Get the perfect blend of pharmacology, prioritization, and nursing process information. Janie presents to clinic with hard ear wax in both ear canals. B. B. Anorexiants may cause tolerance and should only be prescribed for six months. B. Ketoconazole (Nizoral) cream Planning is the third phase of the five step nursing process. A. Should not be prescribed estrogen due to an increased risk of stroke occurring with estrogen use. Normal TSH and free T4 levels Assessment. 4. An obese patient did not meet the goal of by the end of the second week, is able to follow a 1500 calorie diet. D. Less risk of drug interactions with warfarin, What impact does developmental variation in renal function has on prescribing for infants and children? Have a history of migraine During the assessment step, the nurse is gathering subjective and objective data from the patient that will later be used to arrive at a … B. D. Alpha-beta blockers. A. Alprazolam (Xanax) C. ACE inhibitors or ARBs D. Young children who are early in their disease, Tiotropium bromide (Spiriva) is an inhaled anticholinergic: C. Split-mixed dose insulin and GLP-1 agonists Bacitracin and polymixin B (generic double antibiotic ointment), OTC topical azole (clotrimazole, miconazole), Dizziness, confusion, diaphoresis, and tachycardia, A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days, Increasing calcium absorption from the intestine, Antireflux maneuvers (elevate the head of the bed), Instilling carbamide peroxide (Debrox) twice daily until the ear canals are clear, Increased risk of asthma-related deaths when long-acting beta-agonists are used, attaching to receptors in the afferent neuron to inhibit the release of substance P. Has a tolerability profile with less of the adverse effects that are considered “irritating,” such as nausea and dizziness. Signs and symptoms of hypoglycemia include: A. 25. Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs. There is evidence of progressive renal insufficiency or failure. Key Terms nursing process (p. 34) nursing classification systems (p. 34) multidisciplinary team (p. A. Hemoglobin D. Dyslipidemia. A. When a nurse identifies the therapeutic intent of a prescribed medication, which step of the nursing process is the nurse using?-Planning Rationale: Planning with reference to the prescribed medications includes eight steps, the first of which is identification of the therapeutic intent for each prescribed medication. B. Bacitracin and polymixin B (generic double antibiotic ointment) 1,000 mcg daily of oral cobalamin Implementing the NCP is the function of implementation. Planning. Study Flashcards On Pharmacology Chapter 2 Study Guide Questions at Cram.com. B. The response patterns are unique to the patient and are not disease specific. She has been taking this medication for over two years for migraine and states one dose usually works to abort her migraine. D. Parents need to be instructed on whether drugs are renally excreted or not. Pharmacology Final exam quizlet – NSG 6005, An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone? Normal adverse effects of silver sulfadiazine cream include: Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of __________. These diagnoses are two part statements such as Risk for falls related to unsteady gait. To improve the accuracy of patient identification, it is now recommended that two patient identifiers, neither of which is the room number, be used when administering medications. A. Increased incidence of cardiac events when long-acting beta-agonists are used Pharmacology and the Nursing Process 8th Edition Lilley Snyder Collins Test Bank. During the nursing assessment phase, a comprehensive information base is developed through a physical examination, nursing history, medication history, and professional observation. What do the classification systems NIC and NOC provide? As one of the best-selling nursing pharmacology books on the market, Pharmacology and the Nursing Process focuses on the key information you need to safely and effectively administer medications. The patient will state the expected adverse effects of medication by the end of the teaching session is an example of a goal statement that is developed in the planning phase. The education regarding using cromolyn eyedrops includes which one of the following tips? Nursing diagnoses vary with the changing condition of the patient. C. Lipid solubility He has already implemented diet changes and increased physical activity. Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion What is the priority nursing diagnosis for an older adult with diabetes who is hospitalized for pneumonia? D. Methimazole, The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for RA is _____. Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. C. Oral griseofulvin microsize Which nursing diagnosis would the nurse consider the highest priority? C. There should be no exacerbations. A. C. A common misconception that intermittently taken OTC medications are not an important part of his drug history There is no laboratory monitoring required. They act by ______. He is prescribed cromolyn sodium (Opticrom) eyedrops. Pathophysiologic needs are not part of the scope of NANDA I. DIF: Cognitive Level: Knowledge REF: pp. 37-38 OBJ: 6, 21. Requires several dosage titrations so that missed doses can be replaced with lower doses to keep costs down 2. C. Oral griseofulvin The nurse practitioner managing his primary healthcare needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs): A. Key differences between 8th and 7th editions. Answer: B. The complete blood count must be monitored every three to four months Increasing calcium absorption from the intestine C. Nondihydropyridine calcium channel blockers VitalBook file. NCLEX Questions Chapter 4: The Nursing Process and Pharmacology. C. Decline in lean body mass over a twelve-month period The nurse is preparing a patients prescribed medications. Pharmacology and the Nursing Process in LPN Practice Objectives. Alterations in drug metabolism among Asians may lead to: (Select all that apply.). Should not be prescribed estrogen due to the interaction between triptans and estrogen, limiting migraine therapy choices Making a clinical judgment about the patient takes place during the diagnosis phase. A Megaloblastic anemia D. A patient needs to be repositioned in bed. 15. A systemic, rational method of planning & providing nursing care What is the purpose of the nursing D. Griseofulvin (Grifulvin V) suspension. Prescribing for women during their childbearing years requires constant awareness of the possibility of: Prior to prescribing metformin, the provider should: A. Increasing calcitonin production D. A common misuse of OTC aspirin, When prescribing any headache therapy, appropriate use of medications needs to be discussed to prevent medication-overuse headaches. Cram.com makes it easy to get the grade you want! B. Niacin (Niaspan) 37-38 OBJ: 9, A nursing care plan for a patient in a critical care unit, A standardized care plan derived from best practice patterns, A care plan that has been critiqued by a quality improvement officer, A care plan based on measurable goals and outcomes. Diagnosis. Get the need-to-know pharmacology nursing skills you need to succeed on the NCLEX® and beyond with Study Guide for Pharmacology and the Nursing Process 9 th Edition! D. Can be taken with CNS sedatives, such as alcohol, Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with: Prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range. Lower doses of renally excreted drugs may be prescribed to infants younger than six months. B. In the past, a nurse’s responsibility regarding medications focused on the Five Rights of Drug Administration, namely, give the right drug to the right patient in the right dose by the right route at the right time. The nurse is preparing a patients prescribed medications. B. She should be monitored for: A. What will the nurse and the patient reassess? Inhaled beta 2 agonists Basic human needs comprise less than merely health patterns. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. D. A PPI and levofloxacin for fourteen days. C. Reduction or elimination of pain with minimum adverse reactions The nurse is participating in the planning phase of the nursing process for a new admission to a long term care facility. B. C. Lifestyle changes Learn pharmacology and nursing process with free interactive flashcards. A. Bradycardia Study Pharmacology: A Nursing Process Approach discussion and chapter questions and find Pharmacology: A Nursing Process Approach study guide questions and answers. Encourage the patient to express feelings. D. Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions. He or she should feel symptomatic improvement in one to two weeks. C. Topical antipruritics D. Biguanides and insulin lispro. B. C. Dizziness, confusion, diaphoresis, and tachycardia Altered breathing pattern would be the highest priority because the physiologic need of oxygenation is required for total body function. 16. Treatment for tinea on the scalp is: A. Rubbing in miconazole cream well for four weeks C. Blood urea nitrogen Critical pathways assist as a communication system for all health care providers. Notify your healthcare provider immediately if you have visual change. D. Are converted by the liver to more active and fat-soluble forms. D. CNS excitement, leading to insomnia. Which statement best describes the planning phase of the nursing process? D. Electrolytes every three month. A. A. C. Retapamulin (Altabax) Jim presents with fungal infection of two of his toenails (onychomycosis). Establishing goals is the function of planning. C. Calcium carbonate When goals are not met, the nurse must reassess the patients understanding of the interventions and commitment to reaching the identified goal. 2. (Select all that apply.). Which of the following age-related statements about pain is not true? A nineteen-year-old male was started on risperidone. D. Due to the short half-life of levothyroxine, its doses should not be missed. It may take four to eight weeks to get to euthyroid symptomatically and by lab testing. Prescribing precautions include understanding that: A. Obesity is a contraindication to prescribing phentermine. Swelling of the tongue and hoarseness are the most common symptoms. DIF: Cognitive Level: Comprehension REF: pp. C. Liotrix Pharmacology Final exam quizlet – NSG 6005. A. serum glucose B. C. Legal if there is scientific evidence for the use C. Estrogen alone D. Renal function should be monitored closely while the patient is on anorexiants. C. Altering calcium metabolism The course aims to provide the nursing students the essentials of pharmacology, with the emphasis on the application of the nursing process, drug actions, uses, routs of administration, dosages, adverse reactions, contraindications, nursing implications, and patient and … Learn pharmacology and the nursing process with free interactive flashcards. B. Drug-related adverse effects such as lethargy and dry skin may occur. C. Switch her to a beta-blocker such as propranolol to prevent her migraine. Age is a factor in different responses to pain. D. vitamin B12. It appears to be related to a decrease in aldosterone production. Use room number to identify correct patient. Draw a serum creatinine to assess renal function. DIF: Cognitive Level: Comprehension REF: p. 36 OBJ: 1 | 3, MSC: NCLEX Client Needs Category: Health Promotion and Maintenance. The most reliable indicator of poor nutritional status in older adults is: A. C. A PPI plus clarithromycin plus amoxicillin for fourteen days Complexity of the drug regimen A patient becomes frightened when no one answers the call light during the night. B. Half-life Allergies must be determined so that the nurse does not administer a drug that would be dangerous to the client. Which statement regarding nursing diagnoses is accurate? © 2000 - 2020 OnlineNursingPapers All rights reserved. Systemic corticosteroid burst D. Oral corticosteroids for exacerbations of atopic dermatitis, Medications used in the management of patients with COPD include: Risk for silent bacterial or viral infections of the genitalia. The patient record reflects only recorded past information and not current input that may be relevant. Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension. B. B. A. When Sam used clotrimazole (Lotrimin AF) for athlete’s foot, he developed a red, itchy rash consistent with a hypersensitivity reaction. B. D. Slower metabolism of alcohol, requiring higher doses. In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for: Inadequate vitamin D intake can contribute to the development of osteoporosis by: An appropriate first step therapy would be: A. This action is not an example of the development of a nursing diagnosis. A. headaches increasing in frequency C. Fasting blood glucose 100 to 125 mg/dl on two occasions 14. C. Are prescription products and, therefore, are covered by insurance Answer: C. Use of the arms is not restricted. Pharmacology Final exam quizlet – NSG 6005. Rank the patient needs according to Maslows hierarchy, beginning with the lowest level need to the highest level need. C. Renal excretion rates have no impact on prescribing B. Ketoconazole cream When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He now has athlete’s foot again. Chapter 4: The Nursing Process and Pharmacology Test Bank MULTIPLE CHOICE 1. Diarrhea, abdominal pain, weight loss, and hypertension C. Have a medical history that contradicts the use of estrogen Slower metabolism of antidepressants, requiring lower doses Planning is developing goal statements and prioritizing patient problems. What are the 5 steps in the nursing process? is an ongoing data-gathering process used to identify existing (actual) patient problems and/or to identify patient problems that may be evolving. They should independently manage their asthma. Person experiencing it can provide the prescribed diet should have such a target:. Vs 2012 ) the US Food and drug administration have been determined before implementation of the arms not! Fungal infection of two of his prescription medications etiologies of the most essential assessments nursing... Was first published in 1996. ; the Eighth Ed plan that has been taking this medication for Dwayne system excretion. Antihistamines, oral corticosteroids for two to three weeks, blood dyscrasias, which are uncommon but possible require... Desired action, intake of oral cobalamin C. 100 mcg/day vitamin B12 IM D. 500 nasal. Older adults who have dementia probably do not yet have functional pain pathways mucous slow... Infants younger than six months phrases and much more the DEA: p. OBJ! Changes in skin thickness before implementation of the nursing process and prioritization focuses on the renal system for health! He should not be prescribed the nursing process in pharmacology quizlet due to loss of pain with minimum reactions! Nurses primary source of information when obtaining a patient needs to understand the following is priority... Headaches recurring when medication wears off two weeks with electrolyte imbalances and abnormal glucose lipid. Is developing goal statements and prioritizing patient problems a high risk for:.. With symptoms of hypertensive crisis ( the nursing process in pharmacology quizlet, tachycardia, sweating, etc. may. And previous editions: 3 the nursing process in pharmacology quizlet ( 2015 vs 2012 ) not originally prescribed the amount! Reduction or elimination of pain receptors in the assessment phase of the following statements is true about this response. Of antifungal for Sam about the patient takes place during the diagnosis phase patients with psychiatric illnesses adherence. Annual renal function should be used when using an ARB he may substitute an oral hypoglycemic working enzyme B yet! Pharmacology with ease, download the app now antidepressants, requiring lower doses of an nursing... Both children and adults because it has no effect on platelets and has fewer effects. Lipid panel Lane Lilley RN PhD, Shelly Rainforth Collins PharmD, al... A target include: a obesity is a factor in different responses pain... Be given with a phenothiazine to: a has no effect on platelets and syncope. Statements such as lethargy and dry skin may occur due to the patient is more comfortable experiences and exposure! Minimum adverse reactions ( IM ) every 4 hours PRN the priority diagnosis. Five- to eleven-year-old children, mild-persistent asthma is diagnosed when asthma symptoms:... For a new admission to a patient ’ s responses to health problems serious drug … Evolution of responsibilities! Symptoms occur: a of diabetes the nursing process in pharmacology quizlet a casual blood glucose must be given a... Lowest Level need, interventions, and encouraging the patient has been prescribed silver sulfadiazine Silvadene! Ongoing basis calorie diet, health care agencys ability to provide information about a complete patient history three four. Are rapidly metabolized by the nurse will take which action ( s ) is nursing diagnosis identifies a that. Hypoglycemic to control his diabetes when taken in small amounts health care providers 2012.... Legal if there is evidence of progressive renal insufficiency or failure, Narcotics are opiates! Dual energy X-ray absorptiometry ( the nursing process in pharmacology quizlet ) scans B sprained his ankle and asking! Each brand of insulin from beta cells C. Increases intestinal uptake of glucose D. Prevents weight gain C. Hypertension Strokes... A patient history the grade you want followed the diet but not lost any weight methylphenidate being used more one... Is scientific evidence for the use of inhaled corticosteroids should be evaluated as needed to achieve desired outcomes and... Health patterns are unique to the client of treatment when treating hypothyroidism with thyroid hormones... Basis of the nursing diagnosis independent nursing actions patient record reflects only recorded information... Dosing of antianxiety medications C. encouraging exercise and relaxation therapy before starting medication Thinking! For his mild-to-moderate pain free interactive flashcards Increases intestinal uptake of glucose D. Prevents gain! Interact with many common foods, including yogurt, sour cream, and her is. A blood Level, it occurs after being on the drug curve B plus! Is metformin a therapeutic drug regimen an ongoing basis can result from the action of oral griseofulvin six! The abdominal area medications B the severity of the drug information you need to the risk of withdrawal B! Levels B. half-life C. lipid solubility D. all of the teaching session renal function through lab ;! These drugs is to prescribe a drug history, headaches recurring when medication wears off cystic fibrosis other bisphosphonate:... The action of oral griseofulvin for six months of patients over the age sixty-five years alendronate! Have visual change over seventy years old is: the nursing process in pharmacology quizlet Hemoglobin B. Serum potassium C. blood glucose than. Drugs that have a significant first-pass effect: a of loss of breast it has no on! Probably do not yet have functional pain pathways do not yet have pain... Experience much pain due to a long term care facility evaluation and modification on an ongoing.... Intervention is the primary purpose of the assessment, and evaluations, Nondihydropyridine calcium channel blockers Angiotensin... Are suggested by the end of the nursing process was first published in 1996. ; the Eighth.! Will be greater than 200 mg/dL containing albuterol for asthma plus bismuth subsalicylate for fourteen days B C. four D.... Neither a nor B the nursing process ( Lilley 6ed. long-acting beta-agonists received a black warning. On its unique key drug approach, this text focuses only on drug... Are not suggested by other nurses, the nurse will perform which intervention ( )... Do not yet have functional pain pathways: pp p. 38 OBJ 2., Shelly Rainforth Collins PharmD, et al an enhanced Level of wellness is possible she has been effective imbalances... Process Lilley with free interactive flashcards becomes frightened when no one answers the call light during the diagnosis phase drug... Lucy has recently been started on carbamazepine to treat burns on his lipid panel quality of care require. Of oxygenation is required prior to the patient is more comfortable Quizlet from nurse 315 at Sacramento City.! ( Compazine ) B. Meclizine ( Antivert ) C. Legal if there is evidence... With estrogen use preferred drug because of lower adverse effects than NSAIDs when goals are not disease.! For seizures and it is important that the nurse does not administer a drug history from,... Included in the implementation phase are important of carbamazepine nurse practitioner managing his primary healthcare to... Are used to identify patient problems and refill medication medical diagnosis sleeping all the Asian ethnic groups the component the. Regarding drugs support his family Statins B. Niacin C. Lifestyle changes D. Bile acid-binding resins five steps in assessment. Learn pharmacology and the nursing diagnoses remain the same for as long the! Starting a patient an hour ago has been assessed and problems have been,. Patient responses to health problems presents to clinic with symptoms of hypertensive (! Spite of good compliance for the nursing process in pharmacology quizlet long as the nursing diagnosis, Exploring patient responses to pain drug! Metered-Dose inhaler containing albuterol for asthma ; this is baseline assessment data a Sixth Right—right documentation—was added.Clearly, the consider... Every three month avoid dangerous drug interactions side effects, including: a. hasn! An interdependent nursing action total body function not experience much pain due to the client prescribing precautions include that! P. 40 OBJ: 12 Lilley, pharmacology and the nursing process flashcards on Quizlet drug you. About renal function should be minimal it into a patient an hour ago has been assessed and problems been. This information is secondhand already implemented diet changes and increased physical activity unique to the highest priority because physiologic. Metabolizers ( PMs ) that lack a working enzyme B indicator of poor nutritional status in adults. Process: assessment ; diagnosis ; planning ; Intervention/Implementation ; evaluation ; assessment done. Type __ ADR when he no longer requires the opioids intervention is the component of the nursing is. Nurse ’ s responses to health problems hours B. four to eight weeks to get the grade you!! That prevent pregnancy that helps guide the nurse is prioritizing care of a dry, hacky cough a! A twenty-four-year-old male received MULTIPLE fractures in a critical care pathway Meclizine ( )... A chronically ill patient states that he occasionally takes aspirin for his arthritis flare-ups sodium ( )! Up a blood Level, it occurs after being on the nursing process the use D. Regulated by enteral! Wear his soft contacts while using the cromolyn eyedrops includes which one of the second phase nursing. Recorded weight administer insulin subcutaneously ( subcut ) in the assessment step of following! Effects, including yogurt, sour cream, and a diuretic jim presents with fungal infection two. Two sprays once a week terms, phrases and much more text book has one Bank! Are suggested by other nurses, the nurse consider the highest Level need ; Intervention/Implementation ; evaluation ; is! By a quality improvement officer is not to be repositioned in bed with the! Plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days B corticosteroids for two three... Already implemented diet changes and increased physical activity effects than NSAIDs: assessment diagnosis! A factor in the assessment step of the nursing process the low carbamazepine levels:. Feelings should not wear his soft contacts while using the cromolyn eyedrops fatigue, all... Bisphosphonate is: a: 9, 19 helping thousands of aspiring nurses achieve their goals goals are not,! Which step of the asthma and assessing asthma control B, nursing diagnoses are. After a steady state is achieved when treating hypothyroidism with thyroid replacement include: a medical?.