The nurse reviews a patient's database and learns that the patient lives alone, is forgetful, and does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient's pills in a pill organizer. This is an example of which phase of the nursing process?

Assessment

Planning

Evaluation

Implementation

Answer and Explanation

The Correct Answer is B

a) Assessment involves gathering and analyzing data about the patient, such as their living situation, memory issues, and medication regimen, but it does not include developing a strategy to address these concerns.

b) Planning is the phase where the nurse develops interventions to help the patient manage their medications safely. By creating a medication chart and involving a family member, the nurse is ensuring adherence to the prescribed regimen.

c) Evaluation occurs after implementation to assess the effectiveness of the plan, such as checking if the patient is taking the medications correctly.

d) Implementation involves carrying out the planned interventions, such as physically setting up the pill organizer or educating the patient on medication use.

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Correct Answer is D

Explanation

a) While men and women may metabolize drugs differently, this is not the primary reason why women are often excluded from Phase I drug trials.

b) Women are not necessarily more prone to adverse effects, but concerns about fetal exposure and reproductive risks have historically limited women's participation in early trials.

c) This statement is incorrect and misleading. Drug trials are not based on strength but rather on safety, ethical concerns, and risk of reproductive harm.

d) Phase I studies test drugs on healthy volunteers, and historically, women of childbearing age were excluded due to concerns about potential teratogenic effects and unknown risks to a developing fetus. Although regulations have changed, caution is still exercised when including women in early-stage drug trials.

A. Encourage the patient to self-apply the medication. B. Wear treatment gloves during the entire application process. C. Change gloves between prepping the skin and applying the medication. D. Perform effective hand hygiene before and after applying the medication.

Correct Answer is D

Explanation

a) Encouraging self-application is beneficial in some cases, but it is not always appropriate. The nurse must ensure the medication is applied correctly and safely, especially if the patient has mobility or cognitive impairments.

b) Wearing treatment gloves is important when handling certain medications, but it is not required for all topical applications. Some medications, such as nitroglycerin ointment, require gloves to prevent nurse exposure, but others do not.

c) Changing gloves between skin preparation and medication application is not a universal requirement. In most cases, the same pair of gloves can be used unless contamination occurs.

d) Performing effective hand hygiene before and after applying the medication is the most essential action to prevent infection and cross-contamination.

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Naxlex Comprehensive Predictor Exams

The nurse, assisting with Phase I drug studies, is talking with a woman who asks, “Why can't I participate in this study”? What would be the nurse's best response?

Correct Answer is D

Explanation

When administering topical medications, which is an important nursing action?

Correct Answer is D

Explanation

A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. The nurse will respond by saying that herbs

In response to the patient's question about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?

When involved in phase III drug evaluation studies, which responsibilities would the nurse have?

A client has a gastrotomy tube in place. The health care provider ordered the medication p.o. Which action would be appropriate for the nurse to take?

The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

The nurse is preparing to administer a medication from a unit-dose system. The nurse verifies that the medication, dose, and time are correct and that the expiration date was the day prior. Which action is correct?

The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

Before marketing a new drug that has been approved for use based on clinical effectiveness and safety, the manufacturer wishes to study the potential new uses for the drug. This is an example of which phase of study?