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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Decreased drug effects are unlikely in liver disease because impaired liver function reduces drug metabolism, leading to higher drug concentrations in the bloodstream.
b) Increased drug effects occur because the liver is responsible for metabolizing many drugs. In liver disease, drug metabolism is slowed, leading to prolonged drug action and potential toxicity.
c) Decreased therapeutic range is not the primary concern. The therapeutic range refers to the safe and effective drug concentration, but liver disease mainly affects drug metabolism and clearance.
d) Increased therapeutic range is incorrect because liver disease does not widen the range of safe drug levels; instead, it increases the risk of drug accumulation and toxicity.
Correct Answer is D
Explanation
a) Applying the medication liberally is incorrect because the amount of medication applied should be based on the prescribed dose. Overapplication can lead to excessive absorption and potential systemic effects.
b) Cleaning the skin with alcohol before applying the medication is not always necessary and can cause irritation. Some medications require specific preparation, but alcohol is not a universal requirement.
c) Using sterile technique is generally unnecessary for topical medication application unless the skin is broken or there is an open wound requiring sterility.
d) Wearing gloves is essential to prevent medication absorption through the nurse’s skin and to reduce the risk of contamination or infection.
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