What action does the nurse take during the intervention stage of the nursing process related to drug therapy? (Select all that apply)
Analyze the data collected.
Collect a nursing history.
Determine medication effectiveness.
Document the medication.
Administer the medication.
Correct Answer : C,D,E
Choice A rationale
Analyzing data collected is part of the assessment phase, not the intervention phase.
Choice B rationale
Collecting a nursing history is part of the assessment phase of the nursing process, not the intervention phase.
Choice C rationale
Determining medication effectiveness is a critical aspect of the intervention phase, as it assesses the therapeutic outcomes of the administered drugs.
Choice D rationale
Documenting the medication is a key action in the intervention phase to ensure accurate and up-to-date patient records and safe administration.
Choice E rationale
Administering the medication is a direct intervention related to drug therapy and is part of the intervention phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
True. Xanthine derivatives like theophylline can cause serious adverse effects, including brain damage, when blood levels become too high. It is critical to monitor theophylline levels to prevent toxicity and associated neurological complications.
Choice B rationale
False. If xanthine levels remain within therapeutic ranges, the risk of brain damage is minimized. However, this statement is incorrect as it does not acknowledge the potential severity of the adverse effects linked to elevated theophylline levels.
Correct Answer is D
Explanation
Choice A rationale
Vitamin E is an antioxidant and is not indicated to counteract the effects of warfarin. It does not have a role in reversing anticoagulation or managing bleeding. High doses of Vitamin E can actually interfere with clotting and potentially exacerbate bleeding.
Choice B rationale
Protamine Sulfate is an antidote for heparin, not warfarin. It works by neutralizing the effects of heparin, which is an anticoagulant that acts quickly to prevent clot formation. Warfarin works differently and requires a different antidote for its anticoagulant effect.
Choice C rationale
Calcium Gluconate is not an antidote for warfarin. It is typically used in cases of hypocalcemia and can stabilize cardiac membranes in hyperkalemia but has no effect on reversing warfarin-induced anticoagulation or bleeding.
Choice D rationale
Vitamin K is the correct antidote for warfarin. It counteracts the anticoagulant effects by promoting the synthesis of clotting factors that warfarin inhibits. Administering Vitamin K is standard practice in reversing the effects of warfarin and managing bleeding complications.
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