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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Coagulation studies assess the blood's ability to clot and are not directly related to the monitoring of phenytoin therapy. These tests are more relevant for patients with bleeding disorders or those on anticoagulant therapy.

Choice B rationale

Serum electrolytes, including levels of sodium, potassium, and calcium, are important for overall health but are not specifically indicative of phenytoin levels. Phenytoin may affect calcium metabolism, but it is not the primary focus for routine monitoring.

Choice C rationale

Renal function tests are crucial for assessing kidney function but do not directly monitor phenytoin therapy. Phenytoin is primarily metabolized in the liver, making liver function tests more relevant.

Choice D rationale

Blood glucose levels should be monitored in patients taking phenytoin as the drug can cause alterations in blood glucose levels. Both hypoglycemia and hyperglycemia have been reported, so it is important to check glucose levels to ensure they remain within a normal range.

A. True. B. False.

Correct Answer is A

Explanation

Choice A rationale

Drawing up regular insulin first is recommended to avoid contamination of the vial with other types of insulin.

Choice B rationale

Incorrect, as it is standard practice to draw up regular insulin first to maintain purity and efficacy.

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What action does the nurse take during the intervention stage of the nursing process related to drug therapy? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to assist with blood collection on a newly admitted patient who has been taking phenytoin for several years.The provider has ordered a complete blood count and liver function tests.Which other blood test will the nurse discuss with the provider?

Correct Answer is D

Explanation

Always draw up the regular insulin into the syringe first.

Correct Answer is A

Explanation

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