Chapter 45 My Nursing Test Banks

 

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Chapter 45

Question 1

Type: MCMA

The nurse teaches a class on pregnancy to clients in their first trimester. The nurse evaluates that learning has occurred when the clients make which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Ovulation occurs on approximately Day 21 of the ovarian cycle.

2. Ovulation is caused by a surge of luteinizing hormone.

3. Ovulation is caused by a surge of human chorionic gonadotropin.

4. Follicle-stimulating hormone causes ovarian follicles to develop.

5. The pituitary gland secretes gonadotropin-releasing hormone.

Correct Answer: 2,4

Rationale 1: Ovulation occurs on approximately Day 14, not Day 21, of the ovarian cycle.

Rationale 2: Ovulation is caused by a surge of luteinizing hormone.

Rationale 3: Human chorionic gonadotropin is produced during pregnancy; it is not involved with ovulation.

Rationale 4: Follicle-stimulating hormone causes ovarian follicles to develop.

Rationale 5: The hypothalamus, not the pituitary gland, secretes gonadotropin-releasing hormone.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 45-1

Question 2

Type: MCSA

A client comes to the womens center and tells the nurse she has had unprotected sex. She asks for emergency contraception. What is the best assessment question for the nurse to ask?

1. How long ago did you have unprotected sex?

2. Did you use a condom?

3. What kind of birth control have you used in the past?

4. Where are you in your monthly cycle?

Correct Answer: 1

Rationale 1: Choice of emergency contraceptive is guided in some ways by the amount of time since unprotected sex.

Rationale 2: A condom is important to help prevent STDs, but will not affect emergency contraception timeframes, and the client said she had unprotected sex.

Rationale 3: Prior methods of birth control are not an issue here.

Rationale 4: Where the client is in her monthly cycle is not an issue here.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 45-3

Question 3

Type: MCSA

The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?

1. It shrinks your cancer by making the cells die at a faster rate.

2. It eliminates the testosterone that feeds your cancer.

3. It suppresses secretion of the androgens that make your cancer grow.

4. It keeps nutrients from getting to, and feeding, your cancer.

Correct Answer: 3

Rationale 1: Administration of estrogens will suppress androgen secretion, not kill the cells faster.

Rationale 2: Administration of estrogens will suppress androgen secretion, but will not eliminate testosterone.

Rationale 3: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion.

Rationale 4: Administration of estrogens will suppress androgen secretion, not prevent nutrients from getting to, or feeding, the cancer.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-5

Question 4

Type: MCSA

The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?

1. This medication increases my estrogen levels so I can ovulate.

2. This medication stimulates LH (luteinizing hormone).

3. This medication stimulates FSH (follicle-stimulating hormone).

4. This medication stimulates gonadotropin-releasing hormone.

Correct Answer: 2

Rationale 1: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not increase estrogen levels.

Rationale 2: Clomiphene (Clomid) stimulates LH (luteinizing hormone) resulting in the maturation of more ovarian follicles than would normally occur.

Rationale 3: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not stimulate FSH (follicle-stimulating hormone).

Rationale 4: Clomiphene (Clomid) stimulates LH (luteinizing hormone), not gonadotropin-releasing hormone.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 45-8

Question 5

Type: MCSA

The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment by the nurse include as related to side effects?

1. Pain in the calf

2. Decreased libido

3. Low-back pain

4. Chronic fatigue

Correct Answer: 1

Rationale 1: Hormone replacement therapy puts the client at risk for thrombophlebitis. The nurse should always assess for calf pain and other symptoms of thrombophlebitis.

Rationale 2: Decreased libido is a side effect of hormone replacement therapy (HRT), but is not as high a priority as assessing the pain in the calf.

Rationale 3: Low-back pain is nonspecific and does not apply to hormone replacement therapy (HRT).

Rationale 4: Chronic fatigue could be a side effect of hormone replacement therapy (HRT), but it is nonspecific and could result from many other causes.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 45-4

Question 6

Type: MCSA

The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?

1. The client tells the nurse she has a serious headache.

2. The vaginal exam reveals that the client is entering transition.

3. The client reports that the uterine contractions are strong in intensity.

4. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.

Correct Answer: 1

Rationale 1: The headache could indicate hyponatremia (water intoxication) due to the effects of oxytocin (Pitocin); the client should be assessed for fluid balance.

Rationale 2: The infusion should not be stopped when the client enters transition.

Rationale 3: Contractions that are strong in intensity are no reason to stop the infusion.

Rationale 4: Uterine contractions every 2 to 3 minutes and lasting 40 to 60 seconds are expected with induction of labor.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 45-7

Question 7

Type: MCSA

A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?

1. Please come into the clinic immediately to have a pregnancy test done.

2. You might consider another form of birth control if you keep missing your pills.

3. If you have missed less than three of your pills, you do not need to worry.

4. You should use an alternative form of birth control for the rest of this cycle.

Correct Answer: 4

Rationale 1: There is no reason for the client to have a pregnancy test done at this time.

Rationale 2: If the client is unable to remember to take her contraceptive pills, then the nurse should educate her on alternative forms of birth control, but this is not the most immediate issue.

Rationale 3: . The client could become pregnant if she misses less than three of her pills, so this incorrect advice.

Rationale 4: If more than one pill is missed, the medication will not be effective and conception could occur, so the client must use an alternative form of birth control for the rest of her current cycle.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-9

Question 8

Type: MCSA

The client takes Ortho-Novum for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan by the nurse at this time?

1. Ask the client if she has been having sexual intercourse recently.

2. Tell the client to go to the emergency department for medical treatment.

3. Ask the client if she is bleeding between cycles or if this is her regular period.

4. Tell the client not to worry if the bleeding resembles her monthly flow.

Correct Answer: 3

Rationale 1: Sexual intercourse should not result in vaginal bleeding.

Rationale 2: There is no need for the client to go to the emergency department at this time.

Rationale 3: It is important to determine the nature of the oral contraceptive (OC) cycle to determine what type of vaginal bleeding is occurring.

Rationale 4: Telling the client not to worry is condescending; the nurse must collect more data.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-10

Question 9

Type: MCSA

The nurse teaches the postpartum client about oxytocin (Pitocin). The nurse evaluates that learning has occurred when the client makes which statement?

1. It will increase my uterine contractions.

2. It will increase my volume of fluid loss.

3. It will increase my vaginal muscle tone.

4. It will increase my milk production.

Correct Answer: 1

Rationale 1: Oxytocin (Pitocin), administered in the postpartum period, causes the smooth muscle of the uterus to contract.

Rationale 2: Oxytocin (Pitocin) does not promote fluid loss.

Rationale 3: Oxytocin (Pitocin) does not increase vaginal muscle tone.

Rationale 4: Oxytocin (Pitocin) will not increase milk production.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 45-7

Question 10

Type: MCSA

The client is pre-menopausal and asks the nurse if she should be taking hormone replacement therapy (HRT). What will the best plan by the nurse include?

1. Discuss alternative methods of dealing with pre-menopausal symptoms.

2. Schedule an appointment with the physician to begin hormone replacement therapy (HRT).

3. Determine if the client has risk factors that would contraindicate hormone replacement therapy (HRT).

4. Tell the client to schedule an appointment when she is having menopause.

Correct Answer: 1

Rationale 1: Hormone replacement therapy (HRT) is an option, but the client should have all available information in order to make an informed decision. The nurse should discuss alternate methods of dealing with pre-menopausal symptoms.

Rationale 2: The client should have information about alternate methods available prior to seeing the physician.

Rationale 3: The nurse does not need to assess risk factors for hormone replacement therapy (HRT) until the client has made the decision to receive it.

Rationale 4: The client is asking for assistance with pre- menopausal symptoms; she should not have to wait until menopause.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 45-4

Question 11

Type: MCSA

A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. What is the best response by the nurse?

1. Tell the client to purchase an at-home pregnancy test to determine pregnancy.

2. Tell the client to come in for an evaluation and to discuss birth control.

3. Tell the client that these symptoms are side effects of oral contraceptives.

4. Verify with the client that she has taken all her pills just as prescribed.

Correct Answer: 3

Rationale 1: Telling the client to purchase an at-home pregnancy test will only increase her anxiety.

Rationale 2: There is no reason for the client to come in for an evaluation at this time.

Rationale 3: It is important for the nurse to educate the client about the side effects of oral contraceptives.

Rationale 4: Verifying how the pills were taken is unnecessary; the client said she took them as prescribed.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-11

Question 12

Type: MCSA

The client plans to use oral contraceptives for birth control. Which client behavior would the nurse be most concerned about?

1. The client has several sexual partners.

2. The client is being treated for bipolar disorder.

3. The client smokes one-half pack of cigarettes per day.

4. The client drinks two glasses of wine a day.

Correct Answer: 3

Rationale 1: Having several sexual partners is not a contraindication to the use of oral contraceptives.

Rationale 2: Being treated for bipolar disorder is not a contraindication to the use of oral contraceptives.

Rationale 3: Cigarette smoking increases the clients risk for a thrombolytic disorder.

Rationale 4: Drinking two glasses of wine per day is not a contraindication to the use of oral contraceptives.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 45-10

Question 13

Type: MCSA

An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how long the drug will be effective. What is the best response by the nurse?

1. Two months

2. Six months

3. One year

4. Three months

Correct Answer: 4

Rationale 1: Depo-Provera is effective for three months.

Rationale 2: Depo-Provera is effective for three months, not six months.

Rationale 3: Depo-Provera is effective for three months, not one year.

Rationale 4: Depo-Provera is effective for three months.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-10

Question 14

Type: MCSA

A female client has been unable to conceive a child for five years. She asks the nurse about medications to treat her infertility. What is the best response by the nurse?

1. Have you considered adopting children? Many need a good home.

2. That is a good question; I will refer you to a specialist in infertility.

3. There are many new drugs available; one should be able to help you.

4. Medications will only help if your infertility is related to an endocrine problem.

Correct Answer: 4

Rationale 1: This is not the time to address adoption issues.

Rationale 2: The nurse can answer the question; there is no need to refer to a specialist at this time.

Rationale 3: It is not known whether the cause of this clients infertility can be modified by medication.

Rationale 4: It is best to be honest; medications will only help if the infertility is related to an endocrine problem.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-8

Question 15

Type: MCSA

Estrogens are secreted by the

1. corpus luteum.

2. anterior pituitary.

3. ovarian follicles.

4. endometrium.

Correct Answer: 3

Rationale 1: Progestin is secreted by the corpus luteum.

Rationale 2: Gonadotropin-releasing hormone is secreted by the pituitary.

Rationale 3: Estrogens are secreted by the ovarian follicles.

Rationale 4: The endometrium does not secrete, since it is a part of the uterus.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 45-1

Question 16

Type: MCSA

Progestins are secreted by the

1. anterior pituitary.

2. corpus luteum.

3. ovarian follicles.

4. hypothalamus.

Correct Answer: 2

Rationale 1: Gonadotropin-releasing hormone is secreted by the pituitary and the hypothalamus.

Rationale 2: Progestin is secreted by the corpus luteum.

Rationale 3: Estrogens are secreted by the ovarian follicles.

Rationale 4: Gonadotropin-releasing hormone is secreted by the hypothalamus and the pituitary.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: 45-1

Question 17

Type: MCSA

Progestins are primarily used in the treatment of

1. breast cancer.

2. amenorrhea.

3. dysfunctional uterine bleeding.

4. menopause.

Correct Answer: 3

Rationale 1: Estrogen in high doses is used for breast cancer.

Rationale 2: Estrogen or estrogen progestin is used for amenorrhea.

Rationale 3: Progestin is the main therapy for dysfunctional uterine bleeding.

Rationale 4: Estrogen or estrogen progestin is used for menopausal symptoms.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: 45-6

Question 18

Type: MCSA

Oxytocics are different from tocolytics in that oxytocics

1. slow uterine contractions.

2. raise the level of luteinizing hormones.

3. increase ovarian secretion.

4. stimulate uterine contractions.

Correct Answer: 4

Rationale 1: Tocolytics slow uterine contractions.

Rationale 2: Infertility drugs raise the level of luteinizing hormone.

Rationale 3: Infertility drugs increase ovarian secretion.

Rationale 4: Oxytocics, such as oxytocin, stimulate uterine contractions to induce labor.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: 45-7

Question 19

Type: MCSA

The nurse explains to a client who is taking oral contraceptives that these drugs can cause

1. thrombophlebitis.

2. hypotension.

3. weight loss.

4. pregnancy.

Correct Answer: 1

Rationale 1: Thrombophlebitis can occur, especially in those who smoke.

Rationale 2: Hypertension, not hypotension, can occur with oral contraceptives.

Rationale 3: Usually, weight gain occurs with oral contraceptives.

Rationale 4: Oral contraceptives do not cause pregnancy.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: 45-11

Question 20

Type: MCMA

A client has been prescribed an estrogen-progestin combination oral contraceptive. How should the nurse explain the mechanism of action of this pill?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. This pill will prevent you from ovulating.

2. This pill makes it less likely that an embryo will implant.

3. The spermicide in this pill will kill sperm before fertilization.

4. The progestin in the pill will kill the egg before fertilization.

5. The estrogen-progestin combination causes irritability of the uterine lining so implanted embryos are expelled.

Correct Answer: 1,2

Rationale 1: The estrogen-progestin combination contraceptive prevents ovulation.

Rationale 2: The estrogen-progestin drugs make the uterine endometrium less favorable to receive an embryo.

Rationale 3: There is no spermicide in these pills.

Rationale 4: The progestin does not kill the egg.

Rationale 5: These drugs do not cause implanted embryos to be expelled.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45.2

Question 21

Type: MCMA

A nurse uses the mnemonic ACHES to remember the possible adverse effects of oral contraceptives. Which statements follow this mnemonic?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. You may experience increased acne while on oral contraceptives.

2. If you experience chest pain, call the clinic immediately.

3. If you begin to lose more hair than is normal your dose may need to be adjusted.

4. Any blurry vision or loss of vision should be reported immediately.

5. If you notice swelling in your feet, hands, or face, notify the clinic.

Correct Answer: 2,4,5

Rationale 1: The A in ACHES stands for abdominal pain.

Rationale 2: The C in ACHES stands for chest pain.

Rationale 3: The H in ACHES stands for headache, not hair.

Rationale 4: The E in ACHES stands for eye problems.

Rationale 5: The S in ACHES stands for swelling.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45-9

Question 22

Type: MCMA

A college student calls the family planning clinic and states, I had unprotected sex and now I am afraid I will get pregnant. The nurse would provide which information about Plan B?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. You can purchase Plan B without a prescription.

2. You will need to request Plan B from the pharmacist.

3. You will take two separate doses of Plan B.

4. If you are already pregnant, Plan B will end the pregnancy.

5. Plan B will prevent ovulation and implantation.

Correct Answer: 1,2,3,5

Rationale 1: Plan B is available without a prescription to women over the age of 17.

Rationale 2: Plan B is kept behind the pharmacy counter so that the pharmacist can verify the clients age.

Rationale 3: Plan B consists of two doses. Plan B One Step includes a single dose.

Rationale 4: Plan B will not induce an abortion or terminate a pregnancy.

Rationale 5: Plan B acts in a manner similar to oral contraceptives in that it prevents ovulation and implantation.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45.9

Question 23

Type: MCMA

A client has been prescribed Premarin. What medication information should the nurse provide?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. You may notice a decrease in your libido while on this medication.

2. If you notice pain in your abdomen that goes through to your back, be certain to notify the clinic.

3. Do not become pregnant while on this drug.

4. If you add the herbal black cohosh to this therapy the results will be better.

5. This medication will help prevent cardiovascular disease.

Correct Answer: 1,2,3

Rationale 1: Decreased libido is an adverse effect of this drug.

Rationale 2: Acute pancreatitis, whose symptoms are acute epigastric pain going through to the back, is an adverse effect of this therapy.

Rationale 3: Conjugated estrogens are contraindicated in pregnant clients.

Rationale 4: Black cohosh may interfere with estrogen therapy.

Rationale 5: It was once believed that treatment with estrogen protected the client from cardiovascular disease, but this has not been proven to be correct.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45.10

Question 24

Type: MCMA

A client has been prescribed NuvaRing. What medication education should the nurse provide to this client?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. This ring should be inserted into your uterus.

2. Once inserted, this ring will provide contraception for 6 months.

3. You should expect to replace the ring every 3 weeks.

4. Contraceptive protection is provided for 3 weeks.

5. The ring uses estrogen and progestin to provide contraception.

Correct Answer: 4,5

Rationale 1: The ring is inserted into the vagina.

Rationale 2: The ring provides 3 weeks of contraception.

Rationale 3: The ring is worn for 3 weeks, removed for 1 week, and replaced at the beginning of the 4th week.

Rationale 4: Contraceptive protection is provided for 3 weeks.

Rationale 5: The active ingredients of NuvaRing are estrogen and progestin.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45.9

Question 25

Type: MCMA

A client has been taking low-dose oral contraceptives. She calls the clinic and reports that she is mid-cycle and has noticed some slight spotting. What information should the nurse provide?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Slight spotting may occur, especially with low-dose oral contraceptives.

2. You may be pregnant; please stop taking these pills and come to the clinic.

3. Monitor the bleeding and contact us again if it becomes continuous or heavy.

4. This is an adverse reaction; stop using the pills.

5. You must have gotten the wrong pills at the pharmacy.

Correct Answer: 1,3

Rationale 1: Mid-cycle spotting is common, especially with low-dose OC.

Rationale 2: Contraceptive failure is always a possibility, but slight spotting is normal and does not indicate possible pregnancy.

Rationale 3: The client should monitor the bleeding for changes such as becoming heavy or continuous.

Rationale 4: There is no reason to discontinue the pills.

Rationale 5: There is no indication that the wrong pills were obtained.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 45.11

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E

Copyright 2014 by Pearson Education, Inc.

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