A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process?

Assessment

Evaluation

Implementation

Planning

Answer and Explanation

The Correct Answer is D

A. Assessment involves gathering data about the patient’s condition, but in this case, the nurse and patient are making a decision about discharge criteria, which falls under planning.

B. Evaluation occurs after interventions have been implemented to determine whether goals have been met. Since the patient has not yet attempted self-care, this phase has not been reached.

C. Implementation refers to carrying out nursing interventions, such as administering medications or assisting with breathing exercises. The discussion about discharge criteria is a planning activity rather than an intervention.

D. Planning involves setting goals and determining the criteria for discharge, which is what the nurse and patient are doing by establishing that the patient may go home when self-care can be performed without dyspnea or hypoxia.

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Free Nursing Study Resources

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.

A. Duration of action. B. Onset of action. C. Peak action time. D. Time response curve.

Correct Answer is B

Explanation

A. Duration of action refers to the length of time a drug remains effective after reaching the MEC, but it does not describe the time required to reach this threshold.

B. Onset of action is the time it takes for a drug to reach the minimum effective concentration (MEC) and begin producing a therapeutic effect. This is influenced by factors such as drug absorption and distribution.

C. Peak action time refers to the time at which the drug reaches its highest concentration in the bloodstream, not the time required to reach the MEC.

D. The time response curve is a graphical representation of a drug's effects over time but does not specifically define the time needed to reach the MEC.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse gives medication to a patient with a history of liver disease. The nurse will monitor this patient for

Correct Answer is B

Explanation

The nurse understands that the length of time needed for a drug to reach the minimum effective concentration (MEC) is the

Correct Answer is B

Explanation

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

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

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?

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 caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely?

What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)

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?

The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection. The patient is also taking acetaminophen for pain. The nurse should expect to review which lab values when monitoring for this drug side effects?