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

Answer and Explanation

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.

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Correct Answer is C

Explanation

a) Clarifying the order with the charge nurse is not the correct action. The charge nurse may not be able to clarify medication orders and is not the primary contact for this issue.

b) Diluting and administering the medication by gastrostomy tube (GT) is inappropriate because the medication is ordered to be taken p.o. (by mouth), not via the tube.

c) Clarifying the order with the healthcare provider is the most appropriate step. A p.o. order is typically for oral administration, but the client has a gastrotomy tube. The nurse should clarify with the provider whether the medication can be crushed and administered via the tube or if a different route or medication form is necessary.

d) Administering the medication p.o. as ordered would not be appropriate if the client is unable to take oral medications. The nurse should verify the appropriate route of administration based on the patient's condition.

A. Lung function B. Kidney function C. Liver function D. Route of administration

Correct Answer is C

Explanation

a) Lung function primarily affects gas exchange and respiratory function but does not significantly influence drug absorption.

b) Kidney function is important for drug excretion rather than absorption. It impacts drug elimination and toxicity risk rather than how well a drug is absorbed.

c) Liver function plays a key role in drug metabolism. Poor liver function can alter drug absorption and metabolism, particularly for orally administered drugs that undergo the first-pass effect.

d) The route of administration directly impacts drug absorption. For example, intravenous (IV) drugs bypass absorption entirely, while oral medications must go through the digestive system before entering circulation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a gastrotomy tube in place. The health care provider ordered the medication p.o. Which action would be appropriate for the nurse to take?

Correct Answer is C

Explanation

What factors can influence drug absorption? (Select all that apply)

Correct Answer is C

Explanation

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What would be the best source of drug information for a nurse?

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