Author Question: During what phase of the nursing process would the nurse be required to consider the efficacy of ... (Read 31 times)

vicotolentino · **on:** Jul 23, 2018

During what phase of the nursing process would the nurse be required to consider the efficacy of nursing interventions related to drug therapy?

A) Assessment
B) Nursing diagnosis
C) Interventions
D) Evaluation

Question 2

An older adult patient is taking a sustained-release antihypertensive drug. What is the nurse's priority teaching point about this medication?

A) Take your blood pressure only at night.
B) Swallow the drug whole and do not to cut, crush, or chew it.
C) Take the drug before bedtime.
D) Use over-the-counter (OTC) drugs to control headache or cold symptoms.

duy1981999 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Evaluation allows the nurse to review what has changed since intervening to determine whether the nursing care has had a positive, therapeutic effect moving the patient toward a more healthful life. If outcomes have not improved, the nurse begins again at the assessment phase of the nursing process with the goal of changing the plan of care to improve outcomes. The patient's response to the drug and occurrence of adverse drug effects indicate the effectiveness of the nursing interventions related to drug therapy. Assessment involves a systematic, organized collection of data concerning a patient. A nursing diagnosis indicates actual or potential alterations in patient function based on the assessment of the clinical situation. Interventions are actions taken to meet the patient's needs, such as administration of drugs.

Answer to Question 2

B
Feedback:
Sustained-release drugs are suspended in a matrix system that allows a steady release of the drug over time. Sustained-release drugs cannot be cut, crushed, or chewed; it destroys the matrix system and allows absorption of the complete dose all at once. Older patients should be especially cautioned about sustained-release antihypertensives that cannot be cut, crushed, or chewed to avoid the potential for excessive dosing if these drugs are inappropriately cut. Many OTC drugs contain ingredients that increase blood pressure and so are not recommended for patients with hypertension. The patient can take his or her blood pressure any time during the day but should take the drug in the morning.