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10th Edition By Constance Visovsky, Cheryl Zambrosk
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i, Shirley Hosler Chapter 1-20 Complete Guide A+
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TESTBA f
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,Visovsky: Introduction to Clinical Pharmacology, 10th Edition 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Introd
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uction to Clinical Pharmacology, 10th Edition
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MULTIPLE CHOICE xf
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
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Long-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider t
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o be the highest priority?
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a. Obtain any special equipment that will be needed to give the patient‘s drug.
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b. Monitor the patient for a response to the drug given.
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c. Collect data about the patient and the patient‘s health condition.
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d. Review the nursing care plan to verify that it is accurate.
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ANS: C xf
Collecting and documenting data about the patient and the patient‘s health condition is a critical
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step before any drugs are given. Information regarding the present illness, any signs and sympt
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oms, review of medical records, drug history, and vital signs are needed before drugs are given.
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Deciding on special equipment that will be needed to give the patient‘s drug is part of the plannin
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g phase of the nursing process. Monitoring the patient for his response to given drug is part of th
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e evaluation stage of the nursing process. Reviewing the nursing care plan to verify that it is bein
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g followed accurately is part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying xf xf REF: p. 2 xf xf
2. The LPN is working with a patient in the planning stage of the nursing process related to t
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he patient‘s prescribed drugs. Which action should the LPN take during this stage?
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a. Develop a nursing goal to plan the procedures needed to give drug.
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b. Develop a teaching plan for the patient regarding the drug‘s actions.
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,Visovsky: Introduction to Clinical Pharmacology, 10th Edition 3
c. Determine that the patient is experiencing the expected response to his drug.
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d. Determine how much the patient understands about his drug.
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ANS: D xf
Determining how much the patient understands about his drug is part of the diagnosis phase of
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the nursing process. Developing a nursing goal to plan the procedures needed to give drug an
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d developing a teaching plan for the patient regarding the drug‘s actions are part of the planni
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ng phase of the nursing process.
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DIF: x f x f Cognitive Level: Applying xf xf x f x f REF: p. 2 xf xf
3. You are teaching a patient with depression about the potential adverse effects of a pres
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cribed drug. What part of the nursing process related to drug therapy are you engaging in at this
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point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
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In the evaluation phase of the nursing process, the LPN understands and teaches to the patient
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the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: x f x f Cognitive Level: Remembering xf xf x f x f x f REF: p. 2 xfxf xf
4. Which of the following is an example of subjective data?
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a. The patient states she has pain in her left arm.
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b. The medical chart has a recorded blood pressure of 128/88.
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c. The serum potassium level is 3.8 mmol/L.
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d. The patient‘s ECG shows normal sinus rhythm.
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, Visovsky: Introduction to Clinical Pharmacology, 10th Edition 4
ANS: A xf
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as
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pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected
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from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a
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medical chart are examples of objective data.
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DIF: Cognitive Level: Remembering xf xf REF: p. 2 xf xf
5. Which statement provides an example of objective data?
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a. The wife states the patient was confused last night.
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b. Grimacing with movement is present during the examination. xf xf xf xf xf xf xf
c. The patient reports moderate alcohol consumption.
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d. The patient states pain is severe.
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ANS: B xf
Measurable data obtained during a physical exam such as grimacing with movement is an exam
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ple of objective data. Subjective data includes information presented by the patient or Family that
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cannot be substantiated such as a wife‘s report of a patient‘s confusion, patient report of degree o
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f alcohol consumption, and a patient‘s pain rating.
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DIF: Cognitive Level: Remembering xf xf REF: p. 3 xf xf
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management.
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The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best action?
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a. Hold the drug and report the blood pressure to the RN.
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b. Give the patient a full glass of water before giving the drug.
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c. Come back in 30 minutes and recheck the blood pressure.
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