Test Bank for Introduction to Clinical Pharmacology 10th Edition By Constance Visovsky, Cheryl Zambroski, Shirley Hosler Chapter 1-20 Complete Guide A+

Test Bank for Introduction to Clinical
Pharmacology 10th Edition By Constance
Visovsky, Cheryl Zambroski, Shirley Hosler
Chapter 1-20 Complete Guide A+




TEST
BANK

,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Intr
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oduction to Clinical Pharmacology, 10th Edition zl zl zl zl zl




MULTIPLE CHOICE zl




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 zl




Collecting and documenting data about the patient and the patient’s health condition is a critical s
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tep before any drugs are given. Information regarding the present illness, any signs and symptom
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s, review of medical records, drug history, and vital signs are needed before drugs are given. Dec
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iding on special equipment that will be needed to give the patient’s drug is part of the planning ph
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ase of the nursing process. Monitoring the patient for his response to given drug is part of the eval
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uation stage of the nursing process. Reviewing the nursing care plan to verify that it is being follo
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wed accurately is part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying zl zl REF: p. 2 zl zl




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
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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 zl




Determining how much the patient understands about his drug is part of the diagnosis phase of t
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he nursing process. Developing a nursing goal to plan the procedures needed to give drug and
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developing a teaching plan for the patient regarding the drug’s actions are part of the planning
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phase of the nursing process.
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DIF: z l z l Cognitive Level: Applying zl zl z l z l REF: p. 2 zl zl




3. You are teaching a patient with depression about the potential adverse effects of a presc
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ribed drug. What part of the nursing process related to drug therapy are you engaging in at this p
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oint of the teaching plan?
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a. Assessment

b. Implementation

c. Evaluation

d. Diagnosis
ANS: C
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In the evaluation phase of the nursing process, the LPN understands and teaches to the patient t
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he drug’s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: z l z l Cognitive Level: Remembering zl zl z l z l z l REF: p. 2 zlzl zl




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
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ANS: A zl




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 f
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rom the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a m
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edical chart are examples of objective data.
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DIF: Cognitive Level: Remembering zl zl REF: p. 2 zl zl




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.
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c. The patient reports moderate alcohol consumption.
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d. The patient states pain is severe.
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ANS: B zl




Measurable data obtained during a physical exam such as grimacing with movement is an examp
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le of objective data. Subjective data includes information presented by the patient or Family that c
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annot be substantiated such as a wife’s report of a patient’s confusion, patient report of degree of a
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lcohol consumption, and a patient’s pain rating.
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DIF: Cognitive Level: Remembering zl zl REF: p. 3 zl zl




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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