Test Bank for Introduction to Clinical Pharmacology, 11th Edition by Constance G. Visovsky|9780443115950|All Chapters 1-20|LATEST

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INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION
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By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
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, COMPLETE TEST BANK k8 k8




INTRODUCTION TO CLINICAL k8 k8




PHARMACOLOGY 10TH EDITION By
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Constance Visovsky, Cheryl
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Zambroski, Shirley Hosler
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,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
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Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE
CHOICE
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1. The LPN is collecting data for the initial assessment of a patient upon admission to a long-term care facility before giving the
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patient’sprescribed drugs. Which action should the LPN consider to 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. k8 k8 k8 k8 k8 k8 k8 k8 k8




c. Collect data about the patient and the patient’s health condition. k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8




d. Review the nursing care plan to verify that it is accurate. k8 k8 k8 k8 k8 k8 k8 k8 k8 k8




ANS: C k8




Collecting and documenting data about thepatient and the patient’shealth condition is a critical step before any drugs are given.
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Information regarding the presentillness, any signs and symptoms, review of medical records,drug history,and vital signsare
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needed before drugs are given. Deciding on special equipment that willbe needed to give the patient’s drug is part ofthe planning
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phase of the nursing process. Monitoring the patient for hisresponse to given drug ispart of the evaluation stage of thenursing
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process. Reviewing the nursing care plan to verify that it isbeing followed accurately is part of the implementation stage of the
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nursing process.
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DIF: Cognitive Level:Applying
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2. The LPN is working with a patient in the planning stage of the nursing process related to the patient’s prescribed drugs. Which action
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should theLPN take during thisstage?
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a. Develop a nursing goal to plan the procedures needed to give drug. k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8




b. Develop a teaching plan for the patient regarding the drug’s actions. k8 k8 k8 k8 k8 k8 k8 k8 k8 k8




c. Determine that the patient is experiencing the expected response to his drug. k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8




d. Determine how much the patient understands about his drug. k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8




ANS: D k8




Determining how much the patientunderstandsabout hisdrug ispart of the diagnosis phase of thenursing process.
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Developing a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient
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regarding the drug’s actions are part of the planning phase of the nursing process.
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DIF: Cognitive Level:Applying
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3. You are teaching a patient with depression about the potential adverse effects of a prescribed drug. What part of the nursing
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process related to drug therapy are you engaging in at this point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis

ANS: C k8




In the evaluation phase of the nursing process, the LPN understandsand teaches to the patientthe drug’stherapeutic effects,
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expected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering REF: p.2
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4. 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. k 8 k 8 k 8 k 8 k 8 k 8 k 8




c. The patient reports moderate alcohol consumption.
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d. The patient statespain is severe. k8 k8 k8 k8 k8




ANS: B k8




Measurable data obtained during a physical exam such asgrimacing with movement is an example of objective data. Subjective
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data includesinformation presented by the patient or family that cannot be substantiated such as a wife’sreport of a patient’s
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confusion, patient report of degree of alcohol consumption, and a patient’s pain rating.
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DIF: Cognitive Level: Remembering REF: p.3
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5. 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. k8 k8 k8 k8 k8 k8




d. The patient’s ECG shows normal sinus rhythm. k 8 k 8 k 8 k 8 k 8 k 8




ANS: A k8




Reportsfrom the patientor patient’scaregiver are considered subjective data. Symptoms such aspain, nausea,or dizziness are
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examples of symptoms that cannotbe “seen” and are data collected from the patient,caregiver, or others. Laboratory values, ECG
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results, or vital sign data from a medical chart are examples of objective data.
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DIF: Cognitive Level: Remembering REF: p.2
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, 6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse notes the blood pressure to be 90/50
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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. k8 k8 k8 k8 k8 k8 k8 k8 k8




d. Have the patient perform pursed lip breathing before giving the drug.
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ANS: A k8




The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose of the blood pressure drug or
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switching to another drug. Giving water with the drug is not contraindicated but does not recognize the patient’s risk for
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hypotension. Pursed lip breathing has no role in this situation.
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DIF: Cognitive Level: Remembering REF: p.4
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7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of information indicatesthat the LPN
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hasa clear understanding of objective assessment data?
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a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
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b. Family members report that patient has been experiencing pain for 1 month.k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8




c. Detailed history of the patient’s current illness upon admission. k 8 k 8 k 8 k 8 k 8 k 8 k 8 k 8




d. Compilation of past laboratory results and x-ray reports. k 8 k 8 k 8 k 8 k 8 k 8 k 8




ANS: D k8




The patient’spast laboratory and x-ray results are examplesof objective data. A pain rating of 8/10,a family member’s
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descriptionof the patient’s pain, and history of current illness are examples of subjective data.
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DIF: Cognitive Level: Remembering REF: p.3
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8. A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The office nurse reviews the
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patient’sdaily blood pressure recordings.Which stage of the nursing process corresponds to thisreview?
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a. Assessment
b. Planning
c. Diagnosis
d. Evaluation

ANS: D k8




The evaluation phase involves examining the results that occur when the plan is implemented. Reviewing the patient’s daily blood
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pressure recording examines the patient’s response to the drug. The assessment phase provides initial information about thepatient,
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the problem,and anything that may change the choice of treatment. Theplanning phase involvesusing patient assessment data and
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diagnoses to set goals and write care plans. The diagnosisphase involves decision-making about the patient’s problems, including
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medical diagnosesmade by the healthcare provider and nursing diagnoses developed through the North American Nursing
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Diagnosis Association (NANDA).
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DIF: Cognitive Level: Remembering REF: p.2
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9. After receiving report, the LPN gives drugs to her assigned patients on the evening shift. With which stage of the nursing
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process does this activity correspond?
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a. Implementation
b. Assessment
c. Planning
d. Diagnosis

ANS: A k8




The implementation phase involves actively following the plan of care and accurately giving ordered drug to the patients. The
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assessment phase involves obtaining initial information about the patient, the problem, and anything that may change the choice of
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treatment. The planning phase involvesusing patientassessment data and diagnoses to set goalsand write care plans. The diagnosis
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phase involves decision-making about the patient’s problems, including medical diagnoses made by the healthcare provider and
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nursing diagnoses developed through the North American Nursing Diagnosis Association (NANDA).
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DIF: Cognitive Level: Remembering REF: p.5
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10. You are reviewing a patient’s new antihypertensive drug order. The order as written is unclear as to the number of times per
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k8 day the drug is to be given. What is your best action?
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a. Call the healthcare provider to clarify the order.
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b. Refer the question to the hospitalpharmacy. k8 k8 k8 k8 k8 k8




c. Give the drug according to the information in a drug handbook.
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d. Hold the drug until the healthcare provider returns the following day.
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ANS: A k8




Your responsibility as a nurse giving drugs is to apply knowledge about the specific drug and drug orders. No part of the
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drug order should be unclear. Any questions related to the drug, dose or appropriateness for the specific patient should be
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answered before the drug is given.
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DIF: Cognitive Level: Understanding REF: p.4
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