Chapter 01: Pharmacology and the Nursing Process in LPN Practice Vi
v v v v v v v v v v
sovsky: Introduction to Clinical Pharmacology, 10th Edition
v v v v v v
MULTIPLEvCHOICE
1.vvvThevLPNvisvcollectingvdatavforvthevinitialvassessmentvofvavpatientvuponvadmissionvtovavlong-termvcarevfacil
patient’svprescribedvdrugs.vWhichvactionvshouldvthevLPNvconsidervtovbevthevhighestvpriority?
a.vvvObtainvanyvspecialvequipmentvthatvwillvbevneededvtovgivevthevpatient’svdrug.
b.vvvMonitorvthevpatientvforvavresponsevtovthevdrugvgiven.
c.vvvCollectvdatavaboutvthevpatientvandvthevpatient’svhealthvcondition.
d.vvvReviewvthevnursingvcarevplanvtovverifyvthatvitvisvaccurate.
ANS: vvC
Collectingvandvdocumentingvdatavaboutvthevpatientvandvthevpatient’svhealthvconditionvisvavcriticalvstepvbef
Informationvregardingvthevpresentvillness,vanyvsignsvandvsymptoms,vreviewvofvmedicalvrecords,vdrugvhisto
neededvbeforevdrugsvarevgiven.vDecidingvonvspecialvequipmentvthatvwillvbevneededvtovgivevthevpatient’svd
phasevofvthevnursingvprocess.vMonitoringvthevpatientvforvhisvresponsevtovgivenvdrugvisvpartvofvthevevaluatio
process.vReviewingvthevnursingvcarevplanvtovverifyvthatvitvisvbeingvfollowedvaccuratelyvisvpartvofvthevimple
nursingvprocess.
DIF:vvvCognitive vLevel:vApplying REF:vvp.v2
2.vvvThevLPNvisvworkingvwithvavpatientvinvthevplanningvstagevofvthevnursingvprocessvrelatedvtovthevpatient’svpre
actionvshouldvthevLPNvtakevduringvthisvstage?
a.vvvDevelopvavnursingvgoalvtovplanvthevproceduresvneededvtovgivevdrug.
b.vvvDevelopvavteachingvplanvforvthevpatientvregardingvthevdrug’svactions.
c.vvvDeterminevthatvthevpatientvisvexperiencingvthevexpectedvresponsevtovhisvdrug.
d.vvvDeterminevhowvmuchvthevpatientvunderstandsvaboutvhisvdrug.
ANS: vvD
Determiningvhowvmuchvthevpatientvunderstandsvaboutvhisvdrugvisvpartvofvthevdiagnosisvphasevofvthevnursin
ngvgoalvtovplanvthevproceduresvneededvtovgivevdrugvandvdevelopingvavteachingvplanvforvthevpatientvregardi
ofvthevplanningvphasevofvthevnursingvprocess.
DIF:vvvCognitive vLevel:vApplying REF:vvp.v2
3.vvvYouvarevteachingvavpatientvwithvdepressionvaboutvthevpotentialvadverseveffectsvofvavprescribedvdrug.vWhat
relatedvtovdrugvtherapyvarevyouvengagingvinvatvthisvpointvofvthevteachingvplan?
a.vvvAssessment
b.vvvImplementation
c.vvvEvaluation
d.vvvDiagnosis
ANS: vvC
Invthevevaluationvphasevofvthevnursingvprocess,vthevLPNvunderstandsvandvteachesvtovthevpatientvthevdrug’s
ectedvsideveffects,vandvpotentialvadverseveffects.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v2
4.vvvWhichvofvthevfollowingvisvanvexamplevofvsubjectivevdata?
a.vvvThevpatientvstatesvshevhasvpainvinvhervleftvarm.
b.vvvThevmedicalvchartvhasvavrecordedvbloodvpressurevofv128/88.
c.vvvThevserumvpotassiumvlevelvisv3.8vmmol/L.
d.vvvThevpatient’svECGvshowsvnormalvsinusvrhythm.
ANS: vvA
Reportsvfromvthevpatientvorvpatient’svcaregivervarevconsideredvsubjectivevdata.vSymptomsvsuchvasvpain,vn
examplesvofvsymptomsvthatvcannotvbev“seen”vandvarevdatavcollectedvfromvthevpatient,vcaregiver,vorvothers
ults,vorvvitalvsignvdatavfromvavmedicalvchartvarevexamplesvofvobjectivevdata.
, 5.vvvWhichvstatementvprovidesvanvexamplevofvobjectivevdata?
a.vvvThevwifevstatesvthevpatientvwasvconfusedvlastvnight.
b.vvvGrimacingvwithvmovementvisvpresentvduringvthevexamination.
c.vvvThevpatientvreportsvmoderatevalcoholvconsumption.
d.vvvThevpatientvstatesvpainvisvsevere.
ANS: vvB
Measurablevdatavobtainedvduringvavphysicalvexamvsuchvasvgrimacingvwithvmovementvisvanvexamplevofvob
avincludesvinformationvpresentedvbyvthevpatientvorvfamilyvthatvcannotvbevsubstantiatedvsuchvasvavwife’svre
n,vpatientvreportvofvdegreevofvalcoholvconsumption,vandvavpatient’svpainvrating.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v3
Copyrightv©v2022,vElseviervInc.vAllvRightsvReserved.
,6.vvvThevLPN/VNvisvassessingvavpatientvbeforevgivingvavdrugvforvbloodvpressurevmanagement.vThevnursevnotes
90/50vmmvHg.vWhatvisvthevnurse’svbestvaction?
a.vvvHoldvthevdrugvandvreportvthevbloodvpressurevtovthevRN.
b.vvvGivevthevpatientvavfullvglassvofvwatervbeforevgivingvthevdrug.
c.vvvComevbackvinv30vminutesvandvrecheckvthevbloodvpressure.
d.vvvHavevthevpatientvperformvpursedvlipvbreathingvbeforevgivingvthevdrug.
ANS: vvA
ThevbestvactionvisvtovholdvthevdrugvandvcontactvthevRN.vThevpatientvmayvneedvanvadjustmentvtovthevdosevo
witchingvtovanothervdrug.vGivingvwatervwithvthevdrugvisvnotvcontraindicatedvbutvdoesvnotvrecognizevthevpa
hypotension.vPursedvlipvbreathingvhasvnovrolevinvthisvsituation.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v4
7.vvvThevLPNvisvcollectingvobjectivevdatavforvinclusionvinvthevnursingvassessment.vWhichvpiecevofvinformation
avclearvunderstandingvofvobjectivevassessmentvdata?
a.vvvAvpatient’svratingvofvchestvpainvasv8vonvav1vtov10vscale.
b.vvvFamilyvmembersvreportvthatvpatientvhasvbeenvexperiencingvpainvforv1vmonth.
c.vvvDetailedvhistoryvofvthevpatient’svcurrentvillnessvuponvadmission.
d.vvvCompilationvofvpastvlaboratoryvresultsvandvx-rayvreports.
ANS: vvD
Thevpatient’svpastvlaboratoryvandvx-
rayvresultsvarevexamplesvofvobjectivevdata.vAvpainvratingvofv8/10,vavfamilyvmember’svdescriptionvofvthevpa
rentvillnessvarevexamplesvofvsubjectivevdata.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v3
8.vvvAvpatientvrecentlyvbeganvavtakingvbloodvpressurevdrugvandvpresentsvforvavfollow-upvappointment.vThevoffi
patient’svdailyvbloodvpressurevrecordings.vWhichvstagevofvthevnursingvprocessvcorrespondsvtovthisvreview
a.vvvAssessment
b.vvvPlanning
c.vvvDiagnosis
d.vvvEvaluation
ANS: vvD
Thevevaluationvphasevinvolvesvexaminingvthevresultsvthatvoccurvwhenvthevplanvisvimplemented.vReviewin
surevrecordingvexaminesvthevpatient’svresponsevtovthevdrug.vThevassessmentvphasevprovidesvinitialvinform
blem,vandvanythingvthatvmayvchangevthevchoicevofvtreatment.vThevplanningvphasevinvolvesvusingvpatientva
ovsetvgoalsvandvwritevcarevplans.vThevdiagnosisvphasevinvolvesvdecision-
makingvaboutvthevpatient’svproblems,vincludingvmedicalvdiagnosesvmadevbyvthevhealthcarevprovidervandv
roughvthevNorthvAmericanvNursingv
DiagnosisvAssociationv(NANDA).
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v2
9.vvvAftervreceivingvreport,vthevLPNvgivesvdrugsvtovhervassignedvpatientsvonvtheveveningvshift.vWithvwhichvstag
doesvthisvactivityvcorrespond?
a.vvvImplementation
b.vvvAssessment
c.vvvPlanning
d.vvvDiagnosis
ANS: vvA
Thevimplementationvphasevinvolvesvactivelyvfollowingvthevplanvofvcarevandvaccuratelyvgivingvorderedvdru
assessmentvphasevinvolvesvobtainingvinitialvinformationvaboutvthevpatient,vthevproblem,vandvanythingvtha
ment.vThevplanningvphasevinvolvesvusingvpatientvassessmentvdatavandvdiagnosesvtovsetvgoalsvandvwritevca
nvolvesvdecision-
makingvaboutvthevpatient’svproblems,vincludingvmedicalvdiagnosesvmadevbyvthevhealthcarevprovidervandv
roughvthevNorthvAmericanvNursingvDiagnosisvAssociationv(NANDA).
, 10.vvvYouvarevreviewingvavpatient’svnewvantihypertensivevdrugvorder.vThevordervasvwrittenvisvunclearvasvtovthevn
thevdrugvisvtovbevgiven.vWhatvisvyourvbestvaction?
a.vvvCallvthevhealthcarevprovidervtovclarifyvthevorder.
b.vvvRefervthevquestionvtovthevhospitalvpharmacy.
c.vvvGivevthevdrugvaccordingvtovthevinformationvinvavdrugvhandbook.
d.vvvHoldvthevdrugvuntilvthevhealthcarevprovidervreturnsvthevfollowingvday.
ANS: vvA
Yourvresponsibilityvasvavnursevgivingvdrugsvisvtovapplyvknowledgevaboutvthevspecificvdrugvandvdrugvorder
shouldvbevunclear.vAnyvquestionsvrelatedvtovthevdrug,vdosevorvappropriatenessvforvthevspecificvpatientvsho
drugvisvgiven.
DIF:vvvCognitivevLevel:vUnderstandingv REF:vvp.v4
Copyrightv©v2022,vElseviervInc.vAllvRightsvReserved.
v v v v v v v v v v
sovsky: Introduction to Clinical Pharmacology, 10th Edition
v v v v v v
MULTIPLEvCHOICE
1.vvvThevLPNvisvcollectingvdatavforvthevinitialvassessmentvofvavpatientvuponvadmissionvtovavlong-termvcarevfacil
patient’svprescribedvdrugs.vWhichvactionvshouldvthevLPNvconsidervtovbevthevhighestvpriority?
a.vvvObtainvanyvspecialvequipmentvthatvwillvbevneededvtovgivevthevpatient’svdrug.
b.vvvMonitorvthevpatientvforvavresponsevtovthevdrugvgiven.
c.vvvCollectvdatavaboutvthevpatientvandvthevpatient’svhealthvcondition.
d.vvvReviewvthevnursingvcarevplanvtovverifyvthatvitvisvaccurate.
ANS: vvC
Collectingvandvdocumentingvdatavaboutvthevpatientvandvthevpatient’svhealthvconditionvisvavcriticalvstepvbef
Informationvregardingvthevpresentvillness,vanyvsignsvandvsymptoms,vreviewvofvmedicalvrecords,vdrugvhisto
neededvbeforevdrugsvarevgiven.vDecidingvonvspecialvequipmentvthatvwillvbevneededvtovgivevthevpatient’svd
phasevofvthevnursingvprocess.vMonitoringvthevpatientvforvhisvresponsevtovgivenvdrugvisvpartvofvthevevaluatio
process.vReviewingvthevnursingvcarevplanvtovverifyvthatvitvisvbeingvfollowedvaccuratelyvisvpartvofvthevimple
nursingvprocess.
DIF:vvvCognitive vLevel:vApplying REF:vvp.v2
2.vvvThevLPNvisvworkingvwithvavpatientvinvthevplanningvstagevofvthevnursingvprocessvrelatedvtovthevpatient’svpre
actionvshouldvthevLPNvtakevduringvthisvstage?
a.vvvDevelopvavnursingvgoalvtovplanvthevproceduresvneededvtovgivevdrug.
b.vvvDevelopvavteachingvplanvforvthevpatientvregardingvthevdrug’svactions.
c.vvvDeterminevthatvthevpatientvisvexperiencingvthevexpectedvresponsevtovhisvdrug.
d.vvvDeterminevhowvmuchvthevpatientvunderstandsvaboutvhisvdrug.
ANS: vvD
Determiningvhowvmuchvthevpatientvunderstandsvaboutvhisvdrugvisvpartvofvthevdiagnosisvphasevofvthevnursin
ngvgoalvtovplanvthevproceduresvneededvtovgivevdrugvandvdevelopingvavteachingvplanvforvthevpatientvregardi
ofvthevplanningvphasevofvthevnursingvprocess.
DIF:vvvCognitive vLevel:vApplying REF:vvp.v2
3.vvvYouvarevteachingvavpatientvwithvdepressionvaboutvthevpotentialvadverseveffectsvofvavprescribedvdrug.vWhat
relatedvtovdrugvtherapyvarevyouvengagingvinvatvthisvpointvofvthevteachingvplan?
a.vvvAssessment
b.vvvImplementation
c.vvvEvaluation
d.vvvDiagnosis
ANS: vvC
Invthevevaluationvphasevofvthevnursingvprocess,vthevLPNvunderstandsvandvteachesvtovthevpatientvthevdrug’s
ectedvsideveffects,vandvpotentialvadverseveffects.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v2
4.vvvWhichvofvthevfollowingvisvanvexamplevofvsubjectivevdata?
a.vvvThevpatientvstatesvshevhasvpainvinvhervleftvarm.
b.vvvThevmedicalvchartvhasvavrecordedvbloodvpressurevofv128/88.
c.vvvThevserumvpotassiumvlevelvisv3.8vmmol/L.
d.vvvThevpatient’svECGvshowsvnormalvsinusvrhythm.
ANS: vvA
Reportsvfromvthevpatientvorvpatient’svcaregivervarevconsideredvsubjectivevdata.vSymptomsvsuchvasvpain,vn
examplesvofvsymptomsvthatvcannotvbev“seen”vandvarevdatavcollectedvfromvthevpatient,vcaregiver,vorvothers
ults,vorvvitalvsignvdatavfromvavmedicalvchartvarevexamplesvofvobjectivevdata.
, 5.vvvWhichvstatementvprovidesvanvexamplevofvobjectivevdata?
a.vvvThevwifevstatesvthevpatientvwasvconfusedvlastvnight.
b.vvvGrimacingvwithvmovementvisvpresentvduringvthevexamination.
c.vvvThevpatientvreportsvmoderatevalcoholvconsumption.
d.vvvThevpatientvstatesvpainvisvsevere.
ANS: vvB
Measurablevdatavobtainedvduringvavphysicalvexamvsuchvasvgrimacingvwithvmovementvisvanvexamplevofvob
avincludesvinformationvpresentedvbyvthevpatientvorvfamilyvthatvcannotvbevsubstantiatedvsuchvasvavwife’svre
n,vpatientvreportvofvdegreevofvalcoholvconsumption,vandvavpatient’svpainvrating.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v3
Copyrightv©v2022,vElseviervInc.vAllvRightsvReserved.
,6.vvvThevLPN/VNvisvassessingvavpatientvbeforevgivingvavdrugvforvbloodvpressurevmanagement.vThevnursevnotes
90/50vmmvHg.vWhatvisvthevnurse’svbestvaction?
a.vvvHoldvthevdrugvandvreportvthevbloodvpressurevtovthevRN.
b.vvvGivevthevpatientvavfullvglassvofvwatervbeforevgivingvthevdrug.
c.vvvComevbackvinv30vminutesvandvrecheckvthevbloodvpressure.
d.vvvHavevthevpatientvperformvpursedvlipvbreathingvbeforevgivingvthevdrug.
ANS: vvA
ThevbestvactionvisvtovholdvthevdrugvandvcontactvthevRN.vThevpatientvmayvneedvanvadjustmentvtovthevdosevo
witchingvtovanothervdrug.vGivingvwatervwithvthevdrugvisvnotvcontraindicatedvbutvdoesvnotvrecognizevthevpa
hypotension.vPursedvlipvbreathingvhasvnovrolevinvthisvsituation.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v4
7.vvvThevLPNvisvcollectingvobjectivevdatavforvinclusionvinvthevnursingvassessment.vWhichvpiecevofvinformation
avclearvunderstandingvofvobjectivevassessmentvdata?
a.vvvAvpatient’svratingvofvchestvpainvasv8vonvav1vtov10vscale.
b.vvvFamilyvmembersvreportvthatvpatientvhasvbeenvexperiencingvpainvforv1vmonth.
c.vvvDetailedvhistoryvofvthevpatient’svcurrentvillnessvuponvadmission.
d.vvvCompilationvofvpastvlaboratoryvresultsvandvx-rayvreports.
ANS: vvD
Thevpatient’svpastvlaboratoryvandvx-
rayvresultsvarevexamplesvofvobjectivevdata.vAvpainvratingvofv8/10,vavfamilyvmember’svdescriptionvofvthevpa
rentvillnessvarevexamplesvofvsubjectivevdata.
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v3
8.vvvAvpatientvrecentlyvbeganvavtakingvbloodvpressurevdrugvandvpresentsvforvavfollow-upvappointment.vThevoffi
patient’svdailyvbloodvpressurevrecordings.vWhichvstagevofvthevnursingvprocessvcorrespondsvtovthisvreview
a.vvvAssessment
b.vvvPlanning
c.vvvDiagnosis
d.vvvEvaluation
ANS: vvD
Thevevaluationvphasevinvolvesvexaminingvthevresultsvthatvoccurvwhenvthevplanvisvimplemented.vReviewin
surevrecordingvexaminesvthevpatient’svresponsevtovthevdrug.vThevassessmentvphasevprovidesvinitialvinform
blem,vandvanythingvthatvmayvchangevthevchoicevofvtreatment.vThevplanningvphasevinvolvesvusingvpatientva
ovsetvgoalsvandvwritevcarevplans.vThevdiagnosisvphasevinvolvesvdecision-
makingvaboutvthevpatient’svproblems,vincludingvmedicalvdiagnosesvmadevbyvthevhealthcarevprovidervandv
roughvthevNorthvAmericanvNursingv
DiagnosisvAssociationv(NANDA).
DIF:vvvCognitivevLevel:vRemembering REF:vvp.v2
9.vvvAftervreceivingvreport,vthevLPNvgivesvdrugsvtovhervassignedvpatientsvonvtheveveningvshift.vWithvwhichvstag
doesvthisvactivityvcorrespond?
a.vvvImplementation
b.vvvAssessment
c.vvvPlanning
d.vvvDiagnosis
ANS: vvA
Thevimplementationvphasevinvolvesvactivelyvfollowingvthevplanvofvcarevandvaccuratelyvgivingvorderedvdru
assessmentvphasevinvolvesvobtainingvinitialvinformationvaboutvthevpatient,vthevproblem,vandvanythingvtha
ment.vThevplanningvphasevinvolvesvusingvpatientvassessmentvdatavandvdiagnosesvtovsetvgoalsvandvwritevca
nvolvesvdecision-
makingvaboutvthevpatient’svproblems,vincludingvmedicalvdiagnosesvmadevbyvthevhealthcarevprovidervandv
roughvthevNorthvAmericanvNursingvDiagnosisvAssociationv(NANDA).
, 10.vvvYouvarevreviewingvavpatient’svnewvantihypertensivevdrugvorder.vThevordervasvwrittenvisvunclearvasvtovthevn
thevdrugvisvtovbevgiven.vWhatvisvyourvbestvaction?
a.vvvCallvthevhealthcarevprovidervtovclarifyvthevorder.
b.vvvRefervthevquestionvtovthevhospitalvpharmacy.
c.vvvGivevthevdrugvaccordingvtovthevinformationvinvavdrugvhandbook.
d.vvvHoldvthevdrugvuntilvthevhealthcarevprovidervreturnsvthevfollowingvday.
ANS: vvA
Yourvresponsibilityvasvavnursevgivingvdrugsvisvtovapplyvknowledgevaboutvthevspecificvdrugvandvdrugvorder
shouldvbevunclear.vAnyvquestionsvrelatedvtovthevdrug,vdosevorvappropriatenessvforvthevspecificvpatientvsho
drugvisvgiven.
DIF:vvvCognitivevLevel:vUnderstandingv REF:vvp.v4
Copyrightv©v2022,vElseviervInc.vAllvRightsvReserved.
