Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 1
,Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 11th Edition
MULTIPLEd CHOICE
1. ThedLPNd isdcollectingd datad fordthed initialdassessmentd ofdadpatientd upondadmissiondtod adL
ong-
termdcaredfacilitydbeforedgivingdthedpatient‘sdprescribedddrugs.d WhichdactiondshoulddthedLPNdco
nsiderdtodbedthedhighestdpriority?
a. Obtaindanydspecialdequipmentd thatd willd bed needed d tod gived thed patient‘sddrug.
4
b. Monitordthed patientd ford adresponsed todthed drugdgiven.
c. Collectd datadaboutdthedpatientd anddthedpatient‘sdhealthdcondition.
d. Reviewdthednursingdcaredplandtod verifydthatd itd isd
accurate.dANS:dC
Collectingdandddocumentingddatadaboutdthedpatientdanddthedpatient‘sdhealthdconditiondisdad critic
aldstepdbeforedanyddrugsdaredgiven.d Informationdregardingdthedpresentd illness,d anydsignsdanddsy
mptoms,d reviewdofdmedicaldrecords,ddrugdhistory,d anddvitaldsignsdaredneededdbeforeddrugsd ared
given.d Decidingd ondspecialdequipmentd thatd willd bed neededd tod gived thed patient‘sddrugdisdpartdo
fdthedplanningd phasedofdthednursingd process.d Monitoringd thed patientd ford hisdresponsedtod givend
drugd isd partdofdthedevaluationdstagedofdthednursingdprocess.dReviewingdthednursingdcaredplandtod v
erifydthatd itd isdbeingd followedd accuratelydisdpartd ofdthed implementationdstagedofdthed nursingd pr
ocess.
DIF: CognitivedLevel:d Applying REF:d p.d 2
2. ThedLPNd isdworkingdwithdadpatientd indthedplanningd stagedofdthednursingd processdrelateddto
d thed patient‘sd prescribedd drugs.d Whichd actiond shouldd thed LPNd taked duringd thisd stage?
a. Developd a d nursingd goaltod plan dthed proceduresd neededd tod gived drug.
4 4
b. Developdadteachingd pland fordthedpatientd regardingd theddrug‘sdactions.
,Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 3
c. Determinedthatd thedpatientd isdexperiencingd thedexpecteddresponsedtod hisddrug.
d. Determinedhowdmuch thedpatientd understandsdaboutdhisd
4
drug.dANS:dD
Determiningd howd muchdthed patientdunderstandsdaboutd hisddrugd isdpartdofdthed diagnosisdphasedof
d thed nursingd process.d Developingd ad nursingd goald tod plandthed proceduresd neededd tod giveddru
gd andddevelopingd adteachingd plandford thed patientd regardingd thed drug‘sd actionsd ared partdofdthed
planningdphasedofdthednursingdprocess.
DIF:d d d Cognitived Level:d Applyingd d d d REF:d p.d 2
3. Youdaredteachingd adpatientd withddepression d aboutdthedpotentialdadversedeffectsdofdadpre
4
scribedddrug.d Whatd partdofdthednursingdprocessdrelateddtoddrugdtherapydared youdengagingd indatdthi
sdpointdofdthedteachingdplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:dC
d
Indthed evaluationd phased ofdthed nursingd process,d thed LPNd understandsd andd teachesd tod thedpatie
ntd theddrug‘sdtherapeuticd effects,d expecteddsidedeffects,d andd potentialdadversed effects.
DIF: Cognitived Level:d Remembering REF: p.d 2
4. Whichdofdthed followingd isd andexampled ofdsubjectived data?
a. Thedpatientd statesdshedhasdpaindind herd leftd arm.
b. Thed medicaldchartd hasdad recordedd bloodd pressuredofd128/88.
c. Thedserumdpotassiumdleveld isd3.8d mmol/L.
d. Thedpatient‘sdECGdshowsdnormaldsinusdrhythm.
, Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 4
ANS:d A
Reportsdfrom dthedpatientdordpatient‘sdcaregiverdaredconsidereddsubjectiveddata.dSymptomsdsuchdasdpa
4
in,dnausea,dorddizzinessdaredexamplesdofdsymptomsdthatdcannotdbed―seen‖danddareddatadcollected d fro 4
mdthedpatient,dcaregiver,dordothers.dLaboratorydvalues,dECGdresults,dordvitaldsignddatadfrom dadmedical
4
d chartdaredexamplesdofdobjectiveddata.
DIF:d d CognitivedLevel:d Rememberingd d d d REF:d p.d 2
5. Whichdstatementd providesdandexampled ofdobjectived data?
a. Thedwifed statesdthedpatientd wasdconfusedd lastd night.
b. Grimacingdwithdmovementd isdpresentd duringdthedexamination.
c. Thedpatientd reportsdmoderatedalcoholdconsumption.
d. Thedpatientdstatesdpaindisd
severe.d ANS:dB
Measurableddatadobtaineddduringdadphysicaldexamdsuchdasdgrimacingdwithdmovementd isdand exam
pledofdobjectiveddata.d Subjectiveddata d includesd informationdpresenteddbydthedpatientd ordFamilydth
4
atd cannotd bedsubstantiated d suchdasdadwife‘sdreport dofdadpatient‘sdconfusion,d patientdreportdofddegr
4 4
eedofdalcohol d consumption,d andd ad patient‘sdpaindrating.
4
DIF: CognitivedLevel:dRemembering REF:d p.d 3
6. ThedLPN/VNd isdassessingdadpatientd beforedgivingdad drug dfordblooddpressuredmanagem
4
ent.dThed nursed notesdthed bloodd pressuredtod bed90/50d mmdHg.d Whatd isdthednurse‘sdbestdaction?
a. Holdd thed drugd andd reportd thed bloodd pressured todthed RN.
b. Givedthed patientd adfulldglassdofdwaterd befored givingd thed drug.
c. Comed backd ind30d minutesdandd recheckd thedbloodd pressure.
,Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 11th Edition
MULTIPLEd CHOICE
1. ThedLPNd isdcollectingd datad fordthed initialdassessmentd ofdadpatientd upondadmissiondtod adL
ong-
termdcaredfacilitydbeforedgivingdthedpatient‘sdprescribedddrugs.d WhichdactiondshoulddthedLPNdco
nsiderdtodbedthedhighestdpriority?
a. Obtaindanydspecialdequipmentd thatd willd bed needed d tod gived thed patient‘sddrug.
4
b. Monitordthed patientd ford adresponsed todthed drugdgiven.
c. Collectd datadaboutdthedpatientd anddthedpatient‘sdhealthdcondition.
d. Reviewdthednursingdcaredplandtod verifydthatd itd isd
accurate.dANS:dC
Collectingdandddocumentingddatadaboutdthedpatientdanddthedpatient‘sdhealthdconditiondisdad critic
aldstepdbeforedanyddrugsdaredgiven.d Informationdregardingdthedpresentd illness,d anydsignsdanddsy
mptoms,d reviewdofdmedicaldrecords,ddrugdhistory,d anddvitaldsignsdaredneededdbeforeddrugsd ared
given.d Decidingd ondspecialdequipmentd thatd willd bed neededd tod gived thed patient‘sddrugdisdpartdo
fdthedplanningd phasedofdthednursingd process.d Monitoringd thed patientd ford hisdresponsedtod givend
drugd isd partdofdthedevaluationdstagedofdthednursingdprocess.dReviewingdthednursingdcaredplandtod v
erifydthatd itd isdbeingd followedd accuratelydisdpartd ofdthed implementationdstagedofdthed nursingd pr
ocess.
DIF: CognitivedLevel:d Applying REF:d p.d 2
2. ThedLPNd isdworkingdwithdadpatientd indthedplanningd stagedofdthednursingd processdrelateddto
d thed patient‘sd prescribedd drugs.d Whichd actiond shouldd thed LPNd taked duringd thisd stage?
a. Developd a d nursingd goaltod plan dthed proceduresd neededd tod gived drug.
4 4
b. Developdadteachingd pland fordthedpatientd regardingd theddrug‘sdactions.
,Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 3
c. Determinedthatd thedpatientd isdexperiencingd thedexpecteddresponsedtod hisddrug.
d. Determinedhowdmuch thedpatientd understandsdaboutdhisd
4
drug.dANS:dD
Determiningd howd muchdthed patientdunderstandsdaboutd hisddrugd isdpartdofdthed diagnosisdphasedof
d thed nursingd process.d Developingd ad nursingd goald tod plandthed proceduresd neededd tod giveddru
gd andddevelopingd adteachingd plandford thed patientd regardingd thed drug‘sd actionsd ared partdofdthed
planningdphasedofdthednursingdprocess.
DIF:d d d Cognitived Level:d Applyingd d d d REF:d p.d 2
3. Youdaredteachingd adpatientd withddepression d aboutdthedpotentialdadversedeffectsdofdadpre
4
scribedddrug.d Whatd partdofdthednursingdprocessdrelateddtoddrugdtherapydared youdengagingd indatdthi
sdpointdofdthedteachingdplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:dC
d
Indthed evaluationd phased ofdthed nursingd process,d thed LPNd understandsd andd teachesd tod thedpatie
ntd theddrug‘sdtherapeuticd effects,d expecteddsidedeffects,d andd potentialdadversed effects.
DIF: Cognitived Level:d Remembering REF: p.d 2
4. Whichdofdthed followingd isd andexampled ofdsubjectived data?
a. Thedpatientd statesdshedhasdpaindind herd leftd arm.
b. Thed medicaldchartd hasdad recordedd bloodd pressuredofd128/88.
c. Thedserumdpotassiumdleveld isd3.8d mmol/L.
d. Thedpatient‘sdECGdshowsdnormaldsinusdrhythm.
, Visovsky:d Introductiondtod ClinicaldPharmacology,d 11thdEdition 4
ANS:d A
Reportsdfrom dthedpatientdordpatient‘sdcaregiverdaredconsidereddsubjectiveddata.dSymptomsdsuchdasdpa
4
in,dnausea,dorddizzinessdaredexamplesdofdsymptomsdthatdcannotdbed―seen‖danddareddatadcollected d fro 4
mdthedpatient,dcaregiver,dordothers.dLaboratorydvalues,dECGdresults,dordvitaldsignddatadfrom dadmedical
4
d chartdaredexamplesdofdobjectiveddata.
DIF:d d CognitivedLevel:d Rememberingd d d d REF:d p.d 2
5. Whichdstatementd providesdandexampled ofdobjectived data?
a. Thedwifed statesdthedpatientd wasdconfusedd lastd night.
b. Grimacingdwithdmovementd isdpresentd duringdthedexamination.
c. Thedpatientd reportsdmoderatedalcoholdconsumption.
d. Thedpatientdstatesdpaindisd
severe.d ANS:dB
Measurableddatadobtaineddduringdadphysicaldexamdsuchdasdgrimacingdwithdmovementd isdand exam
pledofdobjectiveddata.d Subjectiveddata d includesd informationdpresenteddbydthedpatientd ordFamilydth
4
atd cannotd bedsubstantiated d suchdasdadwife‘sdreport dofdadpatient‘sdconfusion,d patientdreportdofddegr
4 4
eedofdalcohol d consumption,d andd ad patient‘sdpaindrating.
4
DIF: CognitivedLevel:dRemembering REF:d p.d 3
6. ThedLPN/VNd isdassessingdadpatientd beforedgivingdad drug dfordblooddpressuredmanagem
4
ent.dThed nursed notesdthed bloodd pressuredtod bed90/50d mmdHg.d Whatd isdthednurse‘sdbestdaction?
a. Holdd thed drugd andd reportd thed bloodd pressured todthed RN.
b. Givedthed patientd adfulldglassdofdwaterd befored givingd thed drug.
c. Comed backd ind30d minutesdandd recheckd thedbloodd pressure.
