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