Test bank for introduction to clinical pharmacology 10th edition by constance visovsky cheryl zambroski shirley hoslerm

TEST BANK X




INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
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By Constance Visovsky, Cheryl 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
XCHOICE

1. TheXLPNXisXcollectingXdataXforXtheXinitialXassessmentX ofXaXpatientX uponXadmissionX toXaXlong-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN con
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iority?
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 X


Collecting and documenting data about the patient and the patient‘s health condition is a critical ste
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given. Information regarding the present illness, any signs and symptoms, review of medical record
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l signs are needed before drugs are given. Deciding on special equipment that will be needed to giv
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art of the planning phase of the nursing process. Monitoring the patient for his response to given dr
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on stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed
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implementation stage of the nursing process.
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DIF: Cognitive Level: Applying
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2. TheXLPNXisXworkingXwithXaXpatientXinXtheXplanningXstageXofXtheXnursingXprocessXrelatedXtoXtheXpatien
h 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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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 X


Determining how much the patient understands about his drug is part of the diagnosis phase of the
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oping a nursing goal to plan the procedures needed to give drug and developing a teaching plan for
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e 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. YouXareXteachingXaXpatientXwithXdepressionXaboutXtheXpotentialXadverseXeffectsX ofXaXprescribedX drug.
g 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 X


In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the d
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ted side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering REF: p. 2
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4. WhichXofXtheXfollowingX isXanXexampleXofXsubjectiveXdata?

, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
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6. TheXLPN/VNXisXassessingXaXpatientX beforeXgivingXaXdrugX forXbloodX pressureXmanagement.X TheXnurse
e 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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d. Have the patient perform pursed lip breathing before giving the drug.
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ANS: A X


The best action is to hold the drug and contact the RN. The patient may need an adjustment to the d
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e drug or switching to another drug. Giving water with the drug is not contraindicated but does not
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isk for 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. TheXLPNXisXcollectingX objectiveXdataXforXinclusionXinXtheXnursingXassessment.X WhichXpieceXofXinform
e LPN 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.
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c. Detailed history of the patient‘s current illness upon admission.
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d. Compilation of past laboratory results and x-ray reports. X X X X X X X



ANS: D X

The patient‘s past laboratory and x-
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ray results are examples of objective data. A pain rating of 8/10, a family member‘s descriptionof t
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of current illness are examples of subjective data.
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DIF: Cognitive Level: Remembering REF: p. 3
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8. AXpatientXrecentlyX beganXaXtakingXbloodXpressureXdrugXandXpresentsXforXaXfollow-
up appointment. The office nurse reviews the patient‘s daily blood pressure recordings. Which sta
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s corresponds to this review?
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a. Assessment
b. Planning
c. Diagnosis
d. Evaluation

ANS: D X


The evaluation phase involves examining the results that occur when the plan is implemented. Rev
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lood pressure recording examines the patient‘s response to the drug. The assessment phase provide
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he patient, the problem, and anything that may change the choice of treatment. The planning phase
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essment data and diagnoses to set goals and write care plans. The diagnosis phase involves decision
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making about the patient‘s problems, including medical diagnoses made by the healthcare provider
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eloped through the North American Nursing Diagnosis Association (NANDA).
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DIF: Cognitive Level: Remembering REF: p. 2
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9. AfterXreceivingXreport,XtheXLPNXgivesXdrugsXtoXherXassignedXpatientsXonXtheXeveningXshift.X WithXwhi
g process does this activity correspond?
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a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A X


The implementation phase involves actively following the plan of care and accurately giving ordere
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, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
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11. AXpatientXisXreceivingXanXantibioticXforXpneumonia.XOnXtheXthirdX dayXofXtheXtreatmentX regimen,X aXras
t, and shereports itching and shortness of breath. Which term describes the effect that has occur
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a. Therapeutic effect X


b. Adverse effect X

c. Side effect X


d. Overdose effect X



ANS: B X


An itchy rash with shortness of breath that develops in response to drug is an example of an allergi
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effect to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causin
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Side effects of drugs are known potential effects of the antibiotic that range from mild to moderate
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f a patient receives too much of a drug.
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DIF: Cognitive Level: Understanding REF: p. 9
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12. AnXLPNXentersXaXpatient‘sXroomXtoXgiveXaXscheduledXdrug.XBeforeXadministration,XtheXpatientXstates,X―
Xdrug; I‘m allergic to it.‖ What should the nurse do first?
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a. Reassure the patient that the drug is needed and observations regardin
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g possibleallergic symptoms will be made.
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b. Review the patient record and encourage the patient to take the drug i
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f noallergies have been documented.
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c. Assess the patient‘s allergic history and notify the healthcare provider t
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o determine a course of action.
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d. Document patient refusal and leave a note on the patient chart fo
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r thehealthcareprovider.
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ANS: C X

The patient has shared information that indicates the potential for the ordered drug to cause adverse
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e drug, the nurse should investigate further by obtaining a more detailed drug history and notifying
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ho wrote the order. Although the order may be accurately written, determining whether the drug‘s b
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Xis not an action within the legal scope of the nurse‘s practice. The nurse should not offer false reas
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te for patient safety, should investigate further before giving the drug. The patient has raised conce
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t should promptly be brought to the provider‘s attention. A note on the chart leaves potential for
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d.

DIF: Cognitive Level: Applying
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13. TheX LPNX isX preparingX toX giveX theX initialX doseX ofX anX antibioticX toX aX patientX diagnosedX withX anX infection
I broke outin a rash the last time I took that pill.‖ What action should the LPN take next?
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a. Give the drug and check the patient in 30 minutes for a rash.
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b. Document that the patient refused the drug per agency policy.X X X X X X X X X

c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
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d. Notify the registered nurse or healthcare provider.
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ANS: D X


This is a possible adverse reaction, and the RN or healthcare provider should be notified immediate
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ve the drug to see if it does cause a rash. Drug should never be left at the bedside. The patient di
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DIF: Cognitive Level: Applying
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14. WhichXpriorityXassessmentXmustXyouXmakeXbeforeXgivingXanyXpatientXaXdrugXbyXmouth?
a. QuizXtheXpatientXaboutXtheXactionXofXeachXdrug.
b. MakeXsureXtheXpatientXcanXswallow.
c. FindXoutX whetherXtheXpatientXprefersXcoldX orXroomXtemperatureXliquids.
d. AskXtheXpatientXtoXrepeatXhisXorXherXnameXandXbirthdate.