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y 11th Edition By Constance Visovsky,CherylZam br
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oski,ShirleyHosler Chapter 1-
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20 Complete Guide A+
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,Visovsky:n Introductionnton ClinicalnPharmacology,n 11thn Editio 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:I nt
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roduction to Clinical Pharmacology, 11th Edition
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MULTIPLEnCHOICE
1. ThenLPNn isncollectingndatanforntheninitialnassessmentnofnanpatientn uponnadmissionnton anL
ong-
termncaren facilitynbeforen givingn then patient‘sn prescribedn drugs.n Whichnactionnshouldn then LPNn consi
dern ton ben then highestn priority?
a. Obtainnanynspecialnequipmentn thatn willn ben neededn ton given then patient‘sn drug.
b. Monitornthen patientn forn an responsen ton then drugngiven.
c. Collectn datan aboutnthenpatientn andn then patient‘sn healthncondition.
d. Reviewnthen nursingn carenplannton verifynthatn itn isnaccurat
e. ANS:n C
Collectingnandn documentingndatanaboutnthen patientnandnthenpatient‘snhealthnconditionnisnancriticn aln
stepnbeforenanyndrugsn arengiven.nInformationnregardingnthenpresentnillness,nanynsignsn andnsyn mpto
ms,nreviewnofnmedicalnrecords,ndrugnhistory,nandnvitalnsignsnarenneedednbeforendrugsnaren given.n D
ecidingnonnspecialnequipmentnthatnwillnbenneedednton giventhenpatient‘sndrugnisnpartnofntn hen planning
n phasen ofn then nursingn process.n Monitoringn then patientn forn hisn responsen ton givenn drungnisn partnofnth
enevaluationnstagenofnthennursingnprocess.nReviewingnthennursingncaren plannton verinfynthatn itn isnbei
ngnfollowedn accuratelynisnpartnofnthenimplementationn stagen ofnthen nursingnprocenss.
DIF: CognitivenLevel:n Applying REF:n p.n 2
2. ThenLPNnisnworkingnwithnanpatientninnthenplanningnstagenofnthennursingnprocessnrelatednton
then patient‘sn prescribedn drugs.n Whichn actionn shouldn then LPNn taken duringn thisn stage?
a. Developn an nursingn goalnton plannthen proceduresn neededn ton given drug.
,Visovsky:n Introductionnton ClinicalnPharmacology,n 11thn Editio 3
b. Developnanteachingn plann forn then patientn regardingn then drug‘sn actions.
c. Determinenthatn then patientn isnexperiencingn thenexpectednresponsen ton hisndrug.
d. Determinen hown muchnthenpatientn understandsnaboutn hisndrug
.n ANS:n D
Determiningnhownmuchnthenpatientn understandsnaboutnhisndrugnisnpartn ofnthendiagnosisnphasenofn
then nursingn process.n Developingn an nursingn goaln tonplannthen proceduresn neededn ton given drungnan
dndevelopingnanteachingnplannfornthenpatientnregardingnthendrug‘snactionsnarenpartnofnthen plannin
gnphasenofnthennursingnprocess.
DIF: Cognitiven Level:n Applying REF:n p.n 2
3. Younarenteachingnanpatientnwithndepressionnaboutnthenpotentialnadverseneffectsnofnanprnesc
ribedndrug.nWhatnpartnofnthennursingnprocessnrelatedntondrugntherapynarenyounengagingninnatnthisnp
ointnofnthenteachingnplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
nANS:nC
Innthenevaluationnphasenofnthennursingnprocess,nthenLPNnunderstandsnandnteachesntonthenpatien
ntnthen drug‘sn therapeuticneffects,n expectednsiden effects,n andnpotentialnadverseneffects.
DIF: Cognitiven Level:n Remembering REF: p.n 2
4. Whichnofnthen followingn isn annexamplen ofnsubjectiven data?
a. Thenpatientn statesnshen hasnpainninn hern leftn arm.
b. Then medicalnchartn hasnan recordedn bloodn pressuren ofn128/88.
c. Thenserumnpotassiumnleveln isn3.8n mmol/L.
, Visovsky:n Introductionnton ClinicalnPharmacology,n 11thn Editio 4
d. Thenpatient‘sn ECGn showsnnormalnsinusn rhythm.
ANS:n A
Reportsnfromnthenpatientnornpatient‘sncaregivernarenconsiderednsubjectivendata.nSymptomsnsuchnasnpain,
n nausea,norndizzinessnarenexamplesnofnsymptomsnthatncannotnben―seen‖nandnarendatancollectednfromnthen
patient,ncaregiver,nornothers.n Laboratorynvalues,nECGnresults,nornvitalnsignndatanfromnan medicalnchartnar
enexamplesnofnobjectivendata.
DIF: CognitivenLevel:n Remembering REF:n p.n 2
5. Whichnstatementn providesn annexamplen ofnobjectiven data?
a. Thenwifen statesnthenpatientn wasn confusedn lastn night.
b. Grimacing withnmovementn isnpresentn duringnthenexamination.
gy
c. Thenpatientn reportsnmoderaten alcoholnconsumption.
d. Thenpatientn statesnpainnisnsevere
.n ANS:n B
Measurablendatanobtainednduringnanphysicalnexamnsuchnasngrimacingnwithnmovementnisnannexan mp
len ofnobjectiven data.n Subjectiven datan includesn informationn presentedn bynthen patientn orn Familnyntha
tncannotnbensubstantiatednsuchnasnanwife‘snreportnofnanpatient‘snconfusion,npatientnreportnofndegreeno
fnalcoholnconsumption,nandnanpatient‘snpainnrating.
DIF: CognitivenLevel:n Remembering REF:n p.n 3
6. ThenLPN/VNnisnassessingnanpatientnbeforengivingnandrugnfornbloodnpressurenmanagemennt
.n Then nursen notesnthen bloodn pressuren ton ben 90/50n mmn Hg.n Whatn isn then nurse‘sn bestn action?
a. Holdn then drugn andn reportn then bloodn pressuren tonthen RN.
b. Giventhen patientn an fullnglassn ofnwatern beforen givingn then drug.
c. Comen backn inn30n minutesnandn recheckn then bloodn pressure.