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Introduction To Clinical Pharmacology, 11th Edition Constance G. Visovsky & Cheryl H.
Zambroski & Shirley M. Hosler
Chapter 1-23
TABLE OF CONTENTS:
UNIT I GENERAL PRINCIPLES
Chapter 1 Pharmacology And The Nursing Process In LPN Practice
Chapter 2 Legal, Regulatory, And Ethical Aspects Of Drug
Administration Chapter 3 Principles Of Pharmacology
UNIT II PRINCIPLES OF DRUG ADMINISTRATION
Chapter 4 Drug Calculation: Preparing And Giving Drugs
UNIT III DRUG CATEGORIES
Chapter 5 Drugs For Bacterial Infections
Chapter 6 Drugs For Tuberculosis, Fungal, And Parasitic Infections
Chapter 7 Drugs For Viral And Retroviral Infections
Chapter 8 Drugs For Allergy And Respiratory Problems
Chapter 9 Drugs Affecting The Renal/Urinary And Cardiovascular Systems
Chapter 10 Drugs For Central Nervous System Problems
Chapter 11 Drugs For Mental Health
Chapter 12 Drugs For Analgesia And Anesthesia
Chapter 13 Drugs For Inflammation, Arthritis, And
Gout Chapter 14 Drugs For Gastrointestinal Problems
Chapter 15 Drugs For Immunization And
Immunomodulation Chapter 16 Drugs Affecting The
Hematologic System Chapter 17 Drugs For Cancer
Treatment
Chapter 18 Drugs For Reproductive Health
Chapter 19 Drugs For Thyroid And Adrenal Problems
Chapter 20 Drug Therapy For Diabetes
Chapter 21 Drugs For Osteoporosis
Chapter 22 Drugs For Eye And Ear Problems
Chapter 23 Over-The-Counter Drug Therapyuse
,Chapter 01: Pharmacology And The Nursing Process In LPN Practice
Visovsky: Introduction To Clinical Pharmacology, 11th Edition
MULTIPLE CHOICE
1. The LPN Is Collecting Data For The Early Assessment Of A Patient Upon Admission To A
Long-Term Care Facility Before Giving The Patient‘S Set Drugs. Which Action Should The
LPN Consider To Be The Highest Priority?
A. Obtain Any Special Equipment That Will Be Needed To Give The
Patient‘S Drug.
B. Monitor The Patient For A Response To The Drug Given.
C. Collect Data About The Patient And The Patient‘S Health Condition.
D Review The Nursing Care Plan To Verify That It Is Accurate.
.
ANS: C
Collecting And Documenting Data About The Patient And The Patient‘S Health Condition Is
A Critical Step Before Any Drugs Are Given. Information Regarding The Present Illness,
Any Signs And Symptoms, Review Of Medical Records, Drug History, And Vital Signs Are
Needed Before Drugs Are Given. Deciding On Special Equipment That Will Be Needed To
Give The Patient‘S Drug Is Part Of The Planning Phase Of The Nursing Process. Monitoring
The Patient For His Response To Given Drug Is Part Of The Evaluation Stage Of The
Nursing Process. Reviewing The Nursing Care Plan To Verify That It Is Being Followed
Accurately Is Part Of The Implementation Stage Of The Nursing Process.
DIF: Cognitive Level: Applying REF: P. 2
2. The LPN Is Working With A Patient In The Planning Stage Of The Nursing Process Related
To The Patient‘S Prescribed Drugs. Which Action Should The LPN Take During This
Stage?
A. Develop A Nursing Goal To Plan The Procedures Needed To Give Drug.
B. Develop A Teaching Plan For The Patient Regarding The Drug‘S Actions.
C. Determine That The Patient Is Experiencing The Expected Response To His
Drug.
D Determine How Much The Patient Understands About His Drug.
.
ANS: D
Determining How Much The Patient Understands About His Drug Is Part Of The Diagnosis
Phase Of The Nursing Process. Developing A Nursing Goal To Plan The Procedures Needed
To Give Drug And Developing A Teaching Plan For The Patient Regarding The Drug‘S
Actions Are Part Of The Planning Phase Of The Nursing Process.
DIF: Cognitive Level: Applying REF: P. 2
,3. You Are Teaching A Patient With Depression About The Potential Adverse Effects Of A
Prescribed Drug. What Part Of The Nursing Process Related To Drug Therapy Are You
Engaging In At This Point Of The Teaching Plan?
A. Assessment
B. Implementation
C. Evaluation
D Diagnosis
.
ANS: C
In The Evaluation Phase Of The Nursing Process, The LPN Understands And Teaches To The
Patient The Drug‘S Therapeutic Effects, Expected Side Effects, And Potential Adverse
Effects.
DIF: Cognitive Level: Remembering REF: P. 2
4. Which Of The Following Is An Example Of Subjective Data?
A. The Patient States She Has Pain In Her Left Arm.
B. The Medical Chart Has A Recorded Blood Pressure Of
128/88.
C. The Serum Potassium Level Is 3.8 Mmol/L.
D. The Patient‘S ECG Shows Normal Sinus Rhythm.
ANS: A
Reports From The Patient Or Patient‘S Caregiver Are Considered Subjective Data. Symptoms
Such As Pain, Nausea, Or Dizziness Are Examples Of Symptoms That Cannot Be ―Seen‖
And Are Data Collected From The Patient, Caregiver, Or Others. Laboratory Values, ECG
Results, Or Vital Sign Data From A Medical Chart Are Examples Of Objective Data.
DIF: Cognitive Level: Remembering REF: P. 2
5. Which Statement Provides An Example Of Objective Data?
A. The Wife States The Patient Was Confused Last Night.
B. Grimacing With Movement Is Present During The
Examination.
C. The Patient Reports Moderate Alcohol Consumption.
D The Patient States Pain Is Severe.
.
ANS: B
Measurable Data Obtained During A Physical Exam Such As Grimacing With Movement
Is An Example Of Objective Data. Subjective Data Includes Information Presented By The
Patient Or Family That Cannot Be Substantiated Such As A Wife‘S Report Of A Patient‘S
Confusion, Patient Report Of Degree Of Alcohol Consumption, And A Patient‘S Pain
Rating.
DIF: Cognitive Level: Remembering REF: P. 3
, 6. The LPN/VN Is Assessing A Patient Before Giving A Drug For Blood Pressure
Management. The Nurse Notes The Blood Pressure To Be 90/50 Mm Hg. What Is The
Nurse‘S Best Action?
A. Hold The Drug And Report The Blood Pressure To The RN.
B. Give The Patient A Full Glass Of Water Before Giving The Drug.
C. Come Back In 30 Minutes And Recheck The Blood Pressure.
D Have The Patient Perform Pursed Lip Breathing Before Giving The
. Drug.
ANS: A
The Best Action Is To Hold The Drug And Contact The RN. The Patient May Need An
Adjustment To The Dose Of The Blood Pressure Drug Or Switching To Another Drug.
Giving Water With The Drug Is Not Contraindicated But Does Not Recognize The Patient‘S
Risk For Hypotension. Pursed Lip Breathing Has No Role In This Situation.
DIF: Cognitive Level: Remembering REF: P. 4
7. The LPN Is Collecting Objective Data For Inclusion In The Nursing Assessment. Which
Piece Of Information Indicates That The LPN Has A Clear Understanding Of Objective
Assessment Data?
A. A Patient‘S Rating Of Chest Pain As 8 On A 1 To 10 Scale.
B. Family Members Report That Patient Has Been Experiencing Pain For 1
Month.
C. Detailed History Of The Patient‘S Current Illness Upon Admission.
D Compilation Of Past Laboratory Results And X-Ray Reports.
.
ANS: D
The Patient‘S Past Laboratory And X-Ray Results Are Examples Of Objective Data. A Pain
Rating Of 8/10, A Family Member‘S Description Of The Patient‘S Pain, And History Of
Current Illness Are Examples Of Subjective Data.
DIF: Cognitive Level: Remembering REF: P. 3
8. A Patient Recently Began A Taking Blood Pressure Drug And Presents For A Follow-Up
Appointment. The Office Nurse Reviews The Patient‘S Daily Blood Pressure Recordings.
Which Stage Of The Nursing Process Corresponds To This Review?
A. Assessment
B. Planning
C. Diagnosis
D Evaluation
.
ANS: D
The Evaluation Phase Involves Examining The Results That Occur When The Plan Is
Implemented. Reviewing The Patient‘S Daily Blood Pressure Recording Examines The
Patient‘S Response To The Drug. The Assessment Phase Provides Initial Information About
The Patient, The Problem, And Anything That May Change The Choice Of Treatment. The
Planning Phase Involves Using Patient Assessment Data And Diagnoses To Set Goals And
Write Care Plans. The Diagnosis Phase Involves Decision-Making About The Patient‘S
Problems, Including Medical Diagnoses Made By The Healthcare Provider And Nursing
Diagnoses Developed Through The North American Nursing Diagnosis Association
(NANDA).
Introduction To Clinical Pharmacology, 11th Edition Constance G. Visovsky & Cheryl H.
Zambroski & Shirley M. Hosler
Chapter 1-23
TABLE OF CONTENTS:
UNIT I GENERAL PRINCIPLES
Chapter 1 Pharmacology And The Nursing Process In LPN Practice
Chapter 2 Legal, Regulatory, And Ethical Aspects Of Drug
Administration Chapter 3 Principles Of Pharmacology
UNIT II PRINCIPLES OF DRUG ADMINISTRATION
Chapter 4 Drug Calculation: Preparing And Giving Drugs
UNIT III DRUG CATEGORIES
Chapter 5 Drugs For Bacterial Infections
Chapter 6 Drugs For Tuberculosis, Fungal, And Parasitic Infections
Chapter 7 Drugs For Viral And Retroviral Infections
Chapter 8 Drugs For Allergy And Respiratory Problems
Chapter 9 Drugs Affecting The Renal/Urinary And Cardiovascular Systems
Chapter 10 Drugs For Central Nervous System Problems
Chapter 11 Drugs For Mental Health
Chapter 12 Drugs For Analgesia And Anesthesia
Chapter 13 Drugs For Inflammation, Arthritis, And
Gout Chapter 14 Drugs For Gastrointestinal Problems
Chapter 15 Drugs For Immunization And
Immunomodulation Chapter 16 Drugs Affecting The
Hematologic System Chapter 17 Drugs For Cancer
Treatment
Chapter 18 Drugs For Reproductive Health
Chapter 19 Drugs For Thyroid And Adrenal Problems
Chapter 20 Drug Therapy For Diabetes
Chapter 21 Drugs For Osteoporosis
Chapter 22 Drugs For Eye And Ear Problems
Chapter 23 Over-The-Counter Drug Therapyuse
,Chapter 01: Pharmacology And The Nursing Process In LPN Practice
Visovsky: Introduction To Clinical Pharmacology, 11th Edition
MULTIPLE CHOICE
1. The LPN Is Collecting Data For The Early Assessment Of A Patient Upon Admission To A
Long-Term Care Facility Before Giving The Patient‘S Set Drugs. Which Action Should The
LPN Consider To Be The Highest Priority?
A. Obtain Any Special Equipment That Will Be Needed To Give The
Patient‘S Drug.
B. Monitor The Patient For A Response To The Drug Given.
C. Collect Data About The Patient And The Patient‘S Health Condition.
D Review The Nursing Care Plan To Verify That It Is Accurate.
.
ANS: C
Collecting And Documenting Data About The Patient And The Patient‘S Health Condition Is
A Critical Step Before Any Drugs Are Given. Information Regarding The Present Illness,
Any Signs And Symptoms, Review Of Medical Records, Drug History, And Vital Signs Are
Needed Before Drugs Are Given. Deciding On Special Equipment That Will Be Needed To
Give The Patient‘S Drug Is Part Of The Planning Phase Of The Nursing Process. Monitoring
The Patient For His Response To Given Drug Is Part Of The Evaluation Stage Of The
Nursing Process. Reviewing The Nursing Care Plan To Verify That It Is Being Followed
Accurately Is Part Of The Implementation Stage Of The Nursing Process.
DIF: Cognitive Level: Applying REF: P. 2
2. The LPN Is Working With A Patient In The Planning Stage Of The Nursing Process Related
To The Patient‘S Prescribed Drugs. Which Action Should The LPN Take During This
Stage?
A. Develop A Nursing Goal To Plan The Procedures Needed To Give Drug.
B. Develop A Teaching Plan For The Patient Regarding The Drug‘S Actions.
C. Determine That The Patient Is Experiencing The Expected Response To His
Drug.
D Determine How Much The Patient Understands About His Drug.
.
ANS: D
Determining How Much The Patient Understands About His Drug Is Part Of The Diagnosis
Phase Of The Nursing Process. Developing A Nursing Goal To Plan The Procedures Needed
To Give Drug And Developing A Teaching Plan For The Patient Regarding The Drug‘S
Actions Are Part Of The Planning Phase Of The Nursing Process.
DIF: Cognitive Level: Applying REF: P. 2
,3. You Are Teaching A Patient With Depression About The Potential Adverse Effects Of A
Prescribed Drug. What Part Of The Nursing Process Related To Drug Therapy Are You
Engaging In At This Point Of The Teaching Plan?
A. Assessment
B. Implementation
C. Evaluation
D Diagnosis
.
ANS: C
In The Evaluation Phase Of The Nursing Process, The LPN Understands And Teaches To The
Patient The Drug‘S Therapeutic Effects, Expected Side Effects, And Potential Adverse
Effects.
DIF: Cognitive Level: Remembering REF: P. 2
4. Which Of The Following Is An Example Of Subjective Data?
A. The Patient States She Has Pain In Her Left Arm.
B. The Medical Chart Has A Recorded Blood Pressure Of
128/88.
C. The Serum Potassium Level Is 3.8 Mmol/L.
D. The Patient‘S ECG Shows Normal Sinus Rhythm.
ANS: A
Reports From The Patient Or Patient‘S Caregiver Are Considered Subjective Data. Symptoms
Such As Pain, Nausea, Or Dizziness Are Examples Of Symptoms That Cannot Be ―Seen‖
And Are Data Collected From The Patient, Caregiver, Or Others. Laboratory Values, ECG
Results, Or Vital Sign Data From A Medical Chart Are Examples Of Objective Data.
DIF: Cognitive Level: Remembering REF: P. 2
5. Which Statement Provides An Example Of Objective Data?
A. The Wife States The Patient Was Confused Last Night.
B. Grimacing With Movement Is Present During The
Examination.
C. The Patient Reports Moderate Alcohol Consumption.
D The Patient States Pain Is Severe.
.
ANS: B
Measurable Data Obtained During A Physical Exam Such As Grimacing With Movement
Is An Example Of Objective Data. Subjective Data Includes Information Presented By The
Patient Or Family That Cannot Be Substantiated Such As A Wife‘S Report Of A Patient‘S
Confusion, Patient Report Of Degree Of Alcohol Consumption, And A Patient‘S Pain
Rating.
DIF: Cognitive Level: Remembering REF: P. 3
, 6. The LPN/VN Is Assessing A Patient Before Giving A Drug For Blood Pressure
Management. The Nurse Notes The Blood Pressure To Be 90/50 Mm Hg. What Is The
Nurse‘S Best Action?
A. Hold The Drug And Report The Blood Pressure To The RN.
B. Give The Patient A Full Glass Of Water Before Giving The Drug.
C. Come Back In 30 Minutes And Recheck The Blood Pressure.
D Have The Patient Perform Pursed Lip Breathing Before Giving The
. Drug.
ANS: A
The Best Action Is To Hold The Drug And Contact The RN. The Patient May Need An
Adjustment To The Dose Of The Blood Pressure Drug Or Switching To Another Drug.
Giving Water With The Drug Is Not Contraindicated But Does Not Recognize The Patient‘S
Risk For Hypotension. Pursed Lip Breathing Has No Role In This Situation.
DIF: Cognitive Level: Remembering REF: P. 4
7. The LPN Is Collecting Objective Data For Inclusion In The Nursing Assessment. Which
Piece Of Information Indicates That The LPN Has A Clear Understanding Of Objective
Assessment Data?
A. A Patient‘S Rating Of Chest Pain As 8 On A 1 To 10 Scale.
B. Family Members Report That Patient Has Been Experiencing Pain For 1
Month.
C. Detailed History Of The Patient‘S Current Illness Upon Admission.
D Compilation Of Past Laboratory Results And X-Ray Reports.
.
ANS: D
The Patient‘S Past Laboratory And X-Ray Results Are Examples Of Objective Data. A Pain
Rating Of 8/10, A Family Member‘S Description Of The Patient‘S Pain, And History Of
Current Illness Are Examples Of Subjective Data.
DIF: Cognitive Level: Remembering REF: P. 3
8. A Patient Recently Began A Taking Blood Pressure Drug And Presents For A Follow-Up
Appointment. The Office Nurse Reviews The Patient‘S Daily Blood Pressure Recordings.
Which Stage Of The Nursing Process Corresponds To This Review?
A. Assessment
B. Planning
C. Diagnosis
D Evaluation
.
ANS: D
The Evaluation Phase Involves Examining The Results That Occur When The Plan Is
Implemented. Reviewing The Patient‘S Daily Blood Pressure Recording Examines The
Patient‘S Response To The Drug. The Assessment Phase Provides Initial Information About
The Patient, The Problem, And Anything That May Change The Choice Of Treatment. The
Planning Phase Involves Using Patient Assessment Data And Diagnoses To Set Goals And
Write Care Plans. The Diagnosis Phase Involves Decision-Making About The Patient‘S
Problems, Including Medical Diagnoses Made By The Healthcare Provider And Nursing
Diagnoses Developed Through The North American Nursing Diagnosis Association
(NANDA).
