1
, 2
Chapter01: Pharmacology and theNursing Process inLPN Practice
s ss ss ss s ss ss s ss
ss Visovsky:Introduction to Clinical Pharmacology, 10th Edition ss ss ss ss ss
MULTIPLE CHOICE ss
1. The LPN is collecting data for the initial assessment ofa patient upon admission to a
ss s s ss ss ss ss s s ss ss ss s s ss ss s s
ss Long-termcare facilitybefore giving the patient‘s prescribed drugs. Whichactionshould the LPN
ss s ss ss ss ss ss ss s s ss ss
ss consider to be the highest priority?
ss ss ss ss ss
a. Obtainanyspecialequipment that will be needed to give the patient‘s drug.
s s s ss s s ss ss ss ss ss ss ss
b. Monitorthe patient for a response to the drug given. ss s s ss ss ss ss ss ss
c. Collect data about the patient and the patient‘s health condition.
ss ss ss ss s s ss ss ss ss
d. Review the nursing care plan to verifythat it is accurate.
s ss ss ss kk ss ss ss s
ss ANS: C ss
Collecting and documenting data about the patient and the patient‘s health condition is a
ss s s ss ss ss ss ss s s ss s s ss s s ss
ss critical step before any drugs are given. Information regarding the present illness, any signs
ss ss ss ss ss ss ss ss ss ss ss ss ss
s s and symptoms, review of medical records, drug history, and vital signs are needed before
ss ss ss ss ss ss ss ss ss ss ss ss ss
s s drugs are given. Deciding on special equipment that will be needed to give the
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient‘s drug is part of the planning phase of the nursing process. Monitoring the patient for
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss his response to given drug is part of the evaluation stage ofthe nursing process. Reviewing the
ss ss ss ss ss ss ss s ss ss ss s ss ss ss ss
ss nursing care plan to verify that it
ss ss ss ss ss ss s s is being followed accurately is part of the implementation
ss ss ss ss ss ss ss ss
ss stage of the nursing process.
ss ss ss ss
DIF: Cognitive Level: Applying ss ss REF: p. 2 ss s s
2. The LPN is working with a patient in the planning stage ofthe nursing process related
ss ss ss ss ss ss ss ss ss ss s ss ss ss
ss to the patient‘s prescribed drugs. Which action should the LPN take during this stage?
ss ss ss ss ss ss ss ss s s ss ss ss ss
a. Develop a nursing goalto plan the procedures needed to give drug.
ss s s ss s s ss ss ss ss s s ss
b. Develop a teaching plan for the patient regarding the drug‘s actions.
ss ss ss ss ss ss s s ss ss ss
, 3
c. Determine that the patient is experiencing the expected response to his drug.
ss ss ss s s ss ss ss ss ss s s ss
d. Determine how muchthe patient understands about hisdrug. ss ss s ss ss ss ss s
ss ANS: D ss
Determining how much the patient understands about his drug is part of the diagnosis
ss s s ss ss s s ss s s ss s s ss s s ss ss
ss phase of the nursing process. Developing a nursing goal to plan the procedures
ss s s s s s s s s s s s s s s s s ss ss s s
s s needed to give drug and developing a teaching plan for the patient regarding the drug‘s
s s s s ss ss ss ss ss ss ss ss ss ss ss ss
ss actions are part of ss ss ss s s the planning phase of the nursing process.
ss ss ss ss ss ss
DIF: s s s s s s Cognitive Level: Applying ss s s s s s s s s s s REF: p. 2 ss ss
3. You are teaching a patient with depression about the potential adverse effects of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss prescribed drug. What part ofthe nursing process related to drugtherapyare you engaging in
ss ss ss ss ss ss ss ss ss s s ss ss
ss at this point of the teaching plan?
ss ss ss ss ss ss
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ss ANS: C ss
In the evaluation phase of the nursing process, the LPN understands and teaches to the
ss ss ss ss ss s s ss s s ss ss ss ss ss ss
ss patient the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
ss ss ss ss ss ss ss ss ss ss ss
DIF: s s s s s s s s Cognitive Level: Remembering ss ss REF: s s s s p. 2 ss
4. Which ofthe following is an example ofsubjective data?
ss s s s s s ss ss ss s s s
a. The patient states she has pain in her left arm.
ss s s ss ss ss ss ss s s s s
b. The medicalchart has a recorded blood pressure of128/88.
s s s s s ss ss ss ss ss s
c. The serum potassium level is 3.8 mmol/L.
ss kk ss ss ss s s
d. The patient‘s ECG shows normalsinus rhythm.
ss ss ss ss s ss
, 4
ANS: A ss
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss pain, nausea, or dizziness are examples ofsymptoms that cannot be ―seen‖ and are data collected
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss medical chart are examples of objective data.
ss ss ss ss ss ss
DIF: s s s s Cognitive Level: Remembering ss ss s s s s s s s s REF: p. 2 ss ss
5. Whichstatement provides an example ofobjective data?
s s s ss ss ss s s
a. Thewife states the patient was confused last night.
s ss kk ss s s ss ss s s
b. Grimacing with movement is present during the examination. kk ss s s ss ss ss ss
c. The patient reports moderate alcoholconsumption.
ss s s ss ss
d. Thepatient statespain issevere.
s ss s ss s
ss ANS: B ss
Measurable data obtained during a physical exam such as grimacing with movement is an
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss example of objective data. Subjective data includes information presented by the patient or
ss ss ss ss ss ss ss ss ss ss ss ss
ss Familythat cannot be substantiated such as a wife‘s report ofa patient‘s confusion, patient
ss ss ss ss ss ss ss ss ss ss ss ss
ss report of degree of alcohol consumption, and a patient‘s pain rating.
ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Remembering ss ss REF: p. 3 ss ss
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management.
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best
s s s s ss s s ss ss s s ss s s ss s s s s ss s s s s
s s action?
a. Hold the drug and report the blood pressure to the RN.
ss ss ss ss ss ss ss ss ss ss
b. Give the patient a fullglass ofwater before giving the drug.
ss ss s s ss s ss s s ss s s ss
c. Come back in30 minutes and recheck the blood pressure.
ss s s s ss ss ss ss ss ss
, 2
Chapter01: Pharmacology and theNursing Process inLPN Practice
s ss ss ss s ss ss s ss
ss Visovsky:Introduction to Clinical Pharmacology, 10th Edition ss ss ss ss ss
MULTIPLE CHOICE ss
1. The LPN is collecting data for the initial assessment ofa patient upon admission to a
ss s s ss ss ss ss s s ss ss ss s s ss ss s s
ss Long-termcare facilitybefore giving the patient‘s prescribed drugs. Whichactionshould the LPN
ss s ss ss ss ss ss ss s s ss ss
ss consider to be the highest priority?
ss ss ss ss ss
a. Obtainanyspecialequipment that will be needed to give the patient‘s drug.
s s s ss s s ss ss ss ss ss ss ss
b. Monitorthe patient for a response to the drug given. ss s s ss ss ss ss ss ss
c. Collect data about the patient and the patient‘s health condition.
ss ss ss ss s s ss ss ss ss
d. Review the nursing care plan to verifythat it is accurate.
s ss ss ss kk ss ss ss s
ss ANS: C ss
Collecting and documenting data about the patient and the patient‘s health condition is a
ss s s ss ss ss ss ss s s ss s s ss s s ss
ss critical step before any drugs are given. Information regarding the present illness, any signs
ss ss ss ss ss ss ss ss ss ss ss ss ss
s s and symptoms, review of medical records, drug history, and vital signs are needed before
ss ss ss ss ss ss ss ss ss ss ss ss ss
s s drugs are given. Deciding on special equipment that will be needed to give the
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient‘s drug is part of the planning phase of the nursing process. Monitoring the patient for
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss his response to given drug is part of the evaluation stage ofthe nursing process. Reviewing the
ss ss ss ss ss ss ss s ss ss ss s ss ss ss ss
ss nursing care plan to verify that it
ss ss ss ss ss ss s s is being followed accurately is part of the implementation
ss ss ss ss ss ss ss ss
ss stage of the nursing process.
ss ss ss ss
DIF: Cognitive Level: Applying ss ss REF: p. 2 ss s s
2. The LPN is working with a patient in the planning stage ofthe nursing process related
ss ss ss ss ss ss ss ss ss ss s ss ss ss
ss to the patient‘s prescribed drugs. Which action should the LPN take during this stage?
ss ss ss ss ss ss ss ss s s ss ss ss ss
a. Develop a nursing goalto plan the procedures needed to give drug.
ss s s ss s s ss ss ss ss s s ss
b. Develop a teaching plan for the patient regarding the drug‘s actions.
ss ss ss ss ss ss s s ss ss ss
, 3
c. Determine that the patient is experiencing the expected response to his drug.
ss ss ss s s ss ss ss ss ss s s ss
d. Determine how muchthe patient understands about hisdrug. ss ss s ss ss ss ss s
ss ANS: D ss
Determining how much the patient understands about his drug is part of the diagnosis
ss s s ss ss s s ss s s ss s s ss s s ss ss
ss phase of the nursing process. Developing a nursing goal to plan the procedures
ss s s s s s s s s s s s s s s s s ss ss s s
s s needed to give drug and developing a teaching plan for the patient regarding the drug‘s
s s s s ss ss ss ss ss ss ss ss ss ss ss ss
ss actions are part of ss ss ss s s the planning phase of the nursing process.
ss ss ss ss ss ss
DIF: s s s s s s Cognitive Level: Applying ss s s s s s s s s s s REF: p. 2 ss ss
3. You are teaching a patient with depression about the potential adverse effects of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss prescribed drug. What part ofthe nursing process related to drugtherapyare you engaging in
ss ss ss ss ss ss ss ss ss s s ss ss
ss at this point of the teaching plan?
ss ss ss ss ss ss
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ss ANS: C ss
In the evaluation phase of the nursing process, the LPN understands and teaches to the
ss ss ss ss ss s s ss s s ss ss ss ss ss ss
ss patient the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
ss ss ss ss ss ss ss ss ss ss ss
DIF: s s s s s s s s Cognitive Level: Remembering ss ss REF: s s s s p. 2 ss
4. Which ofthe following is an example ofsubjective data?
ss s s s s s ss ss ss s s s
a. The patient states she has pain in her left arm.
ss s s ss ss ss ss ss s s s s
b. The medicalchart has a recorded blood pressure of128/88.
s s s s s ss ss ss ss ss s
c. The serum potassium level is 3.8 mmol/L.
ss kk ss ss ss s s
d. The patient‘s ECG shows normalsinus rhythm.
ss ss ss ss s ss
, 4
ANS: A ss
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss pain, nausea, or dizziness are examples ofsymptoms that cannot be ―seen‖ and are data collected
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss medical chart are examples of objective data.
ss ss ss ss ss ss
DIF: s s s s Cognitive Level: Remembering ss ss s s s s s s s s REF: p. 2 ss ss
5. Whichstatement provides an example ofobjective data?
s s s ss ss ss s s
a. Thewife states the patient was confused last night.
s ss kk ss s s ss ss s s
b. Grimacing with movement is present during the examination. kk ss s s ss ss ss ss
c. The patient reports moderate alcoholconsumption.
ss s s ss ss
d. Thepatient statespain issevere.
s ss s ss s
ss ANS: B ss
Measurable data obtained during a physical exam such as grimacing with movement is an
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss example of objective data. Subjective data includes information presented by the patient or
ss ss ss ss ss ss ss ss ss ss ss ss
ss Familythat cannot be substantiated such as a wife‘s report ofa patient‘s confusion, patient
ss ss ss ss ss ss ss ss ss ss ss ss
ss report of degree of alcohol consumption, and a patient‘s pain rating.
ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Remembering ss ss REF: p. 3 ss ss
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management.
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best
s s s s ss s s ss ss s s ss s s ss s s s s ss s s s s
s s action?
a. Hold the drug and report the blood pressure to the RN.
ss ss ss ss ss ss ss ss ss ss
b. Give the patient a fullglass ofwater before giving the drug.
ss ss s s ss s ss s s ss s s ss
c. Come back in30 minutes and recheck the blood pressure.
ss s s s ss ss ss ss ss ss
