Visovsky: Introduction to Clinical Pharmacology, 11th E
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dition
,Visovsky: Introduction to Clinical Pharmacology, 11th E
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dition
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visov
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sky:Introduction to Clinical Pharmacology, 11th Edition xvxv xvxv xvxv xvxv xvxv
MULTIPLE CHOICE xvxv
1. The LPN is collecting data for the initial assessment of a patient upon admission
xvxv xv xv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv x
to a
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Long-
term care facility before giving the patient‘s prescribed drugs. Which action should the L
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
PN consider to be the highest priority?
xvxv xvxv xvxv xvxv xvxv xvxv
a. Obtain any special equipment that will be needed to give the patient‘s drug.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
b. Monitor the patient for a response to the drug given.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
c. Collect data about the patient and the patient‘s health condition.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
d. Review the nursing care plan to verify that it is a
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ccurate. ANS: C xvxv xvxv
Collecting and documenting data about the patient and the patient‘s health condition
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvx
is a critical step before any drugs are given. Information regarding the present illne
v xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ss, any signs and symptoms, review of medical records, drug history, and vital sign
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
s are needed before drugs are given. Deciding on special equipment that will be ne
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
eded to give the patient‘s drug is part of the planning phase of the nursing process
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
. Monitoring the patient for his response to given drug is part of the evaluation sta
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ge of the nursing process. Reviewing the nursing care plan to verify that it
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xvxv
g followed accurately is part of the implementation stage of the nursing process.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
DIF: Cognitive Level: Applying REF: p. 2 xvxv xvxv xvxv xvxv
2. The LPN is working with a patient in the planning stage of the nursing proce
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ss related to the patient‘s prescribed drugs. Which action should the LPN take duri
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ng this stage?
xvxv xvxv
a. Develop a nursing goal to plan the procedures needed to give drug.
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,Visovsky: Introduction to Clinical Pharmacology, 11th E
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dition
b. Develop a teaching plan for the patient regarding the drug‘s actions.
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, Visovsky: Introduction to Clinical Pharmacology, 11th E
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dition
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
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drug. ANS: D
vxv xvxv xvxv
Determining how much the patient understands about his drug is part of the diagno
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
sis phase of the nursing process. Developing a nursing goal to plan the procedures
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
xvxv needed to give drug and developing a teaching plan for the patient regarding th
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
e drug‘s actions are part of the planning phase of the nursing process.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
DIF: x v x v x v x v Cognitive Level: Applying xvxv xvxv x v x v x v x v REF: p. 2 xvxv xvxv
3. You are teaching a patient with depression about the potential adverse effec
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ts of a prescribed drug. What part of the nursing process related to drug therapy ar
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
e you engaging in at this point of the teaching plan?
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
xvxv ANS: C xvxv
In the evaluation phase of the nursing process, the LPN understands and teaches t
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
o the patient the drug‘s therapeutic effects, expected side effects, and potential ad
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verse effects. xvxv
DIF: x v x v x v x v Cognitive Level: Remembering xvxv xvxv x v x v x v x v x v x v REF: xvxvxvxv p. 2xvxv
4. Which of the following is an example of subjective data?
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a. The patient states she has pain in her left arm.
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b. The medical chart has a recorded blood pressure of 128/88.
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c. The serum potassium level is 3.8 mmol/L.
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dition
,Visovsky: Introduction to Clinical Pharmacology, 11th E
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dition
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visov
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
sky:Introduction to Clinical Pharmacology, 11th Edition xvxv xvxv xvxv xvxv xvxv
MULTIPLE CHOICE xvxv
1. The LPN is collecting data for the initial assessment of a patient upon admission
xvxv xv xv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv x
to a
vxv xvxv
Long-
term care facility before giving the patient‘s prescribed drugs. Which action should the L
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
PN consider to be the highest priority?
xvxv xvxv xvxv xvxv xvxv xvxv
a. Obtain any special equipment that will be needed to give the patient‘s drug.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
b. Monitor the patient for a response to the drug given.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
c. Collect data about the patient and the patient‘s health condition.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
d. Review the nursing care plan to verify that it is a
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ccurate. ANS: C xvxv xvxv
Collecting and documenting data about the patient and the patient‘s health condition
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvx
is a critical step before any drugs are given. Information regarding the present illne
v xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ss, any signs and symptoms, review of medical records, drug history, and vital sign
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
s are needed before drugs are given. Deciding on special equipment that will be ne
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
eded to give the patient‘s drug is part of the planning phase of the nursing process
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
. Monitoring the patient for his response to given drug is part of the evaluation sta
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ge of the nursing process. Reviewing the nursing care plan to verify that it
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xv x v is bein
xvxv
g followed accurately is part of the implementation stage of the nursing process.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
DIF: Cognitive Level: Applying REF: p. 2 xvxv xvxv xvxv xvxv
2. The LPN is working with a patient in the planning stage of the nursing proce
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ss related to the patient‘s prescribed drugs. Which action should the LPN take duri
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ng this stage?
xvxv xvxv
a. Develop a nursing goal to plan the procedures needed to give drug.
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,Visovsky: Introduction to Clinical Pharmacology, 11th E
xvxv xvxv xvxv xvxv xvxv xvxv 4
dition
b. Develop a teaching plan for the patient regarding the drug‘s actions.
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, Visovsky: Introduction to Clinical Pharmacology, 11th E
xvxv 5xvxv xvxv xvxv xvxv xvxv
dition
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
xvxv xvxv xvxv xvxv xvxv xvxv xvxv x
drug. ANS: D
vxv xvxv xvxv
Determining how much the patient understands about his drug is part of the diagno
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
sis phase of the nursing process. Developing a nursing goal to plan the procedures
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
xvxv needed to give drug and developing a teaching plan for the patient regarding th
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
e drug‘s actions are part of the planning phase of the nursing process.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
DIF: x v x v x v x v Cognitive Level: Applying xvxv xvxv x v x v x v x v REF: p. 2 xvxv xvxv
3. You are teaching a patient with depression about the potential adverse effec
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
ts of a prescribed drug. What part of the nursing process related to drug therapy ar
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
e you engaging in at this point of the teaching plan?
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
xvxv ANS: C xvxv
In the evaluation phase of the nursing process, the LPN understands and teaches t
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
o the patient the drug‘s therapeutic effects, expected side effects, and potential ad
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
verse effects. xvxv
DIF: x v x v x v x v Cognitive Level: Remembering xvxv xvxv x v x v x v x v x v x v REF: xvxvxvxv p. 2xvxv
4. Which of the following is an example of subjective data?
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
a. The patient states she has pain in her left arm.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
b. The medical chart has a recorded blood pressure of 128/88.
xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv xvxv
c. The serum potassium level is 3.8 mmol/L.
xvxv xvxv xvxv xvxv xvxv xvx v