By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
, table of contents
Chapter 01: pharmacology and the nursing process in lpn practice..........................................................................................................
chapter 02: legal, regulatory, and ethical aspects of drug administration .....................................................................................................
chapter 03: principles of pharmacology ........................................................................................................................................................
chapter 04: drug calculation: preparing and giving drugs visovsky ..............................................................................................................
chapter 05: drugs for bacterial infections .....................................................................................................................................................
chapter 06: drugs for tuberculosis, fungal, and parasitic infections...............................................................................................................
chapter 07: drugs for viral and retroviral infections ......................................................................................................................................
chapter 08: drugs for allergy and respiratory problems ................................................................................................................................
chapter 09: 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 pain management .......................................................................................................................................................
chapter 13: drugs for inflammation, arthritis, and gout.................................................................................................................................
chapter 14: drugs for gastrointestinal problems............................................................................................................................................
chapter 15: drugs affecting the hematologic system.......................................................................................................................................
chapter 16: drugs for immunization and immunomodulation.......................................................................................................................
chapter 17: drugs for osteoporosis and hormonal problems..........................................................................................................................
chapter 18: drug therapy for diabetes ...........................................................................................................................................................
chapter 19: drugs for eye and ear problems..................................................................................................................................................
chapter 20: over-the-counter drug therapy ...................................................................................................................................................
,Chapter 01: Pharmacology And The Nursing Process In LPN Practice
Visovsky: Introduction To Clinical Pharmacology, 10th Edition
MULTIPLE
CHOICE
1. The lpn is collecting data for the initial assessment of a patient upon admission to a long-term care fa
Patient’s prescribed 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.
Answer:c
Collecting and documenting data about the patient and the patient’s health condition is a critical st
given. Information regarding the present illness, any signs and symptoms, review of medical records
signs are needed before drugs are given. Deciding on special equipment that will be needed to give t
of the planning phase of the nursing process. Monitoring the patient for his response to given drug
stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed ac
implementation stage of the nursing process.
Dif: cognitive level: applying ref:page: 2
2. The lpn is working with a patient in the planning stage of the nursing process related to the patient’s
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.
Answer:d
Determining how much the patient understands about his drug is part of the diagnosis phase of the
Developing a nursing goal to plan the procedures needed to give drug and developing a teaching pla
regarding the drug’s actions are part of the planning phase of the nursing process.
Dif: cognitive level: applying ref:page: 2
3. You are teaching a patient with depression about the potential adverse effects of a prescribed drug. W
process related to drug therapy are you engaging in at this point of the teaching plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
Answer:c
In the evaluation phase of the nursing process, the lpn understands and teaches to the patient the drug
expected side effects, and potential adverse effects.
Dif: cognitive level: remembering ref:page: 2
, Test bank for inroduction to clinical pharmacology 10th edition by visovs
6. The lpn/vn is assessing a patient before giving a drug for blood pressure management. The nurse no
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.
Answer:a
The best action is to hold the drug and contact the rn. The patient may need an adjustment to the d
drug or switching to another drug. Giving water with the drug is not contraindicated but does not re
for hypotension. Pursed lip breathing has no role in this situation.
Dif: cognitive level: remembering ref:page: 4
7. The lpn is collecting objective data for inclusion in the nursing assessment. Which piece of informat
lpn hasa 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.
Answer:d
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a
descriptionof the patient’s pain, and history of current illness are examples of subjective data.
Dif: cognitive level: remembering ref:page: 3
8. A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The
Patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to this
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
Answer:d
The evaluation phase involves examining the results that occur when the plan is implemented. Rev
blood pressure recording examines the patient’s response to the drug. The assessment phase provide
the patient, the problem, and anything that may change the choice of treatment. The planning pha
assessment data and diagnoses to set goals and write care plans. The diagnosis phase involves deci
patient’s problems, including medical diagnoses made by the healthcare provider and nursing diagno
north american nursing diagnosis association (nanda).
Dif: cognitive level: remembering ref:page: 2
9. After receiving report, the lpn gives drugs to her assigned patients on the evening shift. With which s
process does this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
Answer:a
The implementation phase involves actively following the plan of care and accurately giving ordere
assessment phase involves obtaining initial information about the patient, the problem, and anythi
choice of treatment. The planning phase involves using patient assessment data and diagnoses to set