CLINICAL PHARMACOLOGY 10TH
EDITION BY VISOVSKY | CHAPTERS 1-
20 COMPLETE
UNIT I: GENERAL PRINCIPLES
CHAPTER 1: Pharmacology and the Nursing Process in LPN
Practice
1. 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.
,Answer: D. Determine how much the patient understands about his drug.
Rationale: Determining how much the patient understands about his drug is part of the
diagnosis phase of the nursing process. Developing a nursing goal and developing a
teaching plan are part of the planning phase of the nursing process.
2. 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
Answer: C. Evaluation
Rationale: 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.
3. Which statement provides an example of objective data?
A. The wife states the patient was confused last night.
B. Grimacing with movement of the right arm
C. The patient reports feeling nauseated
D. The patient states he has a headache
Answer: B. Grimacing with movement of the right arm
Rationale: Objective data are observable and measurable findings. Grimacing is a visible
sign that can be observed by the nurse. The other options are subjective data reported by
the patient or family.
,4. A patient states that he occasionally takes an over-the-counter laxative for
constipation. What is this information an example of?
A. Objective data
B. Inspection
C. Subjective data
D. Alternative therapy
Answer: C. Subjective data
Rationale: Subjective data describes the information given by the patient or family and
includes the concerns or symptoms felt by the patient. Information about over-the-counter
medication use is subjective data.
5. The LPN is collecting data for the initial assessment of a patient upon admission
to a long-term care facility before giving the 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. Collect data about the patient and the patient's health condition.
Rationale: 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 is part of the planning
phase; monitoring for a response is part of the evaluation stage; and reviewing the nursing
care plan is part of the implementation stage.
6. Which represents the correct order of the steps of the nursing process?
A. Assessment, diagnosis, planning, implementation, evaluation
B. Planning, assessment, diagnosis, implementation, evaluation
C. Assessment, planning, implementation, diagnosis, evaluation
D. Diagnosis, planning, implementation, evaluation, assessment
, Answer: A. Assessment, diagnosis, planning, implementation, evaluation
Rationale: The nursing process consists of five major steps in this order: assessment,
diagnosis, planning, implementation, and evaluation.
7. The statement, "The patient will be able to self-administer an aerosol nebulizer
treatment by the date of discharge," is an example of which step of the nursing
process?
A. Implementation
B. Diagnosis
C. Evaluation
D. Planning
Answer: D. Planning
Rationale: The patient-focused care plan should include any medications that will be given
on either a short-term or a long-term basis. For example, goals may be written to apply
ointments or patches or to show the patient how he can give himself an aerosol nebulizer
treatment.
8. A medication should be withheld when which is true?
A. The physician omits the trade name in the order.
B. There has been a change in the patient's condition.
C. The medication improves the patient's symptoms.
D. The patient is asleep.
Answer: B. There has been a change in the patient's condition.
Rationale: You must use good judgment in carrying out a medication order. If, in your
judgment, there has been a change in the patient's condition that raises concerns about
whether a medication should be given, it should be withheld until your concerns can be
answered by the prescriber.