INTRODUCTIONTOCLINICALPHARMACOLOGY10TH E
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ByConstanceVisovsky,CherylZambroski,ShirleyHosler
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, COMPLETE TEST BANK AF AF
INTRODUCTION TO CLINIC AF AF
PHARMACOLOGY 10TH EDITIAF AF
ConstanceVisovsky, Chery
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Zambroski, ShirleyHosle
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,Chapter01:Pharmacologyand theNursingProcessinLPNPractice
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Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE
CHOICE
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1. TheLPN iscollectingdatafortheinitialassessment ofapatientupon admissiontoalong-term carefacilityb
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prescribed drugs.WhichactionshouldtheLPNconsider tobethehighestpriority?
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a. Obtain any special equipment that will be needed to give the patient’s drug. A F A F A F A F A F A F A F A F A F A F A F A F
b. Monitorthepatientforaresponsetothedruggiven. F
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c. Collect data about the patient and the patient’s health condition. A F A F A F A F A F A F A F A F A F
d. Reviewthenursingcareplantoverifythatitisaccurate. A
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ANS: C A F
Collectinganddocumentingdataaboutthepatientandthepatient’shealthconditionisacriticalstepbefor
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Informationregardingthepresentillness,anysignsandsymptoms,reviewofmedicalrecords,drughistory
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beforedrugsaregiven.Deciding onspecialequipmentthatwillbeneededtogivethepatient’sdrugispart o
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nursingprocess.Monitoring thepatientforhisresponsetogivendrugispartoftheevaluation stageofthen
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Reviewing thenursing careplantoverifythatitisbeing followedaccurately ispartofthe implementation
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process.
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DIF: CognitiveLevel:ApplyingA F F
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2. TheLPN isworkingwithapatientintheplanningstageofthenursingprocessrelatedtothepatient’sprescri
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shouldtheLPNtakeduringthisstage?
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a. Developanursinggoaltoplantheproceduresneededtogivedrug. A
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b. Develop a teaching plan for the patient regarding the drug’sactions. AF AF AF AF AF AF AF AF AF AF
c. Determine that the patient is experiencing the expected response to his drug. A F A F A F A F A F A F A F A F A F A F A F
d. Determine how much the patient understands about his drug. A F A F A F A F A F A F A F A F
ANS: D AF
Determininghowmuchthepatientunderstandsabouthisdrugispartofthediagnosisphaseofthenursingp F
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Developinganursinggoaltoplantheproceduresneededtogivedrugand developingateachingplanforthe
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regarding the drug’s actions are part of the planning phase of the nursing process.
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DIF: CognitiveLevel:ApplyingA F F
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3. Youareteachingapatientwithdepressionaboutthepotentialadverseeffectsofaprescribed drug.Whatpa
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related to drug therapy are you engaging in at this point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
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Intheevaluationphaseofthenursingprocess,theLPNunderstandsandteachestothepatientthedrug’sther
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side effects, and potential adverse effects.
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DIF: CognitiveLevel:Remembering REF: p.2
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4. Which statement provides an example of objective data?
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a. The wife states the patient was confused last night. A F A F A F A F A F A F A F A F
, 6. TheLPN/VNisassessinga patientbeforegivingadrugforbloodpressuremanagement.Thenursenotesth
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Hg.Whatis thenurse’sbestaction?
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a. HoldthedrugandreportthebloodpressuretotheRN. F
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b. Givethepatientafullglassofwaterbeforegivingthedrug. A
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c. Comebackin30minutesandrecheckthebloodpressure. A
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d. Have the patient perform pursed lip breathing before giving the drug.
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The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose of
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switching toanotherdrug.Giving waterwith thedrugisnotcontraindicatedbutdoesnotrecognizethepatie
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Pursed lip breathing has no role in this situation.
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DIF: CognitiveLevel:Remembering REF: p.4
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7. TheLPNiscollectingobjectivedataforinclusion inthenursingassessment.Whichpieceofinformationin
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hasa clear understanding of objective assessment data?
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a. Apatient’sratingofchestpainas8ona1 to10scale.
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b. Family members report that patient has been experiencing pain for 1 month. A F A F A F A F A F A F A F A F A F A F A F
c. Detailed history of the patient’s current illness upon admission. A F A F A F A F A F A F A F A F
d. Compilation of past laboratory results and x-ray reports. A F A F A F A F A F A F A F
ANS: D AF
Thepatient’spastlaboratoryandx-rayresultsareexamplesofobjectivedata.Apainratingof8/10,afamily
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the patient’s pain, and history of current illness are examples of subjective data.
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DIF: CognitiveLevel:Remembering REF: p.3
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8. A patientrecentlybegana takingbloodpressuredrugandpresentsforafollow-upappointment.Theoffice
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dailybloodpressurerecordings.Whichstageofthenursingprocesscorrespondstothisreview?
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a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D AF
Theevaluation phase involves examining theresults thatoccurwhen the plan is implemented. Reviewing
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pressurerecording examines thepatient’sresponseto thedrug. Theassessment phaseprovidesinitial info
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problem,andanythingthatmaychangethechoiceoftreatment.Theplanningphaseinvolvesusingpatien
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diagnosestosetgoalsandwritecareplans.Thediagnosisphaseinvolvesdecision-makingaboutthe patie
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medicaldiagnosesmadebythehealthcareproviderandnursingdiagnosesdevelopedthroughthe North A
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Association(NANDA).
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DIF: CognitiveLevel:Remembering REF:p.2
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9. Afterreceivingreport,theLPN givesdrugstoherassignedpatientsontheeveningshift.With whichstageo
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does this activity correspond?
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a. Implementation
b. Assessment
c. Planning
d. Diagnosis
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Theimplementationphaseinvolves actively following theplanof careandaccurately givingordered dru
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assessment phase involves obtaining initial information about the patient,the problem, and anything tha
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treatment.Theplanningphaseinvolvesusingpatientassessmentdataanddiagnosestosetgoalsandwritec
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