Chapter3f01:3fPharmacology3fand3fthe3fNursing3fProcess3fin3fLPN3fPractice3fVisovsky:
Introduction3fto3fClinical3fPharmacology,3f10th3fEdition
, ‘s3fdrug3fis3fpart3fof3fthe3fplanning3fphase3fof3fthe3fnursing3fprocess.3fMonitoring3fthe3fpatient3ffor3fhis3fres
art3fof3fthe3fevaluation3fstage3fof3fthe3fnursing3fprocess.3fReviewing3fthe3fnursing3fcare3fplan3fto3fverify3ft
accurately3fis3fpart3fof3fthe3fimplementation3fstage3fof3fthe3fnursing3fprocess.
DIF: Cognitive3fLevel:3fApplying REF: p.3f2
2. The3fLPN3fis3fworking3fwith3fa3fpatient3fin3fthe3fplanning3fstage3fof3fthe3fnursing3fprocess3frelated3fto3fthe3fp
gs.3fWhich3faction3fshould3fthe3fLPN3ftake3fduring3fthis3fstage?
a. Develop3fa3fnursing3fgoal3fto3fplan3fthe3fprocedures3fneeded3fto3fgive3fdrug.
b. Develop3fa3fteaching3fplan3ffor3fthe3fpatient3fregarding3fthe3fdrug‘s3factions.
c. Determine3fthat3fthe3fpatient3fis3fexperiencing3fthe3fexpected3fresponse3fto3fhis3fdrug.
d. Determine3fhow3fmuch3fthe3fpatient3funderstands3fabout3fhis3fdrug.
ANS: D
Determining3fhow3fmuch3fthe3fpatient3funderstands3fabout3fhis3fdrug3fis3fpart3fof3fthe3fdiagnosis3fphase3fo
veloping3fa3fnursing3fgoal3fto3fplan3fthe3fprocedures3fneeded3fto3fgive3fdrug3fand3fdeveloping3fa3fteaching3fp
ing3fthe3fdrug‘s3factions3fare3fpart3fof3fthe3fplanning3fphase3fof3fthe3fnursing3fprocess.
DIF: Cognitive3fLevel:3fApplying REF: p.3f2
3. You3fare3fteaching3fa3fpatient3fwith3fdepression3fabout3fthe3fpotential3fadverse3feffects3fof3fa3fprescribed3fdru
ng3fprocess3frelated3fto3fdrug3ftherapy3fare3fyou3fengaging3fin3fat3fthis3fpoint3fof3fthe3fteaching3fplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In3fthe3fevaluation3fphase3fof3fthe3fnursing3fprocess,3fthe3fLPN3funderstands3fand3fteaches3fto3fthe3fpatient3ft
cts,3fexpected3fside3feffects,3fand3fpotential3fadverse3feffects.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
4. Which3fof3fthe3ffollowing3fis3fan3fexample3fof3fsubjective3fdata?
a. The3fpatient3fstates3fshe3fhas3fpain3fin3fher3fleft3farm.
b. The3fmedical3fchart3fhas3fa3frecorded3fblood3fpressure3fof3f128/88.
c. The3fserum3fpotassium3flevel3fis3f3.83fmmol/L.
d. The3fpatient‘s3fECG3fshows3fnormal3fsinus3frhythm.
ANS: A
Reports3ffrom3fthe3fpatient3for3fpatient‘s3fcaregiver3fare3fconsidered3fsubjective3fdata.3fSymptoms3fsuch3fa
ess3fare3fexamples3fof3fsymptoms3fthat3fcannot3fbe3f―seen‖3fand3fare3fdata3fcollected3ffrom3fthe3fpatient,3fcare
ry3fvalues,3fECG3fresults,3for3fvital3fsign3fdata3ffrom3fa3fmedical3fchart3fare3fexamples3fof3fobjective3fdata.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
5. Which3fstatement3fprovides3fan3fexample3fof3fobjective3fdata?
a. The3fwife3fstates3fthe3fpatient3fwas3fconfused3flast3fnight.
b. Grimacing3fwith3fmovement3fis3fpresent3fduring3fthe3fexamination.
c. The3fpatient3freports3fmoderate3falcohol3fconsumption.
d. The3fpatient3fstates3fpain3fis3fsevere.
ANS: B
Measurable3fdata3fobtained3fduring3fa3fphysical3fexam3fsuch3fas3fgrimacing3fwith3fmovement3fis3fan3fexamp
ctive3fdata3fincludes3finformation3fpresented3fby3fthe3fpatient3for3ffamily3fthat3fcannot3fbe3fsubstantiated3
of3fa3fpatient‘s3fconfusion,3fpatient3freport3fof3fdegree3fof3falcohol3fconsumption,3fand3fa3fpatient‘s3fpain3
DIF: Cognitive3fLevel:3fRemembering REF: p.3f3
,6. The3fLPN/VN3fis3fassessing3fa3fpatient3fbefore3fgiving3fa3fdrug3ffor3fblood3fpressure3fmanagement.3fThe3fnur
sure3fto3fbe3f90/503fmm3fHg.3fWhat3fis3fthe3fnurse‘s3fbest3faction?
a. Hold3fthe3fdrug3fand3freport3fthe3fblood3fpressure3fto3fthe3fRN.
b. Give3fthe3fpatient3fa3ffull3fglass3fof3fwater3fbefore3fgiving3fthe3fdrug.
c. Come3fback3fin3f303fminutes3fand3frecheck3fthe3fblood3fpressure.
d. Have3fthe3fpatient3fperform3fpursed3flip3fbreathing3fbefore3fgiving3fthe3fdrug.
ANS: A
The3fbest3faction3fis3fto3fhold3fthe3fdrug3fand3fcontact3fthe3fRN.3fThe3fpatient3fmay3fneed3fan3fadjustment3fto3ft
ure3fdrug3for3fswitching3fto3fanother3fdrug.3fGiving3fwater3fwith3fthe3fdrug3fis3fnot3fcontraindicated3fbut3fd
ent‘s3frisk3ffor3fhypotension.3fPursed3flip3fbreathing3fhas3fno3frole3fin3fthis3fsituation.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f4
7. The3fLPN3fis3fcollecting3fobjective3fdata3ffor3finclusion3fin3fthe3fnursing3fassessment.3fWhich3fpiece3fof3finfo
LPN3fhas3fa3fclear3funderstanding3fof3fobjective3fassessment3fdata?
f
a. A3fpatient‘s3frating3fof3fchest3fpain3fas3f83fon3fa3f13fto3f103fscale.
b. Family3fmembers3freport3fthat3fpatient3fhas3fbeen3fexperiencing3fpain3ffor3f13fmonth.
c. Detailed3fhistory3fof3fthe3fpatient‘s3fcurrent3fillness3fupon3fadmission.
d. Compilation3fof3fpast3flaboratory3fresults3fand3fx-ray3freports.
ANS: D
The3fpatient‘s3fpast3flaboratory3fand3fx-
ray3fresults3fare3fexamples3fof3fobjective3fdata.3fA3fpain3frating3fof3f8/10,3fa3ffamily3fmember‘s3fdescription3
d3fhistory3fof3fcurrent3fillness3fare3fexamples3fof3fsubjective3fdata.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f3
8. A3fpatient3frecently3fbegan3fa3ftaking3fblood3fpressure3fdrug3fand3fpresents3ffor3fa3ffollow-
up3fappointment.3fThe3foffice3fnurse3freviews3fthe3fpatient‘s3fdaily3fblood3fpressure3frecordings.3fWhich3fs
3fprocess3fcorresponds3fto3fthis3freview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The3fevaluation3fphase3finvolves3fexamining3fthe3fresults3fthat3foccur3fwhen3fthe3fplan3fis3fimplemented.3
ily3fblood3fpressure3frecording3fexamines3fthe3fpatient‘s3fresponse3fto3fthe3fdrug.3fThe3fassessment3fphase3f
fabout3fthe3fpatient,3fthe3fproblem,3fand3fanything3fthat3fmay3fchange3fthe3fchoice3fof3ftreatment.3fThe3fplan
3fpatient3fassessment3fdata3fand3fdiagnoses3fto3fset3fgoals3fand3fwrite3fcare3fplans.3fThe3fdiagnosis3fphase3
making3fabout3fthe3fpatient‘s3fproblems,3fincluding3fmedical3fdiagnoses3fmade3fby3fthe3fhealthcare3fprov
3fdeveloped3fthrough3fthe3fNorth3fAmerican3fNursing3fDiagnosis3fAssociation3f(NANDA).
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
9. After3freceiving3freport,3fthe3fLPN3fgives3fdrugs3fto3fher3fassigned3fpatients3fon3fthe3fevening3fshift.3fWith3fw
ng3fprocess3fdoes3fthis3factivity3fcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A
The3fimplementation3fphase3finvolves3factively3ffollowing3fthe3fplan3fof3fcare3fand3faccurately3fgiving3for
3fThe3fassessment3fphase3finvolves3fobtaining3finitial3finformation3fabout3fthe3fpatient,3fthe3fproblem,3fand
e3fthe3fchoice3fof3ftreatment.3fThe3fplanning3fphase3finvolves3fusing3fpatient3fassessment3fdata3fand3fdiagno
care3fplans.3fThe3fdiagnosis3fphase3finvolves3fdecision-
making3fabout3fthe3fpatient‘s3fproblems,3fincluding3fmedical3fdiagnoses3fmade3fby3fthe3fhealthcare3fprov
3fdeveloped3fthrough3fthe3fNorth3fAmerican3fNursing3fDiagnosis3fAssociation3f(NANDA).
, 11. A3fpatient3fis3freceiving3fan3fantibiotic3ffor3fpneumonia.3fOn3fthe3fthird3fday3fof3fthe3ftreatment3fregimen,3fa3fr
st,3fand3fshe3freports3fitching3fand3fshortness3fof3fbreath.3fWhich3fterm3fdescribes3fthe3feffect3fthat3fhas3foc
a. Therapeutic3feffect
b. Adverse3feffect
c. Side3feffect
d. Overdose3feffect
ANS: B
An3fitchy3frash3fwith3fshortness3fof3fbreath3fthat3fdevelops3fin3fresponse3fto3fdrug3fis3fan3fexample3fof3fan3fal
se3feffect3fto3fthe3fantibiotic.3fTherapeutic3feffects3foccur3fwhen3fan3fantibiotic3ffights3finfection3fwithout3
ffects.3fSide3feffects3fof3fdrugs3fare3fknown3fpotential3feffects3fof3fthe3fantibiotic3fthat3frange3ffrom3fmild3fto
e3foccurs3fif3fa3fpatient3freceives3ftoo3fmuch3fof3fa3fdrug.
DIF: Cognitive3fLevel:3fUnderstanding REF: p.3f9
12. An3fLPN3fenters3fa3fpatient‘s3froom3fto3fgive3fa3fscheduled3fdrug.3fBefore3fadministration,3fthe3fpatient3fstates
drug;3fI‘m3fallergic3fto3fit.‖3fWhat3fshould3fthe3fnurse3fdo3ffirst?
a. Reassure3fthe3fpatient3fthat3fthe3fdrug3fis3fneeded3fand3fobservations3fregarding3fpos
sible3fallergic3fsymptoms3fwill3fbe3fmade.
b. Review3fthe3fpatient3frecord3fand3fencourage3fthe3fpatient3fto3ftake3fthe3fdrug
3fif3fno3fallergies3fhave3fbeen3fdocumented.
c. Assess3fthe3fpatient‘s3fallergic3fhistory3fand3fnotify3fthe3fhealthcare3fprovid
er3fto3fdetermine3fa3fcourse3fof3faction.
d. Document3fpatient3frefusal3fand3fleave3fa3fnote3fon3fthe3fpatient3fchart3ffor3fthe3fhealt
hcare3fprovider.
ANS: C
The3fpatient3fhas3fshared3finformation3fthat3findicates3fthe3fpotential3ffor3fthe3fordered3fdrug3fto3fcause3fadve
he3fdrug,3fthe3fnurse3fshould3finvestigate3ffurther3fby3fobtaining3fa3fmore3fdetailed3fdrug3fhistory3fand3fnoti
er3fwho3fwrote3fthe3forder.3fAlthough3fthe3forder3fmay3fbe3faccurately3fwritten,3fdetermining3fwhether3fth
3fthe3frisks3fis3fnot3fan3faction3fwithin3fthe3flegal3fscope3fof3fthe3fnurse‘s3fpractice.3fThe3fnurse3fshould3fno
nd3fas3fan3fadvocate3ffor3fpatient3fsafety,3fshould3finvestigate3ffurther3fbefore3fgiving3fthe3fdrug.3fThe3fpa
egarding3fthe3fdrug3fthat3fshould3fpromptly3fbe3fbrought3fto3fthe3fprovider‘s3fattention.3fA3fnote3fon3fthe3fc
nformation3fto3fbe3fmissed.
DIF: Cognitive3fLevel:3fApplying REF: p.3f4
13. The3fLPN3fis3fpreparing3fto3fgive3fthe3finitial3fdose3fof3fan3fantibiotic3fto3fa3fpatient3fdiagnosed3fwith3fan3finfec
I3fbroke3fout3fin3fa3frash3fthe3flast3ftime3fI3ftook3fthat3fpill.‖3fWhat3faction3fshould3fthe3fLPN3ftake3fnext?
a. Give3fthe3fdrug3fand3fcheck3fthe3fpatient3fin3f303fminutes3ffor3fa3frash.
b. Document3fthat3fthe3fpatient3frefused3fthe3fdrug3fper3fagency3fpolicy.
c. Leave3fthe3fdrug3fat3fthe3fbedside3fwhile3fchecking3fthe3fchart3ffor3fthe3fpatient‘s3fallergies.
d. Notify3fthe3fregistered3fnurse3for3fhealthcare3fprovider.
ANS: D
This3fis3fa3fpossible3fadverse3freaction,3fand3fthe3fRN3for3fhealthcare3fprovider3fshould3fbe3fnotified3fimmedi
ive3fthe3fdrug3fto3fsee3fif3fit3fdoes3fcause3fa3frash.3fDrug3fshould3fnever3fbe3fleft3fat3fthe3fbedside.3fThe3fpat
ug.
DIF: Cognitive3fLevel:3fApplying REF: p.3f9
14. Which3fpriority3fassessment3fmust3fyou3fmake3fbefore3fgiving3fany3fpatient3fa3fdrug3fby3fmouth?
a. Quiz3fthe3fpatient3fabout3fthe3faction3fof3feach3fdrug.
b. Make3fsure3fthe3fpatient3fcan3fswallow.
c. Find3fout3fwhether3fthe3fpatient3fprefers3fcold3for3froom3ftemperature3fliquids.
d. Ask3fthe3fpatient3fto3frepeat3fhis3for3fher3fname3fand3fbirthdate.
ANS: B
Before3fthe3fpatient3fcan3ftake3fany3fdrug3fby3fmouth,3fthey3fmust3fbe3fable3fto3fswallow.3fAsking3fthe3fpat
d3fbirthdate3fmay3fbe3fpart3fof3fusing3ftwo3fidentifiers3fbut3fthis3fis3fimportant3fwith3fall3fpatients.3fPreferenc
Introduction3fto3fClinical3fPharmacology,3f10th3fEdition
, ‘s3fdrug3fis3fpart3fof3fthe3fplanning3fphase3fof3fthe3fnursing3fprocess.3fMonitoring3fthe3fpatient3ffor3fhis3fres
art3fof3fthe3fevaluation3fstage3fof3fthe3fnursing3fprocess.3fReviewing3fthe3fnursing3fcare3fplan3fto3fverify3ft
accurately3fis3fpart3fof3fthe3fimplementation3fstage3fof3fthe3fnursing3fprocess.
DIF: Cognitive3fLevel:3fApplying REF: p.3f2
2. The3fLPN3fis3fworking3fwith3fa3fpatient3fin3fthe3fplanning3fstage3fof3fthe3fnursing3fprocess3frelated3fto3fthe3fp
gs.3fWhich3faction3fshould3fthe3fLPN3ftake3fduring3fthis3fstage?
a. Develop3fa3fnursing3fgoal3fto3fplan3fthe3fprocedures3fneeded3fto3fgive3fdrug.
b. Develop3fa3fteaching3fplan3ffor3fthe3fpatient3fregarding3fthe3fdrug‘s3factions.
c. Determine3fthat3fthe3fpatient3fis3fexperiencing3fthe3fexpected3fresponse3fto3fhis3fdrug.
d. Determine3fhow3fmuch3fthe3fpatient3funderstands3fabout3fhis3fdrug.
ANS: D
Determining3fhow3fmuch3fthe3fpatient3funderstands3fabout3fhis3fdrug3fis3fpart3fof3fthe3fdiagnosis3fphase3fo
veloping3fa3fnursing3fgoal3fto3fplan3fthe3fprocedures3fneeded3fto3fgive3fdrug3fand3fdeveloping3fa3fteaching3fp
ing3fthe3fdrug‘s3factions3fare3fpart3fof3fthe3fplanning3fphase3fof3fthe3fnursing3fprocess.
DIF: Cognitive3fLevel:3fApplying REF: p.3f2
3. You3fare3fteaching3fa3fpatient3fwith3fdepression3fabout3fthe3fpotential3fadverse3feffects3fof3fa3fprescribed3fdru
ng3fprocess3frelated3fto3fdrug3ftherapy3fare3fyou3fengaging3fin3fat3fthis3fpoint3fof3fthe3fteaching3fplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In3fthe3fevaluation3fphase3fof3fthe3fnursing3fprocess,3fthe3fLPN3funderstands3fand3fteaches3fto3fthe3fpatient3ft
cts,3fexpected3fside3feffects,3fand3fpotential3fadverse3feffects.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
4. Which3fof3fthe3ffollowing3fis3fan3fexample3fof3fsubjective3fdata?
a. The3fpatient3fstates3fshe3fhas3fpain3fin3fher3fleft3farm.
b. The3fmedical3fchart3fhas3fa3frecorded3fblood3fpressure3fof3f128/88.
c. The3fserum3fpotassium3flevel3fis3f3.83fmmol/L.
d. The3fpatient‘s3fECG3fshows3fnormal3fsinus3frhythm.
ANS: A
Reports3ffrom3fthe3fpatient3for3fpatient‘s3fcaregiver3fare3fconsidered3fsubjective3fdata.3fSymptoms3fsuch3fa
ess3fare3fexamples3fof3fsymptoms3fthat3fcannot3fbe3f―seen‖3fand3fare3fdata3fcollected3ffrom3fthe3fpatient,3fcare
ry3fvalues,3fECG3fresults,3for3fvital3fsign3fdata3ffrom3fa3fmedical3fchart3fare3fexamples3fof3fobjective3fdata.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
5. Which3fstatement3fprovides3fan3fexample3fof3fobjective3fdata?
a. The3fwife3fstates3fthe3fpatient3fwas3fconfused3flast3fnight.
b. Grimacing3fwith3fmovement3fis3fpresent3fduring3fthe3fexamination.
c. The3fpatient3freports3fmoderate3falcohol3fconsumption.
d. The3fpatient3fstates3fpain3fis3fsevere.
ANS: B
Measurable3fdata3fobtained3fduring3fa3fphysical3fexam3fsuch3fas3fgrimacing3fwith3fmovement3fis3fan3fexamp
ctive3fdata3fincludes3finformation3fpresented3fby3fthe3fpatient3for3ffamily3fthat3fcannot3fbe3fsubstantiated3
of3fa3fpatient‘s3fconfusion,3fpatient3freport3fof3fdegree3fof3falcohol3fconsumption,3fand3fa3fpatient‘s3fpain3
DIF: Cognitive3fLevel:3fRemembering REF: p.3f3
,6. The3fLPN/VN3fis3fassessing3fa3fpatient3fbefore3fgiving3fa3fdrug3ffor3fblood3fpressure3fmanagement.3fThe3fnur
sure3fto3fbe3f90/503fmm3fHg.3fWhat3fis3fthe3fnurse‘s3fbest3faction?
a. Hold3fthe3fdrug3fand3freport3fthe3fblood3fpressure3fto3fthe3fRN.
b. Give3fthe3fpatient3fa3ffull3fglass3fof3fwater3fbefore3fgiving3fthe3fdrug.
c. Come3fback3fin3f303fminutes3fand3frecheck3fthe3fblood3fpressure.
d. Have3fthe3fpatient3fperform3fpursed3flip3fbreathing3fbefore3fgiving3fthe3fdrug.
ANS: A
The3fbest3faction3fis3fto3fhold3fthe3fdrug3fand3fcontact3fthe3fRN.3fThe3fpatient3fmay3fneed3fan3fadjustment3fto3ft
ure3fdrug3for3fswitching3fto3fanother3fdrug.3fGiving3fwater3fwith3fthe3fdrug3fis3fnot3fcontraindicated3fbut3fd
ent‘s3frisk3ffor3fhypotension.3fPursed3flip3fbreathing3fhas3fno3frole3fin3fthis3fsituation.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f4
7. The3fLPN3fis3fcollecting3fobjective3fdata3ffor3finclusion3fin3fthe3fnursing3fassessment.3fWhich3fpiece3fof3finfo
LPN3fhas3fa3fclear3funderstanding3fof3fobjective3fassessment3fdata?
f
a. A3fpatient‘s3frating3fof3fchest3fpain3fas3f83fon3fa3f13fto3f103fscale.
b. Family3fmembers3freport3fthat3fpatient3fhas3fbeen3fexperiencing3fpain3ffor3f13fmonth.
c. Detailed3fhistory3fof3fthe3fpatient‘s3fcurrent3fillness3fupon3fadmission.
d. Compilation3fof3fpast3flaboratory3fresults3fand3fx-ray3freports.
ANS: D
The3fpatient‘s3fpast3flaboratory3fand3fx-
ray3fresults3fare3fexamples3fof3fobjective3fdata.3fA3fpain3frating3fof3f8/10,3fa3ffamily3fmember‘s3fdescription3
d3fhistory3fof3fcurrent3fillness3fare3fexamples3fof3fsubjective3fdata.
DIF: Cognitive3fLevel:3fRemembering REF: p.3f3
8. A3fpatient3frecently3fbegan3fa3ftaking3fblood3fpressure3fdrug3fand3fpresents3ffor3fa3ffollow-
up3fappointment.3fThe3foffice3fnurse3freviews3fthe3fpatient‘s3fdaily3fblood3fpressure3frecordings.3fWhich3fs
3fprocess3fcorresponds3fto3fthis3freview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The3fevaluation3fphase3finvolves3fexamining3fthe3fresults3fthat3foccur3fwhen3fthe3fplan3fis3fimplemented.3
ily3fblood3fpressure3frecording3fexamines3fthe3fpatient‘s3fresponse3fto3fthe3fdrug.3fThe3fassessment3fphase3f
fabout3fthe3fpatient,3fthe3fproblem,3fand3fanything3fthat3fmay3fchange3fthe3fchoice3fof3ftreatment.3fThe3fplan
3fpatient3fassessment3fdata3fand3fdiagnoses3fto3fset3fgoals3fand3fwrite3fcare3fplans.3fThe3fdiagnosis3fphase3
making3fabout3fthe3fpatient‘s3fproblems,3fincluding3fmedical3fdiagnoses3fmade3fby3fthe3fhealthcare3fprov
3fdeveloped3fthrough3fthe3fNorth3fAmerican3fNursing3fDiagnosis3fAssociation3f(NANDA).
DIF: Cognitive3fLevel:3fRemembering REF: p.3f2
9. After3freceiving3freport,3fthe3fLPN3fgives3fdrugs3fto3fher3fassigned3fpatients3fon3fthe3fevening3fshift.3fWith3fw
ng3fprocess3fdoes3fthis3factivity3fcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A
The3fimplementation3fphase3finvolves3factively3ffollowing3fthe3fplan3fof3fcare3fand3faccurately3fgiving3for
3fThe3fassessment3fphase3finvolves3fobtaining3finitial3finformation3fabout3fthe3fpatient,3fthe3fproblem,3fand
e3fthe3fchoice3fof3ftreatment.3fThe3fplanning3fphase3finvolves3fusing3fpatient3fassessment3fdata3fand3fdiagno
care3fplans.3fThe3fdiagnosis3fphase3finvolves3fdecision-
making3fabout3fthe3fpatient‘s3fproblems,3fincluding3fmedical3fdiagnoses3fmade3fby3fthe3fhealthcare3fprov
3fdeveloped3fthrough3fthe3fNorth3fAmerican3fNursing3fDiagnosis3fAssociation3f(NANDA).
, 11. A3fpatient3fis3freceiving3fan3fantibiotic3ffor3fpneumonia.3fOn3fthe3fthird3fday3fof3fthe3ftreatment3fregimen,3fa3fr
st,3fand3fshe3freports3fitching3fand3fshortness3fof3fbreath.3fWhich3fterm3fdescribes3fthe3feffect3fthat3fhas3foc
a. Therapeutic3feffect
b. Adverse3feffect
c. Side3feffect
d. Overdose3feffect
ANS: B
An3fitchy3frash3fwith3fshortness3fof3fbreath3fthat3fdevelops3fin3fresponse3fto3fdrug3fis3fan3fexample3fof3fan3fal
se3feffect3fto3fthe3fantibiotic.3fTherapeutic3feffects3foccur3fwhen3fan3fantibiotic3ffights3finfection3fwithout3
ffects.3fSide3feffects3fof3fdrugs3fare3fknown3fpotential3feffects3fof3fthe3fantibiotic3fthat3frange3ffrom3fmild3fto
e3foccurs3fif3fa3fpatient3freceives3ftoo3fmuch3fof3fa3fdrug.
DIF: Cognitive3fLevel:3fUnderstanding REF: p.3f9
12. An3fLPN3fenters3fa3fpatient‘s3froom3fto3fgive3fa3fscheduled3fdrug.3fBefore3fadministration,3fthe3fpatient3fstates
drug;3fI‘m3fallergic3fto3fit.‖3fWhat3fshould3fthe3fnurse3fdo3ffirst?
a. Reassure3fthe3fpatient3fthat3fthe3fdrug3fis3fneeded3fand3fobservations3fregarding3fpos
sible3fallergic3fsymptoms3fwill3fbe3fmade.
b. Review3fthe3fpatient3frecord3fand3fencourage3fthe3fpatient3fto3ftake3fthe3fdrug
3fif3fno3fallergies3fhave3fbeen3fdocumented.
c. Assess3fthe3fpatient‘s3fallergic3fhistory3fand3fnotify3fthe3fhealthcare3fprovid
er3fto3fdetermine3fa3fcourse3fof3faction.
d. Document3fpatient3frefusal3fand3fleave3fa3fnote3fon3fthe3fpatient3fchart3ffor3fthe3fhealt
hcare3fprovider.
ANS: C
The3fpatient3fhas3fshared3finformation3fthat3findicates3fthe3fpotential3ffor3fthe3fordered3fdrug3fto3fcause3fadve
he3fdrug,3fthe3fnurse3fshould3finvestigate3ffurther3fby3fobtaining3fa3fmore3fdetailed3fdrug3fhistory3fand3fnoti
er3fwho3fwrote3fthe3forder.3fAlthough3fthe3forder3fmay3fbe3faccurately3fwritten,3fdetermining3fwhether3fth
3fthe3frisks3fis3fnot3fan3faction3fwithin3fthe3flegal3fscope3fof3fthe3fnurse‘s3fpractice.3fThe3fnurse3fshould3fno
nd3fas3fan3fadvocate3ffor3fpatient3fsafety,3fshould3finvestigate3ffurther3fbefore3fgiving3fthe3fdrug.3fThe3fpa
egarding3fthe3fdrug3fthat3fshould3fpromptly3fbe3fbrought3fto3fthe3fprovider‘s3fattention.3fA3fnote3fon3fthe3fc
nformation3fto3fbe3fmissed.
DIF: Cognitive3fLevel:3fApplying REF: p.3f4
13. The3fLPN3fis3fpreparing3fto3fgive3fthe3finitial3fdose3fof3fan3fantibiotic3fto3fa3fpatient3fdiagnosed3fwith3fan3finfec
I3fbroke3fout3fin3fa3frash3fthe3flast3ftime3fI3ftook3fthat3fpill.‖3fWhat3faction3fshould3fthe3fLPN3ftake3fnext?
a. Give3fthe3fdrug3fand3fcheck3fthe3fpatient3fin3f303fminutes3ffor3fa3frash.
b. Document3fthat3fthe3fpatient3frefused3fthe3fdrug3fper3fagency3fpolicy.
c. Leave3fthe3fdrug3fat3fthe3fbedside3fwhile3fchecking3fthe3fchart3ffor3fthe3fpatient‘s3fallergies.
d. Notify3fthe3fregistered3fnurse3for3fhealthcare3fprovider.
ANS: D
This3fis3fa3fpossible3fadverse3freaction,3fand3fthe3fRN3for3fhealthcare3fprovider3fshould3fbe3fnotified3fimmedi
ive3fthe3fdrug3fto3fsee3fif3fit3fdoes3fcause3fa3frash.3fDrug3fshould3fnever3fbe3fleft3fat3fthe3fbedside.3fThe3fpat
ug.
DIF: Cognitive3fLevel:3fApplying REF: p.3f9
14. Which3fpriority3fassessment3fmust3fyou3fmake3fbefore3fgiving3fany3fpatient3fa3fdrug3fby3fmouth?
a. Quiz3fthe3fpatient3fabout3fthe3faction3fof3feach3fdrug.
b. Make3fsure3fthe3fpatient3fcan3fswallow.
c. Find3fout3fwhether3fthe3fpatient3fprefers3fcold3for3froom3ftemperature3fliquids.
d. Ask3fthe3fpatient3fto3frepeat3fhis3for3fher3fname3fand3fbirthdate.
ANS: B
Before3fthe3fpatient3fcan3ftake3fany3fdrug3fby3fmouth,3fthey3fmust3fbe3fable3fto3fswallow.3fAsking3fthe3fpat
d3fbirthdate3fmay3fbe3fpart3fof3fusing3ftwo3fidentifiers3fbut3fthis3fis3fimportant3fwith3fall3fpatients.3fPreferenc
