Test Bank for Introduction to Clinical Pharmacology, 11th Edition by Constance G. Visovsky|9780443115950|All Chapters 1-20|LATEST

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INTRODUCTIONTOCLINICALPHARMACOLOGY10THE
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ByConstanceVisovsky,CherylZambroski,ShirleyHosler
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, COMPLETE TESTBANK ty ty




INTRODUCTIONTOCLINIC ty ty




PHARMACOLOGY10THEDITI ty ty




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. TheLPNiscollectingdatafortheinitialassessmentofapatientuponadmissiontoalong-termcarefacilitybe
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prescribeddrugs.WhichactionshouldtheLPNconsidertobethehighestpriority?
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a. Obtain any special equipment that will be needed to give the patient’s drug. t y t y t y t y t y t y t y t y t y t y t y t y




b. Monitorthepatientforaresponsetothedruggiven. ty ty ty ty ty ty ty ty ty




c. Collect data about the patient and the patient’s health condition. t y t y t y t y t y t y t y t y t y




d. Reviewthenursingcareplantoverifythatitisaccurate. ty ty ty ty ty ty ty ty ty ty




ANS: C ty




Collectinganddocumentingdataaboutthepatientandthepatient’shealthconditionisacriticalstepbefor ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty




Informationregardingthepresentillness,anysignsandsymptoms,reviewofmedicalrecords,drughistory
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beforedrugsaregiven.Decidingonspecialequipmentthatwillbeneededtogivethepatient’sdrugispartoft
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nursingprocess.Monitoringthepatientforhisresponsetogivendrugispartoftheevaluation stageofthenu
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thenursingcareplantoverifythatitisbeingfollowedaccuratelyispartofthe implementation stage ofthe
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DIF: CognitiveLevel:Applying t y ty ty REF: p.2 ty ty




2. TheLPNisworkingwithapatientintheplanningstageofthenursingprocessrelatedtothepatient’sprescrib
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shouldtheLPNtakeduringthisstage?
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a. Developanursinggoaltoplantheproceduresneededtogivedrug. ty ty ty ty ty ty ty ty ty ty ty




b. Develop ateaching plan forthepatientregarding the drug’sactions. ty ty ty ty ty ty ty ty ty ty




c. Determine that the patient is experiencing the expected response to his drug. t y t y t y t y t y t y t y t y t y t y t y




d. Determine how much the patient understands about his drug. t y t y t y t y t y t y t y t y




ANS: D ty




Determininghowmuchthepatientunderstandsabouthisdrugispartofthediagnosisphaseofthenursingp ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty




Developinganursinggoaltoplantheproceduresneededtogivedruganddevelopingateachingplanforthep
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the drug’s actions arepartoftheplanning phaseofthenursingprocess.
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DIF: CognitiveLevel:Applying t y ty ty REF: p.2 ty ty




3. Youareteachingapatientwithdepressionaboutthepotentialadverseeffectsofaprescribeddrug.Whatpar
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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’sthera
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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? t y t y t y t y t y t y t y




a. The wife states the patient was confused last night. t y t y t y t y t y t y t y t y




b. Grimacing with movement is present during the examination. t y t y t y t y t y t y t y

, 6. TheLPN/VNisassessingapatientbeforegivingadrugforbloodpressuremanagement.Thenursenotesthe
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Hg.Whatisthenurse’sbestaction?
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a. HoldthedrugandreportthebloodpressuretotheRN. ty ty ty ty ty ty ty ty ty ty




b. Givethepatientafullglassofwaterbeforegivingthedrug. ty ty ty ty ty ty ty ty ty ty ty




c. Comebackin30minutesandrecheckthebloodpressure. ty ty ty ty ty ty ty ty ty




d. Have the patient perform pursed lip breathing before giving the drug. t y t y t y t y t y t y t y t y t y t y




ANS: A ty




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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switchingtoanotherdrug.Givingwaterwiththedrugisnotcontraindicatedbutdoesnotrecognizethepatie
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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. TheLPNiscollectingobjectivedataforinclusioninthenursingassessment.Whichpieceofinformationind
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clear understanding of objective assessment data?
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a. Apatient’sratingofchestpainas8ona1to10scale.
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b. Family members report that patient has been experiencing pain for 1 month. t y t y t y t y t y t y t y t y t y t y t y




c. Detailed history of the patient’s current illness upon admission. t y t y t y t y t y t y t y t y




d. Compilation of past laboratory results and x-ray reports. t y t y t y t y t y t y t y




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Thepatient’spastlaboratoryandx-rayresultsareexamplesofobjectivedata.Apainratingof8/10,afamilym
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the patient’s pain, and history of current illness areexamples of subjective data.
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DIF: CognitiveLevel:Remembering REF: p.3
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8. Apatientrecentlybeganatakingbloodpressuredrugandpresentsforafollow-upappointment.Theofficen
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dailybloodpressurerecordings.Whichstageofthenursingprocesscorrespondstothisreview?
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a. Assessment
b. Planning
c. Diagnosis
d. Evaluation

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Theevaluationphaseinvolvesexaminingtheresultsthatoccurwhentheplanisimplemented.Reviewingt
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pressurerecordingexaminesthepatient’sresponsetothedrug.Theassessmentphaseprovidesinitialinfor
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problem,andanythingthatmaychangethechoiceoftreatment.Theplanningphaseinvolvesusingpatien
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diagnosestosetgoalsandwritecareplans.Thediagnosisphaseinvolvesdecision-makingaboutthe patie
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medicaldiagnosesmadebythehealthcareproviderandnursingdiagnosesdevelopedthroughtheNorth Am
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Association(NANDA).
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DIF: CognitiveLevel:Remembering REF:p.2
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9. Afterreceivingreport,theLPNgivesdrugstoherassignedpatientsontheeveningshift.Withwhichstageof
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does this activity correspond?
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a. Implementation
b. Assessment
c. Planning
d. Diagnosis

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Theimplementationphaseinvolvesactivelyfollowingtheplanofcareandaccuratelygivingordereddrug
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phaseinvolvesobtaininginitialinformationaboutthepatient,theproblem,andanythingthatmaychanget
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planningphaseinvolvesusingpatientassessmentdataanddiagnosestosetgoalsandwritecareplans.Thed
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