,Chapter c01: cPharmacology cand cthe cNursing cProcess cin cLPN
cPractice cVisovsky: cIntroduction cto cClinical cPharmacology, c10th
Edition
MULTIPLE
cCHOICE
1. The cLPN cis ccollecting cdata cfor cthe cinitial cassessment cof ca cpatient cupon cadmission cto ca clong-term
cgiving cthe cpatient’s cprescribed cdrugs. cWhich caction cshould cthe cLPN cconsider cto cbe cthe chighes
a. Obtain c any c special c equipment c that c will c be c needed c to c give c the c patient’s c drug.
b. Monitor cthe cpatient cfor ca cresponse cto cthe cdrug cgiven.
c. Collect c data c about c the c patient c and c the c patient’s c health c condition.
d. Review cthe cnursing ccare cplan cto cverify cthat cit cis caccurate.
ANS: c C
Collecting cand cdocumenting cdata cabout cthe cpatient cand cthe cpatient’s chealth ccondition cis ca ccritic
care cgiven. cInformation cregarding cthe cpresent cillness, cany csigns cand csymptoms, creview cof cmedic
cand cvital csigns care cneeded cbefore cdrugs care cgiven. cDeciding con cspecial cequipment cthat cwill cbe
cpatient’s cdrug cis cpart cof cthe cplanning cphase cof cthe cnursing cprocess. cMonitoring cthe cpatient cfor
cdrug cis cpart cof cthe cevaluation cstage cof cthe cnursing cprocess. cReviewing cthe cnursing ccare cplan ct
cfollowed caccurately cis cpart cof cthe cimplementation cstage cof cthe cnursing cprocess.
DIF: c Cognitive cLevel: cApplying REF: cp. c2
2. The cLPN cis cworking cwith ca cpatient cin cthe cplanning cstage cof cthe cnursing cprocess crelated cto cthe cp
cWhich caction cshould cthe cLPN ctake cduring cthis cstage?
a. Develop ca cnursing cgoal cto cplan cthe cprocedures cneeded cto cgive cdrug.
b. Develop ca cteaching cplan cfor cthe cpatient cregarding cthe cdrug’s cactions.
c. Determine c that c the c patient c is c experiencing c the c expected c response c to c his c drug.
d. Determine c how c much c the c patient c understands c about c his c drug.
ANS: cD
Determining chow cmuch cthe cpatient cunderstands cabout chis cdrug cis cpart cof cthe cdiagnosis cphase co
cprocess. cDeveloping ca cnursing cgoal cto cplan cthe cprocedures cneeded cto cgive cdrug cand cdevelopin
cplan cfor cthe cpatient cregarding cthe cdrug’s cactions care cpart cof cthe cplanning cphase cof cthe cnurs
DIF: c Cognitive cLevel: cApplying REF: cp. c2
3. You care cteaching ca cpatient cwith cdepression cabout cthe cpotential cadverse ceffects cof ca cprescribed cd
cnursing cprocess crelated cto cdrug ctherapy care cyou cengaging cin cat cthis cpoint cof cthe cteaching c
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: c C
In cthe cevaluation cphase cof cthe cnursing cprocess, cthe cLPN cunderstands cand cteaches cto cthe cpatient
ceffects, cexpected cside ceffects, cand cpotential cadverse ceffects.
DIF: c Cognitive cLevel: cRemembering c REF: c p. c2
4. Which c statement c provides c an c example c of c objective c data?
a. The c wife c states c the c patient c was c confused c last c night.
, 6. The cLPN/VN cis cassessing ca cpatient cbefore cgiving ca cdrug cfor cblood cpressure cmanagement. cThe c
cpressure cto cbe c90/50 cmm cHg. cWhat cis cthe cnurse’s cbest caction?
a. Hold cthe cdrug cand creport cthe cblood cpressure cto cthe cRN.
b. Give cthe cpatient ca cfull cglass cof cwater cbefore cgiving cthe cdrug.
c. Come cback cin c30 cminutes cand crecheck cthe cblood cpressure.
d. Have c the c patient c perform c pursed c lip c breathing c before c giving c the c drug.
ANS: cA
The cbest caction cis cto chold cthe cdrug cand ccontact cthe cRN. cThe cpatient cmay cneed can cadjustment c
cpressure cdrug cor cswitching cto canother cdrug. cGiving cwater cwith cthe cdrug cis cnot ccontraindicated
cthe cpatient’s crisk cfor chypotension. cPursed clip cbreathing chas cno crole cin cthis csituation.
DIF: c Cognitive cLevel: cRemembering c REF: c p. c4
7. The cLPN cis ccollecting cobjective cdata cfor cinclusion cin cthe cnursing cassessment. cWhich cpiece cof cin
cthat cthe cLPN chasa cclear cunderstanding cof cobjective cassessment cdata?
a. A cpatient’s crating cof cchest cpain cas c8 con ca c1 cto c10 cscale.
b. Family c members c report c that c patient c has c been c experiencing c pain c for c 1 c month.
c. Detailed c history c of c the c patient’s c current c illness c upon c admission.
d. Compilation c of c past c laboratory c results c and c x-ray c reports.
ANS: cD
The cpatient’s cpast claboratory cand cx-ray cresults care cexamples cof cobjective cdata. cA cpain crating cof
cmember’s cdescriptionof cthe cpatient’s cpain, cand chistory cof ccurrent cillness care cexamples cof cs
DIF: c Cognitive cLevel: cRemembering c REF: c p. c3
8. A cpatient crecently cbegan ca ctaking cblood cpressure cdrug cand cpresents cfor ca cfollow-up cappointmen
creviews cthe cpatient’s cdaily cblood cpressure crecordings. cWhich cstage cof cthe cnursing cprocess ccorr
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: cD
The cevaluation cphase cinvolves cexamining cthe cresults cthat coccur cwhen cthe cplan cis cimplemented
cdaily cblood cpressure crecording cexamines cthe cpatient’s cresponse cto cthe cdrug. cThe cassessment cp
cinformation cabout cthe cpatient, cthe cproblem, cand canything cthat cmay cchange cthe cchoice cof ctreatm
cinvolves cusing cpatient cassessment cdata cand cdiagnoses cto cset cgoals cand cwrite ccare cplans. cThe cd
cdecision-making cabout cthe cpatient’s cproblems, cincluding cmedical cdiagnoses cmade cby cthe chealth
cdiagnoses cdeveloped cthrough cthe cNorth cAmerican cNursing cDiagnosis cAssociation c(NANDA)
DIF: c Cognitive cLevel: cRemembering c REF: cp. c2
9. After creceiving creport, cthe cLPN cgives cdrugs cto cher cassigned cpatients con cthe cevening cshift. cWith
cnursing cprocess cdoes cthis cactivity ccorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: cA
The cimplementation cphase cinvolves cactively cfollowing cthe cplan cof ccare cand caccurately cgiving c
cpatients. cThe cassessment cphase cinvolves cobtaining cinitial cinformation cabout cthe cpatient, cthe cpr
cmay cchange cthe cchoice cof ctreatment. cThe cplanning cphase cinvolves cusing cpatient cassessment cda