,Chapter 01: Pharmacology and the Nursing Process in LPN Practice Vis
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ovsky: Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE CHOICE WQ
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
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Long-
term care facility before giving the patient’s prescribed drugs. Which action should the LPN consid
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er to be the highest priority?
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a. Obtain any special equipment that will be needed to give the patient’s drug.
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b. Monitor the patient for a response to the drug given.
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c. Collect data about the patient and the patient’s health condition.
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d. Review the nursing care plan to verify that it is accurate.
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QANS: C WQ
Collecting and documenting data about the patient and the patient’s health condition is a critical
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WQ step before any drugs are given. Information regarding the present illness, any signs and sympt
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oms, review of medical records, drug history, and vital signs are needed before drugs are given.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ Deciding on special equipment that will be needed to give the patient’s drug is part of the plann
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ing phase of the nursing process. Monitoring the patient for his response to given drug is part of
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ the evaluation stage of the nursing process. Reviewing the nursing care plan to verify that it is b
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W Q WQ
eing followed accurately is part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying WQ WQ REF: p. 2 WQ WQ
2. The LPN is working with a patient in the planning stage of the nursing process related to
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Qthe patient’s prescribed drugs. Which action should the LPN take during this stage?
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a. Develop a nursing goal to plan the procedures needed to give drug.
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b. Develop a teaching plan for the patient regarding the drug’s actions.
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Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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c. Determine that the patient is experiencing the expected response to his drug.
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d. Determine how much the patient understands about his drug. WQ WQ WQ WQ WQ WQ WQ WQ W
QANS: D WQ
Determining how much the patient understands about his drug is part of the diagnosis phase of t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
he nursing process. Developing a nursing goal to plan the procedures needed to give drug and
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
,developing a teaching plan for the patient regarding the drug’s actions are part of the planning ph
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ase of the nursing process.
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DIF: Cognitive Level: Applying WQ WQ REF: p. 2 WQ WQ
3. You are teaching a patient with depression about the potential adverse effects of a pre
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scribed drug. What part of the nursing process related to drug therapy are you engaging in at thi
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
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In the evaluation phase of the nursing process, the LPN understands and teaches to the patient
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ the drug’s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering WQ WQ REF: p. 2 W Q WQ
4. Which of the following is an example of subjective data?
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a. The patient states she has pain in her left arm.
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b. The medical chart has a recorded blood pressure of 128/88.
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c. The serum potassium level is 3.8 mmol/L.
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d. The patient’s ECG shows normal sinus rhythm.
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, Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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ANS: A WQ
Reports from the patient or patient’s caregiver are considered subjective data. Symptoms such as p
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ain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected fr
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om the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a me
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
dical chart are examples of objective data.
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DIF: Cognitive Level: Remembering WQ WQ REF: p. 2 WQ WQ
5. Which statement provides an example of objective data?
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a. The wife states the patient was confused last night.
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b. Grimacing with movement is present during the examination. WQ WQ WQ WQ WQ WQ WQ
c. The patient reports moderate alcohol consumption.
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d. The patient states pain is severe.
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ANS: B WQ
Measurable data obtained during a physical exam such as grimacing with movement is an exam
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ple of objective data. Subjective data includes information presented by the patient or Family tha
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t cannot be substantiated such as a wife’s report of a patient’s confusion, patient report of degree o
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f alcohol consumption, and a patient’s pain rating.
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DIF: Cognitive Level: Remembering WQ WQ REF: p. 3 WQ WQ
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management.
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The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse’s best action?
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a. Hold the drug and report the blood pressure to the RN.
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b. Give the patient a full glass of water before giving the drug.
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c. Come back in 30 minutes and recheck the blood pressure.
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WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ovsky: Introduction to Clinical Pharmacology, 10th Edition
WQ WQ WQ WQ WQ WQ
MULTIPLE CHOICE WQ
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
Long-
term care facility before giving the patient’s prescribed drugs. Which action should the LPN consid
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
er to be the highest priority?
WQ WQ WQ WQ WQ
a. Obtain any special equipment that will be needed to give the patient’s drug.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Monitor the patient for a response to the drug given.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. Collect data about the patient and the patient’s health condition.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Review the nursing care plan to verify that it is accurate.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
QANS: C WQ
Collecting and documenting data about the patient and the patient’s health condition is a critical
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ step before any drugs are given. Information regarding the present illness, any signs and sympt
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
oms, review of medical records, drug history, and vital signs are needed before drugs are given.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ Deciding on special equipment that will be needed to give the patient’s drug is part of the plann
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ing phase of the nursing process. Monitoring the patient for his response to given drug is part of
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ the evaluation stage of the nursing process. Reviewing the nursing care plan to verify that it is b
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W Q WQ
eing followed accurately is part of the implementation stage of the nursing process.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive Level: Applying WQ WQ REF: p. 2 WQ WQ
2. The LPN is working with a patient in the planning stage of the nursing process related to
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
Qthe patient’s prescribed drugs. Which action should the LPN take during this stage?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Develop a nursing goal to plan the procedures needed to give drug.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Develop a teaching plan for the patient regarding the drug’s actions.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
WQ WQ WQ WQ WQ WQ 3
c. Determine that the patient is experiencing the expected response to his drug.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Determine how much the patient understands about his drug. WQ WQ WQ WQ WQ WQ WQ WQ W
QANS: D WQ
Determining how much the patient understands about his drug is part of the diagnosis phase of t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
he nursing process. Developing a nursing goal to plan the procedures needed to give drug and
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
,developing a teaching plan for the patient regarding the drug’s actions are part of the planning ph
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ase of the nursing process.
WQ WQ WQ WQ
DIF: Cognitive Level: Applying WQ WQ REF: p. 2 WQ WQ
3. You are teaching a patient with depression about the potential adverse effects of a pre
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
scribed drug. What part of the nursing process related to drug therapy are you engaging in at thi
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s point of the teaching plan?
WQ WQ WQ WQ WQ
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
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In the evaluation phase of the nursing process, the LPN understands and teaches to the patient
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ the drug’s therapeutic effects, expected side effects, and potential adverse effects.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive Level: Remembering WQ WQ REF: p. 2 W Q WQ
4. Which of the following is an example of subjective data?
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a. The patient states she has pain in her left arm.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. The medical chart has a recorded blood pressure of 128/88.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. The serum potassium level is 3.8 mmol/L.
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d. The patient’s ECG shows normal sinus rhythm.
WQ WQ WQ WQ WQ WQ
, Visovsky: Introduction to Clinical Pharmacology, 10th Edition
WQ WQ WQ WQ WQ WQ 4
ANS: A WQ
Reports from the patient or patient’s caregiver are considered subjective data. Symptoms such as p
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected fr
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
om the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a me
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
dical chart are examples of objective data.
WQ WQ WQ WQ WQ WQ
DIF: Cognitive Level: Remembering WQ WQ REF: p. 2 WQ WQ
5. Which statement provides an example of objective data?
WQ WQ WQ WQ WQ WQ WQ
a. The wife states the patient was confused last night.
WQ WQ WQ WQ WQ WQ WQ WQ
b. Grimacing with movement is present during the examination. WQ WQ WQ WQ WQ WQ WQ
c. The patient reports moderate alcohol consumption.
WQ WQ WQ WQ WQ
d. The patient states pain is severe.
WQ WQ WQ WQ WQ WQ
ANS: B WQ
Measurable data obtained during a physical exam such as grimacing with movement is an exam
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ple of objective data. Subjective data includes information presented by the patient or Family tha
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
t cannot be substantiated such as a wife’s report of a patient’s confusion, patient report of degree o
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
f alcohol consumption, and a patient’s pain rating.
WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive Level: Remembering WQ WQ REF: p. 3 WQ WQ
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse’s best action?
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Hold the drug and report the blood pressure to the RN.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Give the patient a full glass of water before giving the drug.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. Come back in 30 minutes and recheck the blood pressure.
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