Test Bank for Introduction to Clinical Pharmacology 10th Edition By Constance Visovsky, Cheryl Zambroski, Shirley Hosler Chapter 1-20 Complete Guide A+

Test Bank for Introduction to Clinical
Pharmacology 10th Edition By Constance
Visovsky, Cheryl Zambroski, Shirley Hosler
Chapter 1-20 Complete Guide A+




TEST
BANK

,Visovsky: Introduction to Clinical Pharmacology, 10th Edition 2


Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky:Introduction to Clinical Pharmacology, 10th Edition


MULTIPLE CHOICE


1. The LPN is collecting data for the initial assessment of a patient upon admission to a
Long-term care facility before giving the patient‘s prescribed drugs. Which action should the LPN
consider to be the highest priority?

a. Obtain any special equipment that will be needed to give the patient‘s drug.

b. Monitor the patient for a response to the drug given.

c. Collect data about the patient and the patient‘s health condition.

d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient‘s health condition is a critical
step before any drugs are given. Information regarding the present illness, any signs and
symptoms, review of medical records, drug history, and vital signs are needed before drugs are
given. Deciding on special equipment that will be needed to give the patient‘s drug is part of the
planning phase of the nursing process. Monitoring the patient for his response to given drug is
part of the evaluation stage of the nursing process. Reviewing the nursing care plan to verify that
it is being followed accurately is part of the implementation stage of the nursing process.




DIF: Cognitive Level: Applying REF: p. 2




2. The LPN is working with a patient in the planning stage of the nursing process related to
the patient‘s prescribed drugs. Which action should the LPN take during this stage?

a. Develop a nursing goal to plan the procedures needed to give drug.

b. Develop a teaching plan for the patient regarding the drug‘s actions.

,Visovsky:`Introduction`to`Clinical`Pharmacology,`10th`Edition 3

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

d. Determine`how`much`the`patient`understands`about`his`drug.`
ANS:`D


Determining`how`much`the`patient`understands`about`his`drug`is`part`of`the`diagnosis`phase`of`t
he`nursing`process.`Developing`a`nursing`goal`to`plan`the`procedures`needed`to`give`drug`and`d
eveloping`a`teaching`plan`for`the`patient`regarding`the`drug‘s`actions`are`part`of`the`planning`p
hase`of`the`nursing`process.


DIF:` ` Cognitive`Level:` Applying` ` REF:`p.`2


3. You`are`teaching`a`patient`with`depression`about`the`potential`adverse`effects`of`a`prescr
ibed`drug.`What`part`of`the`nursing`process`related`to`drug`therapy`are`you`engaging`in`at`this`po
int`of`the`teaching`plan?

a. Assessment

b. Implementation

c. Evaluation

d. Diagnosis
`ANS:`C

In`the`evaluation`phase`of`the`nursing`process,`the`LPN`understands`and`teaches`to`the`patient`t
he`drug‘s`therapeutic`effects,`expected`side`effects,`and`potential`adverse`effects.




DIF:` ` Cognitive`Level:`Remembering` ` ` REF:` ` p.`2


4. Which`of`the`following` is`an`example`of`subjective`data?

a. The`patient`states`she`has`pain`in`her`left`arm.

b. The`medical`chart` has`a`recorded`blood`pressure`of`128/88.

c. The`serum`potassium`level`is`3.8`mmol/L.

d. The`patient‘s`ECG`shows`normal`sinus`rhythm.

, Visovsky:`Introduction`to`Clinical`Pharmacology,`10th`Edition 4

ANS:`A
Reports`from`the`patient`or`patient‘s`caregiver`are`considered`subjective`data.`Symptoms`such`as`
pain,`nausea,`or`dizziness`are`examples`of`symptoms`that`cannot`be`―seen‖`and`are`data`collected`f
rom`the`patient,`caregiver,`or`others.`Laboratory`values,`ECG`results,`or`vital`sign`data`from`a`me
dical`chart`are`examples`of`objective`data.



DIF: Cognitive`Level:`Remembering REF:`p.`2




5. Which`statement` provides`an`example`of`objective` data?

a. The`wife`states`the`patient`was`confused`last` night.

b. Grimacing`with`movement`is`present`during`the`examination.

c. The`patient`reports`moderate`alcohol`consumption.

d. The`patient`states`pain`is`severe.`
ANS:`B
Measurable`data`obtained`during`a`physical`exam`such`as`grimacing`with`movement`is`an`exampl
e`of`objective`data.`Subjective`data`includes`information`presented`by`the`patient`or`Family`that`c
annot`be`substantiated`such`as`a`wife‘s`report`of`a`patient‘s`confusion,`patient`report`of`degree`of`a
lcohol`consumption,`and`a`patient‘s`pain`rating.




DIF: Cognitive`Level:`Remembering REF:`p.`3




6. The`LPN/VN`is`assessing`a`patient`before`giving`a`drug`for`blood`pressure`management.`
The`nurse`notes`the`blood`pressure`to`be`90/50`mm`Hg.`What`is`the`nurse‘s`best`action?

a. Hold`the`drug`and`report`the`blood`pressure`to`the`RN.

b. Give`the`patient` a`full`glass`of`water`before`giving`the`drug.

c. Come`back`in`30`minutes`and`recheck`the`blood`pressure.