VISOVSKY: INTRODUCTION TO CLI PHARMACOLOGY, 10TH EDITI TESTBANK

VISOVSKY: INTRODUCTION TO CLI PHARMACOLOGY, 10TH EDITI TESTBANK 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 fa 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 b Information regarding the present illness, any signs and symptoms, review of medical records, drug hi needed before drugs are given. Deciding on special equipment that will be needed to give the patient’s phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua process. Reviewing the nursing care plan to verify that it is being followed accurately is part of the im 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 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. 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 the nur nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient are part of the planning phase 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 prescribed drug. Wh related to drug therapy are you engaging in at this point 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 the drug 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. ANS: A Reports from the patient or patient’s caregiver are considered subjective data. Symptoms such as pain, examples of symptomDsowthnlaotadceadnbnyo: mt abresh“iksse| emna”rshainksd12a@ollected from the patient, caregiver, or othe results, or vital sign data frDoimstribaumtionedoficthaisl dcohcuamrtenatries iellexgaaml ples of objective data. 6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse no 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. d. Have the patient perform pursed lip breathing before giving the drug. ANS: A The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose or switching to another drug. Giving water with the drug is not contraindicated but does not recognize hypotension. Pursed lip breathing has no role in this situation. DIF: Cognitive Level: Remembering REF: p. 4 7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of informati a clear understanding of objective assessment data? a. A patient’s rating of chest pain as 8 on a 1 to 10 scale. b. Family members report that patient has been experiencing pain for 1 month. c. Detailed history of the patient’s current illness upon admission. d. Compilation of past laboratory results and x-ray reports. ANS: D The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a of the patient’s pain, and history of current illness are examples of subjective data. DIF: Cognitive Level: Remembering REF: p. 3 8. A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The o patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to this revie a. Assessment b. Planning c. Diagnosis d. Evaluation ANS: D The evaluation phase involves examining the results that occur when the plan is implemented. Review pressure recording examines the patient’s response to the drug. The assessment phase provides initial i the problem, and anything that may change the choice of treatment. The planning phase involves using diagnoses to set goals and write care plans. The diagnosis phase involves decision-making about the p medical diagnoses made by the healthcare provider and nursing diagnoses developed through the Nort Diagnosis Association (NANDA). DIF: Cognitive Level: Remembering REF: p. 2 9. After receiving report, the LPN gives drugs to her assigned patients on the evening shift. With which s does this activity correspond? a. Implementation b. Assessment c. Planning d. Diagnosis ANS: A The implementation phase involves actively following the plan of care and accurately giving ordered assessment phase involves obtaining initial information about the patient, the problem, and anything th treatment. The planning phase involves using patient assessment data and diagnoses to set goals and w phase involves decision-making about the patient’s problems, including medical diagnoses made by th nursing diagnoses developed through the North American Nursing Diagnosis Association (NANDA). DIF: Cognitive LevelD: oRwenmloaedmedbebryi:nmgarshiks R| mEaFrs: Distribution of this document is illegal 10. You are reviewing a patient’s new antihypertensive drug order. The order as written is unclear as to