Test bank introduction to clinical pharmacology 10th edition by constance visovsky cheryl zambroski shirley hosler

Test bank introduction to clinical pharmacology 10th edition by constance visovsky cheryl zambroski shirley 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. 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 nursing process. Developing a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient regarding the drug’s actions 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. What part of the nursing process related to drug therapy are you engaging in atthis 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’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. 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 from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical 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 example of objective data. Subjective data includes information presented by the patient or family that cannot be substantiated such as a wife’s report of a patient’s confusion, patient report of degree of alcohol consumption, and a patient’s pain rating. DIF: Cognitive Level: Remembering REF: p. 3