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Vista previa 6 fuera de 301 páginas
Examen

Testbank for introduction to clinical pharmacology 11th edition,Sally s Roach,Susan M. Ford,ISBN 9781496343567,complete guide A+

Document preview thumbnail
Vista previa 6 fuera de 301 páginas

Testbank for introduction to clinical pharmacology 11th edition,Sally s Roach,Susan M. Ford,ISBN 9781496343567,complete guide A+

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Test Bank for Introduction to Clinical Pharmacolog
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y 11th Edition By Constance Visovsky, Cheryl Zambr
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oski, Shirley Hosler Chapter 1-
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20 Complete Guide A+rfv
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TESTBA 3i




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Visovsky: Introduction to Clinical Pharmacology, 11th Edition
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Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Int
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roduction to Clinical Pharmacology, 11th Edition3i 3i 3i 3i 3i




MULTIPLE CHOICE 3i




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 conside
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r 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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Collect data about the patient and the patient‘s health condition.
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c. 3i 3i 3i 3i 3i 3i 3i 3i 3i




d. Review the nursing care plan to verify that it is accurate.
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ANS: C 3i




Collecting and documenting data about the patient and the patient‘s health condition is a critical
ed

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step before any drugs are given. Information regarding the present illness, any signs and sympto
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ms, review of medical records, drug history, and vital signs are needed before drugs are given.
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Deciding on special equipment that will be needed to give the patient‘s drug is part of the planni
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ng phase of the nursing process. Monitoring the patient for his response to given drug is part of t
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he evaluation stage of the nursing process. Reviewing the nursing care plan to verify that it is bei
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ng followed accurately is part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying 3i 3i REF: p. 2 3i 3i




2. The LPN is working with a patient in the planning stage of the nursing process related to
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the 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, 11th 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.
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ANS: D 3i




Determining how much the patient understands about his drug is part of the diagnosis phase of
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the nursing process. Developing a nursing goal to plan the procedures needed to give drug and
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3i developing a teaching plan for the patient regarding the drug‘s actions are part of the plannin
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g phase of the nursing process.
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DIF: 3 i 3 i Cognitive Level: Applying 3i 3i 3 i 3 i REF: p. 2 3i 3i




3. You are teaching a patient with depression about the potential adverse effects of a pres
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cribed drug. What part of the nursing process related to drug therapy are you engaging in at this
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point of the teaching plan?
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a. Assessment
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b. Implementation
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c. Evaluation

d. Diagnosis
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ANS: C
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In the evaluation phase of the nursing process, the LPN understands and teaches to the patient
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the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: 3 i 3 i Cognitive Level: Remembering 3i 3i 3 i 3 i 3 i REF: p. 2 3i3i 3i




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, 11th Edition
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ANS: A 3i




Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as pai
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n, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected from t
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he patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical c
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hart are examples of objective data.
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DIF: Cognitive Level: Remembering 3i 3i REF: p. 2 3i 3i




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.
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c. The patient reports moderate alcohol consumption.
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d. The patient states pain is severe.
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ANS: B 3i
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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
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of alcohol consumption, and a patient‘s pain rating.
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DIF: Cognitive Level: Remembering 3i 3i REF: p. 3 3i 3i




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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Visovsky: Introduction to Clinical Pharmacology, 11th Edition
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d. Have the patient perform pursed lip breathing before giving the drug.
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ANS: A 3i




The best action is to hold the drug and contact the RN. The patient may need an adjustment to t
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he dose of the blood pressure drug or switching to another drug. Giving water with the drug is n
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ot contraindicated but does not recognize the patient‘s risk for hypotension. Pursed lip breathing h
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as no role in this situation.
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DIF: Cognitive Level: Remembering 3i 3i REF: p. 4 3i 3i




7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece
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of information indicates that the LPN has a clear understanding of objective assessment data?
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a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
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b. Family members report that patient has been experiencing pain for 1 month.
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ed

c. Detailed history of the patient‘s current illness upon admission.
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d. Compilation of past laboratory results and x- 3i 3i 3i 3i 3i 3i
oc

ray reports. ANS: D
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The patient‘s past laboratory and x-
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ray results are examples of objective data. A pain rating of 8/10, a family member‘s description o
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f the patient‘s pain, and history of current illness are examples of subjective data.
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DIF: Cognitive Level: Remembering 3i 3i REF: p. 3 3i 3i




8. A patient recently began a taking blood pressure drug and presents for a follow-
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up appointment. The office nurse reviews the patient‘s daily blood pressure recordings. Which sta
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ge of the nursing process corresponds to this review?
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a. Assessment
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Susan M. Ford, Sally S. Roach Roach\'s Introductory Clinical Pharmacology
Editorial: 2017 ISBN: 9781496343567 Edición: Desconocido

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