Chapter 01: Pharmacology and the Nursing Process in LPN Practice Vi
g g g g g g g g g g
sovsky: Introduction to Clinical Pharmacology, 10th Edition
g g g g g g
MULTIPLEgCHOICE
1.gggThegLPNgisgcollectinggdatagforgtheginitialgassessmentgofgagpatientgupongadmissiongtogaglong-termgcaregfacil
patient’sgprescribedgdrugs.gWhichgactiongshouldgthegLPNgconsidergtogbegtheghighestgpriority?
a.gggObtainganygspecialgequipmentgthatgwillgbegneededgtoggivegthegpatient’sgdrug.
b.gggMonitorgthegpatientgforgagresponsegtogthegdrugggiven.
c.gggCollectgdatagaboutgthegpatientgandgthegpatient’sghealthgcondition.
d.gggReviewgthegnursinggcaregplangtogverifygthatgitgisgaccurate.
ANS:ggC
Collectinggandgdocumentinggdatagaboutgthegpatientgandgthegpatient’sghealthgconditiongisgagcriticalgstepgbef
Informationgregardinggthegpresentgillness,ganygsignsgandgsymptoms,greviewgofgmedicalgrecords,gdrugghisto
neededgbeforegdrugsgareggiven.gDecidinggongspecialgequipmentgthatgwillgbegneededgtoggivegthegpatient’sgd
phasegofgthegnursinggprocess.gMonitoringgthegpatientgforghisgresponsegtoggivengdruggisgpartgofgthegevaluatio
process.gReviewinggthegnursinggcaregplangtogverifygthatgitgisgbeinggfollowedgaccuratelygisgpartgofgthegimple
nursinggprocess.
DIF:gggCognitivegLevel:gApplying REF:ggp.g2
2.gggThegLPNgisgworkinggwithgagpatientgingthegplanninggstagegofgthegnursinggprocessgrelatedgtogthegpatient’sgpre
actiongshouldgthegLPNgtakegduringgthisgstage?
a.gggDevelopgagnursingggoalgtogplangthegproceduresgneededgtoggivegdrug.
b.gggDevelopgagteachinggplangforgthegpatientgregardinggthegdrug’sgactions.
c.gggDeterminegthatgthegpatientgisgexperiencinggthegexpectedgresponsegtoghisgdrug.
d.gggDetermineghowgmuchgthegpatientgunderstandsgaboutghisgdrug.
ANS:ggD
Determiningghowgmuchgthegpatientgunderstandsgaboutghisgdruggisgpartgofgthegdiagnosisgphasegofgthegnursin
ngggoalgtogplangthegproceduresgneededgtoggivegdruggandgdevelopinggagteachinggplangforgthegpatientgregardi
ofgthegplanninggphasegofgthegnursinggprocess.
DIF:gggCognitivegLevel:gApplying REF:ggp.g2
3.gggYougaregteachinggagpatientgwithgdepressiongaboutgthegpotentialgadversegeffectsgofgagprescribedgdrug.gWhat
relatedgtogdruggtherapygaregyougengaginggingatgthisgpointgofgthegteachinggplan?
a.gggAssessment
b.gggImplementation
c.gggEvaluation
d.gggDiagnosis
ANS:ggC
Ingthegevaluationgphasegofgthegnursinggprocess,gthegLPNgunderstandsgandgteachesgtogthegpatientgthegdrug’s
ectedgsidegeffects,gandgpotentialgadversegeffects.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g2
4.gggWhichgofgthegfollowinggisgangexamplegofgsubjectivegdata?
a.gggThegpatientgstatesgsheghasgpainginghergleftgarm.
b.gggThegmedicalgchartghasgagrecordedgbloodgpressuregofg128/88.
c.gggThegserumgpotassiumglevelgisg3.8gmmol/L.
d.gggThegpatient’sgECGgshowsgnormalgsinusgrhythm.
ANS:ggA
Reportsgfromgthegpatientgorgpatient’sgcaregivergaregconsideredgsubjectivegdata.gSymptomsgsuchgasgpain,gn
examplesgofgsymptomsgthatgcannotgbeg“seen”gandgaregdatagcollectedgfromgthegpatient,gcaregiver,gorgothers
ults,gorgvitalgsigngdatagfromgagmedicalgchartgaregexamplesgofgobjectivegdata.
, 5.gggWhichgstatementgprovidesgangexamplegofgobjectivegdata?
a.gggThegwifegstatesgthegpatientgwasgconfusedglastgnight.
b.gggGrimacinggwithgmovementgisgpresentgduringgthegexamination.
c.gggThegpatientgreportsgmoderategalcoholgconsumption.
d.gggThegpatientgstatesgpaingisgsevere.
ANS:ggB
Measurablegdatagobtainedgduringgagphysicalgexamgsuchgasggrimacinggwithgmovementgisgangexamplegofgob
agincludesginformationgpresentedgbygthegpatientgorgfamilygthatgcannotgbegsubstantiatedgsuchgasgagwife’sgre
n,gpatientgreportgofgdegreegofgalcoholgconsumption,gandgagpatient’sgpaingrating.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g3
Copyrightg©g2022,gElseviergInc.gAllgRightsgReserved.
,6.gggThegLPN/VNgisgassessinggagpatientgbeforeggivinggagdruggforgbloodgpressuregmanagement.gThegnursegnotes
90/50gmmgHg.gWhatgisgthegnurse’sgbestgaction?
a.gggHoldgthegdruggandgreportgthegbloodgpressuregtogthegRN.
b.gggGivegthegpatientgagfullgglassgofgwatergbeforeggivinggthegdrug.
c.gggComegbackging30gminutesgandgrecheckgthegbloodgpressure.
d.gggHavegthegpatientgperformgpursedglipgbreathinggbeforeggivinggthegdrug.
ANS:ggA
ThegbestgactiongisgtogholdgthegdruggandgcontactgthegRN.gThegpatientgmaygneedgangadjustmentgtogthegdosego
witchinggtoganothergdrug.gGivinggwatergwithgthegdruggisgnotgcontraindicatedgbutgdoesgnotgrecognizegthegpa
hypotension.gPursedglipgbreathingghasgnogrolegingthisgsituation.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g4
7.gggThegLPNgisgcollectinggobjectivegdatagforginclusiongingthegnursinggassessment.gWhichgpiecegofginformation
agcleargunderstandinggofgobjectivegassessmentgdata?
a.gggAgpatient’sgratinggofgchestgpaingasg8gongag1gtog10gscale.
b.gggFamilygmembersgreportgthatgpatientghasgbeengexperiencinggpaingforg1gmonth.
c.gggDetailedghistorygofgthegpatient’sgcurrentgillnessgupongadmission.
d.gggCompilationgofgpastglaboratorygresultsgandgx-raygreports.
ANS:ggD
Thegpatient’sgpastglaboratorygandgx-
raygresultsgaregexamplesgofgobjectivegdata.gAgpaingratinggofg8/10,gagfamilygmember’sgdescriptiongofgthegpa
rentgillnessgaregexamplesgofgsubjectivegdata.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g3
8.gggAgpatientgrecentlygbegangagtakinggbloodgpressuregdruggandgpresentsgforgagfollow-upgappointment.gThegoffi
patient’sgdailygbloodgpressuregrecordings.gWhichgstagegofgthegnursinggprocessgcorrespondsgtogthisgreview
a.gggAssessment
b.gggPlanning
c.gggDiagnosis
d.gggEvaluation
ANS:ggD
Thegevaluationgphaseginvolvesgexamininggthegresultsgthatgoccurgwhengthegplangisgimplemented.gReviewin
suregrecordinggexaminesgthegpatient’sgresponsegtogthegdrug.gThegassessmentgphasegprovidesginitialginform
blem,gandganythinggthatgmaygchangegthegchoicegofgtreatment.gThegplanninggphaseginvolvesgusinggpatientga
ogsetggoalsgandgwritegcaregplans.gThegdiagnosisgphaseginvolvesgdecision-
makinggaboutgthegpatient’sgproblems,gincludinggmedicalgdiagnosesgmadegbygtheghealthcaregprovidergandg
roughgthegNorthgAmericangNursingg
DiagnosisgAssociationg(NANDA).
DIF:gggCognitivegLevel:gRemembering REF:ggp.g2
9.gggAftergreceivinggreport,gthegLPNggivesgdrugsgtoghergassignedgpatientsgongthegeveninggshift.gWithgwhichgstag
doesgthisgactivitygcorrespond?
a.gggImplementation
b.gggAssessment
c.gggPlanning
d.gggDiagnosis
ANS:ggA
Thegimplementationgphaseginvolvesgactivelygfollowinggthegplangofgcaregandgaccuratelyggivinggorderedgdru
assessmentgphaseginvolvesgobtainingginitialginformationgaboutgthegpatient,gthegproblem,gandganythinggtha
ment.gThegplanninggphaseginvolvesgusinggpatientgassessmentgdatagandgdiagnosesgtogsetggoalsgandgwritegca
nvolvesgdecision-
makinggaboutgthegpatient’sgproblems,gincludinggmedicalgdiagnosesgmadegbygtheghealthcaregprovidergandg
roughgthegNorthgAmericangNursinggDiagnosisgAssociationg(NANDA).
, 10.gggYougaregreviewinggagpatient’sgnewgantihypertensivegdruggorder.gThegordergasgwrittengisguncleargasgtogthegn
thegdruggisgtogbeggiven.gWhatgisgyourgbestgaction?
a.gggCallgtheghealthcaregprovidergtogclarifygthegorder.
b.gggRefergthegquestiongtogtheghospitalgpharmacy.
c.gggGivegthegdruggaccordinggtogtheginformationgingagdrugghandbook.
d.gggHoldgthegdrugguntilgtheghealthcaregprovidergreturnsgthegfollowinggday.
ANS:ggA
Yourgresponsibilitygasgagnurseggivinggdrugsgisgtogapplygknowledgegaboutgthegspecificgdruggandgdruggorder
shouldgbegunclear.gAnygquestionsgrelatedgtogthegdrug,gdosegorgappropriatenessgforgthegspecificgpatientgsho
druggisggiven.
DIF:gggCognitivegLevel:gUnderstandingg REF:ggp.g4
Copyrightg©g2022,gElseviergInc.gAllgRightsgReserved.
g g g g g g g g g g
sovsky: Introduction to Clinical Pharmacology, 10th Edition
g g g g g g
MULTIPLEgCHOICE
1.gggThegLPNgisgcollectinggdatagforgtheginitialgassessmentgofgagpatientgupongadmissiongtogaglong-termgcaregfacil
patient’sgprescribedgdrugs.gWhichgactiongshouldgthegLPNgconsidergtogbegtheghighestgpriority?
a.gggObtainganygspecialgequipmentgthatgwillgbegneededgtoggivegthegpatient’sgdrug.
b.gggMonitorgthegpatientgforgagresponsegtogthegdrugggiven.
c.gggCollectgdatagaboutgthegpatientgandgthegpatient’sghealthgcondition.
d.gggReviewgthegnursinggcaregplangtogverifygthatgitgisgaccurate.
ANS:ggC
Collectinggandgdocumentinggdatagaboutgthegpatientgandgthegpatient’sghealthgconditiongisgagcriticalgstepgbef
Informationgregardinggthegpresentgillness,ganygsignsgandgsymptoms,greviewgofgmedicalgrecords,gdrugghisto
neededgbeforegdrugsgareggiven.gDecidinggongspecialgequipmentgthatgwillgbegneededgtoggivegthegpatient’sgd
phasegofgthegnursinggprocess.gMonitoringgthegpatientgforghisgresponsegtoggivengdruggisgpartgofgthegevaluatio
process.gReviewinggthegnursinggcaregplangtogverifygthatgitgisgbeinggfollowedgaccuratelygisgpartgofgthegimple
nursinggprocess.
DIF:gggCognitivegLevel:gApplying REF:ggp.g2
2.gggThegLPNgisgworkinggwithgagpatientgingthegplanninggstagegofgthegnursinggprocessgrelatedgtogthegpatient’sgpre
actiongshouldgthegLPNgtakegduringgthisgstage?
a.gggDevelopgagnursingggoalgtogplangthegproceduresgneededgtoggivegdrug.
b.gggDevelopgagteachinggplangforgthegpatientgregardinggthegdrug’sgactions.
c.gggDeterminegthatgthegpatientgisgexperiencinggthegexpectedgresponsegtoghisgdrug.
d.gggDetermineghowgmuchgthegpatientgunderstandsgaboutghisgdrug.
ANS:ggD
Determiningghowgmuchgthegpatientgunderstandsgaboutghisgdruggisgpartgofgthegdiagnosisgphasegofgthegnursin
ngggoalgtogplangthegproceduresgneededgtoggivegdruggandgdevelopinggagteachinggplangforgthegpatientgregardi
ofgthegplanninggphasegofgthegnursinggprocess.
DIF:gggCognitivegLevel:gApplying REF:ggp.g2
3.gggYougaregteachinggagpatientgwithgdepressiongaboutgthegpotentialgadversegeffectsgofgagprescribedgdrug.gWhat
relatedgtogdruggtherapygaregyougengaginggingatgthisgpointgofgthegteachinggplan?
a.gggAssessment
b.gggImplementation
c.gggEvaluation
d.gggDiagnosis
ANS:ggC
Ingthegevaluationgphasegofgthegnursinggprocess,gthegLPNgunderstandsgandgteachesgtogthegpatientgthegdrug’s
ectedgsidegeffects,gandgpotentialgadversegeffects.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g2
4.gggWhichgofgthegfollowinggisgangexamplegofgsubjectivegdata?
a.gggThegpatientgstatesgsheghasgpainginghergleftgarm.
b.gggThegmedicalgchartghasgagrecordedgbloodgpressuregofg128/88.
c.gggThegserumgpotassiumglevelgisg3.8gmmol/L.
d.gggThegpatient’sgECGgshowsgnormalgsinusgrhythm.
ANS:ggA
Reportsgfromgthegpatientgorgpatient’sgcaregivergaregconsideredgsubjectivegdata.gSymptomsgsuchgasgpain,gn
examplesgofgsymptomsgthatgcannotgbeg“seen”gandgaregdatagcollectedgfromgthegpatient,gcaregiver,gorgothers
ults,gorgvitalgsigngdatagfromgagmedicalgchartgaregexamplesgofgobjectivegdata.
, 5.gggWhichgstatementgprovidesgangexamplegofgobjectivegdata?
a.gggThegwifegstatesgthegpatientgwasgconfusedglastgnight.
b.gggGrimacinggwithgmovementgisgpresentgduringgthegexamination.
c.gggThegpatientgreportsgmoderategalcoholgconsumption.
d.gggThegpatientgstatesgpaingisgsevere.
ANS:ggB
Measurablegdatagobtainedgduringgagphysicalgexamgsuchgasggrimacinggwithgmovementgisgangexamplegofgob
agincludesginformationgpresentedgbygthegpatientgorgfamilygthatgcannotgbegsubstantiatedgsuchgasgagwife’sgre
n,gpatientgreportgofgdegreegofgalcoholgconsumption,gandgagpatient’sgpaingrating.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g3
Copyrightg©g2022,gElseviergInc.gAllgRightsgReserved.
,6.gggThegLPN/VNgisgassessinggagpatientgbeforeggivinggagdruggforgbloodgpressuregmanagement.gThegnursegnotes
90/50gmmgHg.gWhatgisgthegnurse’sgbestgaction?
a.gggHoldgthegdruggandgreportgthegbloodgpressuregtogthegRN.
b.gggGivegthegpatientgagfullgglassgofgwatergbeforeggivinggthegdrug.
c.gggComegbackging30gminutesgandgrecheckgthegbloodgpressure.
d.gggHavegthegpatientgperformgpursedglipgbreathinggbeforeggivinggthegdrug.
ANS:ggA
ThegbestgactiongisgtogholdgthegdruggandgcontactgthegRN.gThegpatientgmaygneedgangadjustmentgtogthegdosego
witchinggtoganothergdrug.gGivinggwatergwithgthegdruggisgnotgcontraindicatedgbutgdoesgnotgrecognizegthegpa
hypotension.gPursedglipgbreathingghasgnogrolegingthisgsituation.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g4
7.gggThegLPNgisgcollectinggobjectivegdatagforginclusiongingthegnursinggassessment.gWhichgpiecegofginformation
agcleargunderstandinggofgobjectivegassessmentgdata?
a.gggAgpatient’sgratinggofgchestgpaingasg8gongag1gtog10gscale.
b.gggFamilygmembersgreportgthatgpatientghasgbeengexperiencinggpaingforg1gmonth.
c.gggDetailedghistorygofgthegpatient’sgcurrentgillnessgupongadmission.
d.gggCompilationgofgpastglaboratorygresultsgandgx-raygreports.
ANS:ggD
Thegpatient’sgpastglaboratorygandgx-
raygresultsgaregexamplesgofgobjectivegdata.gAgpaingratinggofg8/10,gagfamilygmember’sgdescriptiongofgthegpa
rentgillnessgaregexamplesgofgsubjectivegdata.
DIF:gggCognitivegLevel:gRemembering REF:ggp.g3
8.gggAgpatientgrecentlygbegangagtakinggbloodgpressuregdruggandgpresentsgforgagfollow-upgappointment.gThegoffi
patient’sgdailygbloodgpressuregrecordings.gWhichgstagegofgthegnursinggprocessgcorrespondsgtogthisgreview
a.gggAssessment
b.gggPlanning
c.gggDiagnosis
d.gggEvaluation
ANS:ggD
Thegevaluationgphaseginvolvesgexamininggthegresultsgthatgoccurgwhengthegplangisgimplemented.gReviewin
suregrecordinggexaminesgthegpatient’sgresponsegtogthegdrug.gThegassessmentgphasegprovidesginitialginform
blem,gandganythinggthatgmaygchangegthegchoicegofgtreatment.gThegplanninggphaseginvolvesgusinggpatientga
ogsetggoalsgandgwritegcaregplans.gThegdiagnosisgphaseginvolvesgdecision-
makinggaboutgthegpatient’sgproblems,gincludinggmedicalgdiagnosesgmadegbygtheghealthcaregprovidergandg
roughgthegNorthgAmericangNursingg
DiagnosisgAssociationg(NANDA).
DIF:gggCognitivegLevel:gRemembering REF:ggp.g2
9.gggAftergreceivinggreport,gthegLPNggivesgdrugsgtoghergassignedgpatientsgongthegeveninggshift.gWithgwhichgstag
doesgthisgactivitygcorrespond?
a.gggImplementation
b.gggAssessment
c.gggPlanning
d.gggDiagnosis
ANS:ggA
Thegimplementationgphaseginvolvesgactivelygfollowinggthegplangofgcaregandgaccuratelyggivinggorderedgdru
assessmentgphaseginvolvesgobtainingginitialginformationgaboutgthegpatient,gthegproblem,gandganythinggtha
ment.gThegplanninggphaseginvolvesgusinggpatientgassessmentgdatagandgdiagnosesgtogsetggoalsgandgwritegca
nvolvesgdecision-
makinggaboutgthegpatient’sgproblems,gincludinggmedicalgdiagnosesgmadegbygtheghealthcaregprovidergandg
roughgthegNorthgAmericangNursinggDiagnosisgAssociationg(NANDA).
, 10.gggYougaregreviewinggagpatient’sgnewgantihypertensivegdruggorder.gThegordergasgwrittengisguncleargasgtogthegn
thegdruggisgtogbeggiven.gWhatgisgyourgbestgaction?
a.gggCallgtheghealthcaregprovidergtogclarifygthegorder.
b.gggRefergthegquestiongtogtheghospitalgpharmacy.
c.gggGivegthegdruggaccordinggtogtheginformationgingagdrugghandbook.
d.gggHoldgthegdrugguntilgtheghealthcaregprovidergreturnsgthegfollowinggday.
ANS:ggA
Yourgresponsibilitygasgagnurseggivinggdrugsgisgtogapplygknowledgegaboutgthegspecificgdruggandgdruggorder
shouldgbegunclear.gAnygquestionsgrelatedgtogthegdrug,gdosegorgappropriatenessgforgthegspecificgpatientgsho
druggisggiven.
DIF:gggCognitivegLevel:gUnderstandingg REF:ggp.g4
Copyrightg©g2022,gElseviergInc.gAllgRightsgReserved.
