test bank for introduction to clinical pharmacology 10th edition by constance visovsky cheryl zambroski shirley hosler,

TEST BANK a




INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
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By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
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,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
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Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE CHOIC a

E

1. TheaLPNaisacollectingadataaforatheainitialaassessmentaofaaapatientauponaadmissionatoaaalong-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider
a a a a a a a a a a a a a a


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


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

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


d. Review the nursing care plan to verify that it is accurate. a a a a a a a a a a



ANS: C a


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

. Information regarding the present illness, any signs and symptoms, review of medical records, drug h
a a a a a a a a a a a a a a a

eeded before drugs are given. Deciding on special equipment that will be needed to give the patient‘s d
a a a a a a a a a a a a a a a a a


phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua
a a a a a a a a a a a a a a a a a a


rocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the imp
a a a a a a a a a a a a a a a a a a

nursing process. a




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




2. TheaLPNaisaworkingawithaaapatientainatheaplanningastageaofatheanursingaprocessarelatedatoatheapatient‘sapr
on should the LPN take during this stage?
a a a a a a a

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


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

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


d. Determine how much the patient understands about his drug. a a a a a a a a



ANS: D a


Determining how much the patient understands about his drug is part of the diagnosis phase of the nur
a a a a a a a a a a a a a a a a a


a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient
a a a a a a a a a a a a a a a a a a


ons are part of the planning phase of the nursing process.
a a a a a a a a a a




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




3. Youaareateachingaaapatientawithadepressionaaboutatheapotentialaadverseaeffectsaofaaaprescribedadrug.aWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
a a a a a a a a a a a a a a a


a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis

ANS: C a


In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘
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ide effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering REF: p. 2
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4. Whichaofatheafollowingaisaanaexampleaofasubjectiveadata?
a. Theapatientastatesasheahasapainainaheraleftaarm.

, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a




6. TheaLPN/VNaisaassessingaaapatientabeforeagivingaaadrugaforabloodapressureamanagement.aTheanurseanot
50 mm Hg. What is the nurse‘s best action?
a a a a a a a a


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

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


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


d. Have the patient perform pursed lip breathing before giving the drug.
a a a a a a a a a a



ANS: A a


The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose o
a a a a a a a a a a a a a a a a a a a a a

or switching to another drug. Giving water with the drug is not contraindicated but does not recognize t
a a a a a a a a a a a a a a a a a

tension. Pursed lip breathing has no role in this situation.
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DIF: Cognitive Level: Remembering REF: p. 4
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7. TheaLPNaisacollectingaobjectiveadataaforainclusionainatheanursingaassessment.aWhichapieceaofainformatio
N hasa clear understanding of objective assessment data?
a a a a a a a


a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
a a a a a a a a a a a a a


b. Family members report that patient has been experiencing pain for 1 month.
a a a a a a a a a a a


c. Detailed history of the patient‘s current illness upon admission.
a a a a a a a a

d. Compilation of past laboratory results and x-ray reports. a a a a a a a



ANS: D a

The patient‘s past laboratory and x-
a a a a a


ray results are examples of objective data. A pain rating of 8/10, a family member‘s descriptionof the p
a a a a a a a a a a a a a a a a a


rrent illness are examples of subjective data.
a a a a a a




DIF: Cognitive Level: Remembering REF: p. 3
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8. Aapatientarecentlyabeganaaatakingabloodapressureadrugaandapresentsaforaaafollow-
up appointment. The office nurse reviews the patient‘s daily blood pressure recordings. Which stage o
a a a a a a a a a a a a a a

esponds to this review? a a a


a. Assessment
b. Planning
c. Diagnosis
d. Evaluation

ANS: D a


The evaluation phase involves examining the results that occur when the plan is implemented. Review
a a a a a a a a a a a a a a

d pressure recording examines the patient‘s response to the drug. The assessment phase provides initia
a a a a a a a a a a a a a a


ent, the problem, and anything that may change the choice of treatment. The planning phase involves
a a a a a a a a a a a a a a a a

ta and diagnoses to set goals and write care plans. The diagnosis phase involves decision-
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making about the patient‘s problems, including medical diagnoses made by the healthcare provider an
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ed through the North American Nursing Diagnosis Association (NANDA).
a a a a a a a a




DIF: Cognitive Level: Remembering REF: p. 2
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9. Afterareceivingareport,atheaLPNagivesadrugsatoaheraassignedapatientsaonatheaeveningashift.aWithawhichast
cess does this activity correspond?
a a a a

a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A a


The implementation phase involves actively following the plan of care and accurately giving ordered
a a a a a a a a a a a a a a

, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a




11. Aapatientaisareceivingaanaantibioticaforapneumonia.aOnatheathirdadayaofatheatreatmentaregimen,aaarashaapp
shereports itching and shortness of breath. Which term describes the effect that has occurred?
a a a a a a a a a a a a a


a. Therapeutic effect a


b. Adverse effect a

c. Side effect a


d. Overdose effect a



ANS: B a


An itchy rash with shortness of breath that develops in response to drug is an example of an allergic re
a a a a a a a a a a a a a a a a a a a

t to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any ad
a a a a a a a a a a a a a a a

cts of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose
a a a a a a a a a a a a a a a a a

eives too much of a drug. a a a a a




DIF: Cognitive Level: Understanding REF: p. 9
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12. AnaLPNaentersa aapatient‘sarooma toagiveaaascheduleda drug.aBeforeaadministration,a theapatienta states,a―Iacan‘
I‘m allergic to it.‖ What should the nurse do first?
a a a a a a a a a


a. Reassure the patient that the drug is needed and observations regarding pa a a a a a a a a a a

ossibleallergic symptoms will be made. a a a a


b. Review the patient record and encourage the patient to take the drug if n
a a a a a a a a a a a a a

oallergies have been documented. a a a

c. Assess the patient‘s allergic history and notify the healthcare provider to d
a a a a a a a a a a a

etermine a course of action. a a a a


d. Document patient refusal and leave a note on the patient chart for th a a a a a a a a a a a a

ehealthcareprovider.
ANS: C a

The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
a a a a a a a a a a a a a a a a

, the nurse should investigate further by obtaining a more detailed drug history and notifying the healthc
a a a a a a a a a a a a a a a a

e order. Although the order may be accurately written, determining whether the drug‘s benefits outwe
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within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as an ad
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hould investigate further before giving the drug. The patient has raised concerns regarding the drug th
a a a a a a a a a a a a a a a


ught to the provider‘s attention. A note on the chart leaves potential for information to be missed.
a a a a a a a a a a a a a a a a




DIF: Cognitive Level: Applying
a a a REF: p. 4 a a




13. TheaLPNaisapreparingatoagiveatheainitialadoseaofaanaantibioticatoaaapatientadiagnosedawithaanainfection.aThe
ke outin a rash the last time I took that pill.‖ What action should the LPN take next?
a a a a a a a a a a a a a a a a a


a. Give the drug and check the patient in 30 minutes for a rash.
a a a a a a a a a a a a


b. Document that the patient refused the drug per agency policy. a a a a a a a a a

c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
a a a a a a a a a a a a a


d. Notify the registered nurse or healthcare provider. a a a a a a



ANS: D a


This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately
a a a a a a a a a a a a a a a


e drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refus
a a a a a a a a a a a a a a a a a a a a a a




DIF: Cognitive Level: Applying
a a a REF: p. 9 a a




14. Whichapriorityaassessmentamustayouamakeabeforeagivingaanyapatientaaadrugabyamouth?
a. Quizatheapatientaaboutatheaactionaofaeachadrug.
b. Makeasureatheapatientacanaswallow.
c. Findaoutawhetheratheapatientaprefersacoldaoraroomatemperaturealiquids.
d. Askatheapatientatoarepeatahisaoraheranameaandabirthdate.