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,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
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Visovsky: Introduction to Clinical Pharmacology, 11th Edition
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MULTIPLE CHOICE j@

,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 consi
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der 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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c. Collect data about the patient and the patient‘s health condition.
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d. Review the nursing care plan to verify that it is accura
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te. ANS: C
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Collecting and documenting data about the patient and the patient‘s health condition is a cri
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tical step before any drugs are given. Information regarding the present illness, any signs a
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nd symptoms, review of medical records, drug history, and vital signs are needed before dr
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ugs are given. Deciding on special equipment that will be needed to give the patient‘s drug
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is part of the planning phase of the nursing process. Monitoring the patient for his response
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to given drug is part of the evaluation stage of the nursing process. Reviewing the nursing c
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are plan to verify that it is being followed accurately is part of the implementation stage of
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the nursing process.
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DIF: Cognitive Level: Applying j@ j@ REF: p. 2 j@ j@




2. The LPN is working with a patient in the planning stage of the nursing process relat
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ed to 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 dru
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g. ANS: D
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Determining how much the patient understands about his drug is part of the diagnosis phase
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of the nursing process. Developing a nursing goal to plan the procedures needed to give d
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rug and j@

, developing a teaching plan for the patient regarding the drug‘s actions are part of the plann
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ing phase of the nursing process.
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DIF: Cognitive Level: Applying j@ j@ REF: p. 2 j@ j@




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

b. Implementation

c. Evaluation

d. Diagnosis
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In the evaluation phase of the nursing process, the LPN understands and teaches to the pati
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ent the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering j@ j@ REF: p. 2 j @ j@




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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