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Introduction to Clinical Pharmacology, 11th Edition Constance G. Visovsky & Cheryl
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H. Zambroski & Shirley M. Hosler
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Chapter 1-23 w#




TABLE OF CONTENTS: w# w#



UNIT I GENERAL PRINCIPLES
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Chapter 1 Pharmacology and the Nursing Process in LPN Practice C
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hapter 2 Legal, Regulatory, and Ethical Aspects of Drug Administrati
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on Chapter 3 Principles of Pharmacology
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UNIT II PRINCIPLES OF DRUG ADMINISTRATION
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Chapter 4 Drug Calculation: Preparing and Giving Drugs
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UNIT III DRUG CATEGORIES
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Chapter 5 Drugs for Bacterial Infections
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Chapter 6 Drugs for Tuberculosis, Fungal, and Parasitic Infections C
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hapter 7 Drugs for Viral and Retroviral Infections
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Chapter 8 Drugs for Allergy and Respiratory Problems
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Chapter 9 Drugs Affecting the Renal/Urinary and Cardiovascular Systems
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Chapter 10 Drugs for Central Nervous System Problems
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Chapter 11 Drugs for Mental Health
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Chapter 12 Drugs for Analgesia and Anesthesia Ch
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apter 13 Drugs for Inflammation, Arthritis, and Gout
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Chapter 14 Drugs for Gastrointestinal Problems
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Chapter 15 Drugs for Immunization and Immunomodulati
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on Chapter 16 Drugs Affecting the Hematologic System
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Chapter 17 Drugs for Cancer Treatment
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Chapter 18 Drugs for Reproductive Health
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Chapter 19 Drugs for Thyroid and Adrenal Problems Ch
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apter 20 Drug Therapy for Diabetes
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Chapter 21 Drugs for Osteoporosis
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Chapter 22 Drugs for Eye and Ear Problems Ch
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apter 23 Over-the-Counter Drug Therapyuse
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,Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovs
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ky: Introduction to Clinical Pharmacology, 11th Edition
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MULTIPLE CHOICE w#




1. The LPN is collecting data for the early assessment of a patient upon admission to a
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long-
term care facility before giving the patient‘s set drugs. Which action should the LPN cons
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ider to be the highest priority?
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a. Obtain any special equipment that will be needed to give the patient‘s d
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rug.
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 accurate.
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ANS: w # C
Collecting and documenting data about the patient and the patient‘s health condition is a
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critical step before any drugs are given. Information regarding the present illness, any s
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igns and symptoms, review of medical records, drug history, and vital signs are needed
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before drugs are given. Deciding on special equipment that will be needed to give the p
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atient‘s drug is part of the planning phase of the nursing process. Monitoring the patient f
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or his response to given drug is part of the evaluation stage of the nursing process. Revi
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ewing the nursing care plan to verify that it is being followed accurately is part of the i
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mplementation stage of the nursing process. w# w# w# w# w#




DIF: Cognitive Level: Applying w# w# REF: w#w# p. 2 w#




2. The LPN is working with a patient in the planning stage of the nursing process related
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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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c. Determine that the patient is experiencing the expected response to his d
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rug.
d. Determine how much the patient understands about his drug.
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ANS: D w#


Determining how much the patient understands about his drug is part of the diagnosis pha
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se of the nursing process. Developing a nursing goal to plan the procedures needed to gi
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ve drug and developing a teaching plan for the patient regarding the drug‘s actions are p
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art of the planning phase of the nursing process.
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DIF: w # w # Cognitive Level: Applying w# w# REF: w#w# p. 2 w#

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

ANS: C w#



In the evaluation phase of the nursing process, the LPN understands and teaches to the pa
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tient the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering w# w# REF: w#w# p. 2 w#




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/
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88.
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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ANS: A w#


Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms s
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uch as pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and
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are data collected from the patient, caregiver, or others. Laboratory values, ECG results,
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or vital sign data from a medical chart are examples of objective data.
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DIF: Cognitive Level: Remembering w# w# REF: w#w# p. 2 w#




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 examinati
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on.
c. The patient reports moderate alcohol consumption.
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d. The patient states pain is severe.
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ANS: B w#


Measurable data obtained during a physical exam such as grimacing with movement
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is an example of objective data. Subjective data includes information presented by the
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patient or family that cannot be substantiated such as a wife‘s report of a patient‘s co
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nfusion, patient report of degree of alcohol consumption, and a patient‘s pain rating.
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DIF: w # w # Cognitive Level: Remembering w# w# w # w # w # w # REF: w # p. 3 w#