Test Bank for Introduction to Clinical Pharmacology 10th Edition By Constance Visovsky,

TEST BANK c




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

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1. Thec LPNc isc collectingc datac forcthecinitialcassessmentc ofc acpatientc uponcadmissionc toc aclong-termc carecfa
patient’s prescribed drugs. Which action should the LPN consider 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 accurate.
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ANS: C c

Collecting and documenting data about the patient and the patient’s health condition is a critical step b
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Information regarding the present illness, any signs and symptoms, review of medical records, drug hi
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eeded before drugs are given. Deciding on special equipment that will be needed to give the patient’s d
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phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua
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rocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the impl
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rsing process. c




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




2. ThecLPNc iscworkingc withcacpatientcincthec planningcstagec ofc thec nursingcprocessc relatedctoc thecpatient’scp
action should the LPN take during this stage?
c c c c c c c


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



ANS: D c


Determining how much the patient understands about his drug is part of the diagnosis phase of the nur
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a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patien
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ons are part of the planning phase of the nursing process.
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DIF: Cognitive Level: Applying c c REF: p. 2 c c




3. Youc arecteachingcac patientc withc depressionc aboutc thec potentialc adverseceffectsc ofcac prescribedc drug.cWh
ss related to drug therapy are you engaging in at this point of the teaching plan?
c c c c c c c c c c c c c c c


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

ANS: C c

In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug
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ected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering REF: p. 2 c c c c




4. Whichcofcthecfollowingc iscanc examplecofcsubjectivecdata?
a. Thecpatientc statescshechascpaincinchercleftcarm.

, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
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6. Thec LPN/VNcisc assessingcac patientc beforec givingc ac drugc forc bloodc pressurecmanagement.c Thecnursecno
90/50 mm Hg. What is the nurse’s best action?
c c c c c c c c


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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d. Have the patient perform pursed lip breathing before giving the drug.
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ANS: A c

The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose
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cor switching to another drug. Giving water with the drug is not contraindicated but does not recognize
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tension. Pursed lip breathing has no role in this situation.
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DIF: Cognitive Level: Remembering REF: p. 4 c c cc c




7. Thec LPNcisc collectingc objectivec datac forc inclusionc incthec nursingc assessment.c Whichc piecec ofcinformati
hasa clear understanding of objective assessment data?
c c c c c c

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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c. Detailed history of the patient’s current illness upon admission.
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d. Compilation of past laboratory results and x-ray reports. c c c c c c c



ANS: D c

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 descriptionof the p
c c c c c c c c c c c c c c c c c


f current illness are examples of subjective data.
c c c c c c c




DIF: Cognitive Level: Remembering REF: p. 3 c c c c




8. Ac patientc recentlyc beganc ac takingc bloodc pressurec drugc andc presentsc forc ac follow-upc appointment.c Theco
patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to this revie
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a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D c

The evaluation phase involves examining the results that occur when the plan is implemented. Review
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pressure recording examines the patient’s response to the drug. The assessment phase provides initial i
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, the problem, and anything that may change the choice of treatment. The planning phase involves usin
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d 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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ped through the North American Nursing Diagnosis Association (NANDA).
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DIF: Cognitive Level: Remembering REF: p. 2 c c c c




9. Afterc receivingc report,cthec LPNc givesc drugsc toc hercassignedcpatientsc onc theceveningc shift.c Withc whichc s
ess does this activity correspond?
c c c c

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

ANS: A c

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

ssment phase involves obtaining initial information about the patient, the problem, and anything that m
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, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
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11. Ac patientc iscreceivingc anc antibioticc forc pneumonia.c Onc thec thirdc dayc ofcthec treatmentc regimen,c ac rashcap
hereports itching and shortness of breath. Which term describes the effect that has occurred?
c c c c c c c c c c c c c c


a. Therapeutic effect c


b. Adverse effect c

c. Side effect c


d. Overdose effect c



ANS: B c

An itchy rash with shortness of breath that develops in response to drug is an example of an allergic rea
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o the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any adve
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of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose oc
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s too much of a drug.
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DIF: Cognitive Level: Understanding REF: p. 9 c c c c




12. AncLPNcenterscacpatient’scroomctocgivecacscheduledcdrug.cBeforecadministration,cthecpatientcstates,c“Icc
’m allergic to it.” What should the nurse do first?
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a. Reassure the patient that the drug is needed and observations regarding possibl
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eallergic symptoms will be made.
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b. Review the patient record and encourage the patient to take the drug if n
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oallergies have been documented.
c c c c

c. Assess the patient’s allergic history and notify the healthcare provider to
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determine a course of action. c c c c


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


healthcareprovider.
ANS: C c

The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
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g, the nurse should investigate further by obtaining a more detailed drug history and notifying the healt
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he order. Although the order may be accurately written, determining whether the drug’s benefits outwe
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n within the legal scope of the nurse’s practice. The nurse should not offer false reassurance and as an a
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should investigate further before giving the drug. The patient has raised concerns regarding the drug th
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ught to the provider’s attention. A note on the chart leaves potential for information to be missed.
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DIF: Cognitive Level: Applying c c REF: p. 4 cc c




13. ThecLPNciscpreparingctocgivecthecinitialcdosecofcancantibioticctocac patientcdiagnosedcwithcancinfection.cT
in a rash the last time I took that pill.” What action should the LPN take next?
c c c c c c c c c c c c c c c c

a. Give the drug and check the patient in 30 minutes for a rash.
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b. Document that the patient refused the drug per agency policy. c c c c c c c c c

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


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



ANS: D c


This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately.
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he drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refu
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DIF: Cognitive Level: Applying c c REF: p. 9 c c




14. Whichcpriorityc assessmentc mustcyoucmakecbeforecgivingc anycpatientcacdrugcbyc mouth?
a. Quizcthecpatientc aboutcthecactionc ofceachcdrug.
b. Makecsurecthecpatientccanc swallow.
c. Findc outc whetherc thecpatientc prefersc coldc orc roomc temperaturecliquids.
d. Askcthecpatientctocrepeatchisc orcherc namecandc birthdate.