Test Bank for Introduction to Clinical Pharmacology 10th Edition By Constance Visovsky, Cheryl Zambroski, Shirley Hosler Chapter 1-20|Complete Guide

TEST BANK h




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
CHOICE
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1. ThehLPNhishcollectinghdatahforhthehinitialhassessmenth ofhahpatienth uponhadmissionh tohahlong-
term care facility before giving thepatient‘s prescribed drugs. Which action should the LPN consid
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y?
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 h


Collecting and documenting data about the patient and the patient‘s health condition is a critical step b
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n. Information regarding the present illness, any signs and symptoms, review of medical records, drug
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re needed before drugs are given. Deciding on special equipment that will be needed to give the patien
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nning phase of the nursing process. Monitoring the patient for his response to given drug is part of the
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ursing process. Reviewing the nursing care plan to verify that it is being followed accurately is part of
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ge of the nursing process.
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DIF: Cognitive Level: Applying
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2. ThehLPNhishworkinghwithhahpatienthinhthehplanninghstagehofhthehnursinghprocesshrelatedhtohthehpatient‘shp
ion 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 drug.
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d. Determine how much the patient understands about his drug.
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ANS: D h


Determining how much the patient understands about his drug is part of the diagnosis phase of the nur
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g a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the pati
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actions are part of the planning phase of the nursing process.
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DIF: Cognitive Level: Applying
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3. Youharehteachinghahpatienthwithhdepressionhabouththehpotentialhadverseheffectsh ofhahprescribedh drug.hWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C h


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

, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
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6. ThehLPN/VNhishassessinghahpatienth beforehgivingh ahdrugh forhbloodh pressurehmanagement.h Thehnursehno
50 mm Hg. What is the nurse‘s best action?
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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 h


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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g or switching to another drug. Giving water with the drug is not contraindicated but does not recogniz
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potension. 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. ThehLPNhishcollectingh objectivehdatahforhinclusionhinhthehnursinghassessment.h Whichhpiecehofhinformat
N hasa clear understanding of objective assessment data?
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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. h h h h h h h



ANS: D h

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‘sdescriptionof the
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urrent illness are examples of subjective data.
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DIF: Cognitive Level: Remembering REF: p. 3
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8. Ahpatienthrecentlyh beganhahtakinghbloodhpressurehdrughandhpresentshforhahfollow-
up appointment. The office nurse reviews thepatient‘s daily blood pressure recordings. Which stage
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rresponds to this review? h h h


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

ANS: D h


The evaluation phase involves examining the results that occur when the plan is implemented. Review
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d pressure recording examines the patient‘s response to the drug. The assessment phase provides initia
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ent, the problem, and anything that may change the choice of treatment. The planning phase involves
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a 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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ped through theNorth American Nursing Diagnosis Association (NANDA).
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DIF: Cognitive Level: Remembering REF: p. 2
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9. Afterhreceivinghreport,hthehLPNhgiveshdrugshtohherhassignedhpatientshonhtheheveninghshift.h Withhwhichhs
cess does this activity correspond?
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a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A h


The implementation phase involves actively following the plan of care and accurately giving ordered
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, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
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11. Ahpatienthishreceivinghanhantibiotichforhpneumonia.hOnhthehthirdh dayhofhthehtreatmenth regimen,h ahrashhap
d shereports itching and shortness of breath. Which term describes the effect that has occurred?
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a. Therapeutic effect h


b. Adverse effect h

c. Side effect h


d. Overdose effect h



ANS: B h


An itchy rash with shortness of breath that develops in response to drug is an example of an allergic re
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t to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any ad
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cts of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdos
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eives too much of a drug. h h h h h




DIF: Cognitive Level: Understanding REF: p. 9
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12. AnhLPNh entersh ahpatient‘shroomh tohgivehahscheduledhdrug.hBeforehadministration,h thehpatienth states,h―Ihca
g; I‘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 regardingp
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ossibleallergic symptoms will be made. h h h h


b. Review the patient record and encourage the patient to take the drug ifn
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oallergies have been documented. h h h

c. Assess the patient‘s allergic history and notify the healthcare provider tod
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etermine a course of action. h h h h


d. Document patient refusal and leave a note on the patient chart fort h h h h h h h h h h h h

hehealthcareprovider.
ANS: C h

The patient has shared information that indicates the potential for the ordered drug to cause adverse ef
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g, the nurse should investigate further by obtaining a more detailed drug history and notifying the heal
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the order. Although the order may be accurately written, determining whether the drug‘s benefits outw
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ion within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as a
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ty, should investigate further before giving the drug. The patient has raised concerns regarding the dru
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brought to the provider‘s attention. A note on the chart leaves potential for information to be misse
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DIF: Cognitive Level: Applying
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13. Theh LPNh ish preparingh toh giveh theh initialh doseh ofh anh antibiotich toh ah patienth diagnosedh withh anh infection.h Th
oke outin a rash the last time I took that pill.‖ What action should the LPN take next?
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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. h h h h h h h h h

c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
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d. Notify the registered nurse or healthcare provider. h h h h h h



ANS: D h


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 ref
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DIF: Cognitive Level: Applying
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14. Whichhpriorityhassessmenthmusthyouhmakehbeforehgivinghanyhpatienthahdrughbyhmouth?
a. Quizhthehpatienthabouththehactionhofheachhdrug.
b. Makehsurehthehpatienthcanhswallow.
c. Findhouthwhetherhthehpatienthprefershcoldh orhroomhtemperaturehliquids.
d. Askhthehpatienthtohrepeathhishorhherhnamehandhbirthdate.