n n n n n n
y 10th Edition By Constance Visovsky, Cheryl Zamb
n n n n n n n
roski, Shirley Hosler Chapter 1-
n n n n
20 Complete Guide A+
n n n
TESTBA n
NK
,Visovsky:n Introductionnton ClinicalnPharmacology,n 10thnEdition 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Intr
n n n n n n n n n n
oduction to Clinical Pharmacology, 10th Edition
n n n n n
MULTIPLEnCHOICE
1. ThenLPN n isncollectingn datan fornthen initialnassessment n of nan patient n uponnadmissionnton a
Long-
termncaren facilitynbeforen givingn then patient’snprescribed n drugs.n Whichnactionnshouldn then LPN n considern t
on ben then highest n priority?
a. Obtainnanynspecialnequipment n that n willn ben needed n ton given then patient’sn drug.
b. Monitornthen patient n forn an responsen ton then drugngiven.
c. Collect n datan about nthen patient n and n then patient’sn healthncondition.
d. Review nthen nursingn carenplannton verifynthat n it n isnaccurate.n
ANS:n C
Collectingn and n documentingn datanabout nthenpatient nandnthenpatient’sn healthnconditionn isn ancriticaln st
epn beforen anyn drugsn aren given.n Informationn regardingn thenpresent n illness,n anyn signsn and n symptoms,
n review n of n medicaln records,n drugn history,n andnvitaln signsn aren neededn beforen drugsn aren given.n Decidi
ngn onn specialn equipment n that n willn ben neededntongiven then patient’sn drugn isn partn ofnthen planningn phasen
of n then nursingn process.n Monitoringn then patient nfornhisn responsen ton givenn drugn isn part nof nthen evaluati
onnstagen of nthennursingn process.n Reviewingn then nursingn caren plannton verifynthat nit n isn beingn followedn
accuratelyn isn part n of nthen implementationn stagen of nthen nursingn process.
DIF: CognitivenLevel:n Applying REF:n p.n 2
2. Then LPN n isnworkingn withnan patient n innthen planningn stagenof nthen nursingn processnrelated n ton t
hen patient’sn prescribed n drugs.n Whichn actionn should n then LPN n taken duringn thisn stage?
a. Developn an nursingn goalnton plannthen proceduresn needed n ton given drug.
b. Developnan teachingn plann forn then patient n regardingn then drug’snactions.
,Visovsky:n Introductionnton ClinicalnPharmacology,n 10thnEdition 3
c. Determinen that n then patient n isnexperiencingn thenexpected nresponsen ton hisndrug.
d. Determinen hown muchnthenpatient nunderstandsnabout n hisndrug.n
ANS:n D
Determiningn hown muchnthen patient n understandsn aboutn hisndrugn isnpartn ofnthendiagnosisn phasen ofn t
hen nursingn process.n Developingn an nursingn goaln ton plannthen proceduresn needed nton givendrugn andnd
evelopingn an teachingn plann forn then patientn regardingnthen drug’sn actionsn aren partn ofnthen planningn ph
asen of n then nursingn process.
DIF:n n Cognitiven Level:n Applyingn n REF:n p.n 2
3. Youn aren teachingn an patient n withndepressionn about n thenpotentialn adversen effectsn of n an prescr
ibed ndrug.n What n part nofnthennursingn processn related ntondrugntherapynaren younengagingn innat n thisn poi
nt n of n then teachingn plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
n ANS:n C
Innthen evaluationnphasen ofnthen nursingn process,n then LPN n understandsn and nteachesnton then patientn t
hen drug’sn therapeuticn effects,n expected n siden effects,n and n potentialn adversen effects.
DIF:n n Cognitiven Level:n Rememberingn n n REF:n n p.n 2
4. Whichnof nthen followingn isn annexamplen of nsubjectiven data?
a. Thenpatient n statesnshenhasnpainn inn hern left n arm.
b. Then medicalnchart n hasnan recorded n blood n pressurenof n128/88.
c. Then serumnpotassiumnleveln isn 3.8n mmol/L.
d. Then patient’sn ECG n showsnnormalnsinusn rhythm.
, Visovsky:n Introductionnton ClinicalnPharmacology,n 10thnEdition 4
ANS:n A
Reportsn fromnthen patient norn patient’sn caregivern aren considered nsubjectiven data.nSymptomsn suchnasn p
ain,n nausea,n orn dizzinessnaren examplesnof nsymptomsnthat n cannot nben “seen”nandn arendatancollected nfro
mn then patient,n caregiver,n orn others.n Laboratoryn values,n ECGn results,n ornvitaln signn datanfromn anmedic
aln chart n aren examplesn of n objectiven data.
DIF: CognitivenLevel:n Remembering REF:n p.n 2
5. Whichnstatement n providesn annexamplen of nobjectiven data?
a. Thenwifen statesnthen patient n wasnconfused n last n night.
b. Grimacingnwithn movement n isnpresent n duringn thenexamination.
c. Thenpatient n reportsn moderaten alcoholnconsumption.
d. Thenpatient n statesnpainnisnsevere.n
ANS:n B
Measurablen datan obtained n duringn an physicaln examn suchn asn grimacingn withn movement n isn ann exampl
en of nobjectiven data.n Subjectiven datanincludesn informationn presentedn bynthenpatient norn Familynthat nca
nnot n bensubstantiated nsuchnasnanwife’snreport nof nanpatient’snconfusion,n patient nreport n ofndegreen of nalc
oholn consumption,n and n an patient’sn painn rating.
DIF: CognitivenLevel:n Remembering REF:n p.n 3
6. ThenLPN/VN n isnassessingn anpatient n beforengivingnan drugnforn blood npressuren management.n
Then nursen notesn then blood n pressuren ton ben 90/50n mmn Hg.n What n isn then nurse’sn best n action?
a. Hold n then drugn and n report n then blood n pressuren tonthen RN.
b. Given then patient n an fullnglassn of nwatern beforen givingn then drug.
c. Comen backn inn30n minutesnand n recheckn then blood n pressure.