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Test Bank for Introduction to Clinical Pharmacology 10th Edition By Constance Visovsky,
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Test Bank for Basic and Clinical Pharmacology 14th Edition Katzung Trevor Questions And Answers A+GRADED
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TEST BANK cc INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
c c c c c
c By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
c c c c c c
,Chapter 01: Pharmacology and the Nursing Process in LPN PracticeV
c c c c c c c c c c
isovsky: Introduction to Clinical Pharmacology, 10th Edition
c c c c c c
MULTIPLE CHOIC c
E
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?
c c c c c c c c c c c c c
a. Obtain any special equipment that will be needed to give the patient’s drug.
c c c c c c c c c c c c
b. Monitor the patient for a response to the drug given.
c c c c c c c c c
c. Collect data about the patient and the patient’s health condition.
c c c c c c c c c
d. Review the nursing care plan to verify that it is accurate.
c c c c c c c c c c
ANS: C c
Collecting and documenting data about the patient and the patient’s health condition is a critical step b
c c c c c c c c c c c c c c c c
Information regarding the present illness, any signs and symptoms, review of medical records, drug hi
c c c c c c c c c c c c c c c
eeded before drugs are given. Deciding on special equipment that will be needed to give the patient’s d
c c c c c c c c c c c c c c c c c
phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua
c c c c c c c c c c c c c c c c c c c
rocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the impl
c c c c c c c c c c c c c c c c c c
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.
c c c c c c c c c c c
b. Develop a teaching plan for the patient regarding the drug’s actions.
c c c c c c c c c c
c. Determine that the patient is experiencing the expected response to his drug.
c c c c c c c c c c c
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
c c c c c c c c c c c c c c c c c
a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patien
c c c c c c c c c c c c c c c c c c
ons are part of the planning phase of the nursing process.
c c c c c c c c c c
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
c c c c c c c c c c c c c c c c c
ected side effects, and potential adverse effects.
c c c c c c
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
c c c c c c c
c
c
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.
c c c c c c c c c c
b. Give the patient a full glass of water before giving the drug.
c c c c c c c c c c c
c. Come back in 30 minutes and recheck the blood pressure.
c c c c c c c c c
d. Have the patient perform pursed lip breathing before giving the drug.
c c c c c c c c c c
ANS: A c
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose
c c c c c c c c c c c c c c c c c c c c c
cor switching to another drug. Giving water with the drug is not contraindicated but does not recognize
c c c c c c c c c c c c c c c c
tension. Pursed lip breathing has no role in this situation.
c c c c c c c c c
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.
c c c c c c c c c c c c c
b. Family members report that patient has been experiencing pain for 1 month.
c c c c c c c c c c c
c. Detailed history of the patient’s current illness upon admission.
c c c c c c c c
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-
c c c c c
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
c c c c c c c c c c c c c c
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
c c c c c c c c c c c c c c
pressure recording examines the patient’s response to the drug. The assessment phase provides initial i
c c c c c c c c c c c c c c
, the problem, and anything that may change the choice of treatment. The planning phase involves usin
c c c c c c c c c c c c c c c c
d diagnoses to set goals and write care plans. The diagnosis phase involves decision-
c c c c c c c c c c c c c
making about the patient’s problems, including medical diagnoses made by the healthcare provider an
c c c c c c c c c c c c c
ped through the North American Nursing Diagnosis Association (NANDA).
c c c c c c c c
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
c c c c c c c c c c c c c c
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
c c c c c c c
c
c
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
c c c c c c c c c c c c c c c c c c c
o the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any adve
c c c c c c c c c c c c c c
of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose oc
c c c c c c c c c c c c c c c c c
s too much of a drug.
c c c c c
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?
c c c c c c c c c
a. Reassure the patient that the drug is needed and observations regarding possibl
c c c c c c c c c c c
eallergic symptoms will be made.
c c c c c
b. Review the patient record and encourage the patient to take the drug if n
c c c c c c c c c c c c c
oallergies have been documented.
c c c c
c. Assess the patient’s allergic history and notify the healthcare provider to
c c c c c c c c c c
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
c c c c c c c c c c c c c c c c
g, the nurse should investigate further by obtaining a more detailed drug history and notifying the healt
c c c c c c c c c c c c c c c c
he order. Although the order may be accurately written, determining whether the drug’s benefits outwe
c c c c c c c c c c c c c c
n within the legal scope of the nurse’s practice. The nurse should not offer false reassurance and as an a
c c c c c c c c c c c c c c c c c c c
should investigate further before giving the drug. The patient has raised concerns regarding the drug th
c c c c c c c c c c c c c c c
ught to the provider’s attention. A note on the chart leaves potential for information to be missed.
c c c c c c c c c c c c c c c c
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.
c c c c c c c c c c c c
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.
c c c c c c c c c c c c c c c c
he drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refu
c c c c c c c c c c c c c c c c c c c c c c
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.
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