Chapter 01: Pharmacology and the Nursing Process in LPN Practice
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Visovsky:Introduction to Clinical Pharmacology, 11th Edition
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MULTIPLE CHOICE c
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
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Long-term care facility before giving the patient’s prescribed drugs. Which action should the LPN
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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 c
Collecting and documenting data about the patient and the patient’s health condition is a critical step
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c before any drugs are given. Information regarding the present illness, any signs and symptoms,
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c review of medical records, drug history, and vital signs are needed before drugs are given. Deciding
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c on special equipment that will be needed to give the patient’s drug is part of theplanning phase of the
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c nursing process. Monitoring the patient for his response to given drug is part of the evaluation stage of
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the nursing process. Reviewing the nursing care plan to verify thatit is being followed accurately is
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part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying c c REF: p. 2 c c
,2. The LPN is working with a patient in the planning stage of the nursing process related tothe
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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 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
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Determining how much the patient understands about his drug is part of the diagnosis phase ofthe
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c nursing process. Developing a nursing goal to plan the procedures needed to give drug and
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developing a teaching plan for the patient regarding the drug’s actions are part of the planning
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phase of the nursing process.
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DIF: c Cognitive Level: Applying c c c REF: p. 2 c c
3. You are teaching a patient with depression about the potential adverse effects of a
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c prescribed drug. What part of the nursing process related to drug therapy are you engaging in atthis
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point of the teaching plan?
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a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
c c
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the
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drug’s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: Cognitive Level: Remembering
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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 128/88.
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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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