Chapter01:PharmacologyandtheNursingProcessinLPNPractice
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Visovsky:IntroductiontoClinicalPharmacology,11thEdition
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MULTIPLECHOICE
1. TheLPNiscollectingdatafortheinitialassessment of apatientuponadmissiontoa v v
Long-termcarefacilitybeforegivingthepatient’sprescribeddrugs. Whichactionshouldthe LPN v v
considertobethehighestpriority?
v
a. Obtainany special equipment that will beneededtogivethepatient’s drug.
c
b. Monitorthepatientfor aresponseto thedrug given.
v c
c. Collectdataaboutthepatientandthepatient’shealthcondition.
d. Reviewthenursing careplantoverifythat it is accurate. c c
v ANS:C v
Collectinganddocumentingdataaboutthepatientandthepatient’shealthcondition isacritical step v v
v beforeanydrugsaregiven. Informationregardingthepresentillness, anysignsandsymptoms,
v v
v reviewofmedicalrecords, drughistory, andvitalsignsareneededbeforedrugs aregiven. Deciding
v v v v
v onspecialequipmentthatwill beneededtogivethepatient’sdrugispartoftheplanningphaseofthe
v
v nursing process.Monitoring the patient for his response to given drug is part oftheevaluationstageof
v c
v thenursingprocess.Reviewing thenursingcareplanto verifythati tis beingfollowed accuratelyis
v c vvvvv v c
v partoftheimplementationstageofthenursingprocess.
DIF: CognitiveLevel:Applyingv REF:p.2 v v
,2. TheLPN is working with a patient in theplanningstageofthenursing processrelatedtothe
c v
v patient’sprescribeddrugs.WhichactionshouldtheLPNtakeduringthisstage?
v v
a. Developanursinggoaltoplantheproceduresneededtogivedrug.
b. Develop ateaching plan forthepatient regarding thedrug’s actions.
c
, c. Determinethatthepatientisexperiencingtheexpectedresponsetohisdrug.
d. Determinehowmuchthepatientunderstandsabouthisdrug.
v ANS:D v
Determining how much the patient understands about his drug is part of the diagnosis phase ofthe
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nursing process. Developing a nursing goal to plan the procedures needed to give drug and
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v developing a teaching plan for the patient regarding the drug’s actions are part of the planning
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phaseofthenursingprocess.
v
DIF: v CognitiveLevel:Applying REF:p.2
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3. Youareteachingapatientwithdepressionaboutthepotentialadverseeffects ofa v
v prescribed drug.Whatpart ofthenursingprocess related to drug therapy areyou engaging inatt
v v c vvvv
v his pointoftheteachingplan?
v
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:C
v v
In the evaluation phase of the nursing process, the LPN understands and teaches to the patientthe
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drug’stherapeuticeffects,expectedsideeffects,andpotentialadverseeffects.
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DIF: v CognitiveLevel:Remembering REF: p.2
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4. Which ofthefollowingisan exampleofsubjectivedata? v c v
a. Thepatient states shehaspain in herleft arm. c
b. Themedicalcharthasarecordedbloodpressureof128/88.
c. Theserumpotassiumlevelis 3.8 mmol/L. v v
d. Thepatient’s ECGshowsnormalsinusrhythm.
v
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