TEST BANK
m m
m
INTRODUCTION TO C LINICAL
m m m
P HARMACOLOGY
m
m
9TH EDITION
m m
m
B Y: C ONSTANCE G. V ISOVSKY
m m m m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
m
TEST BANK
m m m
, IntroductionmtomClinicalmPharmacology,m9thmEditionmTestmBankmbymConstancemG.mVisovskym
m
Contents:mm
UnitmI:mGeneralmPrinciplesmm
Chapterm1.mPharmacologymandmthemNursingmProcessminmLPNmPracticemm
Chapterm2.mLegal,mRegulatory,mandmEthicalmAspectsmofmDrugmAdministrationmm
Chapterm3.mPrinciplesmofmPharmacologymm
UnitmII:mPrinciplemofmDrugmAdministrationmm
Chapterm4.mDrugmCalculation:mPreparingmandmGivingmDrugsmm
UnitmIII:mDrugmCategoriesmm
Chapterm5.mAnti-infectivemDrugs:mAntibiotics,mAntitubercularmDrugs,mAntifungals,mAntiparasiticsmm
Chapterm6.mAntiviralsmandmAntiretroviralsmm
Chapterm7.mDrugsmformAllergymandmRespiratorymProblemsmm
Chapterm8.mDrugsmAffectingmthemRenal/UrinarymandmCardiovascularmSystemsmm
Chapterm9.mDrugsmAffectingmthemCentralmNervousmSystemmm
Chapterm10.mDrugsmAffectingmthemPeripheralmNervousmSystemmm
Chapterm11.mDrugsmformPainmManagementmm
Chapterm12.mAnti-inflammatory,mAnti-arthritis,mandmAntigoutmDrugsmm
Chapterm13.mDrugsmformGastrointestinalmProblemsmm
Chapterm14.mDrugsmAffectingmthemHematologicmSystemmm
Chapterm15.mImmunomodulatingmDrugsmm
Chapterm16.mDrugsmAffectingmthemEndocrinemSystemmm
Chapterm17.mDrugsmformDiabetesmManagementmm
Chapterm18.mDrugsmformEarmandmEyemProblemsmm
Chapterm19.mOver-the-CountermDrugs,mHerbalmandmAlternativemDrugs,mandmVitaminsmandmMineralsmm
m
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
m m m m m m m m m m
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
m m m m m m m m
m
MULTIPLEmCHOICEm
m
1. Youmaremassessingmthemskinmofmamnewlymadmittedmpatientmandmnotemam2minchmareamofmrednessma
tmthemsacrum.mWhichmtypemofmdatamaremyoumcollectingmwithmthisminformation?m
a. Objectivemdatam
b. Inspectionm
, c. Subjectivemdatam
d. Alternativemtherapym
ANS:mAm
Objectivemdatamaremobtainedmbymthemhealthcaremprovidermduringmphysicalmexamination,mormthatm
aremmeasurablem(i.e.,mlaboratorymresults).m
m
DIF:mCognitivemLevel:mApplyingm REF:mp.m3m
m
2. Whichmpartmofmthemnursingmprocessmincludesmsettingmgoalsmformthemnursingmcaremrequiredmwhe
nmgivingmdrugsmtomampatient?m
a. Assessmentm
b. Planningm
c. Evaluationm
d. Diagnosism
ANS:mBm
Themnursingmprocessmconsistsmofmfivemmajormstepsminmthismorder:massessment,mdiagnosis,mplanni
ng,mimplementation,mevaluation.mItmisminmthemplanningmstepmthatmthemgoalsmformnursingmcaremrela
tedmtomdrugsmaremsetmbasedmuponmdatamcollected.m
m
DIF:mCognitivemLevel:mRememberingm REF:mp.m4m
m
3. Whenmwouldmitmbemappropriatemtomwithholdmamdrugminsteadmofmgivingmitmtomampatient?m
a. Whenmthemordermismwrittenmbymhandm
b. Whenmanympartmofmthemdrugmordermismunclearm
c. Whenmthemdrugmimprovesmthempatient’smsymptomsm
d. Whenmthemordermcontainsmbothmthemgenericmandmtrademnamemofmthemdrugm
ANS:mBm
Yoummustmusemgoodmjudgmentminmcarryingmoutmamdrugmorder.mIf,minmyourmjudgment,mthemordermi
smunclear,mormincorrect,mitmshouldmbemwithheldm(notmgiven)muntilmyourmconcernsmcanmbemanswere
dmbymthempatient’smhealthcaremprovider.m
m
DIF:mCognitivemLevel:mApplyingm REF:mp.m4m
m
4. Whichmactionmwouldmyoumtakemtomensuremthatmanmordermformamdrugmismaccurate?m
a. CheckmthemdrugmrecordmwithmthemKardexmfile.m
b. Comparemthemordermwithmthemdrugmhistory.m
c. Comparemthemordermtomthempatient’smreasonmformadmission.m
d. Checkmthemdrugmrecordmwithmthemoriginalmhealthcaremprovider’smorder.m
ANS:mDm
Oncemthemhealthcaremprovidermordersmthemdrug,myoummustmverifymthatmthemordermismaccurate.mThi
smismdonembymcheckingmthemdrugmchartmormdrugmrecordmwithmthemhealthcaremprovider’smoriginalm
order.m
m
DIF:mCognitivemLevel:mRememberingm REF:mp.m4m
m
5. Whatmdomthemninem“rights”mofmdrugmadministrationminclude?m
a. Rightmpatient,mdrug,mdose,mroute,mtime,mreason,mdocumentation,mresponse,mandmrightmtomrefus
em
b. Rightmdrug,mdiagnosis,mtime,mpatient,mroute,mdrugmhistory,mdocuments,mandmrightmtomrefusem
c. Rightmdrug,mamount,mroute,mtime,mnurse,mreason,mroute,mdiagnosis,mandmdocumentationm
, d. Rightmdose,mtime,mhealthcaremprovider,mpatient,mroute,mdocumentation,mresponse,mandmdrugm
ANS:mAm
Theremaremninem“rights”mofmdrugmadministration:myoummustmidentifymthemrightmpatient,mgivemthem
rightmdrugmatmthemrightmdose,mrightmroute,mrightmtime,mformthemrightmreason,musingmthemrightmdocu
mentationmtomrecordmthatmthemdosemhasmbeenmgiven,mmonitormthempatientmformthemrightmresponse,
mandmnotemthatmthempatientmhasmthemrightmtomrefusemamdrug.m
m
DIF:mCognitivemLevel:mRememberingm REF:mp.m5m
m
6. Whichmactionmshouldmyoumtakemtomensuremthatmyoumaremgivingmamdrugmtomthemrightmpatient?m
a.Verifyingmthemdrugmrecordmwithmthempatientmnamemonmthemchartm
b.Verifyingmthempatient’smroommandmbedmnumbermwithmthemchartm
c.AskingmthempatientmtomstatemhismormhermbirthdatemandmSocialmSecuritymnumberm
d.Askingmthempatientmtomstatemtheirmnamemandmbirthdate,mandmthenmcheckingmthempatientsmident
ificationmbraceletm
ANS:mDm
Beforemgivingmanymdrug,mtwomformsmofmpatientmidentificationsmshouldmbemusedmtomidentifymthemc
orrectmpatient.mEachmpatientmshouldmbemaskedmhismormhermname,mandmanothermformmofmidentificat
ion,msuchmasmbirthdate;mthenmyoumshouldmcheckmthempatient’smidentificationmbracelet.m
m
DIF:mCognitivemLevel:mApplyingm REF:mp.m5m
m
7. Whichmcategorymofmdrugsmshouldmbemgivenmexactlymonmscheduleminmordermtommaintainmamconsis
tentmlevelmofmthemdrugminmthembody?m
a. Steroidsm
b. Diureticsm
c. Aspirinmproductsm
d. Anticoagulantsm
ANS:mDm
Certainmdrugsmmustmbemgivenmatmspecificmtimemintervalm(rightmtime).mAnticoagulantsmmustmbemgi
venmatmthemsamemtimemeachmdaymtommaintainmamtherapeuticmbloodmlevelminmordermtompreventmblo
odmclots.m
m
DIF:mCognitivemLevel:mApplyingm REF:mp.m7m
m
8. Whichmnursingmactionmismnotmappropriatemwhenmgivingmdrugsmtomampatient?m
a. Leavingmthemdrugmatmthempatient’smbedsidemtomtakemwhenmhe/shemawakensm
b. Askingmthempatientmifmhemormshemhasmanymallergiesmtomdrugsm
c. Checkingmamdrugmreferencemtomverifymthemactionmofmthemdrugm
d. Explainingmtomthempatientmthempossiblemsidemeffectsmofmthemdrugm
ANS:mAm
Itmismnevermpermissiblemtomleavemdrugsmatmthempatient’smbedside.mAsmthemnurse,myoumaremrespons
iblemformwitnessingmthempatientmtakingmthemdrug(s),mormdocumentationmofmthempatient’smrefusal.m
m
DIF:mCognitivemLevel:mApplyingm REF:mp.m10m
m
9. Whichmofmthemfollowingmnursingmactionsmismanmexamplemofmevaluatingmpatientmresponsesmtomdr
ugmtherapy?m
a. Documentingmthemfactmthatmthempatientmrefusedmthemdrugm
b. Makingmsuremyoumhavemassembledmallmnecessarymequipmentm