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Test bank: INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY Constance Visovsky, Cheryl Zambroski, Shirley Hosler ALL CHAPTERS Unit I. General Principles 1. Pharmacology and the Nursing Process in LPN Practice 2. Legal, Regulatory, and Ethical Aspects of Drug Administration 3. Principles of Pha...

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Test Bank for Introduction to Clinical
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jj Pharmacology 10th Edition By Constance
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Visovsky, Cheryl Zambroski, Shirley
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HoslerChapter 1-20 Complete Guide A+
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TEST
BANK
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,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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Chapter 01: Pharmacology and the Nursing Process in LPN
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jj PracticeVisovsky:Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE CHOICE jj




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
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jj LPNconsider 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
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accurate.ANS: C
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Collecting and documenting data about the patient and the patient‘s health condition is a
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jj criticalstep before any drugs are given. Information regarding the present illness, any signs and
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jj symptoms, review of medical records, drug history, and vital signs are needed before drugs are
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jj given. Deciding on special equipment that will be needed to give the patient‘s drug is part of
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jj theplanning phase of the nursing process. Monitoring the patient for his response to given drug
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jj is part of the evaluation stage of the nursing process. Reviewing the nursing care plan to verify
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thatit is being followed accurately is part of the implementation stage of the nursing process.
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DIF: Cognitive Level: Applying jj jj REF: p. 2 jj jj




2. The LPN is working with a patient in the planning stage of the nursing process related
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jj tothe 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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,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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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
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drug.ANS: D
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Determining how much the patient understands about his drug is part of the diagnosis phase
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jj ofthe nursing process. Developing a nursing goal to plan the procedures needed to give drug
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jj and developing a teaching plan for the patient regarding the drug‘s actions are part of the
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jj planning phase of the nursing process.
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DIF: jj jj j j Cognitive Level: Applying jj jj jj jj j j REF: p. 2 jj jj




3. You are teaching a patient with depression about the potential adverse effects of a
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jj prescribed drug. What part of the nursing process related to drug therapy are you engaging in
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atthis point of the teaching plan?
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a. Assessment

b. Implementation

c. Evaluation

d. Diagnosis j




ANS: C jj




In the evaluation phase of the nursing process, the LPN understands and teaches to the
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jj patientthe drug‘s therapeutic effects, expected side effects, and potential adverse effects.
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DIF: jj jj jj j j Cognitive Level: Remembering jj jj jj jj jj jj jj jj j j REF: j j p. 2 jj




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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, Visovsky: Introduction to Clinical Pharmacology, 10th Edition
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ANS: A jj




Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such
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jj aspain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data
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collectedfrom the patient, caregiver, or others. Laboratory values, ECG results, or vital sign
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jj data from a medical chart are examples of objective data.
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DIF: Cognitive Level: Remembering jj jj REF: p. 2 jj jj




5. Which statement provides an example of objective data?
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a. The wife states the patient was confused last night.
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b. Grimacing with movement is present during the examination. jj jj jj jj jj jj jj




c. The patient reports moderate alcohol consumption.
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d. The patient states pain is
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severe.ANS: B
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Measurable data obtained during a physical exam such as grimacing with movement is an
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jj example of objective data. Subjective data includes information presented by the patient or
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jj Family that cannot be substantiated such as a wife‘s report of a patient‘s confusion, patient
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jj reportof degree of alcohol consumption, and a patient‘s pain rating.
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DIF: Cognitive Level: Remembering jj jj REF: p. 3 jj jj




6. The LPN/VN is assessing a patient before giving a drug for blood pressure
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jj management.The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best
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jj action?

a. Hold the drug and report the blood pressure to the RN.
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b. Give the patient a full glass of water before giving the drug.
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c. Come back in 30 minutes and recheck the blood pressure.
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