Test Bank for Introduction to Clinical Pharmacology By Constance Visovsky, Cheryl Zambroski, Shirley Chapter 1 – 20 Complete
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Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLE CHOICE
- The LPN is collecting data for the initial assessment of a patient upon admission to a long-term care fapatient’s prescribed drugs. Which action should the LPN consider to be the highest priority?
a. Obtain any special equipment that will be needed to give the patient’s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health condition is a critical step beInformation regarding the present illness, any signs and symptoms, review of medical records, drug hineeded before drugs are given. Deciding on special equipment that will be needed to give the patient’s phase of the nursing process. Monitoring the patient for his response to given drug is part of the evaluaprocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the impnursing process.
DIF: Cognitive Level: Applying REF: p. 2 - The LPN is working with a patient in the planning stage of the nursing process related to the patient’s paction should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
ANS: D
Determining how much the patient understands about his drug is part of the diagnosis phase of the nurnursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient are part of the planning phase of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2 - You are teaching a patient with depression about the potential adverse effects of a prescribed drug. Whrelated to drug therapy are you engaging in at this point of the teaching plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drugexpected side effects, and potential adverse effects.
DIF: Cognitive Level: Remembering REF: p. 2 - Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
ANS: A
Reports from the patient or patient’s caregiver are considered subjective data. Symptoms such as pain, examples of symptoms that cannot be “seen” and are data collected from the patient, caregiver, or otheltitlidtfdilhtlfbjtidt - The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse not90/50 mm Hg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
ANS: A
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the doseor switching to another drug. Giving water with the drug is not contraindicated but does not recognize hypotension. Pursed lip breathing has no role in this situation.
DIF: Cognitive Level: Remembering REF: p. 4 - The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of informatia clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a fof the patient’s pain, and history of current illness are examples of subjective data.
DIF: Cognitive Level: Remembering REF: p. 3 - A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The opatient’s daily blood pressure recordings. Which stage of the nursing process corresponds to this reviewa. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The evaluation phase involves examining the results that occur when the plan is implemented. Reviewpressure recording examines the patient’s response to the drug. The assessment phase provides initial inthe problem, and anything that may change the choice of treatment. The planning phase involves usingdiagnoses to set goals and write care plans. The diagnosis phase involves decision-making about the pamedical diagnoses made by the healthcare provider and nursing diagnoses developed through the NorthDiagnosis Association (NANDA).
DIF: Cognitive Level: Remembering REF: p. 2 - After receiving report, the LPN gives drugs to her assigned patients on the evening shift. With which stdoes this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A
The implementation phase involves actively following the plan of care and accurately giving ordered dassessment phase involves obtaining initial information about the patient, the problem, and anything thtreatment. The planning phase involves using patient assessment data and diagnoses to set goals and wphase involves decision-making about the patient’s problems, including medical diagnoses made by thnursing diagnoses developed through the North American Nursing Diagnosis Association (NANDA).
DIF: Cognitive Level: Remembering REF: p. 5
10Youarereviewingapatient’snewantihypertensivedrugorderTheorderaswrittenisunclearastothe - A patient is receiving an antibiotic for pneumonia. On the third day of the treatment regimen, a rash apreports itching and shortness of breath. Which term describes the effect that has occurred?
a. Therapeutic effect
b. Adverse effect
c. Side effect
d. Overdose effect
ANS: B
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic rethe antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any adversdrugs are known potential effects of the antibiotic that range from mild to moderate. An overdose occumuch of a drug.
DIF: Cognitive Level: Understanding REF: p. 9 - An LPN enters a patient’s room to give a scheduled drug. Before administration, the patient states, “I callergic to it.” What should the nurse do first?
a. Reassure the patient that the drug is needed and observations regarding possible
allergic symptoms will be made.
b. Review the patient record and encourage the patient to take the drug if no
allergies have been documented.
c. Assess the patient’s allergic history and notify the healthcare provider to
determine a course of action.
d. Document patient refusal and leave a note on the patient chart for the healthcare
provider.
ANS: C
The patient has shared information that indicates the potential for the ordered drug to cause adverse effthe nurse should investigate further by obtaining a more detailed drug history and notifying the healthcorder. Although the order may be accurately written, determining whether the drug’s benefits outweighwithin the legal scope of the nurse’s practice. The nurse should not offer false reassurance and as an adshould investigate further before giving the drug. The patient has raised concerns regarding the drug thbrought to the provider’s attention. A note on the chart leaves potential for information to be missed.
DIF: Cognitive Level: Applying REF: p. 4 - The LPN is preparing to give the initial dose of an antibiotic to a patient diagnosed with an infection. Tin a rash the last time I took that pill.” What action should the LPN take next?
a. Give the drug and check the patient in 30 minutes for a rash.
b. Document that the patient refused the drug per agency policy.
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d. Notify the registered nurse or healthcare provider.
ANS: D
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately. drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refuse tDIF: Cognitive Level: Applying REF: p. 9 - Which priority assessment must you make before giving any patient a drug by mouth?
a. Quiz the patient about the action of each drug.
b. Make sure the patient can swallow.
c. Find out whether the patient prefers cold or room temperature liquids.
d. Ask the patient to repeat his or her name and birthdate.
ANS: B
Before the patient can take any drug by mouth, they must be able to swallow. Asking the patient to repmay be part of using two identifiers but this is important with all patients. Preferences are also importapatient be able to swallow the drug.
DIF:CognitiveLevel:UnderstandingREF:p8