is this information an example of?

Chapter 1: Pharmacology and the Nursing Process in LPN Practice

Edmunds: Introduction to Clinical Pharmacology, 8th Edition

MULTIPLE CHOICE

• A patient states that he occasionally takes an over-the-counter laxative for constipation. What

is this information an example of?

• Objective data
• Inspection
• Subjective data
• Alternative therapy

ANS: C

Subjective data describes the information given by the patient or family and includes the concerns or symptoms felt by the patient.

DIF: Cognitive Level: Apply REF: p. 3 OBJ: 2 TOP: The Nursing Process KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

• Which represents the correct order of the steps of the nursing process?
• Assessment, diagnosis, planning, implementation, evaluation
• Planning, assessment, diagnosis, implementation, evaluation
• Assessment, planning, implementation, diagnosis, evaluation
• Diagnosis, planning, implementation, evaluation, assessment

ANS: A

The nursing process consists of five major steps in this order: assessment, diagnosis, planning, implementation, evaluation.

DIF: Cognitive Level: Remember REF: pp. 1-2 | Fig. 1-1 OBJ: 1 TOP: The Nursing Process KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

• The statement, “The patient will be able to self-administer an aerosol nebulizer treatment by

the date of discharge,” is an example of which step of the nursing process?

• Implementation
• Diagnosis
• Evaluation
• Planning

ANS: D

The patient-focused care plan should include any medications that will be given on either a short-term or a long-term basis. For example, goals may be written to apply ointments or patches or to show the patient how he can give himself an aerosol nebulizer treatment.

DIF: Cognitive Level: Apply REF: pp. 4-5 OBJ: 4 TOP: The Nursing Process KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

• A medication should be withheld when which is true?

(Introduction to Clinical Pharmacology, 8e Marilyn Winterton Edmunds) (Test Bank all Chapters) 1 / 4

• The physician omits the trade name in the order.
• There has been a change in the patient’s condition.
• The medication improves the patient’s symptoms.
• The patient is asleep.

ANS: B

You must use good judgment in carrying out a medication order. If, in your judgment, there has been a change in the patient’s condition that raises concerns about whether a medication should be given, it should be withheld (not given) until your concerns can be answered by the patient’s physician.

DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3 TOP: Medication Administration KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

• How would a nurse ensure that the medication order is accurate?
• By checking the medication record with the Kardex file
• By comparing the physician’s order with the medication history
• By comparing the physician’s order to the chief complaint
• By checking the medication record with the original physician’s order

ANS: D

Once the health care provider orders the medication, the nurse must verify that the order is accurate. Checking the medication chart or medication record with the physician’s original order usually does this.

DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3 TOP: Medication Administration KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

• What do the six “rights” of medication administration include?
• Drug, time, dose, doctor, route, and documentation
• Drug, time, dose, patient, route, and documentation
• Drug, diagnosis, time, patient, route, and documentation
• Dose, time, doctor, patient, route, and drug

ANS: B

There are six “rights” of medication administration that the nurse must always keep in mind.You must give the right drug at the right time, in the right dose, to the right patient, by the right route, and use the right documentation to record that the dose has been given.

DIF: Cognitive Level: Remember REF: p. 6 OBJ: 3 TOP: Medication Administration KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity

• Which nursing action should ensure that a medication is given to the right patient?
• Checking the patient’s identification bracelet
• Verifying the medication record with the chart
• Verifying the room number with the chart
• Asking the patient to state his or her birth date and Social Security number

ANS: A 2 / 4

Each patient should be asked his or her name as the nurse checks the identification bracelet. In a hospital setting, medication should never be given to a patient who is not wearing an identification bracelet.

DIF: Cognitive Level: Understand REF: p. 7 OBJ: 3 TOP: Medication Administration KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment

• The nurse should document drug administration at which time?
• At the end of each shift
• As soon as possible after administration
• Just before administration
• Any time during the nurse’s shift

ANS: B

A note about how and when the nurse gave the drug should be made on the patient’s chart as soon as possible after the drug is administered. There is a greater chance of error if meds are not charted as soon as they are given.

DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3 TOP: Medication Administration KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity

• Which nursing action is an example of the evaluation step in medication administration?
• Obtaining the clotting time results of a patient on an anticoagulant
• Asking the patient if he or she has any allergies to medications
• Checking a drug reference to verify the action of the drug
• Explaining to the patient the possible side effects of the drug

ANS: A

Evaluation of what happens when the nurse administers a drug helps the health care provider decide whether to continue the same drug or make a change. After administering a drug, an important role of the nurse is following up to evaluate for the desired action (e.g., obtaining results of clotting time tests ordered by the physician for a patient on an anticoagulant).

DIF: Cognitive Level: Apply REF: p. 8 OBJ: 4 TOP: Medication Administration KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity

• A nurse must check for which two specific types of patient responses to drug therapy?
• Action coding and action transferred
• Drug feedback and drug uptake
• Therapeutic effects and adverse effects
• Uptime levels and downtime levels

ANS: C

The nurse checks for two types of responses to drug therapy: therapeutic effects and adverse effects.

DIF: Cognitive Level: Remember REF: p. 8 OBJ: 4 TOP: Medication Evaluation KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity 3 / 4

• Which is never administered if prepared by another nurse?
• Written orders
• Daily reports
• Diet selections
• Medications

ANS: D

It must be stressed that the nurse must never give medication prepared by another nurse.Medications should not be given and orders not carried out.

DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3 TOP: Record Keeping KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

• As an LVN/LPN, the nurse’s role in the nursing process is to gather information and work

with the patient. In carrying out this role, which task can be delegated to the LPN/LVN nurse?

• Interviewing the patient on admission
• Planning and evaluating the patient’s care
• Checking vital signs and medication response
• Carrying out all steps of the nursing process

ANS: C

It is usually the LPN/LVN who takes vital signs, checks a patient’s response to medications and treatments, and monitors symptoms the patient is having.

DIF: Cognitive Level: Understand REF: p. 2 OBJ: 1 TOP: Nursing Process KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity

• When information is reported by the patient, it is considered to be subjective data. Which

statement is considered to be objective data?

• The patient tells the nurse, “I have pain in my lower back.”
• Mr. Williams tells the nurse he is having trouble catching his breath.
• Miss Sims has told the doctor she has no history of allergies to antibiotics.
• The patient’s skin is warm and dry.

ANS: D

Objective data are physical findings the nurse can see during careful inspection, palpation, percussion, and auscultation.

DIF: Cognitive Level: Understand REF: p. 3 OBJ: 2 TOP: Nursing Process KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity

• The LPN/LVN is a member of the health care team and assists the RN in following a plan of

care once the nursing diagnoses are shared with the team. When developing a nursing diagnosis, it can sometimes be difficult to get accurate answers from patients. Which category of patients is most likely to present a problem in this regard?

• Patients who are elderly and sick
• Patients only in for 24-hour admissions
• Parents whose children are patients
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