Introduction to Clinical Pharmacology 8th Edition Edmunds Test Bank

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Edition:  8th Edition

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Introduction to Clinical Pharmacology 8th Edition Edmunds Test Bank

Chapter 1: Pharmacology and the Nursing Process in LPN Practice Edmunds: Introduction to Clinical Pharmacology, 8th Edition

MULTIPLE CHOICE

1. A patient states that he occasionally takes an over-the-counter laxative for constipation. What is this information an example of?

  1. Objective data
  2. Inspection
  3. Subjective data
  4. 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

2. Which represents the correct order of the steps of the nursing process?

  1. Assessment, diagnosis, planning, implementation, evaluation
  2. Planning, assessment, diagnosis, implementation, evaluation
  3. Assessment, planning, implementation, diagnosis, evaluation
  4. 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

3. 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?
a. Implementation
b. Diagnosis

c. Evaluation d. 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

4. A medication should be withheld when which is true?


TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY 8TH EDITION BY EDMUNDS
  1. The physician omits the trade name in the order.
  2. There has been a change in the patient’s condition.
  3. The medication improves the patient’s symptoms.
  4. 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

5. How would a nurse ensure that the medication order is accurate?

  1. By checking the medication record with the Kardex file
  2. By comparing the physician’s order with the medication history
  3. By comparing the physician’s order to the chief complaint
  4. 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

6. What do the six “rights” of medication administration include?

  1. Drug, time, dose, doctor, route, and documentation
  2. Drug, time, dose, patient, route, and documentation
  3. Drug, diagnosis, time, patient, route, and documentation
  4. 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

7. Which nursing action should ensure that a medication is given to the right patient?

  1. Checking the patient’s identification bracelet
  2. Verifying the medication record with the chart
  3. Verifying the room number with the chart
  4. Asking the patient to state his or her birth date and Social Security number

ANS: A

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