Chapter 1: Pharmacology and the Nursing Process in LPN Practice
Edmunds: Introduction to Clinical Pharmacology, 8th Edition
MULTIPLE CHOICE
1. A
... [Show More] patient states that he occasionally takes an over-the-counter laxative for constipation. What is this information an example of?
a. Objective data
b. Inspection
c. Subjective data
d. 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?
a. Assessment, diagnosis, planning, implementation, evaluation
b. Planning, assessment, diagnosis, implementation, evaluation
c. Assessment, planning, implementation, diagnosis, evaluation
d. 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?
a. The physician omits the trade name in the order.
b. There has been a change in the patient’s condition.
c. The medication improves the patient’s symptoms.
d. 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?
a. By checking the medication record with the Kardex file
b. By comparing the physician’s order with the medication history
c. By comparing the physician’s order to the chief complaint
d. 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 [Show Less]