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  San Jacinto College - NURS 3356 Chapter 01: Pharmacology and the Nursing Process in LPN Practice  MULTIPLE CHOICE 1

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San Jacinto College - NURS 3356

Chapter 01: Pharmacology and the Nursing Process in LPN Practice

MULTIPLE CHOICE

1.

You are assessing the skin of a newly admitted patient and note a 2 inch area of redness at the

sacrum. Which type of data are you collecting with this information?

a.

Objective data

b.

Inspection

c.

Subjective data

d.

Alternative therapy

2.

Which part of the nursing process includes setting goals for the nursing care required when

giving drugs to a patient?

a.

Assessment

b.

Planning

c.

Evaluation

d.

Diagnosis

3.

When would it be appropriate to withhold a drug instead of giving it to a patient?

a.

When the order is written by hand

b.

When any part of the drug order is unclear

c.

When the drug improves the patient’s symptoms

d.

When the order contains both the generic and trade name of the drug

4.

Which action would you take to ensure that an order for a drug is accurate?

a.

Check the drug record with the Kardex file.

b.

Compare the order with the drug history.

c.

Compare the order to the patient’s reason for admission.

d.

Check the drug record with the original healthcare provider’s order.

 

 

5. What do the nine “rights” of drug administration include?
   1. Right patient, drug, dose, route, time, reason, documentation, response, and right to refuse
   2. Right drug, diagnosis, time, patient, route, drug history, documents, and right to refuse
   3. Right drug, amount, route, time, nurse, reason, route, diagnosis, and documentation
   4. Right dose, time, healthcare provider, patient, route, documentation, response, and drug
6. Which action should you take to ensure that you are giving a drug to the right patient?
   1. Verifying the drug record with the patient name on the chart
   2. Verifying the patient’s room and bed number with the chart
   3. Asking the patient to state his or her birthdate and Social Security number
   4. Asking the patient to state their name and birthdate, and then checking the patients identification bracelet
7. Which category of drugs should be given exactly on schedule in order to maintain a consistent level of the drug in the body?
   1. Steroids
   2. Diuretics
   3. Aspirin products
   4. Anticoagulants
8. Which nursing action is not appropriate when giving drugs to a patient?
   1. Leaving the drug at the patient’s bedside to take when he/she awakens
   2. Asking the patient if he or she has any allergies to drugs
   3. Checking a drug reference to verify the action of the drug
   4. Explaining to the patient the possible side effects of the drug
9. Which of the following nursing actions is an example of evaluating patient responses to drug therapy?
   1. Documenting the fact that the patient refused the drug
   2. Making sure you have assembled all necessary equipment
   3. Taking the patient’s blood pressure before giving an antihypertensive
   4. Taking the temperature of a patient an hour after giving an antipyretic
10. Which statement is considered to be an example of objective data gathered in the assessment of a patient who will be receiving drugs for the treatment of an injury?
    1. The patient’s skin is warm and dry to touch.
    2. The patient tells you “I have pain in my lower back.”
    3. The patient states he is having trouble catching his breath.
    4. The patient checks off “no history of drug allergies” on the health form.
11. You are interviewing a patient to obtain a current drug history. What information should be part of this report?
    1. The color of each drug in pill form
    2. The names and dosages of each drug
    3. The major health conditions of the patient
    4. The nursing diagnoses that come from the collected information
12. A patient you are caring for is prescribed 30 units of NPH insulin to be given subcutaneously. You know that insulin is considered a “high-alert drug.” What nursing action would you perform to give a high-alert drug safely?
    1. Call the healthcare provider to double check the order.
    2. Ensure an insulin level is drawn before giving the drug.
    3. Have another nurse check the order and dosage before giving it.
    4. Refuse to give this drug, as it can only be given by a registered nurse.
13. You are about to give the prescribed drugs to a patient in your care. When you approach the patient with the drugs, the patient refuses to take one of the drugs. What is your best action?
    1. Ask the pharmacy if there is a substitute drug for the one the patient refused.
    2. Acknowledge to patient’s right to refuse, no other action is needed.
    3. Let the patient know the consequences of refusing the drug.
    4. Notify the charge nurse or healthcare provider.
14. You have given the antibiotic penicillin as prescribed to a patient with no reported drug allergies. Thirty minutes after receiving the drug, the patient notifies you that he/she has developed hives and swelling of the lips. What is your best first action?
    1. Call the pharmacy and report this as an adverse reaction to the drug.
    2. Immediately give epinephrine to counter the drug reaction.
    3. Reassure the patient that this is a typical side effect of the drug.
    4. Report the findings to the RN or healthcare provider and remain with the patient.
15. You are working on a very busy 35-bed hospice unit. The RN you are working with just got a new admission and hands you a syringe with “pain drug” in it. He/she asks you to give this drug to a specified patient. What is your most appropriate action?
    1. Assist the RN by giving the drug as requested for this one time only.
    2. Refuse to give a drug that is not for a patient you are assigned to care for.
    3. Refuse, but prepare another dose of the drug yourself, and give as prescribed.
    4. Assist the RN as directed, as under the RN’s supervision, this practice is permitted.
16. You are evaluating the response of a patient 30 minutes after receiving an antihypertensive drug. Upon assessment of the patient’s blood pressure, you note the patient has become hypotensive. What type of drug effect is this patient experiencing?
    1. 1. An adverse effect of the drug
       2. A side effect of the drug
       3. A therapeutic effect of the drug
       4. An allergic reaction to the drug

MULTIPLE RESPONSE

1.    Before giving a drug to a patient which steps should you take to ensure safe drug administration? (Select all that apply.)

1. 1. 1. Use two forms of patient identification.
      2. Ask the patient about any drug allergies.
      3. Check the drug before removing it from the unit-dose cart.
      4. Check the dose before preparing or measuring the drug.
      5. Check the drug just before you open it and give it to the patient.
      6. Document the drug given before you enter into the patient’s room.

2.    You are taking the drug history from a patient. Which of the following information should be collected as part of this interview? (Select all that apply.)

1. 1. 1. Allergies to any drugs
      2. Alcohol or recreational drug use
      3. The time of day preferred for taking drugs

      4. e.

         The strategies you will use to care for the patient

         f.

         The illness or symptoms for which the drug is needed

         3.

         When evaluating a patient’s response to s drug, which factors should you should consider?

         (

         Select all that apply.

         )

         a.

         The clarity of all written drug orders

         b.

         The expected side effects of the drug

         c.

         The reason the drug was prescribed

         d.

         The therapeutic effects of the drug

         e.

         The timing of the prescribed drug

         f.

         The adverse effects of the drug

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