NURSING TEST- ME
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ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX-
ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
NURSING TEST- ME
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mprehensive Review for the NCLEX-
ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
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ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
MULTIPLE CHOICE ME
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and n
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
otes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands th
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
at this medication
ME ME
is prescribed for:
M E M E ME ME
1. Pain relief ME
2. Increasing uterine contractions ME ME
3. Decreasing uterine contractions ME ME
4. Promoting fetal lung maturity ME ME ME
ANS: 1 M E
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor,
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that ma
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
y be prescribed for
ME ME ME
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fet
ME ME ME ME ME ME ME ME ME ME
al lung maturity” are not actions of this medication.
ME ME ME ME ME ME ME ME
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this que
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
stion. Remember that this medication is used for pain relief. Review the action of this medicatio
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
n if you had difficulty with this question and are unfamiliar with this medication.
ME ME ME ME ME ME ME ME ME ME ME ME ME
PTS: 1
DIF: Level of Cognitive Ability: Understanding
ME ME ME ME
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Sau
ME ME ME ME ME ME ME ME ME ME ME
nders. OBJ: Client Needs: Physiological Integrity
ME ME ME ME
TOP: Content Area: Pharmacology ME ME
MSC: Integrated Process: Nursing Process—Planning
ME ME ME ME
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
analgesic administration following cesarean birth. If the client develops respiratory depress
ME ME ME ME ME ME ME ME ME ME
ion and requires naloxone (Narcan) as an antidote, the client may complain of which of
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
the following?
ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
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ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
1. Increase in her pain level
ME ME ME ME
2. Decrease in her pain level
ME ME ME ME
3. Increase in the amount of itching from the opioid used in the epidural
ME ME ME ME ME ME ME ME ME ME ME ME
4. Decrease in the amount of itching from the opioid used in the epidural
ME ME ME ME ME ME ME ME ME ME ME ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
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ME ME ME ME ME ME ME
ANS: 1 M E
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antago
ME ME ME ME ME ME ME ME ME ME ME ME ME
nist, which reverses the effects of opioids. If it is given, the client may complain of an increase
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
in her pain
ME ME ME
level. Therefore “decrease in her pain level,” “increase in the amount of itching from the opioi
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
d used in the epidural,” and “decrease in the amount of itching from the opioid used in the epi
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
dural” are incorrect.
ME ME
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are th
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
e medications used with epidural analgesia to relieve pain. Therefore if naloxone is administere
ME ME ME ME ME ME ME ME ME ME ME ME ME
d as an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
naloxone if this question was difficult.
ME ME ME ME ME
PTS: 1
DIF: Level of Cognitive Ability: UnderstandingME ME ME ME
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Sau
ME ME ME ME ME ME ME ME ME ME ME
nders. OBJ: Client Needs: Physiological Integrity
ME ME ME ME
TOP: Content Area: Pharmacology ME ME
MSC: Integrated Process: Nursing Process—Assessment
ME ME ME ME
3. A client experiencing preterm labor at the twenty-
ME ME ME ME ME ME ME
ninth week of gestation has been admitted to the hospital. The client has a prescription to rece
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
ive betamethasone (Celestone). The nurse understands that the medication will do which of the
ME ME ME ME ME ME ME ME ME ME ME ME ME M
Efollowing?
1. Prevent spontaneous delivery. ME ME
2. Stop the uterine contractions.
ME ME ME
3. Promote maturation of the fetal lungs.ME ME ME ME ME
4. Accelerate the growth rate of the fetus. ME ME ME ME ME ME
ANS: 3 M E
Rationale: Betamethasone (Celestone) is classified as an anti-
ME ME ME ME ME ME ME
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus,
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at le
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX-
ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX-
ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
MULTIPLE CHOICE ME
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and n
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
otes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands th
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
at this medication
ME ME
is prescribed for:
M E M E ME ME
1. Pain relief ME
2. Increasing uterine contractions ME ME
3. Decreasing uterine contractions ME ME
4. Promoting fetal lung maturity ME ME ME
ANS: 1 M E
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor,
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that ma
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
y be prescribed for
ME ME ME
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fet
ME ME ME ME ME ME ME ME ME ME
al lung maturity” are not actions of this medication.
ME ME ME ME ME ME ME ME
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this que
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
stion. Remember that this medication is used for pain relief. Review the action of this medicatio
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
n if you had difficulty with this question and are unfamiliar with this medication.
ME ME ME ME ME ME ME ME ME ME ME ME ME
PTS: 1
DIF: Level of Cognitive Ability: Understanding
ME ME ME ME
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Sau
ME ME ME ME ME ME ME ME ME ME ME
nders. OBJ: Client Needs: Physiological Integrity
ME ME ME ME
TOP: Content Area: Pharmacology ME ME
MSC: Integrated Process: Nursing Process—Planning
ME ME ME ME
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
analgesic administration following cesarean birth. If the client develops respiratory depress
ME ME ME ME ME ME ME ME ME ME
ion and requires naloxone (Narcan) as an antidote, the client may complain of which of
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
the following?
ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
1. Increase in her pain level
ME ME ME ME
2. Decrease in her pain level
ME ME ME ME
3. Increase in the amount of itching from the opioid used in the epidural
ME ME ME ME ME ME ME ME ME ME ME ME
4. Decrease in the amount of itching from the opioid used in the epidural
ME ME ME ME ME ME ME ME ME ME ME ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
, NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
ANS: 1 M E
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antago
ME ME ME ME ME ME ME ME ME ME ME ME ME
nist, which reverses the effects of opioids. If it is given, the client may complain of an increase
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
in her pain
ME ME ME
level. Therefore “decrease in her pain level,” “increase in the amount of itching from the opioi
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
d used in the epidural,” and “decrease in the amount of itching from the opioid used in the epi
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
dural” are incorrect.
ME ME
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are th
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
e medications used with epidural analgesia to relieve pain. Therefore if naloxone is administere
ME ME ME ME ME ME ME ME ME ME ME ME ME
d as an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
naloxone if this question was difficult.
ME ME ME ME ME
PTS: 1
DIF: Level of Cognitive Ability: UnderstandingME ME ME ME
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Sau
ME ME ME ME ME ME ME ME ME ME ME
nders. OBJ: Client Needs: Physiological Integrity
ME ME ME ME
TOP: Content Area: Pharmacology ME ME
MSC: Integrated Process: Nursing Process—Assessment
ME ME ME ME
3. A client experiencing preterm labor at the twenty-
ME ME ME ME ME ME ME
ninth week of gestation has been admitted to the hospital. The client has a prescription to rece
ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME ME
ive betamethasone (Celestone). The nurse understands that the medication will do which of the
ME ME ME ME ME ME ME ME ME ME ME ME ME M
Efollowing?
1. Prevent spontaneous delivery. ME ME
2. Stop the uterine contractions.
ME ME ME
3. Promote maturation of the fetal lungs.ME ME ME ME ME
4. Accelerate the growth rate of the fetus. ME ME ME ME ME ME
ANS: 3 M E
Rationale: Betamethasone (Celestone) is classified as an anti-
ME ME ME ME ME ME ME
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus,
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at le
ME ME ME ME ME ME ME ME ME ME ME ME ME ME
NURSING TEST- ME
BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders Co
ME ME ME ME ME ME ME ME MEME ME
mprehensive Review for the NCLEX- ME ME ME ME
RN Examination, 5th Edition best exam solution RATIONALE
ME ME ME ME ME ME ME
