Test Bank for Lehne's Pharmacology for Nursing Care 12th Edition Burchum Rosenthal | All Chapters 1-112 | Complete Guide

TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING C
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ARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
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ROSENTHAL/ALL CHAPTERS 1-
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112|COMPLETE GUIDE 2024-2025
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,CHm01:mOrientationmtomPharmacology
Burchum:mLehne’smPharmacologymformNursingmCare,m12THmEdition


MULTIPLEmCHOICE

1. Themnursingmattendantmismteachingmamhospitalmclientmhowmamdrugsmworksmtomtreatmanmillness
.mTomdomthis,mthemnursingmattendantwillmrelymonmknowledgemofmwhichmtopic?
a. Clinicalmpharmacology
b. Drugsmefficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATEmANSWER:-m D
Reasoningm:-
>>>>mPharmacotherapeuticsmismthemstudymofmthemusemofmdrugsmtomdiagnose,mtreat,mandmprev
entmconditions.Clinicalmpharmacologymismconcernedmwithmallmaspectsmofmdrugs-
humanminteractions.mDrugsmefficacymmeasuresmthemextentmtomwhichmamgivenmdrugsmcausesma
nmintendedmeffect.mPharmacokineticsmismthemstudymofmthemimpactmofmthembodymonmamdrugs.

POINTS:m 1

2. Whatmismamdesiredmoutcomemwhenmamdrugsmismdescribedmasmeasymtomadminister?
a. Itmcanmbemstoredmindefinitelymwithoutmneedmformrefrigeration.
b. Itmdoesmnotminteractmsignificantlymwithmothermdrugs.
c. Itmenhancesmhospitalmclientmadherencemtomthemdrugsmregimen.
d. Itmismusuallymrelativelyminexpensivemtomproduce.
ACCURATEmANSWER:-m C
Reasoningm:-
>>>>Ammajormbenefitmofmdrugsmthatmaremeasymtomadministermismthatmhospitalmclientsmtakingmt
hemmaremmoremlikelymtocomplymwithmthemdrugsmregimen.mDrugsmthatmaremeasymtomgivemmaymh
avemthemothermattributesmlisted,mbutmthosempropertiesmaremindependentmofmeasemofmadministrati
on.

POINTS:m 1

3. Amhospitalmclientmtellsmthemnursingmattendantmthatmanmanalgesicmhemwillmbeginmtakingmmaymc
ausemdrowsinessmandmwilldecreasempainmupmtom4mhoursmatmamtime.mBasedmonmthismunderstandi
ngmofmthemdrugs’smeffectsmbymthehospitalmclient,mthemnursingmattendantmwillmanticipatemwhich
moutcome?

a. Decreasedmchancemofmhavingmamplacebomeffect
b. Decreasedmmotivationmtomtakemthemdrugs
c. Improvedmcompliancemwithmthemdrugsmregimen
d. Increasedmlikelihoodmofmdrugsmoverdose
ACCURATEmANSWER:-m C
Amdrugsmismeffectivemifmitmproducesmthemintendedmeffects,mevenmifmitmalsomproducesmsidemef
fects.mHospitalmclientsmwhomunderstandmbothmthemrisksmandmbenefitsmofmtakingmamdrugsmare
mmoremlikelymtocomplymwithmthem drugsmregimen.



POINTS:m 1

,MULTIPLEmRESPONSE

1. Whatmaremconsideredmthem‘BigmThree’mpropertiesmofmanmidealmdrugs?m(Selectmallmthatmapply.)
a. Irreversiblemaction
b. Effectiveness
c. Safety
d. Selectivity
e. Amrecognizablemtrademname
ACCURATEmANSWER:-m B,mC,mD
Reasoningm:-

>>>>Them‘BigmThree’mpropertiesmofmthemidealmdrugsmaremeffectiveness,msafety

,mandmselectivity.POINTS:m 1

2. Beforemadministeringmamdrugs,mwhatmdoesmthemnursingmattendantmneedmtomknowmtomevaluatemh
owmindividualhospitalmclientmvariabilitymmightmaffectmthemhospitalmclient’smresponsemtomthemdr
ugs?m(Selectmallmthatmapply.)
a. Chemicalmstabilitymofmthemdrugs
b. Easemofmadministration
c. Familymmedicalmhistory
d. Hospitalmclient’smage
e. Hospitalmclient’smdiagnosis

ACCURATEmANSWER:-m C,mD,mE
Reasoningm:-
>>>>Themfamilymmedicalmhistorymcanmindicatemgeneticmfactorsmthatmmaymaffectmamhospitalmcl
ient’smresponsemtomamdrugs.mHospitalmclientsmofmdifferentmagesmcanmrespondmdifferentlymtomdru
gs.mThemhospitalmclient’smillnessmcanmaffectmhowmdrugsmaremmetabolized.mThemchemicalmstabi
litymofmthemdrugsmandmthemeasemofmadministrationmarempropertiesmofmdrugs.

POINTS:m 1

, CHm02:mApplicationmofmPharmacologyminmNursingmPracticemBurc
hum:mLehne’smPharmacologymformNursingmCare,m12THmEdition


MULTIPLEmCHOICE

1. Amhospitalmclientmismusingmammetered-
doseminhalermcontainingmalbuterolmformasthma.mThemdrugsmlabelminstructsmthemhospitalmclientmt
omadministerm“2mpuffsmeverym4mhoursmasmneededmformcoughingmormwheezing.”mThemhospitalmc
lientmreportsmfeelingmjitterymsometimesmwhenmtakingmthemdrugs,mandmdoesn’tmfeelmthatmthemdr
ugsmismalwaysmeffective.mWhichmactionmismoutsidemthemnursingmattendant’smscopemofmpractice
?
a. Askingmthemhospitalmclientmtomdemonstratemthemusemofmtheminhaler
b. Assessingmthemhospitalmclient’smexposuremtomtobaccomsmoke
c. Auscultatingmlungmsoundsmandmobtainingmvitalmsigns
d. Suggestingmthatmthemhospitalmclientmusem1mpuffmtomreducemsidemeffects
ACCURATEmANSWER:-m D

Reasoningm:-
>>>>Itmismnotmwithinmthemnursingmattendant’smscopemofmpracticemtomchangemthemdosemofmamdr
ugsmwithoutmanmorderfrommamprescriber.mAskingmthemhospitalmclientmtomdemonstrateminhalermu
semhelpsmthemnursingmattendantmtomevaluatemthemhospitalmclient’smabilitymtomadministermthemdr
ugsmproperlymandmismpartmofmthemnursingmattendant’smevaluation.
Assessingmtobaccomsmokemexposuremhelpsmthemnursingmattendantmdeterminemwhethermnondr
ugsmtherapies,msuchmasmokemavoidance,mcanmbemusedmasmanmadjunctmtomdrugsmtherapy.mPerf
ormingmamphysicalmassessmentmhelpsmthemnursingmattendantmevaluatemthemhospitalmclient’smre
sponsemtomthemdrugs.

POINTS:m 1

2. Ampostoperativemhospitalmclientmismbeingmdischargedmhomemwithmacetaminophen/hydrocodone
m[Norco]mformpain.mThemhospitalmclientmasksmthemnursingmattendantmaboutmusingmTylenolmformfe
ver.mWhichmstatementmbymthemnursingmattendantmismcorrect?
a. “Itmismnotmsafemtomtakemover-the-countermdrugsmwithmprescriptionmdrugs.”
b. “Takingmthemtwomdrugsmtogethermposesmamriskmofmdrugsmtoxicity.”
c. “Theremaremnomknownmdrugsminteractions,msomthismwillmbemsafe.”
d. “TylenolmandmNorcomaremdifferentmdrugs,msomtheremismnomriskmofmoverdose.”
ACCURATEmANSWER:-m B
Reasoningm:-
>>>>Tylenolmismthemtrademnamemandmacetaminophenmismthemgenericmnamemformthemsamemdrugs.
mItmismimportantmtomteachmhospitalmclientsmtombemawaremofmthemdifferent mnamesmformthemsamemdr

ugsmtomminimizemtheriskmofmoverdose.mOver-the-
counterm(OTC)mdrugsmandmprescriptionmdrugsmmaymbemtakenmtogethermunlessmsignificantmharmf
ulmdrugsminteractionsmarempossible.mEvenmthoughmnomdrugsminteractionsmarematmplayminmthismcas
e,mbothmdrugsmcontainmacetaminophen,mwhichmcouldmleadmtomtoxicity.

POINTS:m 1

3. Themnursingmattendantmismpreparingmtomcaremformamhospitalmclientmwhomwillmbemtakingmanmant
ihypertensivemdrugs.Whichmactionmbymthemnursingmattendantmismpartmofmthemassessmentmstepm
ofmthemnursingmprocess?
a. Askingmthemprescribermformanmordermtommonitormserummdrugsmlevels
b. Monitoringmthemhospitalmclientmformdrugsminteractionsmaftermgivingmthemdrugs
c. Questioningmthemhospitalmclientmaboutmover-the-countermdrugs