Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
Chapter 1: Orientation to Pharmacology
zw zw zw zw zw
Test Bank
zw
MULTIPLE CHOICE zw
1. The nurse is teaching a patient how a medication works to treat an illness. To do thi
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
s, the nurse will rely on knowledge of:
zw zw zw zw zw zw zw
a. clinical pharmacology. zw
b. drug efficacy. zw
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D zw
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent con zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ditions. Clinical pharmacology is concerned with all aspects of drug–
zw zw zw zw zw zw zw zw zw
human interactions. Drug efficacy measures the extent to which a given drug causes an i
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ntended effect. zw
Pharmacokinetics is the study of the impact of the body on a drug. zw zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Four Basic Terms TOP: Nursing Process: Impleme
zw zw zw zw z w zw zw
ntation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. What zw does it mean when a drug is described as easy to administer?
zw zw zw zw zw zw zw zw zw zw zw
a. It zw can be stored indefinitely without need for refrigeration.
zw zw zw zw zw zw zw
b. It zw does not interact significantly with other medications.
zw zw zw zw zw zw
c. It zw enhances patient adherence to the drug regimen.
zw zw zw zw zw zw
d. It zw is usually relatively inexpensive to produce.
zw zw zw zw zw
ANS: C zw
A major benefit of drugs that are easy to administer is that patients taking them are more
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw z
likely to comply with the drug regimen. Drugs that are easy to give may have the other
w zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
attributes listed, but those properties are independent of ease of administration.
zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Additional Properties of an Ideal Drug: Ease of Administration
zw zw zw zw zw zw zw zw zw zw
TOP: Nursing Process: Assessment
z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taki
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ng is very effective. Which statement by the patient demonstrates an understanding of t
zw zw zw zw zw zw zw zw zw zw zw zw zw
he drug‘s effectiveness?
zw zw
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this dru
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
g to cause an overdose.‖
zw zw zw zw
b. ―It has no side effects and doesn‘t interact with other drugs.‖
zw zw zw zw zw zw zw zw zw zw
c. ―I only have to take it every 12 hours.‖
zw zw zw zw zw zw zw zw
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+
zw zw zw
ANS: D zw
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
A drug is effective if it produces the intended effects, even if it also produces side effect
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
s. Because no drug is completely safe, the level of toxicity does not determine effectivene
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ss. All drugs have side effects and many react with other substances; these do not affect
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
the drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluati
zw zw zw zw zw zw z w zw zw
on
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
MULTIPLE RESPONSE zw
1. What are the properties of an ideal drug? (Select all that apply.)
zw zw zw zw zw zw zw zw zw zw zw
a. Irreversible action zw
b. Predictability
c. Ease of administration zw zw
d. Chemical stability zw
e. A simple trade name zw zw zw
ANS: B, C, D zw zw zw
In addition to predictability, ease of administration, and chemical stability, other properti
zw zw zw zw zw zw zw zw zw zw zw
es include a reversible action so that any harm the drug may cause can be undone and a
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
simple generic name, because generic names are usually complex and difficult to remem
zw zw zw zw zw zw zw zw zw zw zw zw
ber and pronounce.
zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
zw zw zw zw zw zw zw zw zw zw zw zw
Drug TOP: Nursing Process: Assessment
zw z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. Before administering a medication, what does the nurse need to know to evaluate how
zw zw zw zw zw zw zw zw zw zw zw zw zw
individual patient variability might affect the patient‘s response to the medication? (Select
zw zw zw zw zw zw zw zw zw zw zw
all that apply.)
zw zw zw
a. Chemical stability of the medication zw zw zw zw
b. Ease of administration zw zw
c. Family medical history zw zw
d. Patient‘s age zw
e. Patient‘s diagnosis zw
ANS: C, D, E zw zw zw
The family medical history can indicate genetic factors that may affect a patient‘s respons
zw zw zw zw zw zw zw zw zw zw zw zw zw
e to a medication. Patients of different ages can respond differently to medications. The
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
patient‘s illness can affect how drugs are metabolized. The chemical stability of the medic
zw zw zw zw zw zw zw zw zw zw zw zw zw
ation and the ease of administration are properties of drugs.
zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Analysis zw zw
REF: Sources of Individual Variation TOP: Nursing Process: Impleme
zw zw zw zw zw z w zw zw
ntation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
z w zw zw zw zw zw zw zw zw zw
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
Chapter 2: Application of Pharmacology in Nursing Practice T
zw zw zw zw zw zw zw zw
est Bank
zw
MULTIPLE CHOICE zw
1. A patient is using a metered-
zw zw zw zw zw
dose inhaler containing albuterol for asthma. The medication label instructs the patient
zw zw zw zw zw zw zw zw zw zw zw
to administer ―2 puffs every 4 hours as needed for coughing or
zw zw zw zw zw zw zw zw zw zw zw zw
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and
zw zw zw zw zw zw zw zw zw zw zw z
wshe doesn‘t feel that the medication is always effective. Which is not an appropriate nur
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
sing intervention for this patient?
zw zw zw zw
a. Asking the patient to demonstrate use of the inhaler
zw zw zw zw zw zw zw zw
b. Assessing the patient‘s exposure to tobacco smoke zw zw zw zw zw zw
c. Auscultating lung sounds and obtaining vital signs zw zw zw zw zw zw
d. Suggesting that the patient use one puff to reduce side effects zw zw zw zw zw zw zw zw zw zw
ANS: D zw
It is not within the nurse‘s scope of practice to change the dose of a medication without
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
an order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
to
zw
evaluate the patient‘s ability to administer the medication properly and is part of the nurs
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
e‘s evaluation. Assessing tobacco smoke exposure helps the nurse determine whether no
zw zw zw zw zw zw zw zw zw zw zw
ndrug therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Per
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
forming a physical assessment helps the nurse evaluate the patient‘s response to the med
zw zw zw zw zw zw zw zw zw zw zw zw zw
ication.
DIF: Cognitive Level: Application zw zw
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [an
zw zw zw zw zw zw zw zw zw zw
d all subsections under this heading]
zw zw TOP: Nursing Process: Implementationzw zw zw z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lorta
zw zw zw zw zw zw zw zw zw
b) for pain. The patient asks the nurse about using Tylenol for fever. Which statement
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
by the nurse is correct?
zw zw zw zw
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
zw zw zw zw zw zw zw zw zw zw
b. ―Taking the two medications together poses a risk of drug toxicity.‖
zw zw zw zw zw zw zw zw zw zw
c. ―There are no known drug interactions, so this will be safe.‖
zw zw zw zw zw zw zw zw zw zw
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
zw zw zw zw zw zw zw zw zw zw zw zw
ANS: B zw
Tylenol is the trade name and acetaminophen is the generic name for the same medicatio
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
n. It is important to teach patients to be aware of the different names for the same drug to
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
minimize the risk of overdose. Over-the-
zw zw zw zw zw zw
counter (OTC) medications and prescription medications may be taken together unless sig
zw zw zw zw zw zw zw zw zw zw zw
nificant harmful drug interactions are possible. Even though no drug interactions are at pl
zw zw zw zw zw zw zw zw zw zw zw zw zw
ay in this case, both drugs contain acetaminophen, which could lead to toxicity.
zw zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Application zw zw
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
Chapter 1: Orientation to Pharmacology
zw zw zw zw zw
Test Bank
zw
MULTIPLE CHOICE zw
1. The nurse is teaching a patient how a medication works to treat an illness. To do thi
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
s, the nurse will rely on knowledge of:
zw zw zw zw zw zw zw
a. clinical pharmacology. zw
b. drug efficacy. zw
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D zw
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent con zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ditions. Clinical pharmacology is concerned with all aspects of drug–
zw zw zw zw zw zw zw zw zw
human interactions. Drug efficacy measures the extent to which a given drug causes an i
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ntended effect. zw
Pharmacokinetics is the study of the impact of the body on a drug. zw zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Four Basic Terms TOP: Nursing Process: Impleme
zw zw zw zw z w zw zw
ntation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. What zw does it mean when a drug is described as easy to administer?
zw zw zw zw zw zw zw zw zw zw zw
a. It zw can be stored indefinitely without need for refrigeration.
zw zw zw zw zw zw zw
b. It zw does not interact significantly with other medications.
zw zw zw zw zw zw
c. It zw enhances patient adherence to the drug regimen.
zw zw zw zw zw zw
d. It zw is usually relatively inexpensive to produce.
zw zw zw zw zw
ANS: C zw
A major benefit of drugs that are easy to administer is that patients taking them are more
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw z
likely to comply with the drug regimen. Drugs that are easy to give may have the other
w zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
attributes listed, but those properties are independent of ease of administration.
zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Additional Properties of an Ideal Drug: Ease of Administration
zw zw zw zw zw zw zw zw zw zw
TOP: Nursing Process: Assessment
z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taki
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ng is very effective. Which statement by the patient demonstrates an understanding of t
zw zw zw zw zw zw zw zw zw zw zw zw zw
he drug‘s effectiveness?
zw zw
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this dru
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
g to cause an overdose.‖
zw zw zw zw
b. ―It has no side effects and doesn‘t interact with other drugs.‖
zw zw zw zw zw zw zw zw zw zw
c. ―I only have to take it every 12 hours.‖
zw zw zw zw zw zw zw zw
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+
zw zw zw
ANS: D zw
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
A drug is effective if it produces the intended effects, even if it also produces side effect
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
s. Because no drug is completely safe, the level of toxicity does not determine effectivene
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
ss. All drugs have side effects and many react with other substances; these do not affect
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
the drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluati
zw zw zw zw zw zw z w zw zw
on
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
MULTIPLE RESPONSE zw
1. What are the properties of an ideal drug? (Select all that apply.)
zw zw zw zw zw zw zw zw zw zw zw
a. Irreversible action zw
b. Predictability
c. Ease of administration zw zw
d. Chemical stability zw
e. A simple trade name zw zw zw
ANS: B, C, D zw zw zw
In addition to predictability, ease of administration, and chemical stability, other properti
zw zw zw zw zw zw zw zw zw zw zw
es include a reversible action so that any harm the drug may cause can be undone and a
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
simple generic name, because generic names are usually complex and difficult to remem
zw zw zw zw zw zw zw zw zw zw zw zw
ber and pronounce.
zw zw
DIF: Cognitive Level: Comprehension zw zw
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
zw zw zw zw zw zw zw zw zw zw zw zw
Drug TOP: Nursing Process: Assessment
zw z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. Before administering a medication, what does the nurse need to know to evaluate how
zw zw zw zw zw zw zw zw zw zw zw zw zw
individual patient variability might affect the patient‘s response to the medication? (Select
zw zw zw zw zw zw zw zw zw zw zw
all that apply.)
zw zw zw
a. Chemical stability of the medication zw zw zw zw
b. Ease of administration zw zw
c. Family medical history zw zw
d. Patient‘s age zw
e. Patient‘s diagnosis zw
ANS: C, D, E zw zw zw
The family medical history can indicate genetic factors that may affect a patient‘s respons
zw zw zw zw zw zw zw zw zw zw zw zw zw
e to a medication. Patients of different ages can respond differently to medications. The
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
patient‘s illness can affect how drugs are metabolized. The chemical stability of the medic
zw zw zw zw zw zw zw zw zw zw zw zw zw
ation and the ease of administration are properties of drugs.
zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Analysis zw zw
REF: Sources of Individual Variation TOP: Nursing Process: Impleme
zw zw zw zw zw z w zw zw
ntation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
z w zw zw zw zw zw zw zw zw zw
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Edi
zw zw zw zw zw zw zw zw
tion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
zw zw zw zw zw zw zw
112|Complete Guide A+ zw zw zw
Chapter 2: Application of Pharmacology in Nursing Practice T
zw zw zw zw zw zw zw zw
est Bank
zw
MULTIPLE CHOICE zw
1. A patient is using a metered-
zw zw zw zw zw
dose inhaler containing albuterol for asthma. The medication label instructs the patient
zw zw zw zw zw zw zw zw zw zw zw
to administer ―2 puffs every 4 hours as needed for coughing or
zw zw zw zw zw zw zw zw zw zw zw zw
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and
zw zw zw zw zw zw zw zw zw zw zw z
wshe doesn‘t feel that the medication is always effective. Which is not an appropriate nur
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
sing intervention for this patient?
zw zw zw zw
a. Asking the patient to demonstrate use of the inhaler
zw zw zw zw zw zw zw zw
b. Assessing the patient‘s exposure to tobacco smoke zw zw zw zw zw zw
c. Auscultating lung sounds and obtaining vital signs zw zw zw zw zw zw
d. Suggesting that the patient use one puff to reduce side effects zw zw zw zw zw zw zw zw zw zw
ANS: D zw
It is not within the nurse‘s scope of practice to change the dose of a medication without
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
an order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
to
zw
evaluate the patient‘s ability to administer the medication properly and is part of the nurs
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
e‘s evaluation. Assessing tobacco smoke exposure helps the nurse determine whether no
zw zw zw zw zw zw zw zw zw zw zw
ndrug therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Per
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
forming a physical assessment helps the nurse evaluate the patient‘s response to the med
zw zw zw zw zw zw zw zw zw zw zw zw zw
ication.
DIF: Cognitive Level: Application zw zw
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [an
zw zw zw zw zw zw zw zw zw zw
d all subsections under this heading]
zw zw TOP: Nursing Process: Implementationzw zw zw z w zw zw
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z w zw zw zw zw zw zw zw zw zw
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lorta
zw zw zw zw zw zw zw zw zw
b) for pain. The patient asks the nurse about using Tylenol for fever. Which statement
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
by the nurse is correct?
zw zw zw zw
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
zw zw zw zw zw zw zw zw zw zw
b. ―Taking the two medications together poses a risk of drug toxicity.‖
zw zw zw zw zw zw zw zw zw zw
c. ―There are no known drug interactions, so this will be safe.‖
zw zw zw zw zw zw zw zw zw zw
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
zw zw zw zw zw zw zw zw zw zw zw zw
ANS: B zw
Tylenol is the trade name and acetaminophen is the generic name for the same medicatio
zw zw zw zw zw zw zw zw zw zw zw zw zw zw
n. It is important to teach patients to be aware of the different names for the same drug to
zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw zw
minimize the risk of overdose. Over-the-
zw zw zw zw zw zw
counter (OTC) medications and prescription medications may be taken together unless sig
zw zw zw zw zw zw zw zw zw zw zw
nificant harmful drug interactions are possible. Even though no drug interactions are at pl
zw zw zw zw zw zw zw zw zw zw zw zw zw
ay in this case, both drugs contain acetaminophen, which could lead to toxicity.
zw zw zw zw zw zw zw zw zw zw zw zw
DIF: Cognitive Level: Application zw zw
