Test Bank Lehne's Pharmacology for Nursing Care, 12th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter*1:*Orientation*to*Pharmacolog
y*Test*Bank
MULTIPLE*CHOICE
1. The*nurse*is*teaching*a*patient*how*a*medication*works*to*treat*an*illness.*To*do*this,
*the*nurse*will*rely*on*knowledge*of:
a. clinical*pharmacology.
b. drug*efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:* D
Pharmacotherapeutics*is*the*study*of*the*use*of*drugs*to*diagnose,*treat,*and*prevent*cond
itions.*Clinical*pharmacology*is*concerned*with*all*aspects*of*drug–
human*interactions.*Drug*efficacy*measures*the*extent*to*which*a*given*drug*causes*an*int
ended*effect.
Pharmacokinetics*is*the*study*of*the*impact*of*the*body*on*a*drug.
DIF: Cognitive*Level:*Comprehension
REF:*Four*Basic*Terms*TOP:* Nursing*Process:*Implement
ation
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
2. What*does*it*mean*when*a*drug*is*described*as*easy*to*administer?
a. It*can*be*stored*indefinitely*without*need*for*refrigeration.
b. It*does*not*interact*significantly*with*other*medications.
c. It*enhances*patient*adherence*to*the*drug*regimen.
d. It*is*usually*relatively*inexpensive*to*produce.
ANS:* C
A*major*benefit*of*drugs*that*are*easy*to*administer*is*that*patients*taking*them*are*m
ore*likely*to*comply*with*the*drug*regimen.*Drugs*that*are*easy*to*give*may*have*the*
other*attributes*listed,*but*those*properties*are*independent*of*ease*of*administration.
DIF: Cognitive*Level:*Comprehension
REF:*Additional*Properties*of*an*Ideal*Drug:*Ease*of*Administrati
on*TOP:* Nursing*Process:*Assessment
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
3. A*patient*tells*the*nurse*that*he*was*told*by*the*prescriber*that*the*analgesic*he*is*takin
g*is*very*effective.*Which*statement*by*the*patient*demonstrates*an*understanding*of*the
,*drug‘s*effectiveness?
a. ―I*don‘t*have*to*worry*about*toxicity,*since*it*takes*a*large*amount*of*this*dru
g*to*cause*an*overdose.‖
b. ―It*has*no*side*effects*and*doesn‘t*interact*with*other*drugs.‖
c. ―I*only*have* to* take* it* every*12* hours.‖
d. ―It*might*make*me*sleepy,*and*it*lessens*pain*for*several*hours*at*a*time.‖
,ANS:* D
, A*drug*is*effective*if*it*produces*the*intended*effects,*even*if*it*also*produces*side*effects.*
Because*no*drug*is*completely*safe,*the*level*of*toxicity*does*not*determine*effectiveness.*
All*drugs*have*side*effects*and*many*react*with*other*substances;*these*do*not*affect*the*dr
ug‘s*effectiveness.*Ease*of*administration*is*independent*of*a*drug‘s*effectiveness.
DIF: Cognitive*Level:*Comprehension
REF:*Properties*of*an*Ideal*Drug*TOP:* Nursing*Process:*Evaluatio
n
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
MULTIPLE*RESPONSE
1. What*are*the*properties*of*an*ideal*drug?*(Select*all*that*apply.)
a. Irreversible*action
b. Predictability
c. Ease*of*administration
d. Chemical*stability
e. A*simple*trade*name
ANS:* B,*C,*D
In*addition*to*predictability,*ease*of*administration,*and*chemical*stability,*other*properti
es*include*a*reversible*action*so*that*any*harm*the*drug*may*cause*can*be*undone*and*a*
simple*generic*name,*because*generic*names*are*usually*complex*and*difficult*to*remem
ber*and*pronounce.
DIF: Cognitive*Level:*Comprehension
REF:*Properties*of*an*Ideal*Drug*|*Additional*Properties*of*an*Ideal*D
rug*TOP:* Nursing*Process:*Assessment
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
2. Before*administering*a*medication,*what*does*the*nurse*need*to*know*to*evaluate*how
individual*patient*variability*might*affect*the*patient‘s*response*to*the*medication?*(Select*all*
that*apply.)
a. Chemical*stability*of*the*medication
b. Ease*of*administration
c. Family*medical*history
d. Patient‘s*age
e. Patient‘s*diagnosis
ANS:* C,*D,*E
The*family*medical*history*can*indicate*genetic*factors*that*may*affect*a*patient‘s*response
*to*a*medication.*Patients*of*different*ages*can*respond*differently*to*medications.*The*pati
ent‘s*illness*can*affect*how*drugs*are*metabolized.*The*chemical*stability*of*the*medicatio
n*and*the*ease*of*administration*are*properties*of*drugs.
DIF: Cognitive*Level:*Analysis
REF:*Sources*of*Individual*Variation*TOP:* Nursing*Process:*Implement
ation
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter*1:*Orientation*to*Pharmacolog
y*Test*Bank
MULTIPLE*CHOICE
1. The*nurse*is*teaching*a*patient*how*a*medication*works*to*treat*an*illness.*To*do*this,
*the*nurse*will*rely*on*knowledge*of:
a. clinical*pharmacology.
b. drug*efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:* D
Pharmacotherapeutics*is*the*study*of*the*use*of*drugs*to*diagnose,*treat,*and*prevent*cond
itions.*Clinical*pharmacology*is*concerned*with*all*aspects*of*drug–
human*interactions.*Drug*efficacy*measures*the*extent*to*which*a*given*drug*causes*an*int
ended*effect.
Pharmacokinetics*is*the*study*of*the*impact*of*the*body*on*a*drug.
DIF: Cognitive*Level:*Comprehension
REF:*Four*Basic*Terms*TOP:* Nursing*Process:*Implement
ation
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
2. What*does*it*mean*when*a*drug*is*described*as*easy*to*administer?
a. It*can*be*stored*indefinitely*without*need*for*refrigeration.
b. It*does*not*interact*significantly*with*other*medications.
c. It*enhances*patient*adherence*to*the*drug*regimen.
d. It*is*usually*relatively*inexpensive*to*produce.
ANS:* C
A*major*benefit*of*drugs*that*are*easy*to*administer*is*that*patients*taking*them*are*m
ore*likely*to*comply*with*the*drug*regimen.*Drugs*that*are*easy*to*give*may*have*the*
other*attributes*listed,*but*those*properties*are*independent*of*ease*of*administration.
DIF: Cognitive*Level:*Comprehension
REF:*Additional*Properties*of*an*Ideal*Drug:*Ease*of*Administrati
on*TOP:* Nursing*Process:*Assessment
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
3. A*patient*tells*the*nurse*that*he*was*told*by*the*prescriber*that*the*analgesic*he*is*takin
g*is*very*effective.*Which*statement*by*the*patient*demonstrates*an*understanding*of*the
,*drug‘s*effectiveness?
a. ―I*don‘t*have*to*worry*about*toxicity,*since*it*takes*a*large*amount*of*this*dru
g*to*cause*an*overdose.‖
b. ―It*has*no*side*effects*and*doesn‘t*interact*with*other*drugs.‖
c. ―I*only*have* to* take* it* every*12* hours.‖
d. ―It*might*make*me*sleepy,*and*it*lessens*pain*for*several*hours*at*a*time.‖
,ANS:* D
, A*drug*is*effective*if*it*produces*the*intended*effects,*even*if*it*also*produces*side*effects.*
Because*no*drug*is*completely*safe,*the*level*of*toxicity*does*not*determine*effectiveness.*
All*drugs*have*side*effects*and*many*react*with*other*substances;*these*do*not*affect*the*dr
ug‘s*effectiveness.*Ease*of*administration*is*independent*of*a*drug‘s*effectiveness.
DIF: Cognitive*Level:*Comprehension
REF:*Properties*of*an*Ideal*Drug*TOP:* Nursing*Process:*Evaluatio
n
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
MULTIPLE*RESPONSE
1. What*are*the*properties*of*an*ideal*drug?*(Select*all*that*apply.)
a. Irreversible*action
b. Predictability
c. Ease*of*administration
d. Chemical*stability
e. A*simple*trade*name
ANS:* B,*C,*D
In*addition*to*predictability,*ease*of*administration,*and*chemical*stability,*other*properti
es*include*a*reversible*action*so*that*any*harm*the*drug*may*cause*can*be*undone*and*a*
simple*generic*name,*because*generic*names*are*usually*complex*and*difficult*to*remem
ber*and*pronounce.
DIF: Cognitive*Level:*Comprehension
REF:*Properties*of*an*Ideal*Drug*|*Additional*Properties*of*an*Ideal*D
rug*TOP:* Nursing*Process:*Assessment
MSC:* NCLEX*Client*Needs*Category:*Physiologic*Integrity:*Pharmacologic*and*Parenteral*Therapie
s
2. Before*administering*a*medication,*what*does*the*nurse*need*to*know*to*evaluate*how
individual*patient*variability*might*affect*the*patient‘s*response*to*the*medication?*(Select*all*
that*apply.)
a. Chemical*stability*of*the*medication
b. Ease*of*administration
c. Family*medical*history
d. Patient‘s*age
e. Patient‘s*diagnosis
ANS:* C,*D,*E
The*family*medical*history*can*indicate*genetic*factors*that*may*affect*a*patient‘s*response
*to*a*medication.*Patients*of*different*ages*can*respond*differently*to*medications.*The*pati
ent‘s*illness*can*affect*how*drugs*are*metabolized.*The*chemical*stability*of*the*medicatio
n*and*the*ease*of*administration*are*properties*of*drugs.
DIF: Cognitive*Level:*Analysis
REF:*Sources*of*Individual*Variation*TOP:* Nursing*Process:*Implement
ation