PHARMACOLOGY
FOR NURSING
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CARE
11th EDITION BY
JACQUELINE
BURCHUM_LAURA
_ROSENTHAL
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Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
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 which topic? 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 conditions.
Clinical pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy
measures the extent to which a given drug causes an intended effect. Pharmacokinetics is the
study of the impact of the body on a drug.
PTS: 1
2. What is a desired outcome 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 more 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.
PTS: 1
3. A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will
decrease pain up to 4 hours at a time. Based on this understanding of the drug’s effects by the
patient, the nurse will anticipate which outcome? a. Decreased chance of having a placebo
effect
b. Decreased motivation to take the drug
c. Improved compliance with the drug regimen
d. Increased likelihood of drug overdose
ANS: C
A drug is effective if it produces the intended effects, even if it also produces side effects.
Patients who understand both the risks and benefits of taking a medication are more likely to
comply with the drug regimen.
PTS: 1
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MULTIPLE RESPONSE
1. What are considered the ‘Big Three’ properties of an ideal drug? (Select all that apply.) a.
Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
ANS: B, C, D
The ‘Big Three’ properties of the ideal drug are effectiveness, safety, and selectivity.
PTS: 1
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 patient’s
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
PTS: 1
Chapter 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
The patient reports feeling jittery sometimes when taking the medication, and doesn’t feel that
the medication is always effective. Which action is outside the nurse’s scope of practice? a.
Asking the patient to demonstrate the use of the inhaler
b. Assessing the patient’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use 1 puff to reduce side effects
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