Lehne's Pharmacology for Nursing Care, 11th Edition Test Bank All Chapters (1-112) | A+ ULTIMATE GUIDE

TESTBANKLEHNE'S PHARMACOLOGYFORNURSING e




CARE, 11TH EDITION BY JACQUELINE BURCHUM,
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LAURA ROSENTHAL CHAPTER 1- 112|COMPLETE
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GUIDEA+ e e




Chapter 1: Orientation to Pharmacology
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eTest Bank
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MULTIPLE CHOICE e




1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
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the nurse will rely on knowledge of:
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a. clinical pharmacology. e


b. drug efficacy. e


c. pharmacokinetics.
d. pharmacotherapeutics.

ANS: D e


Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent e e e e e e e e e e e e e


conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
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Drug efficacy measures the extent to which a given drug causes an intended effect.
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Pharmacokinetics is the study of the impact of the body on a drug. e e e e e e e e e e e e




DIF: Cognitive Level: Comprehension REF: Four Basic Terms e e e e e


TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. What does it mean when a drug is described as easy to administer?
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a. It can be stored indefinitely without need for refrigeration.
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b. It does not interact significantly with other medications.
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c. It enhances patient adherence to the drug regimen.
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d. It is usually relatively inexpensive to produce.
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ANS: C e


A major benefit of drugs that are easy to administer is that patients taking them are more
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likely to comply with the drug regimen. Drugs that are easy to give may have the other
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attributes listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension e e


REF: Additional Properties of an Ideal Drug: Ease of
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AdministrationTOP: Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking
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is very effective. Which statement by the patient demonstrates an understanding of the
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drug‘s effectiveness?
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a. ―Idon‘t have to worryabout toxicity, since it takes a large amount of this drugto
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cause an overdose.‖
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b. ―It has no side effects and doesn‘t interact with other drugs.‖
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c. ―I only have to take it every12 hours.‖
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d. ―It might makemesleepy, and it lessens pain for several hours at a time.‖
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,ANS: D
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, A drug is effective if it produces the intended effects, even if it also produces side effects.
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Because no drug is completely safe, the level of toxicity does not determine effectiveness.
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All drugs have side effects and many react with other substances; these do not affect the
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drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension REF: Properties of an Ideal e e e e e e


Drug TOP: Nursing Process: Evaluation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE e




1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action e


b. Predictability
c. Ease of administration e e


d. Chemical stability e


e. A simple trade name e e e




ANS: B, C, D e e e


In addition to predictability, ease of administration, and chemical stability, other properties
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include a reversible action so that anyharm the drug may cause can be undone and a simple
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generic name, because generic names are usually complex and difficult to remember and
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pronounce.
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DIF: Cognitive Level: Comprehension e e


REF: Properties of an Ideal Drug | Additional Properties of an
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IdealDrug TOP:
e Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. Before administering a medication, what does the nurse need to know to evaluate how
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eindividual patient variabilitymight affect the patient‘s response to the medication? (Select
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all that apply.)
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a. Chemical stabilityof the medication e e e


b. Ease of administration e e


c. Family medical history e e


d. Patient‘s age e


e. Patient‘s diagnosis e




ANS: C, D, E e e e


The family medical history can indicate genetic factors that may affect a patient‘s response
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to a medication. Patients of different ages can respond differently to medications. The
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patient‘s illness can affect how drugs are metabolized. The chemical stabilityof the
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medication and the ease of administration are properties of drugs.
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DIF: Cognitive Level: Analysis REF: Sources of Individual e e e e e


Variation TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential e e e e e e e e e