Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
Chapter 1: Orientation to Pharmacology
v v v v v
Test Bank
v v v
v
MULTIPLEvCHOICEv
v
1. Thevnursevisvteachingvavpatientvhowvavmedicationvworksvtovtreatvanvillness.vTovdovthis,vthevnursev
willvrelyvonvknowledgevof:va.vclinicalvpharmacology.v
b. drugvefficacy.v
c. pharmacokinetics.v
d. pharmacotherapeutics.v
ANS:vDv
Pharmacotherapeuticsvisvthevstudyvofvthevusevofvdrugsvtovdiagnose,vtreat,vandvpreventvconditions.
vClinicalvpharmacologyvisvconcernedvwithvallvaspectsvofvdrug–humanvinteractions.v
Drugvefficacyvmeasuresvthevextentvtovwhichvavgivenvdrugvcausesvanvintendedveffect.vPharmacoki
neticsvisvthevstudyvofvthevimpactvofvthevbodyvonvavdrug.v
v
DIF:vCognitivevLevel:vComprehensionv REF:vFourvBasicvTermsv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2. Whatvdoesvitvmeanvwhenvavdrugvisvdescribedvasveasyvtovadminister?v
a. Itvcanvbevstoredvindefinitelyvwithoutvneedvforvrefrigeration.v
b. Itvdoesvnotvinteractvsignificantlyvwithvothervmedications.v
c. Itvenhancesvpatientvadherencevtovthevdrugvregimen.v
d. Itvisvusuallyvrelativelyvinexpensivevtovproduce.v
ANS:vCv
Avmajorvbenefitvofvdrugsvthatvareveasyvtovadministervisvthatvpatientsvtakingvthemvarevmorevlikelyvt
ovcomplyvwithvthevdrugvregimen.vDrugsvthatvareveasyvtovgivevmayvhavevthevothervattributesvlisted
,vbutvthosevpropertiesvarevindependentvofveasevofvadministration.v
v
DIF:vCognitivevLevel:vComprehensionv
REF:vAdditionalvPropertiesvofvanvIdealvDrug:vEasevofvAdministrationv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
3. Avpatientvtellsvthevnursevthatvhevwasvtoldvbyvthevprescribervthatvthevanalgesicvhevisvtakingvisvveryv
effective.vWhichvstatementvbyvthevpatientvdemonstratesvanvunderstandingvofvthevdrug‘sveffective
ness?v
a. ―Ivdon‘tvhavevtovworryvaboutvtoxicity,vsincevitvtakesvavlargevamountvofvthisvdrugvtovcausevanv
overdose.‖v
b. ―Itvhasvnovsideveffectsvandvdoesn‘tvinteractvwithvothervdrugs.‖v
c. ―Ivonlyvhavevtovtakevitveveryv12vhours.‖v
d. ―Itvmightvmakevmevsleepy,vandvitvlessensvpainvforvseveralvhoursvatvavtime.‖v
ANS:vDv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
Avdrugvisveffectivevifvitvproducesvthevintendedveffects,vevenvifvitvalsovproducesvsideveffects.vBeca
usevnovdrugvisvcompletelyvsafe,vthevlevelvofvtoxicityvdoesvnotvdetermineveffectiveness.vAllvdrugsv
havevsideveffectsvandvmanyvreactvwithvothervsubstances;vthesevdovnotvaffectvthevdrug‘sveffectiven
ess.vEasevofvadministrationvisvindependentvofvavdrug‘sveffectiveness.v
v
DIF:vCognitivevLevel:vComprehensionv REF:vPropertiesvofvanvIdealvDrugv
TOP:vNursingvProcess:vEvaluationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
MULTIPLEvRESPONSEv
v
1. Whatvarevthevpropertiesvofvanvidealvdrug?v(Selectvallvthatvapply.)v
a. Irreversiblevactionv
b. Predictabilityv
c. Easevofvadministrationv
d. Chemicalvstabilityv
e. Avsimplevtradevnamev
ANS:vB,vC,vDv
Invadditionvtovpredictability,veasevofvadministration,vandvchemicalvstability,vothervpropertiesvincl
udevavreversiblevactionvsovthatvanyvharmvthevdrugvmayvcausevcanvbevundonevandvavsimplevgeneric
vname,vbecausevgenericvnamesvarevusuallyvcomplex vandvdifficultvtovremembervandvpronounce.v
v
DIF:vCognitivevLevel:vComprehensionv
REF:vPropertiesvofvanvIdealvDrugv|vAdditionalvPropertiesvofvanvIdealvDrugv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2. Beforevadministeringvavmedication,vwhatvdoesvthevnursevneedvtovknowvtovevaluatevhowvindividu
alvpatientvvariabilityvmightvaffectvthevpatient‘svresponsevtovthevmedication?v(Selectvallvthatvapply
.)v
a. Chemicalvstabilityvofvthevmedicationv
b. Easevofvadministrationv
c. Familyvmedicalvhistoryv
d. Patient‘svagev
e. Patient‘svdiagnosisv
ANS:vC,vD,vEv
Thevfamilyvmedicalvhistoryvcanvindicatevgeneticvfactorsvthatvmayvaffectvavpatient‘svresponsevtovav
medication.vPatientsvofvdifferentvagesvcanvrespondvdifferentlyvtovmedications.vThevpatient‘svillne
ssvcanvaffectvhowvdrugsvarevmetabolized.vThevchemicalvstabilityvofvthevmedicationvandvtheveasev
ofvadministrationvarevpropertiesvofvdrugs.v
v
DIF:vCognitivevLevel:vAnalysisv REF:vSourcesvofvIndividualvVariationv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
Chapter 2: Application of Pharmacology in Nursing Practice
v v v v v v v v
Test Bank
v v v
v
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
MULTIPLEvCHOICEv
v
1.vAvpatientvisvusingvavmetered-
dosevinhalervcontainingvalbuterolvforvasthma.vThevmedicationvlabelvinstructsvthevpatientvtovadmi
nisterv―2vpuffsveveryv4vhoursvasvneededvforvcoughingvorvwheezing.‖vThevpatientvreportsvfeelingv
jitteryvsometimesvwhenvtakingvthevmedication,vandvshevdoesn‘tvfeelvthatvthevmedicationvisvalway
sveffective.vWhichvisvnotvanvappropriatevnursingvinterventionvforvthisvpatient?v
a. Askingvthevpatientvtovdemonstratevusevofvthevinhalerv
b. Assessingvthevpatient‘svexposurevtovtobaccovsmokev
c. Auscultatingvlungvsoundsvandvobtainingvvitalvsignsv
d. Suggestingvthatvthevpatientvusevonevpuffvtovreducevsideveffectsv
ANS:vDv
Itvisvnotvwithinvthevnurse‘svscopevofvpracticevtovchangevthevdosevofvavmedicationvwithoutvanvorder
vfromvavprescriber.vAskingvthevpatientvtovdemonstratevinhalervusevhelps vthevnursevtovevaluatevthev
patient‘svabilityvtovadministervthevmedicationvproperlyvandvisvpartvofvthevnurse‘svevaluation.vAss
essingvtobaccovsmokevexposurevhelpsvthevnursevdeterminevwhethervnondrugvtherapies,vsuchvavs
mokevavoidance,vcanvbevusedvasvanvadjunctvtovdrugvtherapy.vPerformingvavphysicalvassessmentvh
elpsvthevnursevevaluatevthevpatient‘svresponsevtovthevmedication.v
v
DIF:vCognitivevLevel:vApplicationv
REF:vApplyingvthevNursingvProcessvinvDrugvTherapy:vPreadministrationvAssessmentv[andvallvsubsectio
nsvundervthisvheading]v TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2.vAvpostoperativevpatientvisvbeingvdischargedvhomevwithvacetaminophen/hydrocodonev(Lortab)vfor
vpain.vThevpatientvasksvthevnursevaboutvusingvTylenolvforvfever.vWhichvstatementvbyvthevnursevisv
correct?v
a. ―Itvisvnotvsafevtovtakevover-the-countervdrugsvwithvprescriptionvmedications.‖v
b. ―Takingvthevtwovmedicationsvtogethervposesvavriskvofvdrugvtoxicity.‖v
c. ―Therevarevnovknownvdrugvinteractions,vsovthisvwillvbevsafe.‖v
d. ―TylenolvandvLortabvarevdifferentvdrugs,vsovtherevisvnovriskvofvoverdose.‖v
ANS:vBv
Tylenolvisvthevtradevnamevandvacetaminophenvisvthevgenericvnamevforvthevsamevmedication.vItvisv
importantvtovteachvpatientsvtovbevawarevofvthevdifferentvnamesvforvthevsamevdrugvtovminimizevthe
vriskvofvoverdose.vOver-the-
counterv(OTC)vmedicationsvandvprescriptionvmedicationsvmayvbevtakenvtogethervunlessvsignific
antvharmfulvdrugvinteractionsvarevpossible.vEvenvthoughvnovdrugvinteractionsvarevatvplayvinvthisvc
ase,vbothvdrugsvcontainvacetaminophen,vwhichvcouldvleadvtovtoxicity.v
v
DIF:vCognitivevLevel:vApplicationv
REF:vApplicationvofvPharmacologyvinvPatientvEducation:vDosagevandvAdministrationv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
3. Thevnursevisvpreparingvtovcarevforvavpatientvwhovwillvbevtakingvanvantihypertensivevmedication.v
Whichvactionvbyvthevnursevisvpartvofvthevassessmentvstepvofvthevnursingvprocess?va.v
Askingvthevprescribervforvanvordervtovmonitorvserumvdrugvlevelsv
b. Monitoringvthevpatientvforvdrugvinteractionsvaftervgivingvthevmedicationv
c. Questioningvthevpatientvaboutvover-the-countervmedicationsv
d. Takingvthevpatient‘svbloodvpressurevthroughoutvthevcoursevofvtreatmentv
ANS:vCv
Thevassessmentvpartvofvthevnursingvprocessvinvolvesvgatheringvinformationvbeforevbeginningvtre
atment,vandvthisvincludesvaskingvaboutvothervmedicationsvthevpatientvmayvbevtaking.vMonitoringv
serumvdrugvlevels,vwatchingvforvdrugvinteractions,vandvcheckingvvitalvsignsvaftervgivingvthevmed
icationvarevallvpartvofvthevevaluationvphase.v
v
DIF:vCognitivevLevel:vApplicationv REF:vPreadministrationvAssessmentv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
v
4. Avpostoperativevpatientvreportsvpain,vwhichvthevpatientvratesvasvanv8vonvavscalevfromv1vtov10v(10vb
eingvthevmostvextremevpain).vThevprescribervhasvorderedvacetaminophenv(Tylenol)v650vmgvPOve
veryv6vhoursvPRNvpain.vWhatvwillvthevnursevdo?v
a. Askvthevpatientvwhatvmedicationsvhavevhelpedvwithvpainvinvthevpast.v
b. Contactvthevprovidervtovrequestvavdifferentvanalgesicvmedication.v
c. Givevthevpainvmedicationvandvrepositionvthevpatientvtovpromotevcomfort.v
d. Requestvanvordervtovadministervthevmedicationveveryv4vhours.v
ANS:vBv
Thevnursingvdiagnosisvforvthisvpatientvisvseverevpain.vAcetaminophenvisvgivenvforvmildvtovmoder
atevpain,vsovthevnursevshouldvaskvthevprescribervtovordervavstrongervanalgesicvmedication.vAsking
vthevpatient vtovtellvthevnursevwhatvhasvhelpedvinvthevpastvisvavpartvofvanvinitial vassessmentvandvsho
uldvbevdonevpreoperativelyvandvnotvwhenvthevpatientvisvhavingvseverevpain.vBecausevthevpatientvi
svhavingvseverevpain,vacetaminophenvcombinedvwithvnondrugvtherapiesvwillvnotvbevsufficient.vIn
creasingvthevfrequencyvofvthevdosevofvavmedicationvforvmildvpainvwillvnotvbeveffective.v
v
DIF:vCognitivevLevel:vAnalysisv REF:vAnalysisvandvNursingvDiagnosisv
TOP:vNursingvProcess:vDiagnosisv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
5. Avpatientvnewlyvdiagnosedvwithvdiabetesvisvtovbevdischargedvfromvthevhospital.vThevnursevteachi
ngvthisvpatientvaboutvhomevmanagementvshouldvbeginvbyvdoingvwhat?v
a. Askingvthevpatientvtovdemonstratevhowvtovmeasurevandvadministervinsulinv
b. Discussingvmethodsvofvstoringvinsulinvandvdiscardingvsyringesv
c. Givingvinformationvaboutvhowvdietvandvexercisevaffectvinsulinvrequirementsv
d. Teachingvthevpatientvaboutvthevlong-termvconsequencesvofvpoorvdiabetesvcontrolv
ANS:vAv
Becausevinsulinvmustvbevgivenvcorrectlyvtovcontrolvsymptomsvandvbecausevanvoverdosevcanvbevfa
tal,vitvisvmostvimportantvforvthevpatientvtovknowvhowvtovadministervit.vAskingvforvavdemonstration
vofvtechniquevisvthevbestvwayvtovdeterminevwhethervthevpatientvhasvunderstood vthevteaching.vWhe
nvavpatientvisvreceivingvavlotvofvnewvinformation,vthevinformationvpresentedvfirstvisvthevmostvlikel
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
Chapter 1: Orientation to Pharmacology
v v v v v
Test Bank
v v v
v
MULTIPLEvCHOICEv
v
1. Thevnursevisvteachingvavpatientvhowvavmedicationvworksvtovtreatvanvillness.vTovdovthis,vthevnursev
willvrelyvonvknowledgevof:va.vclinicalvpharmacology.v
b. drugvefficacy.v
c. pharmacokinetics.v
d. pharmacotherapeutics.v
ANS:vDv
Pharmacotherapeuticsvisvthevstudyvofvthevusevofvdrugsvtovdiagnose,vtreat,vandvpreventvconditions.
vClinicalvpharmacologyvisvconcernedvwithvallvaspectsvofvdrug–humanvinteractions.v
Drugvefficacyvmeasuresvthevextentvtovwhichvavgivenvdrugvcausesvanvintendedveffect.vPharmacoki
neticsvisvthevstudyvofvthevimpactvofvthevbodyvonvavdrug.v
v
DIF:vCognitivevLevel:vComprehensionv REF:vFourvBasicvTermsv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2. Whatvdoesvitvmeanvwhenvavdrugvisvdescribedvasveasyvtovadminister?v
a. Itvcanvbevstoredvindefinitelyvwithoutvneedvforvrefrigeration.v
b. Itvdoesvnotvinteractvsignificantlyvwithvothervmedications.v
c. Itvenhancesvpatientvadherencevtovthevdrugvregimen.v
d. Itvisvusuallyvrelativelyvinexpensivevtovproduce.v
ANS:vCv
Avmajorvbenefitvofvdrugsvthatvareveasyvtovadministervisvthatvpatientsvtakingvthemvarevmorevlikelyvt
ovcomplyvwithvthevdrugvregimen.vDrugsvthatvareveasyvtovgivevmayvhavevthevothervattributesvlisted
,vbutvthosevpropertiesvarevindependentvofveasevofvadministration.v
v
DIF:vCognitivevLevel:vComprehensionv
REF:vAdditionalvPropertiesvofvanvIdealvDrug:vEasevofvAdministrationv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
3. Avpatientvtellsvthevnursevthatvhevwasvtoldvbyvthevprescribervthatvthevanalgesicvhevisvtakingvisvveryv
effective.vWhichvstatementvbyvthevpatientvdemonstratesvanvunderstandingvofvthevdrug‘sveffective
ness?v
a. ―Ivdon‘tvhavevtovworryvaboutvtoxicity,vsincevitvtakesvavlargevamountvofvthisvdrugvtovcausevanv
overdose.‖v
b. ―Itvhasvnovsideveffectsvandvdoesn‘tvinteractvwithvothervdrugs.‖v
c. ―Ivonlyvhavevtovtakevitveveryv12vhours.‖v
d. ―Itvmightvmakevmevsleepy,vandvitvlessensvpainvforvseveralvhoursvatvavtime.‖v
ANS:vDv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
Avdrugvisveffectivevifvitvproducesvthevintendedveffects,vevenvifvitvalsovproducesvsideveffects.vBeca
usevnovdrugvisvcompletelyvsafe,vthevlevelvofvtoxicityvdoesvnotvdetermineveffectiveness.vAllvdrugsv
havevsideveffectsvandvmanyvreactvwithvothervsubstances;vthesevdovnotvaffectvthevdrug‘sveffectiven
ess.vEasevofvadministrationvisvindependentvofvavdrug‘sveffectiveness.v
v
DIF:vCognitivevLevel:vComprehensionv REF:vPropertiesvofvanvIdealvDrugv
TOP:vNursingvProcess:vEvaluationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
MULTIPLEvRESPONSEv
v
1. Whatvarevthevpropertiesvofvanvidealvdrug?v(Selectvallvthatvapply.)v
a. Irreversiblevactionv
b. Predictabilityv
c. Easevofvadministrationv
d. Chemicalvstabilityv
e. Avsimplevtradevnamev
ANS:vB,vC,vDv
Invadditionvtovpredictability,veasevofvadministration,vandvchemicalvstability,vothervpropertiesvincl
udevavreversiblevactionvsovthatvanyvharmvthevdrugvmayvcausevcanvbevundonevandvavsimplevgeneric
vname,vbecausevgenericvnamesvarevusuallyvcomplex vandvdifficultvtovremembervandvpronounce.v
v
DIF:vCognitivevLevel:vComprehensionv
REF:vPropertiesvofvanvIdealvDrugv|vAdditionalvPropertiesvofvanvIdealvDrugv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2. Beforevadministeringvavmedication,vwhatvdoesvthevnursevneedvtovknowvtovevaluatevhowvindividu
alvpatientvvariabilityvmightvaffectvthevpatient‘svresponsevtovthevmedication?v(Selectvallvthatvapply
.)v
a. Chemicalvstabilityvofvthevmedicationv
b. Easevofvadministrationv
c. Familyvmedicalvhistoryv
d. Patient‘svagev
e. Patient‘svdiagnosisv
ANS:vC,vD,vEv
Thevfamilyvmedicalvhistoryvcanvindicatevgeneticvfactorsvthatvmayvaffectvavpatient‘svresponsevtovav
medication.vPatientsvofvdifferentvagesvcanvrespondvdifferentlyvtovmedications.vThevpatient‘svillne
ssvcanvaffectvhowvdrugsvarevmetabolized.vThevchemicalvstabilityvofvthevmedicationvandvtheveasev
ofvadministrationvarevpropertiesvofvdrugs.v
v
DIF:vCognitivevLevel:vAnalysisv REF:vSourcesvofvIndividualvVariationv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
Chapter 2: Application of Pharmacology in Nursing Practice
v v v v v v v v
Test Bank
v v v
v
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
MULTIPLEvCHOICEv
v
1.vAvpatientvisvusingvavmetered-
dosevinhalervcontainingvalbuterolvforvasthma.vThevmedicationvlabelvinstructsvthevpatientvtovadmi
nisterv―2vpuffsveveryv4vhoursvasvneededvforvcoughingvorvwheezing.‖vThevpatientvreportsvfeelingv
jitteryvsometimesvwhenvtakingvthevmedication,vandvshevdoesn‘tvfeelvthatvthevmedicationvisvalway
sveffective.vWhichvisvnotvanvappropriatevnursingvinterventionvforvthisvpatient?v
a. Askingvthevpatientvtovdemonstratevusevofvthevinhalerv
b. Assessingvthevpatient‘svexposurevtovtobaccovsmokev
c. Auscultatingvlungvsoundsvandvobtainingvvitalvsignsv
d. Suggestingvthatvthevpatientvusevonevpuffvtovreducevsideveffectsv
ANS:vDv
Itvisvnotvwithinvthevnurse‘svscopevofvpracticevtovchangevthevdosevofvavmedicationvwithoutvanvorder
vfromvavprescriber.vAskingvthevpatientvtovdemonstratevinhalervusevhelps vthevnursevtovevaluatevthev
patient‘svabilityvtovadministervthevmedicationvproperlyvandvisvpartvofvthevnurse‘svevaluation.vAss
essingvtobaccovsmokevexposurevhelpsvthevnursevdeterminevwhethervnondrugvtherapies,vsuchvavs
mokevavoidance,vcanvbevusedvasvanvadjunctvtovdrugvtherapy.vPerformingvavphysicalvassessmentvh
elpsvthevnursevevaluatevthevpatient‘svresponsevtovthevmedication.v
v
DIF:vCognitivevLevel:vApplicationv
REF:vApplyingvthevNursingvProcessvinvDrugvTherapy:vPreadministrationvAssessmentv[andvallvsubsectio
nsvundervthisvheading]v TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
2.vAvpostoperativevpatientvisvbeingvdischargedvhomevwithvacetaminophen/hydrocodonev(Lortab)vfor
vpain.vThevpatientvasksvthevnursevaboutvusingvTylenolvforvfever.vWhichvstatementvbyvthevnursevisv
correct?v
a. ―Itvisvnotvsafevtovtakevover-the-countervdrugsvwithvprescriptionvmedications.‖v
b. ―Takingvthevtwovmedicationsvtogethervposesvavriskvofvdrugvtoxicity.‖v
c. ―Therevarevnovknownvdrugvinteractions,vsovthisvwillvbevsafe.‖v
d. ―TylenolvandvLortabvarevdifferentvdrugs,vsovtherevisvnovriskvofvoverdose.‖v
ANS:vBv
Tylenolvisvthevtradevnamevandvacetaminophenvisvthevgenericvnamevforvthevsamevmedication.vItvisv
importantvtovteachvpatientsvtovbevawarevofvthevdifferentvnamesvforvthevsamevdrugvtovminimizevthe
vriskvofvoverdose.vOver-the-
counterv(OTC)vmedicationsvandvprescriptionvmedicationsvmayvbevtakenvtogethervunlessvsignific
antvharmfulvdrugvinteractionsvarevpossible.vEvenvthoughvnovdrugvinteractionsvarevatvplayvinvthisvc
ase,vbothvdrugsvcontainvacetaminophen,vwhichvcouldvleadvtovtoxicity.v
v
DIF:vCognitivevLevel:vApplicationv
REF:vApplicationvofvPharmacologyvinvPatientvEducation:vDosagevandvAdministrationv
TOP:vNursingvProcess:vImplementationv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
v v v v v v v v
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1
v v v v v v v
v
112|Complete Guide A+ v v v
3. Thevnursevisvpreparingvtovcarevforvavpatientvwhovwillvbevtakingvanvantihypertensivevmedication.v
Whichvactionvbyvthevnursevisvpartvofvthevassessmentvstepvofvthevnursingvprocess?va.v
Askingvthevprescribervforvanvordervtovmonitorvserumvdrugvlevelsv
b. Monitoringvthevpatientvforvdrugvinteractionsvaftervgivingvthevmedicationv
c. Questioningvthevpatientvaboutvover-the-countervmedicationsv
d. Takingvthevpatient‘svbloodvpressurevthroughoutvthevcoursevofvtreatmentv
ANS:vCv
Thevassessmentvpartvofvthevnursingvprocessvinvolvesvgatheringvinformationvbeforevbeginningvtre
atment,vandvthisvincludesvaskingvaboutvothervmedicationsvthevpatientvmayvbevtaking.vMonitoringv
serumvdrugvlevels,vwatchingvforvdrugvinteractions,vandvcheckingvvitalvsignsvaftervgivingvthevmed
icationvarevallvpartvofvthevevaluationvphase.v
v
DIF:vCognitivevLevel:vApplicationv REF:vPreadministrationvAssessmentv
TOP:vNursingvProcess:vAssessmentv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotentialv
v
4. Avpostoperativevpatientvreportsvpain,vwhichvthevpatientvratesvasvanv8vonvavscalevfromv1vtov10v(10vb
eingvthevmostvextremevpain).vThevprescribervhasvorderedvacetaminophenv(Tylenol)v650vmgvPOve
veryv6vhoursvPRNvpain.vWhatvwillvthevnursevdo?v
a. Askvthevpatientvwhatvmedicationsvhavevhelpedvwithvpainvinvthevpast.v
b. Contactvthevprovidervtovrequestvavdifferentvanalgesicvmedication.v
c. Givevthevpainvmedicationvandvrepositionvthevpatientvtovpromotevcomfort.v
d. Requestvanvordervtovadministervthevmedicationveveryv4vhours.v
ANS:vBv
Thevnursingvdiagnosisvforvthisvpatientvisvseverevpain.vAcetaminophenvisvgivenvforvmildvtovmoder
atevpain,vsovthevnursevshouldvaskvthevprescribervtovordervavstrongervanalgesicvmedication.vAsking
vthevpatient vtovtellvthevnursevwhatvhasvhelpedvinvthevpastvisvavpartvofvanvinitial vassessmentvandvsho
uldvbevdonevpreoperativelyvandvnotvwhenvthevpatientvisvhavingvseverevpain.vBecausevthevpatientvi
svhavingvseverevpain,vacetaminophenvcombinedvwithvnondrugvtherapiesvwillvnotvbevsufficient.vIn
creasingvthevfrequencyvofvthevdosevofvavmedicationvforvmildvpainvwillvnotvbeveffective.v
v
DIF:vCognitivevLevel:vAnalysisv REF:vAnalysisvandvNursingvDiagnosisv
TOP:vNursingvProcess:vDiagnosisv
MSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapiesv
v
5. Avpatientvnewlyvdiagnosedvwithvdiabetesvisvtovbevdischargedvfromvthevhospital.vThevnursevteachi
ngvthisvpatientvaboutvhomevmanagementvshouldvbeginvbyvdoingvwhat?v
a. Askingvthevpatientvtovdemonstratevhowvtovmeasurevandvadministervinsulinv
b. Discussingvmethodsvofvstoringvinsulinvandvdiscardingvsyringesv
c. Givingvinformationvaboutvhowvdietvandvexercisevaffectvinsulinvrequirementsv
d. Teachingvthevpatientvaboutvthevlong-termvconsequencesvofvpoorvdiabetesvcontrolv
ANS:vAv
Becausevinsulinvmustvbevgivenvcorrectlyvtovcontrolvsymptomsvandvbecausevanvoverdosevcanvbevfa
tal,vitvisvmostvimportantvforvthevpatientvtovknowvhowvtovadministervit.vAskingvforvavdemonstration
vofvtechniquevisvthevbestvwayvtovdeterminevwhethervthevpatientvhasvunderstood vthevteaching.vWhe
nvavpatientvisvreceivingvavlotvofvnewvinformation,vthevinformationvpresentedvfirstvisvthevmostvlikel
