test-bank-lehnes-pharmacology-for-nursing-care-12th-e dition-by-jacqueline-burchum-laura-rosenthal- chapter-1-112complete-guide ISBN: 9780323370004

TestBank .o




Lehne'sPharmacologyforNursingCare,11thEdition by
.o .o .o .o .o .o .o .o




Jacqueline Burchum, Laura Rosenthal
.o .o .o .o




Chapter1:OrientationtoPharmacology Test
.o .o .o .o .o




Bank
.o




MULTIPLECHOICE .o




1. Thenurse is teachinga patient how a medication works to treat an illness. To do this, the nurse
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




.o will rely on knowledge of:.o .o .o .o




a. clinicalpharmacology. .o




b. drugefficacy. .o




c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D . o




Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. .o .o .o .o .o .o .o .o .o .o .o .o .o .o




Clinical pharmacologyis concerned with all aspects ofdrug–humaninteractions. Drug efficacy
.o .o .o .o .o .o .o .o .o .o .o .o




measures the extent to which a given drug causes an intended effect.
.o .o .o .o .o .o .o .o .o .o .o .o




Pharmacokinetics is the studyof theimpact of the bodyon a drug. .o .o .o .o .o .o .o .o .o .o .o .o




DIF: Cognitive Level: Comprehension REF:FourBasicTerms .o .o .o .o .o




TOP: Nursing Process: Implementation
.o . o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




2. What does it mean when a drugis described as easyto administer?
.o .o .o .o .o .o .o .o .o .o .o .o




a. It can be stored indefinitelywithout need for refrigeration.
.o .o .o .o .o .o .o .o




b. It does not interact significantlywith other medications.
.o .o .o .o .o .o .o




c. It enhances patient adherence to the drug regimen.
.o .o .o .o .o .o .o




d. It is usuallyrelativelyinexpensive to produce.
.o .o .o .o .o .o




ANS: C . o




Amajorbenefit of drugs that areeasyto administer is that patients takingthem aremore likely to
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




those properties are independent of ease of administration.
.o .o .o .o .o .o .o .o




DIF: CognitiveLevel:Comprehension .o .o




REF: Additional Propertiesofan Ideal Drug: EaseofAdministration TOP:
.o .o .o .o .o .o .o .o .o .o




.Nursing Process: Assessment
o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




veryeffective. Which statement bythe patient demonstrates an understandingof thedrug‘s
.o .o .o .o .o .o .o .o .o .o .o .o .o




effectiveness?
.o




a. ―Idon‘t haveto worryabout toxicity, since it takes a large amount of this drugto cause
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




an overdose.‖ .o .o




b. ―It has no side effects and doesn‘t interact with other drugs.‖ .o .o .o .o .o .o .o .o .o .o




c. ―Ionlyhave to take it every12 hours.‖ .o .o .o .o .o .o .o .o




d. ―It might makemesleepy, and it lessens pain for several hours at a time.‖
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




ANS: D . o

, A drug is effective if it produces the intended effects, even if it also produces side effects. Because
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




no drugis completelysafe, the level of toxicitydoes not determine effectiveness. All drugs have side
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




effects and many react with other substances; these do not affect the drug‘s effectiveness. Ease of
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




administration is independent of a drug‘s effectiveness.
.o .o .o .o .o .o .o




DIF: Cognitive Level: Comprehension REF:PropertiesofanIdealDrug .o .o .o .o .o .o .o




TOP: Nursing Process: Evaluation
.o . o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




MULTIPLERESPONSE .o




1. Whatarethe properties of an ideal drug? (Select all that apply.)
.o .o .o .o .o .o .o .o .o .o .o




a. Irreversibleaction .o




b. Predictability
c. Easeofadministration .o .o




d. Chemical stability .o




e. A simple trade name .o .o .o




ANS: B, C, D . o .o .o




In addition to predictability, ease of administration, and chemical stability, other properties
.o .o .o .o .o .o .o .o .o .o .o




includea reversible action so that anyharm thedrugmaycause can beundone and a simple generic
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




name, because generic names are usually complex and difficult to remember and pronounce.
.o .o .o .o .o .o .o .o .o .o .o .o .o




DIF: CognitiveLevel:Comprehension .o .o




REF: Propertiesof an Ideal Drug |Additional Properties ofan Ideal Drug TOP:
.o .o .o .o .o .o .o .o .o .o .o .o .o




.Nursing Process: Assessment
o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




2. Before administeringa medication, what does the nurse need to know to evaluate how
.o .o .o .o .o .o .o .o .o .o .o .o .o




individual patient variabilitymight affect thepatient‘s response to the medication? (Select all that .o .o .o .o .o .o .o .o .o .o .o .o .o




apply.)
.o




a. Chemical stabilityof the medication .o .o .o .o




b. Easeofadministration .o .o




c. Familymedical history .o .o




d. Patient‘sage .o




e. Patient‘sdiagnosis .o




ANS: C, D, E . o .o .o




The familymedical history can indicate genetic factors that mayaffect a patient‘s response to a
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




medication. Patients of different ages can respond differently to medications. The patient‘s illness
.o .o .o .o .o .o .o .o .o .o .o .o .o




can affect how drugs aremetabolized. Thechemical stabilityofthe medication and the ease of
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




administration are properties of drugs.
.o .o .o .o .o




DIF: Cognitive Level: Analysis REF:SourcesofIndividualVariation .o .o .o .o .o .o




TOP: Nursing Process: Implementation
.o . o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
. o .o .o .o .o .o .o .o .o .o

,Chapter2:ApplicationofPharmacologyinNursingPractice Test
.o .o .o .o .o .o .o .o




Bank
.o




MULTIPLECHOICE .o




1. A patient is usingametered-doseinhaler containingalbuterol for asthma. Themedication label
.o .o .o .o .o .o .o .o .o .o .o .o .o




instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




wheezing.‖Thepatient reports feelingjitterysometimes when takingthe medication, and she doesn‘t .o .o .o .o .o .o .o .o .o .o .o .o .o




feel that the medication is always effective. Which is not an appropriate nursing intervention for this
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




patient?
.o




a. Askingthe patient to demonstrate use of the inhaler .o .o .o .o .o .o .o .o




b. Assessingthe patient‘s exposureto tobacco smoke .o .o .o .o .o .o




c. Auscultatinglungsounds and obtainingvital signs .o .o .o .o .o .o




d. Suggestingthat the patient use onepuffto reduce side effects .o .o .o .o .o .o .o .o .o .o




ANS: D . o




It is not within the nurse‘s scopeof practice to change the dose of a medication without an order from
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
.o .o .o .o .o .o .o .o .o .o .o .o .o




evaluate the patient‘s abilityto administer the medication properlyand is part of the nurse‘s evaluation.
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a smoke
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment helps the nurse
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




evaluate the patient‘s response to the medication.
.o .o .o .o .o .o .o




DIF: CognitiveLevel:Application .o .o




REF: Applyingthe NursingProcessin DrugTherapy:Preadministration Assessment [andall
.o .o .o .o .o .o .o .o .o .o .o




subsections under this heading]
.o TOP: Nursing Process: Implementation .o .o .o . o .o .o




MSC: NCLEX ClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




2. Apostoperativepatient isbeingdischargedhome with acetaminophen/hydrocodone(Lortab) for
.o .o .o .o .o .o .o .o .o .o




pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




correct?
.o




a. ―It is not safeto takeover-the-counter drugs with prescription medications.‖
.o .o .o .o .o .o .o .o .o .o




b. ―Takingthe two medications together poses a risk of drugtoxicity.‖ .o .o .o .o .o .o .o .o .o .o




c. ―Thereare no known druginteractions, so this will be safe.‖ .o .o .o .o .o .o .o .o .o .o




d. ―Tylenol and Lortab are different drugs, so thereis no risk of overdose.‖ .o .o .o .o .o .o .o .o .o .o .o .o




ANS: B . o




Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




important to teach patients to be aware of thedifferent names for thesame drugto minimize the risk of
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




overdose. Over-the-counter (OTC) medications and prescription medications may be taken
.o .o .o .o .o .o .o .o .o .o




together unless significant harmful drug interactions are possible. Even though no drug
.o .o .o .o .o .o .o .o .o .o .o .o




interactions are at play in this case, both drugs contain acetaminophen, which could lead to toxicity.
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




DIF: CognitiveLevel:Application .o .o




REF:ApplicationofPharmacologyinPatientEducation: DosageandAdministration TOP:
.o .o .o .o .o .o .o .o .o .o




.Nursing Process: Implementation
o .o .o




MSC: NCLEX ClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
. o .o .o .o .o .o .o .o .o .o

, 3. Thenurseis preparingto care forapatient who will betakingan antihypertensive medication. Which
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




action by the nurse is part of the assessment step of the nursing process?
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




a. Askingthe prescriber for an order to monitor serum druglevels .o .o .o .o .o .o .o .o .o .o




b. Monitoringthe patient for druginteractions after givingthe medication .o .o .o .o .o .o .o .o .o




c. Questioningthe patient about over-the-countermedications .o .o .o .o .o




d. Takingthe patient‘s blood pressurethroughout the courseof treatment .o .o .o .o .o .o .o .o .o




ANS: C . o




Theassessmentpart ofthe nursingprocess involves gatheringinformation before beginning treatment,
.o .o .o .o .o .o .o .o .o .o .o .o




and this includes asking about other medications the patient may be taking.
.o .o .o .o .o .o .o .o .o .o .o .o




Monitoringserum druglevels, watchingfordruginteractions, and checkingvital signs after giving .o .o .o .o .o .o .o .o .o .o .o .o .o




the medication are all part of the evaluation phase.
.o .o .o .o .o .o .o .o .o




DIF: Cognitive Level: Application REF:PreadministrationAssessment .o .o .o .o




TOP: Nursing Process: Assessment
.o . o .o .o




MSC: NCLEX ClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
. o .o .o .o .o .o .o .o .o .o




4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10 (10
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




being the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650 mg PO
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




every 6 hours PRN pain. What will the nurse do?
.o .o .o .o .o .o .o .o .o .o




a. Ask the patient what medications have helped with pain in the past. .o .o .o .o .o .o .o .o .o .o .o




b. Contacttheprovider to request a different analgesic medication. .o .o .o .o .o .o .o .o




c. Givethe pain medication and reposition the patient to promote comfort. .o .o .o .o .o .o .o .o .o .o




d. Request an order to administer the medication every4 hours. .o .o .o .o .o .o .o .o .o




ANS: B . o




The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to moderate
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




pain, so the nurse should ask the prescriber to order a stronger analgesic medication. Askingthe
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




patient to tell the nurse what has helped in the past is a part of an initial assessment and should be done
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




preoperativelyand not when the patient is having severe pain. Because the patient is having severe
.o .o .o .o .o .o .o .o .o .o .o .o .o .o .o .o




pain, acetaminophen combined with nondrug therapies will not be sufficient. Increasing the
.o .o .o .o .o .o .o .o .o .o .o .o




frequency of the dose of a medication for mild pain will not be effective.
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




DIF: Cognitive Level: Analysis REF:AnalysisandNursingDiagnosis .o .o .o .o .o .o




TOP: Nursing Process: Diagnosis
.o . o .o .o




MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
. o .o .o .o .o .o .o .o .o .o




5. A patient newlydiagnosed with diabetes is to bedischarged from the hospital. Thenurse
.o .o .o .o .o .o .o .o .o .o .o .o .o .o




.o teaching this patient about home management should begin by doing what? .o .o .o .o .o .o .o .o .o .o




a. Askingthe patient to demonstrate how to measure and administer insulin .o .o .o .o .o .o .o .o .o .o




b. Discussingmethods of storinginsulin and discardingsyringes .o .o .o .o .o .o .o




c. Givinginformation about how diet and exercise affect insulin requirements .o .o .o .o .o .o .o .o .o




d. Teachingthe patient about the long-term consequences of poor diabetes control .o .o .o .o .o .o .o .o .o .o




ANS: A . o