SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION 7TH EDITION By LINDA ANNE SILVESTRI and ANGELA ELIZABETH SILVESTRI ISBN: 978-0-323-48488-6.

Saunders Comprehensive Review for the NCLEX-PN (Saunders
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Comprehensive Review for Nclex-Pn) 6th Edition
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, pharmacology

h Test Bank rq




h MULTIPLECHOICE

1. Thenurseis caringfora client inlabor.Thenursereviewsthephysician’sprescriptionsandnotes that the client
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hasa prescription forbutorphanol tartrate(Stadol).Thenurseunderstands that this medication
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is prescribed for:
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1. Painrelief rq




2. Increasinguterinecontractions rq




3. Decreasinguterine contractions h



4. Promoting fetallungmaturity rq




ANS: 1

Rationale:Theclientin labormaybegivenparenteralanalgesia duringthefirststageoflabor,upto 2 to3 hours
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before theanticipated delivery. Butorphanoltartrateisamedicationthatmaybeprescribedfor
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painrelief.―Increasinguterinecontractions,‖―decreasinguterinecontractions,‖and―promotingfetallungmaturity‖
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are not actions of this medication.
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Test-Taking Strategy: Knowledgeof theactionofbutorphanoltartrateisrequired toanswerthisquestion.
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Rememberthat this medication isusedforpainrelief.Reviewtheaction ofthismedication if you had
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difficultywith this question and are unfamiliar with this medication.
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PTS: 1
DIF: LevelofCognitiveAbility: Understanding h


REF: Lehne,R.(2010).Pharmacologyfornursingcare(7thed.).St.Louis:Saunders. rq rq




OBJ:
h h Client Needs: Physiological Integrity
h h h


TOP: ContentArea:Pharmacology
MSC: h IntegratedProcess:NursingProcess—Planning
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2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
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administration following cesarean birth. If the client develops respiratory depression and requires
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naloxone(Narcan) as an antidote, theclient maycomplain ofwhich ofthe following?
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,1. Increaseinherpain level
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2. Decreaseinherpain level
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3. Increaseintheamount of itching fromtheopioid used in theepidural
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4. Decreaseinthe amount of itching fromtheopioid used in theepidural
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, ANS: 1

Rationale:Rememberthat opioidsareused forepiduralanalgesia.Naloxone is an opioid antagonist, rq h rq rq rq




whichreversestheeffectsofopioids.Ifitisgiven,theclientmaycomplain ofanincreaseinherpain
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level.Therefore―decreasein herpainlevel,‖―increasein theamountofitching fromtheopioid used inthe
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epidural,‖and ―decrease in the amount ofitching from the opioidusedintheepidural‖areincorrect.
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Test-TakingStrategy:Toanswerthisquestionaccurately,youmustknowthatopioidanalgesicsarethe medications h h


usedwithepidural analgesiatorelievepain.Therefore if naloxone is administeredas anantidote foranopioid
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analgesic, theclient’spainwillincrease.Reviewtheeffects ofnaloxoneifthisquestionwas difficult.
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PTS: 1
DIF: LevelofCognitiveAbility: Understanding h


REF: Lehne,R.(2010).Pharmacologyfornursingcare(7thed.).St.Louis:Saunders. rq rq




OBJ: Client Needs: Physiological Integrity
h h h h h


TOP: ContentArea:Pharmacology
MSC: IntegratedProcess:NursingProcess—Assessment
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3. Aclientexperiencingpreterm labor at the twenty-ninthweekof gestationhas been admitted to the h h h h h h h h rq




hospital.Theclient has aprescriptionto receivebetamethasone (Celestone).Thenurseunderstands that the
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medication will do which of the following?
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1. Preventspontaneousdelivery.
2. Stoptheuterine contractions.
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3. Promotematurationofthefetallungs.
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4. Acceleratethegrowthrateofthefetus. rq




ANS: 3

Rationale: Betamethasone (Celestone) is classified as an anti-inflammatoryandcorticosteroid. It increases
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thesurfactantlevelandlungmaturityinthe fetus,whichreducestheincidenceofrespiratory
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distresssyndrome.Deliverymustbedelayedforatleast48hoursafteradministrationofbetamethasoneto
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allowtime forthe lungs of the fetus tomature.
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Test-TakingStrategy:Optionsthatarecomparableoralikearenotlikelytobecorrect.Withthisinmind, rq rq rq rq rq




eliminate―preventspontaneousdelivery‖and ―stoptheuterine contractions.‖Notethestrategic
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