,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline
c c c c c c c c c c
Burchum, Laura Rosenthal Chapter 1-112
c c c c c
Chapter 1: Orientation to Pharmacology
c c c c
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
c c c c c c c
MULTIPLE CHOICE c
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
c c c c c c c c c c c c c c c c c
c nurse will rely on knowledge of:
c c c c c
a. clinical pharmacology. c
b. drug efficacy. c
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D c
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent c c c c c c c c c c c c c
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
c c c c c c c c c c c
Drug efficacy measures the extent to which a given drug causes an intended effect.
c c c c c c c c c c c c c c
Pharmacokinetics is the study of the impact of the body on a drug. c c c c c c c c c c c c
DIF: Cognitive Level: Comprehension REF: Four Basic Terms c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. What does it mean when a drug is described as easy to administer?
c c c c c c c c c c c c
a. It can be stored indefinitely without need for refrigeration.
c c c c c c c c
b. It does not interact significantly with other medications.
c c c c c c c
c. It enhances patient adherence to the drug regimen.
c c c c c c c
d. It is usually relatively inexpensive to produce.
c c c c c c
ANS: C c
A major benefit of drugs that are easy to administer is that patients taking them are more likely
c c c c c c c c c c c c c c c c c
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
c c c c c c c c c c c c c c c c c
listed, but those properties are independent of ease of administration.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension c c
REF: Additional Properties of an Ideal Drug: Ease of Administration
c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
c c c c c c c c c c c c c c c c c c
very effective. Which statement by the patient demonstrates an understanding of the drug’s
c c c c c c c c c c c c c
effectiveness?
c
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
c c c c c c c c c c c c c c c c
cause an overdose.”
c c c
b. “It has no side effects and doesn’t interact with other drugs.”
c c c c c c c c c c
c. “I only have to take it every 12 hours.”
c c c c c c c c
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
c c c c c c c c c c c c c c
ANS: D c
, A drug is effective if it produces the intended effects, even if it also produces side effects.
c c c c c c c c c c c c c c c c
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
c c c c c c c c c c c c c c c
drugs have side effects and many react with other substances; these do not affect the drug’s
c c c c c c c c c c c c c c c c
effectiveness. Ease of administration is independent of a drug’s effectiveness.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug c c c c c c c
TOP: Nursing Process: Evaluation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
MULTIPLE RESPONSE c
1. What are the properties of an ideal drug? (Select all that apply.)
c c c c c c c c c c c
a. Irreversible action c
b. Predictability
c. Ease of administration c c
d. Chemical stability c
e. A simple trade name
c c c
ANS: B, C, D c c c
In addition to predictability, ease of administration, and chemical stability, other properties
c c c c c c c c c c c
include a reversible action so that any harm the drug may cause can be undone and a simple
c c c c c c c c c c c c c c c c c c
generic name, because generic names are usually complex and difficult to remember and
c c c c c c c c c c c c c
pronounce.
c
DIF: Cognitive Level: Comprehension c c
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
c c c c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. Before administering a medication, what does the nurse need to know to evaluate how
c c c c c c c c c c c c c
individual patient variability might affect the patient’s response to the medication? (Select all
c c c c c c c c c c c c
cthat apply.)
c
a. Chemical stability of the medication c c c c
b. Ease of administration c c
c. Family medical history c c
d. Patient’s age c
e. Patient’s diagnosis c
ANS: C, D, E c c c
The family medical history can indicate genetic factors that may affect a patient’s response to a
c c c c c c c c c c c c c c c
medication. Patients of different ages can respond differently to medications. The patient’s
c c c c c c c c c c c c
illness can affect how drugs are metabolized. The chemical stability of the medication and the
c c c c c c c c c c c c c c c
ease of administration are properties of drugs.
c c c c c c c
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
, Chapter 2: Application of Pharmacology in Nursing Practice
c c c c c c c
Burchum: Lehne’s Pharmacology for Nursing Care, 11th
c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
c c c c c c c c c c c c
label instructs the patient to administer “2 puffs every 4 hours as needed for coughing or
c c c c c c c c c c c c c c c c
wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she
c c c c c c c c c c c c
doesn’t feel that the medication is always effective. Which is not an appropriate nursing
c c c c c c c c c c c c c c
intervention for this patient?
c c c c
a. Asking the patient to demonstrate use of the inhaler c c c c c c c c
b. Assessing the patient’s exposure to tobacco smoke c c c c c c
c. Auscultating lung sounds and obtaining vital signs c c c c c c
d. Suggesting that the patient use one puff to reduce side effects c c c c c c c c c c
ANS: D c
It is not within the nurse’s scope of practice to change the dose of a medication without an
c c c c c c c c c c c c c c c c c
order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
c c c c c c c c c c c c c c c
evaluate the patient’s ability to administer the medication properly and is part of the nurse’s
c c c c c c c c c c c c c c
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
c c c c c c c c c c c
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
c c c c c c c c c c c c c c c c
physical assessment helps the nurse evaluate the patient’s response to the medication.
c c c c c c c c c c c c
DIF: Cognitive Level: Application c c
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
c c c c c c c c c c c
subsections under this heading]
c TOP: Nursing Process: Implementation
c c c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
c c c c c c c c c
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
c c c c c c c c c c c c c c c c
nurse is correct?
c c c
a. “It is not safe to take over-the-counter drugs with prescription medications.”
c c c c c c c c c c
b. “Taking the two medications together poses a risk of drug toxicity.” c c c c c c c c c c
c. “There are no known drug interactions, so this will be safe.”
c c c c c c c c c c
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
c c c c c c c c c c c c
ANS: B c
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
c c c c c c c c c c c c c c c c
important to teach patients to be aware of the different names for the same drug to minimize
c c c c c c c c c c c c c c c c c
the risk of overdose. Over-the-counter (OTC) medications and prescription medications may
c c c c c c c c c c c
be taken together unless significant harmful drug interactions are possible. Even though no
c c c c c c c c c c c c c
drug interactions are at play in this case, both drugs contain acetaminophen, which could lead
c c c c c c c c c c c c c c c
to toxicity.
c c
DIF: Cognitive Level: Application c c
REF: Application of Pharmacology in Patient Education: Dosage and Administration
c c c c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
c c c c c c c c c c
Burchum, Laura Rosenthal Chapter 1-112
c c c c c
Chapter 1: Orientation to Pharmacology
c c c c
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
c c c c c c c
MULTIPLE CHOICE c
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
c c c c c c c c c c c c c c c c c
c nurse will rely on knowledge of:
c c c c c
a. clinical pharmacology. c
b. drug efficacy. c
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D c
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent c c c c c c c c c c c c c
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
c c c c c c c c c c c
Drug efficacy measures the extent to which a given drug causes an intended effect.
c c c c c c c c c c c c c c
Pharmacokinetics is the study of the impact of the body on a drug. c c c c c c c c c c c c
DIF: Cognitive Level: Comprehension REF: Four Basic Terms c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. What does it mean when a drug is described as easy to administer?
c c c c c c c c c c c c
a. It can be stored indefinitely without need for refrigeration.
c c c c c c c c
b. It does not interact significantly with other medications.
c c c c c c c
c. It enhances patient adherence to the drug regimen.
c c c c c c c
d. It is usually relatively inexpensive to produce.
c c c c c c
ANS: C c
A major benefit of drugs that are easy to administer is that patients taking them are more likely
c c c c c c c c c c c c c c c c c
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
c c c c c c c c c c c c c c c c c
listed, but those properties are independent of ease of administration.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension c c
REF: Additional Properties of an Ideal Drug: Ease of Administration
c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
c c c c c c c c c c c c c c c c c c
very effective. Which statement by the patient demonstrates an understanding of the drug’s
c c c c c c c c c c c c c
effectiveness?
c
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
c c c c c c c c c c c c c c c c
cause an overdose.”
c c c
b. “It has no side effects and doesn’t interact with other drugs.”
c c c c c c c c c c
c. “I only have to take it every 12 hours.”
c c c c c c c c
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
c c c c c c c c c c c c c c
ANS: D c
, A drug is effective if it produces the intended effects, even if it also produces side effects.
c c c c c c c c c c c c c c c c
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
c c c c c c c c c c c c c c c
drugs have side effects and many react with other substances; these do not affect the drug’s
c c c c c c c c c c c c c c c c
effectiveness. Ease of administration is independent of a drug’s effectiveness.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug c c c c c c c
TOP: Nursing Process: Evaluation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
MULTIPLE RESPONSE c
1. What are the properties of an ideal drug? (Select all that apply.)
c c c c c c c c c c c
a. Irreversible action c
b. Predictability
c. Ease of administration c c
d. Chemical stability c
e. A simple trade name
c c c
ANS: B, C, D c c c
In addition to predictability, ease of administration, and chemical stability, other properties
c c c c c c c c c c c
include a reversible action so that any harm the drug may cause can be undone and a simple
c c c c c c c c c c c c c c c c c c
generic name, because generic names are usually complex and difficult to remember and
c c c c c c c c c c c c c
pronounce.
c
DIF: Cognitive Level: Comprehension c c
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
c c c c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. Before administering a medication, what does the nurse need to know to evaluate how
c c c c c c c c c c c c c
individual patient variability might affect the patient’s response to the medication? (Select all
c c c c c c c c c c c c
cthat apply.)
c
a. Chemical stability of the medication c c c c
b. Ease of administration c c
c. Family medical history c c
d. Patient’s age c
e. Patient’s diagnosis c
ANS: C, D, E c c c
The family medical history can indicate genetic factors that may affect a patient’s response to a
c c c c c c c c c c c c c c c
medication. Patients of different ages can respond differently to medications. The patient’s
c c c c c c c c c c c c
illness can affect how drugs are metabolized. The chemical stability of the medication and the
c c c c c c c c c c c c c c c
ease of administration are properties of drugs.
c c c c c c c
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
, Chapter 2: Application of Pharmacology in Nursing Practice
c c c c c c c
Burchum: Lehne’s Pharmacology for Nursing Care, 11th
c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
c c c c c c c c c c c c
label instructs the patient to administer “2 puffs every 4 hours as needed for coughing or
c c c c c c c c c c c c c c c c
wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she
c c c c c c c c c c c c
doesn’t feel that the medication is always effective. Which is not an appropriate nursing
c c c c c c c c c c c c c c
intervention for this patient?
c c c c
a. Asking the patient to demonstrate use of the inhaler c c c c c c c c
b. Assessing the patient’s exposure to tobacco smoke c c c c c c
c. Auscultating lung sounds and obtaining vital signs c c c c c c
d. Suggesting that the patient use one puff to reduce side effects c c c c c c c c c c
ANS: D c
It is not within the nurse’s scope of practice to change the dose of a medication without an
c c c c c c c c c c c c c c c c c
order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
c c c c c c c c c c c c c c c
evaluate the patient’s ability to administer the medication properly and is part of the nurse’s
c c c c c c c c c c c c c c
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
c c c c c c c c c c c
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
c c c c c c c c c c c c c c c c
physical assessment helps the nurse evaluate the patient’s response to the medication.
c c c c c c c c c c c c
DIF: Cognitive Level: Application c c
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
c c c c c c c c c c c
subsections under this heading]
c TOP: Nursing Process: Implementation
c c c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
c c c c c c c c c
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
c c c c c c c c c c c c c c c c
nurse is correct?
c c c
a. “It is not safe to take over-the-counter drugs with prescription medications.”
c c c c c c c c c c
b. “Taking the two medications together poses a risk of drug toxicity.” c c c c c c c c c c
c. “There are no known drug interactions, so this will be safe.”
c c c c c c c c c c
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
c c c c c c c c c c c c
ANS: B c
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
c c c c c c c c c c c c c c c c
important to teach patients to be aware of the different names for the same drug to minimize
c c c c c c c c c c c c c c c c c
the risk of overdose. Over-the-counter (OTC) medications and prescription medications may
c c c c c c c c c c c
be taken together unless significant harmful drug interactions are possible. Even though no
c c c c c c c c c c c c c
drug interactions are at play in this case, both drugs contain acetaminophen, which could lead
c c c c c c c c c c c c c c c
to toxicity.
c c
DIF: Cognitive Level: Application c c
REF: Application of Pharmacology in Patient Education: Dosage and Administration
c c c c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
