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

,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline
fe fe fe fe fe fe fe fe fe fe



Burchum, Laura Rosenthal Chapter 1-112
fe fe fe fe fe




Chapter 1: Orientation to Pharmacology
fe fe fe fe



Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
fe fe fe fe fe fe fe




MULTIPLE CHOICE fe




1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


fe the nurse will rely on knowledge of:
fe fe fe fe fe fe


a. clinical pharmacology. fe


b. drug efficacy. fe


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


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


conditions. Clinical pharmacology is concerned with all aspects of drug–human
fe fe fe fe fe fe fe fe fe fe


interactions. Drug efficacy measures the extent to which a given drug causes an intended
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


effect.
fe


Pharmacokinetics is the study of the impact of the body on a drug. fe fe fe fe fe fe fe fe fe fe fe fe




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


TOP: Nursing Process: Implementation
fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f e fe fe fe fe fe fe fe fe fe




2. What does it mean when a drug is described as easy to administer?
fe fe fe fe fe fe fe fe fe fe fe fe


a. It can be stored indefinitely without need for refrigeration.
fe fe fe fe fe fe fe fe


b. It does not interact significantly with other medications.
fe fe fe fe fe fe fe


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


d. It is usually relatively inexpensive to produce.
fe fe fe fe fe fe




ANS: C fe


A major benefit of drugs that are easy to administer is that patients taking them are more
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


likely to comply with the drug regimen. Drugs that are easy to give may have the other
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


attributes listed, but those properties are independent of ease of administration.
fe fe fe fe fe fe fe fe fe fe fe




DIF: Cognitive Level: Comprehension fe fe


REF: Additional Properties of an Ideal Drug: Ease of Administration
fe fe fe fe fe fe fe fe fe


TOP: Nursing Process: Assessment
fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f e fe fe fe fe fe fe fe fe fe




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


taking is very effective. Which statement by the patient demonstrates an understanding
fe fe fe fe fe fe fe fe fe fe fe fe


of the drug’s effectiveness?
fe fe fe fe


a. “I don’t have to worry about toxicity, since it takes a large amount of this drug
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


to cause an overdose.”
fe fe fe fe


b. “It has no side effects and doesn’t interact with other drugs.”
fe fe fe fe fe fe fe fe fe fe


c. “I only have to take it every 12 hours.”
fe fe fe fe fe fe fe fe


d. “It might make me sleepy, and it lessens pain for several hours at a time.”
fe fe fe fe fe fe fe fe fe fe fe fe fe fe




ANS: D fe

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


Because no drug is completely safe, the level of toxicity does not determine effectiveness.
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


All drugs have side effects and many react with other substances; these do not affect the
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


drug’s effectiveness. Ease of administration is independent of a drug’s effectiveness.
fe fe fe fe fe fe fe fe fe fe fe




DIF: Cognitive Level: Comprehension REF: Properties of an Ideal fe fe fe fe fe fe


Drug TOP: Nursing Process: Evaluation
fe fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f e fe fe fe fe fe fe fe fe fe




MULTIPLE RESPONSE fe




1. What are the properties of an ideal drug? (Select all that apply.)
fe fe fe fe fe fe fe fe fe fe fe


a. Irreversible action fe


b. Predictability
c. Ease of administration fe fe


d. Chemical stability fe


e. A simple trade name fe fe fe




ANS: B, C, D fe fe fe


In addition to predictability, ease of administration, and chemical stability, other
fe fe fe fe fe fe fe fe fe fe


properties include a reversible action so that any harm the drug may cause can be undone
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


and a simple generic name, because generic names are usually complex and difficult to
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


remember and pronounce.
fe fe fe




DIF: Cognitive Level: Comprehension fe fe


REF: Properties of an Ideal Drug | Additional Properties of an Ideal
fe fe fe fe fe fe fe fe fe fe fe


Drug TOP: Nursing Process: Assessment
fe fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f e fe fe fe fe fe fe fe fe fe




2. Before administering a medication, what does the nurse need to know to evaluate how
fe fe fe fe fe fe fe fe fe fe fe fe fe


individual patient variability might affect the patient’s response to the medication? (Select
fe fe fe fe fe fe fe fe fe fe fe


all that apply.)
fe fe fe


a. Chemical stability of the medication fe fe fe fe


b. Ease of administration fe fe


c. Family medical history fe fe


d. Patient’s age fe


e. Patient’s diagnosis fe




ANS: C, D, E fe fe fe


The family medical history can indicate genetic factors that may affect a patient’s response
fe fe fe fe fe fe fe fe fe fe fe fe fe


to a medication. Patients of different ages can respond differently to medications. The
fe fe fe fe fe fe fe fe fe fe fe fe fe


patient’s illness can affect how drugs are metabolized. The chemical stability of the
fe fe fe fe fe fe fe fe fe fe fe fe fe


medication and the ease of administration are properties of drugs.
fe fe fe fe fe fe fe fe fe fe




DIF: Cognitive Level: Analysis REF: Sources of Individual Variation fe fe fe fe fe fe


TOP: Nursing Process: Implementation
fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
f e fe fe fe fe fe fe fe fe fe

, Chapter 2: Application of Pharmacology in Nursing Practice
fe fe fe fe fe fe fe


Burchum: Lehne’s Pharmacology for Nursing Care, 11th
fe fe fe fe fe fe fe


Edition
fe




MULTIPLE CHOICE fe




1. A patient is using a metered-dose inhaler containing albuterol for asthma. The
fe fe fe fe fe fe fe fe fe fe fe


medication label instructs the patient to administer “2 puffs every 4 hours as needed
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


for coughing or
fe fe fe


wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she
fe fe fe fe fe fe fe fe fe fe fe fe


doesn’t feel that the medication is always effective. Which is not an appropriate nursing
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


intervention for this patient?
fe fe fe fe


a. Asking the patient to demonstrate use of the inhaler fe fe fe fe fe fe fe fe


b. Assessing the patient’s exposure to tobacco smoke fe fe fe fe fe fe


c. Auscultating lung sounds and obtaining vital signs fe fe fe fe fe fe


d. Suggesting that the patient use one puff to reduce side effects fe fe fe fe fe fe fe fe fe fe




ANS: D fe


It is not within the nurse’s scope of practice to change the dose of a medication without an
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


evaluate the patient’s ability to administer the medication properly and is part of the nurse’s
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
fe fe fe fe fe fe fe fe fe fe fe


therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


physical assessment helps the nurse evaluate the patient’s response to the medication.
fe fe fe fe fe fe fe fe fe fe fe fe




DIF: Cognitive Level: Application fe fe


REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and
fe fe fe fe fe fe fe fe fe fe


all subsections under this heading]
fe fe TOP: Nursing Process: Implementation fe fe fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f e fe fe fe fe fe fe fe fe fe




2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
fe fe fe fe fe fe fe fe


(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which
fe fe fe fe fe fe fe fe fe fe fe fe fe fe


statement by the nurse is correct?
fe fe fe fe fe fe


a. “It is not safe to take over-the-counter drugs with prescription medications.”
fe fe fe fe fe fe fe fe fe fe


b. “Taking the two medications together poses a risk of drug toxicity.”
fe fe fe fe fe fe fe fe fe fe


c. “There are no known drug interactions, so this will be safe.”
fe fe fe fe fe fe fe fe fe fe


d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
fe fe fe fe fe fe fe fe fe fe fe fe




ANS: B fe


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


It is important to teach patients to be aware of the different names for the same drug to
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


minimize the risk of overdose. Over-the-counter (OTC) medications and prescription
fe fe fe fe fe fe fe fe fe fe


medications may be taken together unless significant harmful drug interactions are
fe fe fe fe fe fe fe fe fe fe fe


possible. Even though no drug interactions are at play in this case, both drugs contain
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe


acetaminophen, which could lead to toxicity.
fe fe fe fe fe fe




DIF: Cognitive Level: Application fe fe


REF: Application of Pharmacology in Patient Education: Dosage and Administration
fe fe fe fe fe fe fe fe fe


TOP: Nursing Process: Implementation
fe f e fe fe


MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
f e fe fe fe fe fe fe fe fe fe