1 | P a g e
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TESTBANK FOR PHARM SILVESTRI SAUNDERS
COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX
PREP) FULL TESTBANK WITH RATIONALLES|| LATEST
AND COMPLETE UPDATE GRADED A+
,TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREH ww ww ww ww ww
ENSIVE REVIEW FOR THE NCLEX- ww ww ww ww
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
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EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND C
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OMPLETE UPDATE GRADED A+ ww ww ww
MULTIPLE CHOICE ww
1. The nurse is caring for a client in labor. The nurse reviews the physician‘s prescripti
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ons and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse
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understands that this medication ww ww ww
is prescribed for:
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1. Pain relief ww
2. Increasing uterine contractions ww ww
3. Decreasing uterine contractions ww ww
4. Promoting fetal lung maturity ww ww ww
- ANSWER: 1
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Rationale: The client in labor may be given parenteral analgesia during the first stage of labor,
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up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that
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may be prescribed for
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pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promotin
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g fetal lung maturity‖ are not actions of this medication.
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Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this qu
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estion. Remember that this medication is used for pain relief. Review the action of this medi
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cation if you had difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders
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. OBJ: Client Needs: Physiological Integrity
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,2 | P a g e
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TOP: w w w w Content Area: Pharmacology ww ww
MSC: Integrated Process: Nursing Process—Planning
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2. The postpartum nurse is caring for a client with an epidural catheter in place for opi
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oid analgesic administration following cesarean birth. If the client develops respiratory depr
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ession and requires naloxone (Narcan) as an antidote, the client may complain of which of
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the following?
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1. Increase in her pain level ww ww ww ww
2. Decrease in her pain level ww ww ww ww
3. Increase in the amount of itching from the opioid used in the epidural
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4. Decrease in the amount of itching from the opioid used in the epidural
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- ANSWER: 1
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Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid anta
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gonist, which reverses the effects of opioids. If it is given, the client may complain of an incr
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ease in her painww ww ww
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opi
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oid used in the epidural,‖ and ―decrease in the amount of itching from the opioid used in th
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e epidural‖ are incorrect.
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Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are
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the medications used with epidural analgesia to relieve pain. Therefore if naloxone is admini
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stered as an antidote for an opioid analgesic, the client‘s pain will increase. Review the effec
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ts of naloxone if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders
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. OBJ: Client Needs: Physiological Integrity
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, 3 | P a g e
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TOP: w w w w Content Area: Pharmacology ww ww
MSC: Integrated Process: Nursing Process—Assessment
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3. A client experiencing preterm labor at the twenty-
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ninth week of gestation has been admitted to the hospital. The client has a prescription to re
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ceive betamethasone (Celestone). The nurse understands that the medication will do which o
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f the following?
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1. Prevent spontaneous delivery. ww ww
2. Stop the uterine contractions.
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3. Promote maturation of the fetal lungs.
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4. Accelerate the growth rate of the fetus. ww ww ww ww ww ww
- ANSWER: 3
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Rationale: Betamethasone (Celestone) is classified as an anti-
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inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetu
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s, which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for
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wat least 48 hours after administration of betamethasone to allow time for the lungs of the fetu
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s to mature.
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Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
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mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the
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strategic
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words ―twenty- ww
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the pro
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blems encountered by premature infants will assist in answering this question. Review the acti
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on of this medication if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- ww ww ww ww ww ww ww ww ww ww
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
ww ww ww ww ww ww ww ww ww
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TESTBANK FOR PHARM SILVESTRI SAUNDERS
COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX
PREP) FULL TESTBANK WITH RATIONALLES|| LATEST
AND COMPLETE UPDATE GRADED A+
,TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREH ww ww ww ww ww
ENSIVE REVIEW FOR THE NCLEX- ww ww ww ww
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
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EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND C
ww ww ww ww ww ww ww
OMPLETE UPDATE GRADED A+ ww ww ww
MULTIPLE CHOICE ww
1. The nurse is caring for a client in labor. The nurse reviews the physician‘s prescripti
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ons and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
understands that this medication ww ww ww
is prescribed for:
ww ww
1. Pain relief ww
2. Increasing uterine contractions ww ww
3. Decreasing uterine contractions ww ww
4. Promoting fetal lung maturity ww ww ww
- ANSWER: 1
ww ww
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor,
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
may be prescribed for
ww ww ww
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promotin
ww ww ww ww ww ww ww ww ww
g fetal lung maturity‖ are not actions of this medication.
ww ww ww ww ww ww ww ww ww
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this qu
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
estion. Remember that this medication is used for pain relief. Review the action of this medi
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
cation if you had difficulty with this question and are unfamiliar with this medication.
ww ww ww ww ww ww ww ww ww ww ww ww ww
PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders
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. OBJ: Client Needs: Physiological Integrity
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,2 | P a g e
ww ww ww ww ww
TOP: w w w w Content Area: Pharmacology ww ww
MSC: Integrated Process: Nursing Process—Planning
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2. The postpartum nurse is caring for a client with an epidural catheter in place for opi
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
oid analgesic administration following cesarean birth. If the client develops respiratory depr
ww ww ww ww ww ww ww ww ww ww ww
ession and requires naloxone (Narcan) as an antidote, the client may complain of which of
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
the following?
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1. Increase in her pain level ww ww ww ww
2. Decrease in her pain level ww ww ww ww
3. Increase in the amount of itching from the opioid used in the epidural
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4. Decrease in the amount of itching from the opioid used in the epidural
ww ww ww ww ww ww ww ww ww ww ww ww
- ANSWER: 1
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Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid anta
ww ww ww ww ww ww ww ww ww ww ww ww ww
gonist, which reverses the effects of opioids. If it is given, the client may complain of an incr
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ease in her painww ww ww
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opi
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
oid used in the epidural,‖ and ―decrease in the amount of itching from the opioid used in th
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
e epidural‖ are incorrect.
ww ww ww
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are
ww ww ww ww ww ww ww ww ww ww ww ww ww
the medications used with epidural analgesia to relieve pain. Therefore if naloxone is admini
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
stered as an antidote for an opioid analgesic, the client‘s pain will increase. Review the effec
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ts of naloxone if this question was difficult.
ww ww ww ww ww ww ww
PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders
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. OBJ: Client Needs: Physiological Integrity
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, 3 | P a g e
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TOP: w w w w Content Area: Pharmacology ww ww
MSC: Integrated Process: Nursing Process—Assessment
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3. A client experiencing preterm labor at the twenty-
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ninth week of gestation has been admitted to the hospital. The client has a prescription to re
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ceive betamethasone (Celestone). The nurse understands that the medication will do which o
ww ww ww ww ww ww ww ww ww ww ww ww
f the following?
ww ww
1. Prevent spontaneous delivery. ww ww
2. Stop the uterine contractions.
ww ww ww
3. Promote maturation of the fetal lungs.
ww ww ww ww ww
4. Accelerate the growth rate of the fetus. ww ww ww ww ww ww
- ANSWER: 3
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Rationale: Betamethasone (Celestone) is classified as an anti-
ww ww ww ww ww ww ww
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetu
ww ww ww ww ww ww ww ww ww ww ww ww ww
s, which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for
ww ww ww ww ww ww ww ww ww ww ww ww ww w
wat least 48 hours after administration of betamethasone to allow time for the lungs of the fetu
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
s to mature.
ww ww
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the
ww ww ww ww ww ww ww ww ww ww ww ww w
strategic
w
words ―twenty- ww
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the pro
ww ww ww ww ww ww ww ww ww ww ww ww ww
blems encountered by premature infants will assist in answering this question. Review the acti
ww ww ww ww ww ww ww ww ww ww ww ww ww
on of this medication if this question was difficult.
ww ww ww ww ww ww ww ww
PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- ww ww ww ww ww ww ww ww ww ww
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
ww ww ww ww ww ww ww ww ww
