Test Bank for Lehne s Pharmacology for Nursing Care 10th Edition Burchum GRADED A+AND FULLY UPDATED

Test Bank for Lehne s Pharmacology for Nursing Care 10th
V V V V V V V V V




Edition Burchum ISBN: 9780323512275
V V V V

,Chapter 1: Orientation to Pharmacology Test
V V V V V



Bank
V




MULTIPLE CHOICE V




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



will rely on knowledge of: a. clinical pharmacology.
V V V V V V V V




b. drug efficacy. V



c. pharmacokinetics.
d. pharmacotherapeutics.



ANS: D V



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



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



Drug efficacy measures the extent to which a given drug causes an intended effect.
V V V V V V V V V V V V V V



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




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



TOP: Nursing Process: Implementation
V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
V V V V V V V V V V




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




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




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




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




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




ANS: C V



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



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



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




DIF: Cognitive Level: Comprehension
V V V



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



TOP: Nursing Process: Assessment
V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
V V V V V V V V V V




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



effective. Which statement by the patient demonstrates an understanding of the drug’s
V V V V V V V V V V V V



effectiveness?
V




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



overdose.” V

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



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




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




ANS: D V



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



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



drugs have side effects and many react with other substances; these do not affect the drug’s
V V V V V V V V V V V V V V V V



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




DIF: Cognitive Level: Comprehension
V REF: Properties of an Ideal Drug V V V V V V V



TOP: Nursing Process: Evaluation
V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
V V V V V V V V V V




MULTIPLE RESPONSE V




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




a. Irreversible action V




b. Predictability
c. Ease of administration V V




d. Chemical stability V




e. A simple trade name V V V




ANS: B, C, D V V V



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



Vinclude a reversible action so that any harm the drug may cause can be undone and a simple
V V V V V V V V V V V V V V V V V



Vgeneric name, because generic names are usually complex and difficult to remember and
V V V V V V V V V V V V



Vpronounce.

DIF: Cognitive Level: Comprehension
V V V



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



TOP: Nursing Process: Assessment
V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
V V V V V V V V V V




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



Vpatient variability might affect the patient’s response to the medication? (Select all that apply.)
V V V V V V V V V V V V V




a. Chemical stability of the medication V V V V



b. Ease of administration V V




c. Family medical history V V




d. Patient’s age V




e. Patient’s diagnosis V

, ANS: C, D, E V V V




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



a medication. Patients of different ages can respond differently to medications. The patient’s
V V V V V V V V V V V V V



illness can affect how drugs are metabolized. The chemical stability of the medication and the
V V V V V V V V V V V V V V V



ease of administration are properties of drugs.
V V V V V V V




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



TOP: Nursing Process: Implementation
V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
V V V V V V V V V V




Chapter 2: Application of Pharmacology in Nursing Practice
V V V V V V V



Test Bank
V V




MULTIPLE CHOICE V




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



Vlabel instructs the patient to administer “2 puffs every 4 hours as needed for coughing or
V V V V V V V V V V V V V V V



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



Vdoesn’t feel that the medication is always effective. Which is not an appropriate nursing
V V V V V V V V V V V V V



Vintervention for this patient? V V V



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




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




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



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




ANS: D V




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



Vorder from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
V V V V V V V V V V V V V V



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



Vevaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
V V V V V V V V V V



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



Vphysical assessment helps the nurse evaluate the patient’s response to the medication.
V V V V V V V V V V V




DIF: Cognitive Level: Application
V V V



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



subsections under this heading] TOP: Nursing Process: Implementation
V V V V V V V



MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
V V V V V V V V V V




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



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



Vby the nurse is correct?
V V V V



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




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




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




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