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Test Bank for Lehne s Pharmacology for Nursing Care 10th Edition Burchum 2025 FULLY UPDATED11111

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Test Bank for Lehne s Pharmacology for Nursing Care 10th Edition Burchum ISBN: 2275 UNIT I: INTRODUCTION 1. Orientation to Pharmacology 2. Application of Pharmacology in Nursing Practice 3. Drug Regulation, Development, Names, and Information UNIT II: BASIC PRINCIPLES OF PHARMACOLOGY 4. Pharmacokinetics 5. Pharmacodynamics 6. Drug Interactions 7. Adverse Drug Reactions and Medication Errors 8. Individual Variation in Drug Responses UNIT III: DRUG THERAPY ACROSS THE LIFE SPAN 9. Drug Therapy During Pregnancy and Breast-Feeding 10. Drug Therapy in Pediatric Patients 11. Drug Therapy in Geriatric Patients UNIT IV: PERIPHERAL NERVOUS SYSTEM DRUGS Section 1: Introduction 12. Basic Principles of Neuropharmacology 13. Physiology of the Peripheral Nervous System Section 2: Cholinergic Drugs 14. Muscarinic Agonists and Antagonists 15. Cholinesterase Inhibitors and Their Use in Myasthenia Gravis 16. Drugs That Block Nicotinic Cholinergic Transmission: Neuromuscular Blocking Agents Section 3: Adrenergic Drugs 17. Adrenergic Agonists 18. Adrenergic Antagonists 19. Indirect-Acting Antiadrenergic Agents UNIT V: CENTRAL NERVOUS SYSTEM DRUGS Section 4: Introduction 20. Introduction to Central Nervous System Pharmacology Section 5: Drugs for Neurodegenerative Disorders 21. Drugs for Parkinson's Disease 22. Drugs for Alzheimer's Disease 23. Drugs for Multiple Sclerosis Section 6: Neurologic Drugs 24. Drugs for Epilepsy 25. Drugs for Muscle Spasm and Spasticity Section 7: Drugs for Pain 26. Local Anesthetics 27. General Anesthetics 28. Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics 29. Pain Management in Patients with Cancer 30. Drugs for Headache Section 8: Psychotherapeutic Drugs 31. Antipsychotic Agents and Their Use in Schizophrenia 32. Antidepressants 33. Drugs for Bipolar Disorder 34. Sedative-Hypnotic Drugs 35. Management of Anxiety Disorders 36. Central Nervous System Stimulants and Attention-Deficit/Hyperactivity Disorder Section 9: Drug Abuse 37. Drug Abuse I: Basic Considerations 38. Drug Abuse II: Alcohol 39. Drug Abuse III: Nicotine and Smoking 40. Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine UNIT VI: DRUGS THAT AFFECT FLUID AND ELECTROLYTE BALANCE 41. Diuretics 42. Agents Affecting the Volume and Ion Content of Body Fluids UNIT VII: DRUGS THAT AFFECT THE HEART, BLOOD VESSELS, AND BLOOD 43. Review of Hemodynamics 44. Drugs Acting on the Renin-Angiotensin-Aldosterone System 45. Calcium Channel Blockers 46. Vasodilators 47. Drugs for Hypertension 48. Drugs for Heart Failure 49. Antidysrhythmic Drugs 50. Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels 51. Drugs for Angina Pectoris 52. Anticoagulant, Antiplatelet, and Thrombolytic Drugs 53. Management of ST-Elevation Myocardial Infarction 54. Drugs for Hemophilia 55. Drugs for Deficiency Anemias 56. Hematopoietic Agents UNIT VIII: DRUGS FOR ENDOCRINE DISORDERS 57. Drugs for Diabetes Mellitus 58. Drugs for Thyroid Disorders 59. Drugs Related to Hypothalamic and Pituitary Function 60. Drugs for Disorders of the Adrenal Cortex UNIT IX: WOMEN'S HEALTH 61. Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications 62. Birth Control 63. Drug Therapy of Infertility 64. Drugs That Affect Uterine Function UNIT X: MEN'S HEALTH 65. Androgens 66. Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia UNIT XI: ANTI-INFLAMMATORY, ANTIALLERGIC, AND IMMUNOLOGIC DRUGS 67. Review of the Immune System 68. Childhood Immunization 69. Immunosuppressants 70. Antihistamines 71. Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen 72. Glucocorticoids in Nonendocrine Disorders UNIT XII: DRUGS FOR BONE AND JOINT DISORDERS 73. Drug Therapy of Rheumatoid Arthritis 74. Drug Therapy of Gout 75. Drugs Affecting Calcium Levels and Bone Mineralization UNIT XIII: RESPIRATORY TRACT DRUGS 76. Drugs for Asthma and Chronic Obstructive Pulmonary Disease 77. Drugs for Allergic Rhinitis, Cough, and Colds UNIT XIV: GASTROINTESTINAL DRUGS 78. Drugs for Peptic Ulcer Disease 79. Laxatives 80. Other Gastrointestinal Drugs UNIT XV: NUTRITION 81. Vitamins 82. Drugs for Weight Loss UNIT XVI: CHEMOTHERAPY OF INFECTIOUS DISEASES 83. Basic Principles of Antimicrobial Therapy 84. Drugs That Weaken the Bacterial Cell Wall I: Penicillins 85. Drugs That Weaken the Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin, Telavancin, Aztreonam, Teicoplanin, and Fosfomycin 86. Bacteriostatic Inhibitors of Protein Synthesis: Tetracyclines, Macrolides, and Others 87. Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis 88. Sulfonamides and Trimethoprim 89. Drug Therapy of Urinary Tract Infections 90. Antimycobacterial Agents: Drugs for Tuberculosis, Leprosy, and Mycobacterium avium Complex Infection 91. Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole, Daptomycin, Rifampin, Rifaximin, Bacitracin, and Polymyxins 92. Antifungal Agents 93. Antiviral Agents I: Drugs for Non-HIV Viral Infections 94. Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections 95. Drug Therapy of Sexually Transmitted Diseases 96. Antiseptics and Disinfectants UNIT XVII: CHEMOTHERAPY OF PARASITIC DISEASES 97. Anthelmintics 98. Antiprotozoal Drugs I: Antimalarial Agents 99. Antiprotozoal Drugs II: Miscellaneous Agents 100. Ectoparasiticides UNIT XVIII: CANCER CHEMOTHERAPY 101. Basic Principles of Cancer Chemotherapy 102. Anticancer Drugs I: Cytotoxic Agents 103. Anticancer Drugs II: Hormonal Agents, Targeted Drugs, and Other Noncytotoxic Anticancer Drugs UNIT XIX: MISCELLANEOUS DRUGS AND THERAPIES 104. Drugs for the Eye 105. Drugs for the Skin 106. Drugs for the Ear 107. Additional Noteworthy Drugs 108. Complementary and Alternative Therapy UNIT XX: TOXICOLOGY 109. Management of Poisoning 110. Potential Weapons of Biologic, Radiologic, and Chemical Terrorism

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




Edition Burchum ISBN: 9780323512275
VV VV VV VV

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



Bank
VV




MULTIPLE CHOICE VV




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



nurse will rely on knowledge of: a. clinical pharmacology.
VV VV VV VV VV VV VV VV VV




b. drug efficacy. VV



c. pharmacokinetics.
d. pharmacotherapeutics.



ANS: D VV



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



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



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



intended effect.
VV VV



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




DIF: Cognitive Level: Comprehension
VV REF: Four Basic VV VV VV VV



Terms TOP: Nursing Process: Implementation
VV VV VV VV VV



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




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




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




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



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




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




ANS: C VV



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



more likely to comply with the drug regimen. Drugs that are easy to give may have
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV



the other attributes listed, but those properties are independent of ease of
VV VV VV VV VV VV VV VV VV VV VV VV



administration.
VV




DIF: Cognitive Level: Comprehension
VV VV VV



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



TOP: Nursing Process: Assessment
VV VV VV VV



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




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



is very effective. Which statement by the patient demonstrates an understanding of the
VV VV VV VV VV VV VV VV VV VV VV VV VV



drug’s effectiveness?
VV VV




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



cause an overdose.”
VV VV VV

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



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




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




ANS: D VV



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



effects. Because no drug is completely safe, the level of toxicity does not determine
VV VV VV VV VV VV VV VV VV VV VV VV VV VV



effectiveness. All drugs have side effects and many react with other substances; these
VV VV VV VV VV VV VV VV VV VV VV VV VV



do not affect the drug’s effectiveness. Ease of administration is independent of a drug’s
VV VV VV VV VV VV VV VV VV VV VV VV VV VV



effectiveness.
VV




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



Drug TOP: Nursing Process: Evaluation
VV VV VV VV VV



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




MULTIPLE RESPONSE VV




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




a. Irreversible action VV




b. Predictability
c. Ease of administrationVV VV




d. Chemical stability VV




e. A simple trade name
VV VV VV




ANS: B, C, D VV VV VV



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



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



undone and a simple generic name, because generic names are usually complex and
VV VV VV VV VV VV VV VV VV VV VV VV VV



difficult to remember and pronounce.
VV VV VV VV VV




DIF: Cognitive Level: Comprehension
VV VV VV



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



Drug TOP: Nursing Process: Assessment
VV VV VV VV VV



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




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



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



all that apply.)
VV VV VV




a. Chemical stability of the medication VV VV VV VV



b. Ease of administration VV VV




c. Family medical history VV VV




d. Patient’s age VV




e. Patient’s diagnosis VV

, ANS: C, D, E VV VV VV




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



response to a medication. Patients of different ages can respond differently to
VV VV VV VV VV VV VV VV VV VV VV VV



medications. The patient’s illness can affect how drugs are metabolized. The chemical
VV VV VV VV VV VV VV VV VV VV VV VV



stability of the medication and the ease of administration are properties of drugs.
VV VV VV VV VV VV VV VV VV VV VV VV VV




DIF: Cognitive Level: Analysis
VV REF: Sources of Individual VV VV VV VV VV



Variation TOP: Nursing Process: Implementation
VV VV VV VV VV



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




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



Test Bank
VV VV




MULTIPLE CHOICE VV




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



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



for coughing or
VV VV VV



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



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



intervention for this patient?
VV VV VV VV




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



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




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




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




ANS: D VV




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



an order from a prescriber. Asking the patient to demonstrate inhaler use helps the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV



nurse to
VV VV



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



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



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



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




DIF: Cognitive Level: Application
VV VV VV



REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment
VV VV VV VV VV VV VV VV VV



[and all subsections under this heading] TOP: Nursing Process: Implementation
VV VV VV VV VV VV VV VV VV



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




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



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



statement by the nurse is correct?
VV VV VV VV VV VV



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



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




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




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

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