Test Bank For Saunders Comprehensive Review For The Nclex-Rn® Examination, 9th Edition Author:Linda Anne Silvestri And Angela Silvestri Complete A+ Study Guide Latest Version

Test Bank For Saunders Comprehensive Review For The Nclex-Rn®
Examination, 9th Edition Author:Linda Anne Silvestri And Angela
Silvestri Complete A+ Study Guide Latest Version

, Pharmacolog

y Test Bank

MULTIPLE CHOICE

1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions
and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse
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understands that this medication is pre scribed for:
1. Pain relief
2. Increasing uterine contractions
3. Decreasinguterinecontractions
4. Promoting fetal lung maturity
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ANS: 1

Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up
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to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may
be prescribed for
painrelief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and
―promoting 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
question. Rem ember that this medication is used for pain relief. Review the action of this
medication if you had difficulty with this question and are unfamiliar with this medication.

PTS: 1
DIF: Levelof CognitiveAbility:
Understanding REF:
Lehne, R. (2010). Pharmacologyfor nursing care (7thed.). St. Louis:
Saunders. O BJ: Client Needs: Physiological Integrity
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TOP: ContentArea: Pharmacology
MSC: Integrated Process: Nursing Process—Planning

2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
analgesic a dministration following cesarean birth. If the client develops respiratory
depression and requires na loxone (Narcan) as an antidote, the client may complain of
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which of the following?
1. Increase in her pain level
2. Decrease in her pain level
3. Increase inthe amount of itching from the opioid used in the epidural
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,4. Decrease inthe amount of itching from the opioid used in the epidural
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, ANS: 1

Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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whic h reverses the effects of opioids. If it is given, the client may complain of an increase in her
pain level. The refore ―decrease in her pain level,‖ ―increase in the amount of itching from the
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opioid used in the epidural,‖ and ―decrease in the amount of itching from the opioid used inthe
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epidural‖ are incorrect.

Test-
Taking Strategy: ToANSwer thisquestionaccurately, you mustknow thatopioidanalgesics are the
medicatio ns used with epidural analgesia to relieve pain. Therefore if naloxone is administered as
an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if
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this question was difficu lt.

PTS: 1
DIF: Levelof CognitiveAbility: Understanding
REF:
Lehne, R. (2010). Pharmacologyfor nursing care (7thed.). St. Louis:
Saunders. O BJ: Client Needs: Physiological Integrity
TOP: ContentArea: Pharmacology
MSC: Integrated Process: Nursing Process—Assessment

3. A client experiencing preterm labor at the twenty-
ninth week of gestation has been admitted to the hospital. The client has a prescriptionto receive
betamet hasone (Celestone). The nurse understands that the medication will do which of the
following?
1. Prevent spontaneous delivery.
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2. Stop the uterine contractions.
3. Promote maturationof the fetal lungs.
4. Accelerate the growth rate of the fetus.
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ANS: 3

Rationale: Betamethasone (Celestone) is classified as an anti-
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus,
which red uces the incidence of respiratory distress syndrome. Deliverymust be delayed for at
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least 48 hours after ad ministration of betamethasone to allow time for the lungs of the fetus to
mature.

Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
elimi nate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic