, Silvestri: Saunders Comprehensive Review for the NCLEX-
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RN® Examination, 6th Edition
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Pharmacology yh
Test Bank yh
MULTIPLE CHOICE yh
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
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at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medic
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ation is prescribed for:
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1. Pain relief yh
2. Increasing uterine contractions yh yh
3. Decreasing uterine contractions yh yh
4. Promoting fetal lung maturity yh yh yh
ANS: yhyh 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
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to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribe
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d for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
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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.
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Remember that this medication is used for pain relief. Review the action of this medication if you had
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difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology yh yh
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 opioid analge
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sic administration following cesarean birth. If the client develops respiratory depression and req
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uires naloxone (Narcan) as an antidote, the client may complain of which of the following?
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1. Increase in her pain level yh yh yh yh
2. Decrease in her pain level yh yh yh yh
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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, ANS: yhyh 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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which reverses the effects of opioids. If it is given, the client may complain of an increase in her pai
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n level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid use
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d in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are in
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correct.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
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cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
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ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this ques
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tion was difficult.yh yh
PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology yh yh
MSC: Integrated Process: Nursing Process—Assessment
y h yh yh yh
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 receive bet
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amethasone (Celestone). The nurse understands that the medication will do which of the following?
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1. Prevent spontaneous delivery. yh yh
2. Stop the uterine contractions. yh yh yh
3. Promote maturation of the fetal lungs. yh yh yh yh yh
4. Accelerate the growth rate of the fetus. yh yh yh yh yh yh
ANS: yhyh 3
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 fetus, whic
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h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
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rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
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Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
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eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic word
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s ―twenty-
yh
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
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countered by premature infants will assist in answering this question. Review the action of this medic
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ation if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- yh yh yh yh yh yh yh yh yh yh
, child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
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RN® Examination, 6th Edition
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Pharmacology yh
Test Bank yh
MULTIPLE CHOICE yh
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
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at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medic
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ation is prescribed for:
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1. Pain relief yh
2. Increasing uterine contractions yh yh
3. Decreasing uterine contractions yh yh
4. Promoting fetal lung maturity yh yh yh
ANS: yhyh 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribe
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d for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
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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.
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Remember that this medication is used for pain relief. Review the action of this medication if you had
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difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
yh yh yh yh
TOP: Content Area: Pharmacology yh yh
MSC: Integrated Process: Nursing Process—Planning
y h yh yh yh
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
sic administration following cesarean birth. If the client develops respiratory depression and req
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uires naloxone (Narcan) as an antidote, the client may complain of which of the following?
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1. Increase in her pain level yh yh yh yh
2. Decrease in her pain level yh yh yh yh
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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, ANS: yhyh 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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which reverses the effects of opioids. If it is given, the client may complain of an increase in her pai
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n level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid use
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d in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are in
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correct.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
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cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
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ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this ques
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tion was difficult.yh yh
PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
yh yh yh yh
TOP: Content Area: Pharmacology yh yh
MSC: Integrated Process: Nursing Process—Assessment
y h yh yh yh
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 receive bet
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
amethasone (Celestone). The nurse understands that the medication will do which of the following?
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1. Prevent spontaneous delivery. yh yh
2. Stop the uterine contractions. yh yh yh
3. Promote maturation of the fetal lungs. yh yh yh yh yh
4. Accelerate the growth rate of the fetus. yh yh yh yh yh yh
ANS: yhyh 3
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 fetus, whic
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h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh y
eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic word
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s ―twenty-
yh
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
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countered by premature infants will assist in answering this question. Review the action of this medic
yh yh yh yh yh yh yh yh yh yh yh yh yh yh yh
ation if this question was difficult.
yh yh yh yh yh
PTS: 1
DIF: Level of Cognitive Ability: Understanding yh yh yh yh
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- yh yh yh yh yh yh yh yh yh yh
, child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
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