Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nursing student explains that a medication prescribed for
heart failure is intended to improve cardiac output and reduce
symptoms.
Question Stem
Which term best describes the desired beneficial effect of the
medication?
Options
A. Toxic effect
B. Adverse effect
C. Therapeutic effect
D. Allergic reaction
Correct Answer
C. Therapeutic effect
Detailed Rationale
A therapeutic effect is the intended, beneficial outcome for
which a drug is administered. The therapeutic objective of
,pharmacology is to maximize therapeutic effects while
minimizing harm. Nurses continuously evaluate whether
prescribed medications are achieving intended clinical goals.
Incorrect Option Analysis
A. Toxic effect
• Incorrect because toxicity refers to harmful effects from
excessive drug levels.
• Misconception: Any strong drug action is therapeutic.
• Safety risk: Delayed recognition of poisoning.
• Nursing consideration: Monitor laboratory values and
clinical signs.
B. Adverse effect
• Incorrect because adverse effects are unintended and
undesirable.
• Misconception: All side effects are therapeutic.
• Safety risk: Failure to report complications.
• Nursing consideration: Educate patients about expected
versus harmful effects.
D. Allergic reaction
• Incorrect because allergies involve immune responses.
• Misconception: All medication intolerance is allergy.
, • Safety risk: Inappropriate future drug avoidance.
• Nursing consideration: Obtain detailed allergy histories.
Nursing Process Linkage
Evaluation
NCJMM Competencies
• Analyze Cues
• Evaluate Outcomes
Difficulty
Easy
Bloom's Level
Understand
NCLEX Category
Pharmacological and Parenteral Therapies
Key Learning Objective
Differentiate therapeutic effects from adverse, toxic, and
allergic responses.
Question 2 (SATA)
Clinical Scenario