Test Bank Lehne's Pharmacology for Nursing Care, 11th Edition
by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology T
qs qs qs qs qs
est Bank
MULTIPLE CHOICE qs
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, th
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e nurse will rely on knowledge of:
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a. clinical pharmacology. qs
b. drug efficacy. qs
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D qs
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditi qs qs qs qs qs qs qs qs qs qs qs qs qs qs
ons. Clinical pharmacology is concerned with all aspects of drug–
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human interactions. Drug efficacy measures the extent to which a given drug causes an inte
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nded effect. qs
Pharmacokinetics is the study of the impact of the body on a drug. qs qs qs qs qs qs qs qs qs qs qs qs
DIF: Cognitive Level: Comprehension qs qs
REF: Four Basic Terms TOP: Nursing Process: Implement
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ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
2. What does it mean when a drug is described as easy to administer?
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a. It can be stored indefinitely without need for refrigeration.
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b. It does not interact significantly with other medications.
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c. It enhances patient adherence to the drug regimen.
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d. It is usually relatively inexpensive to produce.
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ANS: C qs
A major benefit of drugs that are easy to administer is that patients taking them are more lik
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ely to comply with the drug regimen. Drugs that are easy to give may have the other attrib
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utes listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension qs qs
REF: Additional Properties of an Ideal Drug: Ease of Administration T
qs qs qs qs qs qs qs qs qs qs
OP: Nursing Process: Assessment
q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking i
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s very effective. Which statement by the patient demonstrates an understanding of the dru
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,g‘s effectiveness?
qs
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
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cause an overdose.‖
s qs qs
b. ―It has no side effects and doesn‘t interact with other drugs.‖
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c. ―I only have to take it every 12 hours.‖
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d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
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,ANS: D
qs
, A drug is effective if it produces the intended effects, even if it also produces side effects. B
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ecause no drug is completely safe, the level of toxicity does not determine effectiveness. All
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drugs have side effects and many react with other substances; these do not affect the drug‘s
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension qs qs
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
qs qs qs qs qs qs q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE qs
1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action qs
b. Predictability
c. Ease of administration qs qs
d. Chemical stability qs
e. A simple trade name qs qs qs
ANS: B, C, D qs qs qs
In addition to predictability, ease of administration, and chemical stability, other properties
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include a reversible action so that any harm the drug may cause can be undone and a simple
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
generic name, because generic names are usually complex and difficult to remember and pr
qs qs qs qs qs qs qs qs qs qs qs qs qs
onounce.
DIF: Cognitive Level: Comprehension qs qs
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dru
qs qs qs qs qs qs qs qs qs qs qs qs
g TOP: Nursing Process: Assessment
qs q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
2. Before administering a medication, what does the nurse need to know to evaluate how
qs qs qs qs qs qs qs qs qs qs qs qs qs
individual patient variability might affect the patient‘s response to the medication? (Select al
qs qs qs qs qs qs qs qs qs qs qs qs
l that apply.)
qs qs
a. Chemical stability of the medication qs qs qs qs
b. Ease of administration qs qs
c. Family medical history qs qs
d. Patient‘s age qs
e. Patient‘s diagnosis qs
ANS: C, D, E qs qs qs
The family medical history can indicate genetic factors that may affect a patient‘s response t
qs qs qs qs qs qs qs qs qs qs qs qs qs qs
o a medication. Patients of different ages can respond differently to medications. The patient
qs qs qs qs qs qs qs qs qs qs qs qs qs
‘s illness can affect how drugs are metabolized. The chemical stability of the medication and
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
the ease of administration are properties of drugs.
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DIF: Cognitive Level: Analysis qs qs
REF: Sources of Individual Variation TOP: Nursing Process: Implement
qs qs qs qs qs q s qs qs
ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
q s qs qs qs qs qs qs qs qs qs
by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology T
qs qs qs qs qs
est Bank
MULTIPLE CHOICE qs
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, th
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
e nurse will rely on knowledge of:
qs qs qs qs qs qs
a. clinical pharmacology. qs
b. drug efficacy. qs
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D qs
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditi qs qs qs qs qs qs qs qs qs qs qs qs qs qs
ons. Clinical pharmacology is concerned with all aspects of drug–
qs qs qs qs qs qs qs qs qs
human interactions. Drug efficacy measures the extent to which a given drug causes an inte
qs qs qs qs qs qs qs qs qs qs qs qs qs qs
nded effect. qs
Pharmacokinetics is the study of the impact of the body on a drug. qs qs qs qs qs qs qs qs qs qs qs qs
DIF: Cognitive Level: Comprehension qs qs
REF: Four Basic Terms TOP: Nursing Process: Implement
qs qs qs qs q s qs qs
ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
2. What does it mean when a drug is described as easy to administer?
qs qs qs qs qs qs qs qs qs qs qs qs
a. It can be stored indefinitely without need for refrigeration.
qs qs qs qs qs qs qs qs
b. It does not interact significantly with other medications.
qs qs qs qs qs qs qs
c. It enhances patient adherence to the drug regimen.
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d. It is usually relatively inexpensive to produce.
qs qs qs qs qs qs
ANS: C qs
A major benefit of drugs that are easy to administer is that patients taking them are more lik
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
ely to comply with the drug regimen. Drugs that are easy to give may have the other attrib
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
utes listed, but those properties are independent of ease of administration.
qs qs qs qs qs qs qs qs qs qs
DIF: Cognitive Level: Comprehension qs qs
REF: Additional Properties of an Ideal Drug: Ease of Administration T
qs qs qs qs qs qs qs qs qs qs
OP: Nursing Process: Assessment
q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking i
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
s very effective. Which statement by the patient demonstrates an understanding of the dru
qs qs qs qs qs qs qs qs qs qs qs qs qs
,g‘s effectiveness?
qs
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs q
cause an overdose.‖
s qs qs
b. ―It has no side effects and doesn‘t interact with other drugs.‖
qs qs qs qs qs qs qs qs qs qs
c. ―I only have to take it every 12 hours.‖
qs qs qs qs qs qs qs qs
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
qs qs qs qs qs qs qs qs qs qs qs qs qs qs
,ANS: D
qs
, A drug is effective if it produces the intended effects, even if it also produces side effects. B
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
ecause no drug is completely safe, the level of toxicity does not determine effectiveness. All
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
drugs have side effects and many react with other substances; these do not affect the drug‘s
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
qs qs qs qs qs qs qs qs qs
DIF: Cognitive Level: Comprehension qs qs
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
qs qs qs qs qs qs q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
MULTIPLE RESPONSE qs
1. What are the properties of an ideal drug? (Select all that apply.)
qs qs qs qs qs qs qs qs qs qs qs
a. Irreversible action qs
b. Predictability
c. Ease of administration qs qs
d. Chemical stability qs
e. A simple trade name qs qs qs
ANS: B, C, D qs qs qs
In addition to predictability, ease of administration, and chemical stability, other properties
qs qs qs qs qs qs qs qs qs qs qs qs
include a reversible action so that any harm the drug may cause can be undone and a simple
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
generic name, because generic names are usually complex and difficult to remember and pr
qs qs qs qs qs qs qs qs qs qs qs qs qs
onounce.
DIF: Cognitive Level: Comprehension qs qs
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dru
qs qs qs qs qs qs qs qs qs qs qs qs
g TOP: Nursing Process: Assessment
qs q s qs qs
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
q s qs qs qs qs qs qs qs qs qs
2. Before administering a medication, what does the nurse need to know to evaluate how
qs qs qs qs qs qs qs qs qs qs qs qs qs
individual patient variability might affect the patient‘s response to the medication? (Select al
qs qs qs qs qs qs qs qs qs qs qs qs
l that apply.)
qs qs
a. Chemical stability of the medication qs qs qs qs
b. Ease of administration qs qs
c. Family medical history qs qs
d. Patient‘s age qs
e. Patient‘s diagnosis qs
ANS: C, D, E qs qs qs
The family medical history can indicate genetic factors that may affect a patient‘s response t
qs qs qs qs qs qs qs qs qs qs qs qs qs qs
o a medication. Patients of different ages can respond differently to medications. The patient
qs qs qs qs qs qs qs qs qs qs qs qs qs
‘s illness can affect how drugs are metabolized. The chemical stability of the medication and
qs qs qs qs qs qs qs qs qs qs qs qs qs qs qs
the ease of administration are properties of drugs.
qs qs qs qs qs qs qs
DIF: Cognitive Level: Analysis qs qs
REF: Sources of Individual Variation TOP: Nursing Process: Implement
qs qs qs qs qs q s qs qs
ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
q s qs qs qs qs qs qs qs qs qs