Test Bank Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-112|Complete Guide A+ NEWEST EDITION

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
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est Bank
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MULTIPLE CHOICE kp




1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
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the nurse will rely on knowledge of:
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a. clinical pharmacology. kp


b. drug efficacy. kp


c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D kp


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


tions. 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 int
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ended effect. kp


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




DIF: Cognitive Level: Comprehension kp kp


REF: Four Basic Terms TOP: Nursing Process: Implement
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ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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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 kp


A major benefit of drugs that are easy to administer is that patients taking them are more li
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kely to comply with the drug regimen. Drugs that are easy to give may have the other attr
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ibutes listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension kp kp


REF: Additional Properties of an Ideal Drug: Ease of Administration T
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OP: Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3. A patient tells the nurse that he was told by the prescriber that the analgesic he is takin
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g is very effective. Which statement by the patient demonstrates an understanding of the
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drug‘s effectiveness? kp


a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug t
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, o cause an overdose.‖
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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
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, A drug is effective if it produces the intended effects, even if it also produces side effects.
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Because no drug is completely safe, the level of toxicity does not determine effectiveness.
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All drugs have side effects and many react with other substances; these do not affect the dr
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ug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension kp kp


REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluatio
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n
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE kp




1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action kp


b. Predictability
c. Ease of administration kp kp


d. Chemical stability kp


e. A simple trade name kp kp kp




ANS: B, C, D kp kp kp


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 simp
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le generic name, because generic names are usually complex and difficult to remember an
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d pronounce.
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DIF: Cognitive Level: Comprehension kp kp


REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dr
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ug TOP: Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. Before administering a medication, what does the nurse need to know to evaluate how
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individual patient variability might affect the patient‘s response to the medication? (Select
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all that apply.)
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a. Chemical stability of the medication kp kp kp kp


b. Ease of administration kp kp


c. Family medical history kp kp


d. Patient‘s age kp


e. Patient‘s diagnosis kp




ANS: C, D, E kp kp kp


The family medical history can indicate genetic factors that may affect a patient‘s response
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to a medication. Patients of different ages can respond differently to medications. The patie
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nt‘s illness can affect how drugs are metabolized. The chemical stability of the medication a
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nd the ease of administration are properties of drugs.
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DIF: Cognitive Level: Analysis kp kp


REF: Sources of Individual Variation TOP: Nursing Process: Implemen
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tation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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