Lehne's Pharmacology for Nursing Care 12th Edition Test Bank | Chapter-by-Chapter Questions & Answers

TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
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CARE, 12TH EDITION BY JACQUELINE BURCHUM,
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LAURAROSENTHAL/ALL CHAPTERS 1-112|COMPLETE
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GUIDE 2024-2025 tr tr

,CH 01: Orientation to Pharmacology
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Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
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MULTIPLE CHOICE tr




1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To
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dothis, the nursing attendantwill rely on knowledge of which topic?
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a. Clinical pharmacology tr


b. Drugs efficacy tr


c. Pharmacokinetics
d. Pharmacotherapeutics

ACCURATE ANSWER:- D tr tr


Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat,
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and prevent conditions.Clinical pharmacology is concerned with all aspects of drugs-
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human interactions. Drugs efficacy measures the extent to which a given drugs causes
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anintended effect. Pharmacokinetics is the study of the impact of the body on a drugs.
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POINTS: 1 t r




2. What is a desired outcome when a drugs 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 drugs.
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c. It enhances hospital client adherence to the drugs regimen.
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d. It is usually relatively inexpensive to produce.
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ACCURATE ANSWER:- C tr tr


Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital
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clients taking them are morelikely tocomply with the drugs regimen. Drugs that are easy to
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give may have the other attributes listed, but those properties are independent of ease of
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administration.
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3. A hospital client tells the nursing attendant that an analgesic he will begin taking may
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causedrowsiness and willdecrease pain up to 4 hours at a time. Based on this understanding
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of the drugs’s effects by thehospital client, the nursing attendant will anticipate which
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outcome?
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a. Decreased chance of having a placebo effect tr tr tr tr tr tr


b. Decreased motivation to take the drugs tr tr tr tr tr


c. Improved compliance with the drugs regimen tr tr tr tr tr


d. Increased likelihood of drugs overdose tr tr tr tr




ACCURATE ANSWER:- C tr tr


A drugs is effective if it produces the intended effects, even if it also produces side
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effects. Hospital clients who understand both the risks and benefits of taking a drugs are
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morelikely tocomply with the drugs regimen.
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POINTS: 1 t r

,MULTIPLE RESPONSE
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1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
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a. Irreversible action tr


b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
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ACCURATE ANSWER:- B, C, D tr tr tr tr


Reasoning :->>>>The ‘Big Three’ properties of the ideal drugs are
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tr effectiveness, safety, andselectivity.POINTS: 1
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2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
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individualhospital client variability might affect the hospital client’s response to the drugs?
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(Select allthat apply.)
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a. Chemical stability of the drugs tr tr tr tr


b. Ease of administration
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c. Family medical history tr tr


d. Hospital client’s age tr tr


e. Hospital client’s diagnosis tr tr




ACCURATE ANSWER:- C, D, E tr tr tr tr


Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
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hospital client’s response to adrugs. Hospital clients of different ages can respond
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differently to drugs. The hospital client’s illness can affect how drugs are metabolized. The
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chemical stability of the drugs and the ease of administration are properties of drugs.
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POINTS: 1 t r

, CH 02: Application of Pharmacology in Nursing Practice
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Burchum: Lehne’s Pharmacology for Nursing Care, 12TH
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Edition
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MULTIPLE CHOICE tr




1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
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labelinstructs the hospital client to administer “2 puffs every 4 hours as needed for
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coughing or wheezing.”The hospital client reports feeling jittery sometimes when taking the
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drugs, and doesn’t feel that the drugs is always effective. Which action is outside the
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nursing attendant’s scope of practice?
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a. Asking the hospital client to demonstrate the use of the inhaler
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b. Assessing the hospital client’s exposure to tobacco smoke tr tr tr tr tr tr tr


c. Auscultating lung sounds and obtaining vital signs tr tr tr tr tr tr


d. Suggesting that the hospital client use 1 puff to reduce side effects tr tr tr tr tr tr tr tr tr tr tr




ACCURATE ANSWER:- D tr tr




Reasoning :->>>>It is not within the nursing attendant’s scope of practice to change the
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dose of a drugs without an orderfrom a prescriber. Asking the hospital client to demonstrate
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inhaler use helps the nursing attendant to evaluate the hospital client’s ability to administer
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the drugs properly and ispart of the nursing attendant’s evaluation.
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Assessing tobacco smoke exposure helps the nursing attendant determine whether
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nondrugs therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy.
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Performing a physical assessment helps the nursing attendant evaluate the hospital
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client’sresponse to the drugs.
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2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
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[Norco] forpain. The hospital client asks the nursing attendant about using Tylenol for fever.
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Which statement bythe nursing attendant is correct?
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a. “It is not safe to take over-the-counter drugs with prescription drugs.”
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b. “Taking the two drugs together poses a risk of drugs toxicity.”
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c. “There are no known drugs interactions, so this will be safe.”
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d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
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ACCURATE ANSWER:- B tr tr


Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
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same drugs. It isimportant to teach hospital clients to be aware of the different names for the
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same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
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drugs may be taken together unless significant harmful drugs interactions are possible. Even
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though no drugs interactions are at play in this case, both drugs contain acetaminophen,
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which could lead to toxicity.
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POINTS: 1 t r




3. The nursing attendant is preparing to care for a hospital client who will be taking an
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antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
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of the nursing process?
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a. Asking the prescriber for an order to monitor serum drugs levels
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b. Monitoring the hospital client for drugs interactions after giving the drugs tr tr tr tr tr tr tr tr tr tr


c. Questioning the hospital client about over-the-counter drugs tr tr tr tr tr tr


d. Taking the hospital client’s blood pressure throughout the course of treatment
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