LEHNES PHARMACOLOGY FOR NURSING CARE
10TH EDITION BURCHUM TEST BANK
TEST BANK
NURSING TEST BANKS
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 02: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1.A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
The patient reports feeling jittery sometimes when taking the medication, and she doesn’t feel
that the medication is always effective. Which action is outside the nurse’s scope of practice?
a Asking the patient to demonstrate use of the inhaler
.
b Assessing the patient’s exposure to tobacco smoke
.
c Auscultating lung sounds and obtaining vital signs
.
d Suggesting that the patient use one puff to reduce side effects
.
ANS: D
It is not within the nurse’s scope of practice to change the dose of a medication without an order
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
patient’s ability to administer the medication properly and is part of the nurse’s evaluation. As-
sessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a
smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment
NURSINGTB.COM
helps the nurse evaluate the patient’s response to the medication.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 9-10
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Lortab] for
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is
correct?
a “It is not safe to take over-the-counter drugs with prescription medications.”
.
b “Taking the two medications together poses a risk of drug toxicity.”
.
c “There are no known drug interactions, so this will be safe.”
.
d “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
.
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
important to teach patients to be aware of the different names for the same drug to minimize the
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be tak-
en together unless significant harmful drug interactions are possible. Even though no drug inter-
actions are at play in this case, both drugs contain acetaminophen, which could lead to toxicity.
NURSINGTB.COM
10TH EDITION BURCHUM TEST BANK
TEST BANK
NURSING TEST BANKS
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 02: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1.A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
The patient reports feeling jittery sometimes when taking the medication, and she doesn’t feel
that the medication is always effective. Which action is outside the nurse’s scope of practice?
a Asking the patient to demonstrate use of the inhaler
.
b Assessing the patient’s exposure to tobacco smoke
.
c Auscultating lung sounds and obtaining vital signs
.
d Suggesting that the patient use one puff to reduce side effects
.
ANS: D
It is not within the nurse’s scope of practice to change the dose of a medication without an order
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
patient’s ability to administer the medication properly and is part of the nurse’s evaluation. As-
sessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a
smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment
NURSINGTB.COM
helps the nurse evaluate the patient’s response to the medication.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 9-10
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Lortab] for
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is
correct?
a “It is not safe to take over-the-counter drugs with prescription medications.”
.
b “Taking the two medications together poses a risk of drug toxicity.”
.
c “There are no known drug interactions, so this will be safe.”
.
d “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
.
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
important to teach patients to be aware of the different names for the same drug to minimize the
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be tak-
en together unless significant harmful drug interactions are possible. Even though no drug inter-
actions are at play in this case, both drugs contain acetaminophen, which could lead to toxicity.
NURSINGTB.COM
