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TEST BANK FOR PHARMACOLOGY AND THE NURSING PROCESS 9TH EDITION LINDA LANE LILLEY, SHELLY RAINFORTH COLLINS, JULIE S. SNYDER

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TEST BANK FOR PHARMACOLOGY AND THE NURSING PROCESS 9TH EDITION LINDA LANE LILLEY, SHELLY RAINFORTH COLLINS, JULIE S. SNYDER Chapter 01: The Nursing Process and Drug Therapy MULTIPLE CHOICE 1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis? a. Anxiety b. Anxiety related to new drug therapy c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as “I’m upset about having to test my blood sugars.” d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about having to test my blood sugars.” ANS: D Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor related to the response. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: Nursing Diagnosis MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent? a. “Right time” b. “Right dose” c. “Right route” d. “Right medication” 1. When giving medications, the nurse will follow the rights of medication administration. The rights include the right documentation, the right reason, the right response, and the patient’s right to refuse. Which of these are additional rights? (Select all that apply.) a. Right drug b. Right route c. Right dose d. Right diagnosis e. Right time f. Right patient ANS: A, B, C, E, F Additional rights of medication administration must always include the right drug, right dose, right time, right route, and right patient. The right diagnosis is incorrect. DIF: COGNITIVE LEVEL: Remembering (Knowledge) TOP: NURSING PROCESS: Implementation MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control 2. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as the last phase. (Select all that apply.) a. Planning b. Evaluation c. Assessment d. Implementation e. Nursing Diagnoses ANS: A, B, C, D, E 1. When administering drugs, the nurse remembers that the duration of action of a drug is defined as which of these? a. The time it takes for a drug to elicit a therapeutic response b. The amount of time needed to remove a drug from circulation c. The time it takes for a drug to achieve its maximum therapeutic response d. The time period at which a drug’s concentration is sufficient to cause a therapeutic response ANS: D Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The other options do not define duration of action. A drug’s onset of action is the time it takes for the drug to elicit a therapeutic response. A drug’s peak effect is the time it takes for the drug to reach its maximum therapeutic response. Elimination is the length of time it takes to remove a drug from circulation. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: General MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by selective enzyme interaction. Which of these processes describes selective enzyme interaction? a. The drug alters cell membrane permeability. b. The drug’s effectiveness within the cell walls of the target tissue is enhanced. c. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor. d. The drug binds to an enzyme molecule and inhibits or enhances the enzyme’s action with the normal target cell. ANS: D With selective enzyme interaction, the drug attracts the enzymes to bind with the drug instead of allowing the enzymes to bind with their normal target cells. As a result, the target cells are protected from the action of the enzymes. This results in a drug effect. The actions described in the other options do not occur with selective enzyme interactions. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: General MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. When administering a new medication to a patient, the nurse reads that it is highly protein bound. Assuming that the patient’s albumin levels are normal, the nurse would expect which result, as compared to a medication that is not highly protein bound? a. Renal excretion will be faster. b. The drug will be metabolized quickly. c. The duration of action of the medication will be shorter. d. The duration of action of the medication will be longer. ANS: D Drugs that are bound to plasma proteins are characterized by longer duration of action. Protein binding does not make renal excretion faster, does not speed up drug metabolism, and does not cause the duration of action to be shorter. COMPLETION 1. A drug dose that delivers 250 mg has a half-life of 5 hours. Identify how much drug will remain in the body after one half-life. ANS: 125 mg A drug’s half-life is the time required for one half of an administered dose of a drug to be eliminated by the body, or the time it takes for the blood level of a drug to be reduced by 50%. Therefore, one half of 250 mg equals 125 mg. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Implementation DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 1. An elderly patient with a new diagnosis of hypertension will be receiving a new prescription for an antihypertensive drug. The nurse expects which type of dosing to occur with this drug therapy? a. Drug therapy will be based on the patient’s weight. b. Drug therapy will be based on the patient’s age. c. The patient will receive the maximum dose that is expected to reduce the blood pressure. d. The patient will receive the lowest possible dose at first, and then the dose will be increased as needed. ANS: D As a general rule, dosing for elderly patients should follow the admonition, “Start low, and go slow,” which means to start with the lowest possible dose (often less than an average adult dose) and increase the dose slowly, if needed, based on patient response. The other responses are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension)

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PHARMACOLOGY AND THE NURSING PROCESS
9TH EDITION
LINDA LANE LILLEY, SHELLY RAINFORTH COLLINS,

JULIE S. SNYDER

TEST BANK

,Contents
Chapter 01: The Nursing Process and Drug Therapy......................................................................................4
Chapter 02: Pharmacologic Principles...........................................................................................................8
Chapter 03: Lifespan Considerations...........................................................................................................14
Chapter 04: Cultural, Legal, and Ethical Considerations..............................................................................20
Chapter 05: Medication Errors: Preventing and Responding.......................................................................26
Chapter 06: Patient Education and Drug Therapy........................................................................................29
Chapter 07: Over-the-Counter Drugs and Herbal and Dietary Supplements...............................................34
Chapter 08: Gene Therapy and Pharmacogenomics....................................................................................38
Chapter 09: Photo Atlas of Drug Administration..........................................................................................41
Chapter 10: Analgesic Drugs........................................................................................................................50
Chapter 11: General and Local Anesthetics.................................................................................................57
Chapter 12: Central Nervous System Depressants and Muscle Relaxants...................................................61
Chapter 13: Central Nervous System Stimulants and Related Drugs...........................................................66
Chapter 14: Antiepileptic Drugs...................................................................................................................70
Chapter 15: Antiparkinson Drugs.................................................................................................................76
Chapter 16: Psychotherapeutic Drugs.........................................................................................................81
Chapter 17: Substance Use Disorder...........................................................................................................88
Chapter 18: Adrenergic Drugs......................................................................................................................93
Chapter 19: Adrenergic-Blocking Drugs.......................................................................................................98
Chapter 20: Cholinergic Drugs...................................................................................................................103
Chapter 21: Cholinergic-Blocking Drugs.....................................................................................................108
Chapter 22: Antihypertensive Drugs..........................................................................................................113
Chapter 23: Antianginal Drugs.....................................................................................................................11
Chapter 24: Heart Failure Drugs................................................................................................................125
Chapter 25: Antidysrhythmic Drugs...........................................................................................................131
Chapter 26: Coagulation Modifier Drugs...................................................................................................137
Chapter 27: Antilipemic Drugs...................................................................................................................143
Chapter 28: Diuretic Drugs.........................................................................................................................148
Chapter 29: Fluids and Electrolytes............................................................................................................154
Chapter 30: Pituitary Drugs........................................................................................................................160

,Chapter 31: Thyroid and Antithyroid Drugs...............................................................................................163
Chapter 32: Antidiabetic Drugs..................................................................................................................168
Chapter 33: Adrenal Drugs.........................................................................................................................177
Chapter 34: Women’s Health Drugs..........................................................................................................181
Chapter 35: Men’s Health Drugs................................................................................................................188
Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants...........................................193
Chapter 37: Respiratory Drugs...................................................................................................................198
Chapter 38: Antibiotics Part 1....................................................................................................................204
Chapter 39: Antibiotics Part 2....................................................................................................................211
Chapter 40: Antiviral Drugs........................................................................................................................216
Chapter 41: Antitubercular Drugs..............................................................................................................221
Chapter 42: Antifungal Drugs.....................................................................................................................226
Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs.............................................................231
Chapter 44: Anti-inflammatory and Antigout Drugs..................................................................................236
Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs........................242
Chapter 46: Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs............248
Chapter 47: Biologic Response–Modifying and Antirheumatic Drugs........................................................253
Chapter 48: Immunosuppressant Drugs....................................................................................................258
Chapter 49: Immunizing Drugs..................................................................................................................263
Chapter 50: Acid-Controlling Drugs...........................................................................................................268
Chapter 51: Bowel Disorder Drugs.............................................................................................................274
Chapter 52: Antiemetic and Antinausea Drugs..........................................................................................281
Chapter 53: Vitamins and Minerals............................................................................................................286
Chapter 54: Anemia Drugs.........................................................................................................................292
Chapter 55: Nutritional Supplements........................................................................................................299
Chapter 56: Dermatologic Drugs................................................................................................................304
Chapter 57: Ophthalmic Drugs...................................................................................................................310
Chapter 58: Otic Drugs...............................................................................................................................315

, Chapter 01: The Nursing Process and Drug Therapy 4




Chapter 01: The Nursing Process and Drug Therapy

MULTIPLE CHOICE

1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as “I’m upset about having to test my blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
upset about having to test my blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new
drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
simply a restatement of the problem “anxiety,” not a separate factor related to the response.

DIF: COGNITIVE LEVEL: Understanding (Comprehension)
TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care

2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
and gave the medication 2 hours after the scheduled dose was due. What type of problem does
this represent?
a. “Right time”
b. “Right dose”
c. “Right route”
d. “Right medication”
ANS: A
“Right time” is correct because the medication was given more than 30 minutes after the
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route is not affected.
“Medication” is incorrect because the medication ordered will not change.

DIF: COGNITIVE LEVEL: Applying (Application)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control

3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
dose and documenting the patient’s therapeutic response to the medication. Which phase of the
nursing process do these actions illustrate?
a. Nursing diagnosis

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