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Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi on by Jacqueline Burchum, Laura Rosenthal Chapter 1- 112Complete Guide A+||LAtest 2025||Best ||Verified by experts ||Questions and Answers

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Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi on by Jacqueline Burchum, Laura Rosenthal Chapter 1- 112Complete Guide A+||LAtest 2025||Best ||Verified by experts ||Questions and Answers

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Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+

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The nurse is teaching a patient how a medicat nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.

,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditio
ns. Clinical pharmacology is concerned with all aspects of drug–
human interactions. Drug efficacy measures the extent to which a given drug causes an intend ed
effect.
Pharmacokinetics is the study of the impact of the body on a drug.

DIF: Cognitive Level: Comprehension
REF: Four BasicgiTerms TOP: Nursing Process: Implementa
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likel y
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
listed, but those properties are independent of ease of administration.

DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TO P: NursinggiProcess: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
very effective. Which statement by the patient demonstrates an understanding of the drug‘s
effectiveness?
a. ―I don‘t have to worryabout toxicity, since it takes a large amountgiof this drug to c
ause an overdose.‖
b. ―It has no side effects and doesn‘t interact with other drugs.‖
c. ―Igionly have to take it every 12 hours.‖
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖

,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS: D

, Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
A drug is effective if it produces the intended effects, even if it also produces side effects. Be
cause no drug is completely safe, the level of toxicity does notgidetermine effectiveness. All dr
ugs have side effects and many react with other substances; these do not affect the drug‘s effe
ctiveness. Ease of administration is independent of a drug‘s effectiveness.

DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal DruggiTOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies


MULTIPLE RESPONSE

1. Whatgiare the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties in
clude a reversible action so that any harm the drug may cause can be undone and a simple gen
eric name, because generic names are usually complex and difficult to remember and pronou
nce.

DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
Drug TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient‘s response to the medication? (Select all t
hat apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient‘s age
e. Patient‘s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient‘s response to a
medication. Patients of different ages can respond differently to medications. The patient‘s i
llness can affect how drugs are metabolized. The chemical stability of the medication and the e
ase of administration are properties of drugs.

DIF: Cognitive Level: Analysis
REF: Sources of Individual Variation TOP: Nursing Process: Implementa
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

, Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 2: Application of Pharmacology in Nursing Practice Tes t 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 is not an appropriate nursing inter
vention for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessinggithe 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 ord er
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 e
valuation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug the
rapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a phys
ical assessment helps the nurse evaluate the patient‘s response to the medication.

DIF: Cognitive Level: Application
REF: Applyinggithe Nursing Process in DruggiTherapy: Preadministration Assessment
[and all subsections under this heading] 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 n
urse is correct?
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
b. ―Taking thegitwo medications together poses a risk of drugtoxicity.‖
c. ―Theregiare no knowngidruggiinteractions, so this will be safe.‖
d. ―Tylenol and Lortab are different drugs, so there isginogirisk 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 taken together unless signifi
cant harmful drug interactions are possible. Even though no drug interactions are at play in thi s
case, both drugs contain acetaminophen, which could lead to toxicity.

DIF: Cognitive Level: Application
REF: Application of Pharmacology in Patient Education: Dosage and Administration

,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
3. The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
Which action by the nurse is part of the assessment step of the nursing process?
a. Asking the prescriber for an order to monitor serum drug levels
b. Monitoring the patient for druggiinteractions after giving the medication
c. Questioning the patient about over-the-counter medications
d. Takinggithe patient‘s blood pressure throughout the course of treatment
ANS: C
The assessment part of the nursing process involves gathering information before beginning tr
eatment, and this includes asking about other medications the patient may be taking.
Monitoring serum druggilevels, watching for drug interactions, and checking vital signs after gi
ving the medication are all part of the evaluation phase.

DIF: Cognitive Level: Application
REF: PreadministrationgiAssessment TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10
(10 being the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650
mg PO every 6 hours PRN pain. What will the nurse do?
a. Ask the patient what medications have helped with pain in the past.
b. Contact the provider to request a different analgesic medication.
c. Give the pain medication and reposition the patient to promote comfort.
d. Request an order to administer the medication every 4 hours.
ANS: B
The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to mod
erate pain, so the nurse should ask the prescriber to order a stronger analgesic medication. Ask
ing the patient to tell the nurse what has helped in the past is a part of an initial assessment and
should be done preoperatively and not when the patient is having severe pain. Because the pati
ent is having severe pain, acetaminophen combined with nondrug therapies will not be suffici
ent. Increasing the frequency of the dose of a medication for mildgipain will not be effective.

DIF: Cognitive Level: Analysis
REF: Analysis andgiNursing Diagnosis TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

5. A patient newly diagnosed withgidiabetes is to be discharged from the hospital. The nurse
teaching this patient about home management should begin by doing what?
a. Asking the patient to demonstrate how to measure and administer insulin
b. Discussing methods of storinggiinsulin and discarding syringes
c. Giving information about how diet and exercise affect insulin requirements
d. Teaching the patient about the long-term consequences of poor diabetes control

ANS: A

, Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Because insulin must be given correctlyto control symptoms and because an overdose can be
fatal, it is most important for the patient to know how to administer it. Asking for a demonstr
ation of technique is the best way to determine whether the patient has understood the teachin
g. When a patient is receiving a lot of new information, the information presented first is the
most likely to be remembered. The other teaching points are important as well, but they are n
ot as critical and can be taught later.

DIF: Cognitive Level: Application REF: Planning
TOP: NursinggiProcess: Planning MSC: NCLEX Client Needs Category: Physiologic
Integ rity: Reduction of Risk Potential

6. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is
not part of the six rights of drug administration?
a. Assessing the patient‘s pain level 15 to 30 minutes after giving the medication
b. Checkinggithe medication administration record to see when the last dose was
administered
c. Consulting agidrug manual to determine whether the amount the prescriber
ordered is appropriate
d. Documenting the reason the medication was given in the patient‘s electronic
medical record
ANS: A
Assessing the patient‘s pain after administering the medication is an important part of the nur
sing process when giving medications, but it is not part of the six rights of drug administratio
n. Checkinggito see when the last dose was given helps ensure that the medication is given at th e
right time. Consulting a drug manual helps ensure that the medication is given in the right d ose.
Documenting the reason for a pain medication is an important part of the right document
ation—the sixth right.

DIF: Cognitive Level: Application
REF: Evolution of Nursing Responsibilities Regarding Drugs |
Implementation T OP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of RiskgiPotential

7. A patient tells a nurse that a medication prescribed for recurrent migraine headaches is not
working. What will the nurse do?
a. Ask the patient about the number and frequency of tablets taken.
b. Assess the patient‘s headache pain on a scale from 1 to 10.
c. Report the patient‘s complaint to the prescriber.
d. Suggest biofeedback as an adjunct to drug therapy.
ANS: A
When evaluating the effectiveness of a drug, it is important to determine whether the patient is
using the drug as ordered. Asking the patient to tell the nurse how many tablets are taken and
how often helps the nurse determine compliance. Assessing current pain does not yield infor
mation about how well the medication is working unless the patient is currently taking it. The
nurse should gather as much information about compliance, symptoms, and drug effectivenes s
as possible before contacting the prescriber. Biofeedback may be an effective

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