Test Bank Lehne's Pharmacology for Nursing Care,
te te te te te te
11th Edition by Jacqueline Burchum, Laura Rosenthal
te et te te te te te
Chapter 1: Orientation to Pharmacology
te te te te
Test Bank
te te
MULTIPLE teCHOICE
1. The tenurse teis teteaching tea tepatient tehow tea temedication teworks teto tetreat tean teillness. teTo tedo
te this, tethe tenurse tewill terely teon teknowledge teof:
a. clinical tepharmacology.
b. drug teefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: t e D
Pharmacotherapeutics teis tethe testudy teof tethe teuse teof tedrugs teto tediagnose, tetreat, teand teprevent
teconditions. teClinical tepharmacology teis teconcerned tewith teall teaspects teof tedrug–human
teinteractions. teDrug teefficacy temeasures tethe teextent teto tewhich tea tegiven tedrug tecauses tean
teintended teeffect.
Pharmacokinetics teis tethe testudy teof tethe teimpact teof tethe tebody teon tea tedrug.
DIF: Cognitive teLevel: teComprehension REF: teFour teBasic
teTerms teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. What tedoes teit temean tewhen tea tedrug teis tedescribed teas teeasy teto teadminister?
a. It tecan tebe testored teindefinitely tewithout teneed tefor terefrigeration.
b. It tedoes tenot teinteract tesignificantly tewith teother temedications.
c. It teenhances tepatient teadherence teto tethe tedrug teregimen.
d. It teis teusually terelatively teinexpensive teto teproduce.
ANS: t e C
A temajor tebenefit teof tedrugs tethat teare teeasy teto teadminister teis tethat tepatients tetaking tethem teare temore
telikely teto tecomply tewith tethe tedrug teregimen. teDrugs tethat teare teeasy teto tegive temay tehave tethe
teother teattributes telisted, tebut tethose teproperties teare teindependent teof teease teof teadministration.
DIF: Cognitive teLevel: teComprehension
REF: teAdditional teProperties teof tean teIdeal teDrug: teEase teof teAdministration
teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
3. A tepatient tetells tethe tenurse tethat tehe tewas tetold teby tethe teprescriber tethat tethe teanalgesic tehe teis
taking teis tevery teeffective. teWhich testatement teby tethe tepatient tedemonstrates tean teunderstanding
te
of tethe tedrug‘s teeffectiveness?
te
a. ―I tedon‘t tehave teto teworry teabout tetoxicity, tesince teit tetakes tea telarge teamount teof tethis
tedrug teto tecause tean teoverdose.‖
b. ―It tehas teno teside teeffects teand tedoesn‘t teinteract tewith teother tedrugs.‖
c. ―I teonly tehave teto tetake teit teevery te12 tehours.‖
d. ―It temight temake teme tesleepy, teand teit telessens tepain tefor teseveral tehours teat tea tetime.‖
ANS: t e D
, A tedrug teis teeffective teif teit teproduces tethe teintended teeffects, teeven teif teit tealso teproduces teside
teeffects. teBecause teno tedrug teis tecompletely tesafe, tethe televel teof tetoxicity tedoes tenot tedetermine
teeffectiveness. teAll tedrugs tehave teside teeffects teand temany tereact tewith teother tesubstances; tethese
tedo tenot teaffect tethe tedrug‘s teeffectiveness. teEase teof teadministration teis teindependent teof tea tedrug‘s
teeffectiveness.
DIF: Cognitive teLevel: teComprehension REF: teProperties teof tean teIdeal
teDrug teTOP: t e Nursing teProcess: teEvaluation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
MULTIPLE teRESPONSE
1. What teare tethe teproperties teof tean teideal tedrug? te(Select teall tethat teapply.)
a. Irreversible teaction
b. Predictability
c. Ease teof teadministration
d. Chemical testability
e. A tesimple tetrade tename
ANS: t e B, teC, teD
In teaddition teto tepredictability, teease teof teadministration, teand techemical testability, teother
teproperties teinclude tea tereversible teaction teso tethat teany teharm tethe tedrug temay tecause tecan tebe
teundone teand tea tesimple tegeneric tename, tebecause tegeneric tenames teare teusually tecomplex teand
tedifficult teto teremember teand tepronounce.
DIF: Cognitive teLevel: teComprehension
REF: teProperties teof tean teIdeal teDrug te| teAdditional teProperties teof tean teIdeal
teDrug teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. Before teadministering tea temedication, tewhat tedoes tethe tenurse teneed teto teknow teto teevaluate tehow
individual tepatient tevariability temight teaffect tethe tepatient‘s teresponse teto tethe temedication? te(Select
teall tethat teapply.)
a. Chemical testabilityteof tethe temedication
b. Ease teof teadministration
c. Family temedical tehistory
d. Patient‘s teage
e. Patient‘s tediagnosis
ANS: t e C, teD, teE
The tefamily temedical tehistory tecan teindicate tegenetic tefactors tethat temay teaffect tea tepatient‘s
teresponse teto tea temedication. tePatients teof tedifferent teages tecan terespond tedifferently teto
temedications. teThe tepatient‘s teillness tecan teaffect tehow tedrugs teare temetabolized. teThe techemical
testability teof tethe temedication teand tethe teease teof teadministration teare teproperties teof tedrugs.
DIF: Cognitive teLevel: teAnalysis REF: teSources teof teIndividual
teVariation teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
,Chapter 2: Application of Pharmacology in Nursing Practice
te te te te te te te
Test Bank
te te
MULTIPLE teCHOICE
1. A tepatient teis teusing tea temetered-dose teinhaler tecontaining tealbuterol tefor teasthma. teThe
temedication telabel teinstructs tethe tepatient teto teadminister te―2 tepuffs teevery te4 tehours teas teneeded
tefor tecoughing teor
wheezing.‖ teThe tepatient tereports tefeeling tejittery tesometimes tewhen tetaking tethe temedication, teand teshe
tedoesn‘t tefeel tethat tethe temedication teis tealways teeffective. teWhich teis tenot tean teappropriate tenursing
teintervention tefor tethis tepatient?
a. Asking tethe tepatient teto tedemonstrate teuse teof tethe teinhaler
b. Assessing tethe tepatient‘s teexposure teto tetobacco tesmoke
c. Auscultating telung tesounds teand teobtaining tevital tesigns
d. Suggesting tethat tethe tepatient teuse teone tepuff teto tereduce teside teeffects
ANS: t e D
It teis tenot tewithin tethe tenurse‘s tescope teof tepractice teto techange tethe tedose teof tea temedication tewithout
tean teorder tefrom tea teprescriber. teAsking tethe tepatient teto tedemonstrate teinhaler teuse tehelps tethe
tenurse teto
evaluate tethe tepatient‘s teability teto teadminister tethe temedication teproperly teand teis tepart teof tethe tenurse‘s
teevaluation. teAssessing tetobacco tesmoke teexposure tehelps tethe tenurse tedetermine tewhether tenondrug
tetherapies, tesuch tea tesmoke teavoidance, tecan tebe teused teas tean teadjunct teto tedrug tetherapy. tePerforming tea
tephysical teassessment tehelps tethe tenurse teevaluate tethe tepatient‘s teresponse teto tethe temedication.
DIF: Cognitive teLevel: teApplication
REF: teApplying tethe teNursing teProcess tein teDrug teTherapy: tePreadministration teAssessment
te[and teall tesubsections teunder tethis teheading] TOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. A tepostoperative tepatient teis tebeing tedischarged tehome tewith teacetaminophen/hydrocodone
(Lortab) tefor tepain. teThe tepatient teasks tethe tenurse teabout teusing teTylenol tefor tefever. teWhich
te
statement teby tethe tenurse teis tecorrect?
te
a. ―It teis tenot tesafe teto tetake teover-the-counter tedrugs tewith teprescription temedications.‖
b. ―Taking tethe tetwo temedications tetogether teposes tea terisk teof tedrug tetoxicity.‖
c. ―There teare teno teknown tedrug teinteractions, teso tethis tewill tebe tesafe.‖
d. ―Tylenol teand teLortab teare tedifferent tedrugs, teso tethere teis teno terisk teof teoverdose.‖
ANS: t e B
Tylenol teis tethe tetrade tename teand teacetaminophen teis tethe tegeneric tename tefor tethe tesame
temedication. teIt teis teimportant teto teteach tepatients teto tebe teaware teof tethe tedifferent tenames tefor tethe
tesame tedrug teto teminimize tethe terisk teof teoverdose. teOver-the-counter te(OTC) temedications teand
teprescription temedications temay tebe tetaken tetogether teunless tesignificant teharmful tedrug
teinteractions teare tepossible. teEven tethough teno tedrug teinteractions teare teat teplay tein tethis tecase, teboth
tedrugs tecontain teacetaminophen, tewhich tecould telead teto tetoxicity.
DIF: Cognitive teLevel: teApplication
REF: teApplication teof tePharmacology tein tePatient teEducation: teDosage teand
teAdministration teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
, 3. The tenurse teis tepreparing teto tecare tefor tea tepatient tewho tewill tebe tetaking tean teantihypertensive
temedication. teWhich teaction teby tethe tenurse teis tepart teof tethe teassessment testep teof tethe tenursing
teprocess?
a. Asking tethe teprescriber tefor tean teorder teto temonitor teserum tedrug televels
b. Monitoring tethe tepatient tefor tedrug teinteractions teafter tegiving tethe temedication
c. Questioning tethe tepatient teabout teover-the-counter temedications
d. Taking tethe tepatient‘s teblood tepressure tethroughout tethe tecourse teof tetreatment
ANS: t e C
The teassessment tepart teof tethe tenursing teprocess teinvolves tegathering teinformation tebefore tebeginning
tetreatment, teand tethis teincludes teasking teabout teother temedications tethe tepatient temay tebe tetaking.
Monitoring teserum tedrug televels, tewatching tefor tedrug teinteractions, teand techecking tevital tesigns
teafter tegiving tethe temedication teare teall tepart teof tethe teevaluation tephase.
DIF: Cognitive teLevel: teApplication REF: tePreadministration teAssessment
teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
4. A tepostoperative tepatient tereports tepain, tewhich tethe tepatient terates teas tean te8 teon tea tescale tefrom te1
teto te10 te(10 tebeing tethe temost teextreme tepain). teThe teprescriber tehas teordered teacetaminophen
te(Tylenol) te650 temg tePO teevery te6 tehours tePRN tepain. teWhat tewill tethe tenurse tedo?
a. Ask tethe tepatient tewhat temedications tehave tehelped tewith tepain tein tethe tepast.
b. Contact tethe teprovider teto terequest tea tedifferent teanalgesic temedication.
c. Give tethe tepain temedication teand tereposition tethe tepatient teto tepromote tecomfort.
d. Request tean teorder teto teadminister tethe temedication teevery te4 tehours.
ANS: t e B
The tenursing tediagnosis tefor tethis tepatient teis tesevere tepain. teAcetaminophen teis tegiven tefor temild teto
temoderate tepain, teso tethe tenurse teshould teask tethe teprescriber teto teorder tea testronger teanalgesic
temedication. teAsking tethe tepatient teto tetell tethe tenurse tewhat tehas tehelped tein tethe tepast teis tea tepart teof
tean teinitial teassessment teand teshould tebe tedone tepreoperatively teand tenot tewhen tethe tepatient teis
tehaving tesevere tepain. teBecause tethe tepatient teis tehaving tesevere tepain, teacetaminophen tecombined
tewith tenondrug tetherapies tewill tenot tebe tesufficient. teIncreasing tethe tefrequency teof tethe tedose teof tea
temedication tefor temild tepain tewill tenot tebe teeffective.
DIF: Cognitive teLevel: teAnalysis REF: teAnalysis teand teNursing
teDiagnosis teTOP: t e Nursing teProcess: teDiagnosis
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
5. A tepatient tenewly tediagnosed tewith tediabetes teis teto tebe tedischarged tefrom tethe tehospital. teThe
nurse teteaching tethis tepatient teabout tehome temanagement teshould tebegin teby tedoing tewhat?
te
a. Asking tethe tepatient teto tedemonstrate tehow teto temeasure teand teadminister teinsulin
b. Discussing temethods teof testoring teinsulin teand tediscarding tesyringes
c. Giving teinformation teabout tehow tediet teand teexercise teaffect teinsulin terequirements
d. Teaching tethe tepatient teabout tethe telong-term teconsequences teof tepoor tediabetes tecontrol
ANS: t e A
te te te te te te
11th Edition by Jacqueline Burchum, Laura Rosenthal
te et te te te te te
Chapter 1: Orientation to Pharmacology
te te te te
Test Bank
te te
MULTIPLE teCHOICE
1. The tenurse teis teteaching tea tepatient tehow tea temedication teworks teto tetreat tean teillness. teTo tedo
te this, tethe tenurse tewill terely teon teknowledge teof:
a. clinical tepharmacology.
b. drug teefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: t e D
Pharmacotherapeutics teis tethe testudy teof tethe teuse teof tedrugs teto tediagnose, tetreat, teand teprevent
teconditions. teClinical tepharmacology teis teconcerned tewith teall teaspects teof tedrug–human
teinteractions. teDrug teefficacy temeasures tethe teextent teto tewhich tea tegiven tedrug tecauses tean
teintended teeffect.
Pharmacokinetics teis tethe testudy teof tethe teimpact teof tethe tebody teon tea tedrug.
DIF: Cognitive teLevel: teComprehension REF: teFour teBasic
teTerms teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. What tedoes teit temean tewhen tea tedrug teis tedescribed teas teeasy teto teadminister?
a. It tecan tebe testored teindefinitely tewithout teneed tefor terefrigeration.
b. It tedoes tenot teinteract tesignificantly tewith teother temedications.
c. It teenhances tepatient teadherence teto tethe tedrug teregimen.
d. It teis teusually terelatively teinexpensive teto teproduce.
ANS: t e C
A temajor tebenefit teof tedrugs tethat teare teeasy teto teadminister teis tethat tepatients tetaking tethem teare temore
telikely teto tecomply tewith tethe tedrug teregimen. teDrugs tethat teare teeasy teto tegive temay tehave tethe
teother teattributes telisted, tebut tethose teproperties teare teindependent teof teease teof teadministration.
DIF: Cognitive teLevel: teComprehension
REF: teAdditional teProperties teof tean teIdeal teDrug: teEase teof teAdministration
teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
3. A tepatient tetells tethe tenurse tethat tehe tewas tetold teby tethe teprescriber tethat tethe teanalgesic tehe teis
taking teis tevery teeffective. teWhich testatement teby tethe tepatient tedemonstrates tean teunderstanding
te
of tethe tedrug‘s teeffectiveness?
te
a. ―I tedon‘t tehave teto teworry teabout tetoxicity, tesince teit tetakes tea telarge teamount teof tethis
tedrug teto tecause tean teoverdose.‖
b. ―It tehas teno teside teeffects teand tedoesn‘t teinteract tewith teother tedrugs.‖
c. ―I teonly tehave teto tetake teit teevery te12 tehours.‖
d. ―It temight temake teme tesleepy, teand teit telessens tepain tefor teseveral tehours teat tea tetime.‖
ANS: t e D
, A tedrug teis teeffective teif teit teproduces tethe teintended teeffects, teeven teif teit tealso teproduces teside
teeffects. teBecause teno tedrug teis tecompletely tesafe, tethe televel teof tetoxicity tedoes tenot tedetermine
teeffectiveness. teAll tedrugs tehave teside teeffects teand temany tereact tewith teother tesubstances; tethese
tedo tenot teaffect tethe tedrug‘s teeffectiveness. teEase teof teadministration teis teindependent teof tea tedrug‘s
teeffectiveness.
DIF: Cognitive teLevel: teComprehension REF: teProperties teof tean teIdeal
teDrug teTOP: t e Nursing teProcess: teEvaluation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
MULTIPLE teRESPONSE
1. What teare tethe teproperties teof tean teideal tedrug? te(Select teall tethat teapply.)
a. Irreversible teaction
b. Predictability
c. Ease teof teadministration
d. Chemical testability
e. A tesimple tetrade tename
ANS: t e B, teC, teD
In teaddition teto tepredictability, teease teof teadministration, teand techemical testability, teother
teproperties teinclude tea tereversible teaction teso tethat teany teharm tethe tedrug temay tecause tecan tebe
teundone teand tea tesimple tegeneric tename, tebecause tegeneric tenames teare teusually tecomplex teand
tedifficult teto teremember teand tepronounce.
DIF: Cognitive teLevel: teComprehension
REF: teProperties teof tean teIdeal teDrug te| teAdditional teProperties teof tean teIdeal
teDrug teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. Before teadministering tea temedication, tewhat tedoes tethe tenurse teneed teto teknow teto teevaluate tehow
individual tepatient tevariability temight teaffect tethe tepatient‘s teresponse teto tethe temedication? te(Select
teall tethat teapply.)
a. Chemical testabilityteof tethe temedication
b. Ease teof teadministration
c. Family temedical tehistory
d. Patient‘s teage
e. Patient‘s tediagnosis
ANS: t e C, teD, teE
The tefamily temedical tehistory tecan teindicate tegenetic tefactors tethat temay teaffect tea tepatient‘s
teresponse teto tea temedication. tePatients teof tedifferent teages tecan terespond tedifferently teto
temedications. teThe tepatient‘s teillness tecan teaffect tehow tedrugs teare temetabolized. teThe techemical
testability teof tethe temedication teand tethe teease teof teadministration teare teproperties teof tedrugs.
DIF: Cognitive teLevel: teAnalysis REF: teSources teof teIndividual
teVariation teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
,Chapter 2: Application of Pharmacology in Nursing Practice
te te te te te te te
Test Bank
te te
MULTIPLE teCHOICE
1. A tepatient teis teusing tea temetered-dose teinhaler tecontaining tealbuterol tefor teasthma. teThe
temedication telabel teinstructs tethe tepatient teto teadminister te―2 tepuffs teevery te4 tehours teas teneeded
tefor tecoughing teor
wheezing.‖ teThe tepatient tereports tefeeling tejittery tesometimes tewhen tetaking tethe temedication, teand teshe
tedoesn‘t tefeel tethat tethe temedication teis tealways teeffective. teWhich teis tenot tean teappropriate tenursing
teintervention tefor tethis tepatient?
a. Asking tethe tepatient teto tedemonstrate teuse teof tethe teinhaler
b. Assessing tethe tepatient‘s teexposure teto tetobacco tesmoke
c. Auscultating telung tesounds teand teobtaining tevital tesigns
d. Suggesting tethat tethe tepatient teuse teone tepuff teto tereduce teside teeffects
ANS: t e D
It teis tenot tewithin tethe tenurse‘s tescope teof tepractice teto techange tethe tedose teof tea temedication tewithout
tean teorder tefrom tea teprescriber. teAsking tethe tepatient teto tedemonstrate teinhaler teuse tehelps tethe
tenurse teto
evaluate tethe tepatient‘s teability teto teadminister tethe temedication teproperly teand teis tepart teof tethe tenurse‘s
teevaluation. teAssessing tetobacco tesmoke teexposure tehelps tethe tenurse tedetermine tewhether tenondrug
tetherapies, tesuch tea tesmoke teavoidance, tecan tebe teused teas tean teadjunct teto tedrug tetherapy. tePerforming tea
tephysical teassessment tehelps tethe tenurse teevaluate tethe tepatient‘s teresponse teto tethe temedication.
DIF: Cognitive teLevel: teApplication
REF: teApplying tethe teNursing teProcess tein teDrug teTherapy: tePreadministration teAssessment
te[and teall tesubsections teunder tethis teheading] TOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
2. A tepostoperative tepatient teis tebeing tedischarged tehome tewith teacetaminophen/hydrocodone
(Lortab) tefor tepain. teThe tepatient teasks tethe tenurse teabout teusing teTylenol tefor tefever. teWhich
te
statement teby tethe tenurse teis tecorrect?
te
a. ―It teis tenot tesafe teto tetake teover-the-counter tedrugs tewith teprescription temedications.‖
b. ―Taking tethe tetwo temedications tetogether teposes tea terisk teof tedrug tetoxicity.‖
c. ―There teare teno teknown tedrug teinteractions, teso tethis tewill tebe tesafe.‖
d. ―Tylenol teand teLortab teare tedifferent tedrugs, teso tethere teis teno terisk teof teoverdose.‖
ANS: t e B
Tylenol teis tethe tetrade tename teand teacetaminophen teis tethe tegeneric tename tefor tethe tesame
temedication. teIt teis teimportant teto teteach tepatients teto tebe teaware teof tethe tedifferent tenames tefor tethe
tesame tedrug teto teminimize tethe terisk teof teoverdose. teOver-the-counter te(OTC) temedications teand
teprescription temedications temay tebe tetaken tetogether teunless tesignificant teharmful tedrug
teinteractions teare tepossible. teEven tethough teno tedrug teinteractions teare teat teplay tein tethis tecase, teboth
tedrugs tecontain teacetaminophen, tewhich tecould telead teto tetoxicity.
DIF: Cognitive teLevel: teApplication
REF: teApplication teof tePharmacology tein tePatient teEducation: teDosage teand
teAdministration teTOP: t e Nursing teProcess: teImplementation
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
, 3. The tenurse teis tepreparing teto tecare tefor tea tepatient tewho tewill tebe tetaking tean teantihypertensive
temedication. teWhich teaction teby tethe tenurse teis tepart teof tethe teassessment testep teof tethe tenursing
teprocess?
a. Asking tethe teprescriber tefor tean teorder teto temonitor teserum tedrug televels
b. Monitoring tethe tepatient tefor tedrug teinteractions teafter tegiving tethe temedication
c. Questioning tethe tepatient teabout teover-the-counter temedications
d. Taking tethe tepatient‘s teblood tepressure tethroughout tethe tecourse teof tetreatment
ANS: t e C
The teassessment tepart teof tethe tenursing teprocess teinvolves tegathering teinformation tebefore tebeginning
tetreatment, teand tethis teincludes teasking teabout teother temedications tethe tepatient temay tebe tetaking.
Monitoring teserum tedrug televels, tewatching tefor tedrug teinteractions, teand techecking tevital tesigns
teafter tegiving tethe temedication teare teall tepart teof tethe teevaluation tephase.
DIF: Cognitive teLevel: teApplication REF: tePreadministration teAssessment
teTOP: t e Nursing teProcess: teAssessment
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: teReduction teof teRisk tePotential
4. A tepostoperative tepatient tereports tepain, tewhich tethe tepatient terates teas tean te8 teon tea tescale tefrom te1
teto te10 te(10 tebeing tethe temost teextreme tepain). teThe teprescriber tehas teordered teacetaminophen
te(Tylenol) te650 temg tePO teevery te6 tehours tePRN tepain. teWhat tewill tethe tenurse tedo?
a. Ask tethe tepatient tewhat temedications tehave tehelped tewith tepain tein tethe tepast.
b. Contact tethe teprovider teto terequest tea tedifferent teanalgesic temedication.
c. Give tethe tepain temedication teand tereposition tethe tepatient teto tepromote tecomfort.
d. Request tean teorder teto teadminister tethe temedication teevery te4 tehours.
ANS: t e B
The tenursing tediagnosis tefor tethis tepatient teis tesevere tepain. teAcetaminophen teis tegiven tefor temild teto
temoderate tepain, teso tethe tenurse teshould teask tethe teprescriber teto teorder tea testronger teanalgesic
temedication. teAsking tethe tepatient teto tetell tethe tenurse tewhat tehas tehelped tein tethe tepast teis tea tepart teof
tean teinitial teassessment teand teshould tebe tedone tepreoperatively teand tenot tewhen tethe tepatient teis
tehaving tesevere tepain. teBecause tethe tepatient teis tehaving tesevere tepain, teacetaminophen tecombined
tewith tenondrug tetherapies tewill tenot tebe tesufficient. teIncreasing tethe tefrequency teof tethe tedose teof tea
temedication tefor temild tepain tewill tenot tebe teeffective.
DIF: Cognitive teLevel: teAnalysis REF: teAnalysis teand teNursing
teDiagnosis teTOP: t e Nursing teProcess: teDiagnosis
MSC: t e NCLEX teClient teNeeds teCategory: tePhysiologic teIntegrity: tePharmacologic teand teParenteral teTherapies
5. A tepatient tenewly tediagnosed tewith tediabetes teis teto tebe tedischarged tefrom tethe tehospital. teThe
nurse teteaching tethis tepatient teabout tehome temanagement teshould tebegin teby tedoing tewhat?
te
a. Asking tethe tepatient teto tedemonstrate tehow teto temeasure teand teadminister teinsulin
b. Discussing temethods teof testoring teinsulin teand tediscarding tesyringes
c. Giving teinformation teabout tehow tediet teand teexercise teaffect teinsulin terequirements
d. Teaching tethe tepatient teabout tethe telong-term teconsequences teof tepoor tediabetes tecontrol
ANS: t e A
