Test Bank for Lehne's Pharmacology for Nursing Care, 12th Edition by Jacqueline Burchum, Laura Rosenthal|9780443107108| LATEST

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

,CH 01: Orientation to Pharmacology
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Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
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MULTIPLE CHOICE r2




1. The nursing attendant is teaching a hospital client how a drugs works to treat an illnes
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s. To dothis, the nursing attendantwill rely on knowledge of which topic?
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a. Clinical pharmacology r2


b. Drugs efficacy r2


c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D r2 r2


Reasoning :- r2


>>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and pr
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event 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 r2




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 r2 r2


Reasoning :- r2


>>>>A major benefit of drugs that are easy to administer is that hospital clients taking
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them are morelikely tocomply with the drugs regimen. Drugs that are easy to give may
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have the other attributes listed, but those properties are independent of ease of administr
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ation.

POINTS: 1 r2




3. A hospital client tells the nursing attendant that an analgesic he will begin taking may c
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ausedrowsiness and willdecrease pain up to 4 hours at a time. Based on this understand
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ing of the drugs’s effects by thehospital client, the nursing attendant will anticipate whic
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h outcome?
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a. Decreased chance of having a placebo effect r2 r2 r2 r2 r2 r2


b. Decreased motivation to take the drugs r2 r2 r2 r2 r2


c. Improved compliance with the drugs regimen r2 r2 r2 r2 r2


d. Increased likelihood of drugs overdose r2 r2 r2 r2




ACCURATE ANSWER:- C r2 r2


A drugs is effective if it produces the intended effects, even if it also produces side eff
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ects. 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 r2

,MULTIPLE RESPONSEr2




1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
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a. Irreversible action r2


b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
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ACCURATE ANSWER:- B, C, D r2 r2 r2 r2


Reasoning :- r2




>>>>The ‘Big Three’ properties of the ideal drugs are effectiveness, safety
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, andselectivity.POINTS: 1
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2. Before administering a drugs, what does the nursing attendant need to know to evaluate
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how individualhospital client variability might affect the hospital client’s response to the d
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rugs? (Select allthat apply.)
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a. Chemical stability of the drugs r2 r2 r2 r2


b. Ease of administration r2 r2


c. Family medical history r2 r2


d. Hospital client’s age r2 r2


e. Hospital client’s diagnosis r2 r2




ACCURATE ANSWER:- C, D, E r2 r2 r2 r2


Reasoning :- r2


>>>>The family medical history can indicate genetic factors that may affect a hospital
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client’s response to adrugs. Hospital clients of different ages can respond differently to d
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rugs. The hospital client’s illness can affect how drugs are metabolized. The chemical st
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ability of the drugs and the ease of administration are properties of drugs.
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POINTS: 1 r2

, CH 02: Application of Pharmacology in Nursing Practice Burch
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um: Lehne’s Pharmacology for Nursing Care, 12TH Edition
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MULTIPLE CHOICE r2




1. A hospital client is using a metered-
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dose inhaler containing albuterol for asthma. The drugs labelinstructs the hospital client
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to administer “2 puffs every 4 hours as needed for coughing or wheezing.”The hospital
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client reports feeling jittery sometimes when taking the drugs, and doesn’t feel that the d
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rugs is always effective. Which action is outside the nursing attendant’s scope of practic
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e?
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 r2 r2 r2 r2 r2 r2 r2


c. Auscultating lung sounds and obtaining vital signs r2 r2 r2 r2 r2 r2


d. Suggesting that the hospital client use 1 puff to reduce side effects r2 r2 r2 r2 r2 r2 r2 r2 r2 r2 r2




ACCURATE ANSWER:- D r2 r2




Reasoning :- r2


>>>>It is not within the nursing attendant’s scope of practice to change the dose of a dr
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ugs without an orderfrom a prescriber. Asking the hospital client to demonstrate inhaler
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use helps the nursing attendant to evaluate the hospital client’s ability to administer the
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drugs properly and ispart of the nursing attendant’s evaluation.
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Assessing tobacco smoke exposure helps the nursing attendant determine whether non
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drugs therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy. P
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erforming a physical assessment helps the nursing attendant evaluate the hospital client
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’sresponse to the drugs.
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POINTS: 1 r2




2. A postoperative hospital client is being discharged home with acetaminophen/hydrocod
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one [Norco] forpain. The hospital client asks the nursing attendant about using Tylenol f
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or fever. 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.”r2 r2 r2 r2 r2 r2 r2 r2 r2 r2


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 r2 r2


Reasoning :- r2


>>>>Tylenol is the trade name and acetaminophen is the generic name for the same drug
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s. It isimportant to teach hospital clients to be aware of the different names for the same d
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rugs to minimize therisk of overdose. Over-the-
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counter (OTC) drugs and prescription drugs may be taken together unless significant har
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mful drugs interactions are possible. Even though no drugs interactions are at play in this
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case, both drugs contain acetaminophen, which could lead to toxicity.
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POINTS: 1 r2




3. The nursing attendant is preparing to care for a hospital client who will be taking an ant
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ihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
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2of 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 r2 r2 r2 r2 r2 r2 r2 r2 r2 r2