jk jk jk jk jk jk jk
5th Edition
jk jk
Test Bank for Saunders Comprehensive Review for the
jk jk jk jk jk jk jk
NCLEX-RN® Examination, 9th Edition by Linda Anne Silvestri
jk jk jk jk jk jk jk jk
and Angela Silvestri Complete Questions and Answers Pass
jk jk jk jk jk jk jk jk
Guaranteed jk
Pharmacology
Test jkBank
jk
MULTIPLE jkCHOICE
1. The jknurse jkis jkcaring jkfor jka jkclient jkin jklabor. jkThe jknurse jkreviews jkthe jkphysician’s jkprescriptions jkand
jknotes jkthat jkthe jkclient jkhas jka jkprescription jkfor jkbutorphanol jktartrate jk(Stadol). jkThe jknurse jkunderstands jkthat
jkthis jkmedication jkis jkprescribed jkfor:
1. Pain jkrelief
2. Increasing jkuterine jkcontractions
3. Decreasing jkuterine jkcontractions
4. Promoting jkfetal jklung jkmaturity
ANS: j k 1
Rationale: jkThe jkclient jkin jklabor jkmay jkbe jkgiven jkparenteral jkanalgesia jkduring jkthe jkfirst jkstage jkof jklabor, jkup
jkto jk2 jkto jk3 jkhours jkbefore jkthe jkanticipated jkdelivery. jkButorphanol jktartrate jkis jka jkmedication jkthat jkmay jkbe
jkprescribed jkfor
pain jkrelief. jk―Increasing jkuterine jkcontractions,‖ jk―decreasing jkuterine jkcontractions,‖ jkand jk―promoting jkfetal
jklung jkmaturity‖ jkare jknot jkactions jkof jkthis jkmedication.
Test-Taking jkStrategy: jkKnowledge jkof jkthe jkaction jkof jkbutorphanol jktartrate jkis jkrequired jkto jkanswer jkthis
jkquestion. jkRemember jkthat jkthis jkmedication jkis jkused jkfor jkpain jkrelief. jkReview jkthe jkaction jkof jkthis
jkmedication jkif jkyou jkhad jkdifficulty jkwith jkthis jkquestion jkand jkare jkunfamiliar jkwith jkthis jkmedication.
PTS: 1
DIF: Level jkof jkCognitive jkAbility: jkUnderstanding
REF: Lehne, jkR. jk(2010). jkPharmacology jkfor jknursing jkcare jk(7th jked.). jkSt. jkLouis:
jkSaunders. jkOBJ: Client jkNeeds: jkPhysiological jkIntegrity
TOP: j k j k Content jkArea: jkPharmacology
MSC: jk Integrated jkProcess: jkNursing jkProcess—Planning
2. The jkpostpartum jknurse jkis jkcaring jkfor jka jkclient jkwith jkan jkepidural jkcatheter jkin jkplace jkfor jkopioid
jkanalgesic jkadministration jkfollowing jkcesarean jkbirth. jkIf jkthe jkclient jkdevelops jkrespiratory
jkdepression jkand jkrequires jknaloxone jk(Narcan) jkas jkan jkantidote, jkthe jkclient jkmay jkcomplain jkof
jkwhich jkof jkthe jkfollowing?
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination,
jk jk jk jk jk jk jk
5th Edition
jk jk
1. Increase jkin jkher jkpain jklevel
2. Decrease jkin jkher jkpain jklevel
3. Increase jkin jkthe jkamount jkof jkitching jkfrom jkthe jkopioid jkused jkin jkthe jkepidural
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination,
jk jk jk jk jk jk jk
5th Edition
jk jk
4. Decrease jkin jkthe jkamount jkof jkitching jkfrom jkthe jkopioid jkused jkin jkthe jkepidural
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination,
jk jk jk jk jk jk jk
5th Edition
jk jk
ANS: j k 1
Rationale: jkRemember jkthat jkopioids jkare jkused jkfor jkepidural jkanalgesia. jkNaloxone jkis jkan jkopioid
jkantagonist, jkwhich jkreverses jkthe jkeffects jkof jkopioids. jkIf jkit jkis jkgiven, jkthe jkclient jkmay jkcomplain jkof jkan
jkincrease jkin jkher jkpain jklevel. jkTherefore jk―decrease jkin jkher jkpain jklevel,‖ jk―increase jkin jkthe jkamount jkof
jkitching jkfrom jkthe jkopioid jkused jkin jkthe jkepidural,‖ jkand jk―decrease jkin jkthe jkamount jkof jkitching jkfrom jkthe
jkopioid jkused jkin jkthe jkepidural‖ jkare jkincorrect.
Test-Taking jkStrategy: jkTo jkanswer jkthis jkquestion jkaccurately, jkyou jkmust jkknow jkthat jkopioid jkanalgesics jkare
jkthe jkmedications jkused jkwith jkepidural jkanalgesia jkto jkrelieve jkpain. jkTherefore jkif jknaloxone jkis jkadministered
jkas jkan jkantidote jkfor jkan jkopioid jkanalgesic, jkthe jkclient’s jkpain jkwill jkincrease. jkReview jkthe jkeffects jkof
jknaloxone jkif jkthis jkquestion jkwas jkdifficult.
PTS: 1
DIF: Level jkof jkCognitive jkAbility: jkUnderstanding
REF: Lehne, jkR. jk(2010). jkPharmacology jkfor jknursing jkcare jk(7th jked.). jkSt. jkLouis:
jkSaunders. jkOBJ: Client jkNeeds: jkPhysiological jkIntegrity
TOP: j k j k Content jkArea: jkPharmacology
MSC: jk Integrated jkProcess: jkNursing jkProcess—Assessment
3. A jkclient jkexperiencing jkpreterm jklabor jkat jkthe jktwenty-ninth jkweek jkof jkgestation jkhas jkbeen jkadmitted jkto
jkthe jkhospital. jkThe jkclient jkhas jka jkprescription jkto jkreceive jkbetamethasone jk(Celestone). jkThe jknurse
jkunderstands jkthat jkthe jkmedication jkwill jkdo jkwhich jkof jkthe jkfollowing?
1. Prevent jkspontaneous jkdelivery.
2. Stop jkthe jkuterine jkcontractions.
3. Promote jkmaturation jkof jkthe jkfetal jklungs.
4. Accelerate jkthe jkgrowth jkrate jkof jkthe jkfetus.
ANS: j k 3
Rationale: jkBetamethasone jk(Celestone) jkis jkclassified jkas jkan jkanti-inflammatory jkand jkcorticosteroid. jkIt
jkincreases jkthe jksurfactant jklevel jkand jklung jkmaturity jkin jkthe jkfetus, jkwhich jkreduces jkthe jkincidence jkof
jkrespiratory jkdistress jksyndrome. jkDelivery jkmust jkbe jkdelayed jkfor jkat jkleast jk48 jkhours jkafter jkadministration
jkof jkbetamethasone jkto jkallow jktime jkfor jkthe jklungs jkof jkthe jkfetus jkto jkmature.
Test-Taking jkStrategy: jkOptions jkthat jkare jkcomparable jkor jkalike jkare jknot jklikely jkto jkbe jkcorrect. jkWith jkthis
jkin jkmind, jkeliminate jk―prevent jkspontaneous jkdelivery‖ jkand jk―stop jkthe jkuterine jkcontractions.‖ jkNote jkthe
jkstrategic jkwords jk―twenty-ninth jkweek jkof jkgestation.‖ jkSpecific jkknowledge jkabout jkthe jkmedication jkand
jkknowledge jkof jkthe jkproblems jkencountered jkby jkpremature jkinfants jkwill jkassist jkin jkanswering jkthis
jkquestion. jkReview jkthe jkaction jkof jkthis jkmedication jkif jkthis jkquestion jkwas jkdifficult.
PTS: 1
DIF: Level jkof jkCognitive jkAbility: jkUnderstanding
REF: McKinney, jkE., jkJames, jkS., jkMurray, jkS., jk&jkAshwill, jkJ. jk(2009). jkMaternal-child jknursing jk(3rd jked.).
jkSt. jkLouis: jkSaunders. OBJ: Client jkNeeds: jkPhysiological jkIntegrity