Test Bank Lehne's Pharmacology for Nursing Care, 11th pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
Chapter1:Orientation to pz pz pz
PharmacologyTest Bank
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MULTIPLE CHOICE pz
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, thenurse
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
will relyon knowledge of:
pz pz pz pz pz
a. clinicalpharmacology. pz
b. drugefficacy. pz
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D p z
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. pz pz pz pz pz pz pz pz pz pz pz pz pz pz
Clinical pharmacologyis concerned with all aspects of drug–human interactions.Drugefficacy
pz pz pz pz pz pz pz pz pz pz z
p pz
measures the extent to which a given drug causes an intended effect.
z
p pz pz pz pz pz pz pz pz pz pz pz
Pharmacokinetics is the studyof the impact of the bodyon a drug. pz pz pz pz pz pz pz pz pz z
p pz pz
DIF: Cognitive Level: Comprehension REF: Four Basic pz pz pz pz
TermsTOP: NursingProcess: Implementation
pz pz p z pz pz
MSC: NCLEX Client Needs Category: Physiologic Integrity:PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz z
p
2. What does it mean when a drug is described as easy to administer?
pz pz pz pz pz pz pz pz pz pz pz pz
a. It can be stored indefinitelywithout need for refrigeration.
pz pz pz pz pz pz pz pz
b. It does not interact significantlywith other medications.
pz pz pz pz z
p pz pz
c. It enhances patient adherence to the drug regimen.
pz pz pz pz pz pz pz
d. It is usuallyrelativelyinexpensive to produce.
pz pz pz pz pz pz
ANS: C p z
A major benefit of drugs that are easyto administer is that patients taking them are morelikely
pz pz pz pz pz pz pz z
p pz pz pz pz pz pz pz pz z
p
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
listed, but those properties are independent of ease of administration.
pz pz pz pz pz pz pz pz pz pz
DIF: Cognitive Level: Comprehension pz pz
REF: Additional Properties of an Ideal Drug: Ease of
pz pz pz pz pz pz pz pz
AdministrationTOP: NursingProcess: Assessment
pz pz p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
effective. Which statement bythe patient demonstrates an understanding of the
pz pz pz pz pz pz pz pz pz pz pz
drug‘seffectiveness?
pz pz
a. ―Idon‘thavetoworryabouttoxicity,sinceittakesalargeamountofthisdrugtocause an
pz pz pz pz pz pz pz pz pz pz z
p pz pz z
p pz z
p z
p pz
overdose.‖ pz
b. ―It has no side effects and doesn‘t interact with other drugs.‖
pz pz pz pz pz pz pz pz pz pz
c. ―I only have to take it every 12 hours.‖ pz pz p z p z p z p z pz p z
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
pz pz pz pz pz pz pz pz pz pz pz pz pz pz
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+
zp pz pz
ANS: D
p z
, Test Bank Lehne's Pharmacology for Nursing Care, 11th pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
A drug is effective if it produces the intended effects, even if it also produces side effects. Because
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
no drug is completelysafe, the level of toxicitydoes not determine effectiveness. Alldrugs have
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
side effects and many react with other substances; these do not affect the drug‘s effectiveness.
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
Ease of administration is independent of a drug‘s effectiveness.
pz pz pz pz pz pz pz pz pz
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal pz pz pz pz pz pz
DrugTOP: NursingProcess: Evaluation
pz z
p p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
MULTIPLE RESPONSE pz
1. What arethe properties of an ideal drug? (Select all that apply.)
pz pz pz pz pz pz pz pz pz pz pz
a. Irreversible action pz
b. Predictability
c. Easeof administration pz pz
d. Chemical stability pz
e. A simple trade name pz pz pz
ANS: B, C, D p z pz pz
In addition to predictability, ease of administration, and chemical stability, other properties
pz pz pz pz pz pz pz pz pz pz pz
include a reversible action so that anyharm the drug maycause can be undone and a
pz pz pz pz pz pz pz z
p pz pz pz pz pz pz pz pz pz
simplegeneric name, because generic names are usually complex and difficult to remember and
pz pz pz pz pz pz pz pz pz pz pz pz pz pz
pronounce.
pz
DIF: Cognitive Level: Comprehension pz pz
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
pz pz pz pz pz pz pz pz pz pz pz
DrugTOP: NursingProcess: Assessment
pz z
p p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
2. Before administering a medication, what does the nurse need to know to evaluate how
pz pz pz pz pz pz pz pz pz pz pz pz pz
individual patient variabilitymight affect the patient‘s response to the medication? (Select allthat pz pz pz pz pz pz pz pz pz pz pz pz z
p
apply.)
pz
a. Chemical stabilityof the medication pz pz pz pz
b. Easeof administration pz pz
c. Familymedical history pz pz
d. Patient‘s age pz
e. Patient‘s diagnosis pz
ANS: C, D, E p z pz pz
The family medical history can indicate genetic factors that may affect a patient‘s response toa
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
medication. Patients of different ages can respond differently to medications. The patient‘s illness
pz pz pz pz pz pz pz pz pz pz pz pz pz
can affect how drugs are metabolized. The chemical stabilityof the medication and theease of
pz pz pz pz pz pz pz pz pz z
p pz pz pz pz z
p pz
administration are properties of drugs.
pz pz pz pz pz
DIF: Cognitive Level: Analysis REF: Sources of Individual pz pz pz pz pz
VariationTOP: NursingProcess: Implementation
pz pz p z pz pz
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reductionof RiskPotential
p z pz pz pz pz pz pz pz pz pz
, Test Bank Lehne's Pharmacology for Nursing Care, 11th pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
Chapter 2: Application of Pharmacology in Nursing
pz pz pz pz pz pz
PracticeTest Bank
pz zp pz
MULTIPLE CHOICE pz
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medicationlabel
pz pz pz pz pz pz pz pz pz pz pz pz z
p
instructs the patient to administer ―2 puffs every4 hours as needed for coughing or
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
wheezing.‖ The patient reports feeling jitterysometimes when taking the medication, and pz pz p z pz pz pz pz pz pz p z pz
shedoesn‘t feel that the medication is always effective. Which is not an appropriate nursing
pz z
p pz pz pz pz pz pz pz pz pz pz pz pz pz
intervention for this patient?
pz pz pz pz
a. Askingthe patient to demonstrate use of the inhaler pz pz pz pz pz pz pz pz
b. Assessingthe patient‘s exposure to tobacco smoke pz pz pz pz pz pz
c. Auscultatinglung sounds and obtainingvital signs pz pz pz pz pz pz
d. Suggestingthat the patient use one puff to reduce side effects pz pz pz pz pz pz pz pz pz pz
ANS: D p z
It is not within the nurse‘s scope of practice to change the dose of a medication without an order
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
patient‘s abilityto administer the medication properlyand is part of the nurse‘sevaluation.
pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such
pz pz pz pz pz pz pz pz pz pz pz pz
a smoke avoidance, can be used as an adjunct to drug therapy. Performing aphysical assessment
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
helps the nurse evaluate the patient‘s response to the medication.
pz pz pz pz pz pz pz pz pz pz
DIF: CognitiveLevel: Application pz pz
REF: Applying the NursingProcess in DrugTherapy: Preadministration Assessment [and
pz pz pz pz pz pz pz pz pz pz
allsubsectionsunder this heading]
pz z
p TOP: NursingProcess: Implementation pz pz pz p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
2. A postoperative patient is beingdischarged home with acetaminophen/hydrocodone (Lortab)for
pz pz pz pz pz pz pz pz pz z
p
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurseis
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
correct?
pz
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
pz pz pz pz pz pz pz pz pz pz
b. ―Takingthe two medications together poses a risk of drug toxicity.‖ pz pz pz pz pz pz pz pz pz pz
c. ―There are no known drug interactions, so this will be safe.‖ pz pz pz pz pz pz pz pz pz pz
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ pz pz pz pz pz pz pz pz pz pz pz pz
ANS: B p z
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
important to teach patients to be aware of the different names for the same drug to minimizethe risk
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
of overdose. Over-the-counter (OTC) medications and prescription medications may be taken
pz pz pz pz pz pz pz pz pz pz pz
together unless significant harmful drug interactions are possible. Even though no drug
pz pz pz pz pz pz pz pz pz pz pz pz
interactions are at play in this case, both drugs contain acetaminophen, which could lead to toxicity.
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
DIF: CognitiveLevel: Application pz pz
REF: Applicationof Pharmacologyin Patient Education: Dosage and Administration
pz pz pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
Chapter1:Orientation to pz pz pz
PharmacologyTest Bank
pz zp pz
MULTIPLE CHOICE pz
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, thenurse
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
will relyon knowledge of:
pz pz pz pz pz
a. clinicalpharmacology. pz
b. drugefficacy. pz
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D p z
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. pz pz pz pz pz pz pz pz pz pz pz pz pz pz
Clinical pharmacologyis concerned with all aspects of drug–human interactions.Drugefficacy
pz pz pz pz pz pz pz pz pz pz z
p pz
measures the extent to which a given drug causes an intended effect.
z
p pz pz pz pz pz pz pz pz pz pz pz
Pharmacokinetics is the studyof the impact of the bodyon a drug. pz pz pz pz pz pz pz pz pz z
p pz pz
DIF: Cognitive Level: Comprehension REF: Four Basic pz pz pz pz
TermsTOP: NursingProcess: Implementation
pz pz p z pz pz
MSC: NCLEX Client Needs Category: Physiologic Integrity:PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz z
p
2. What does it mean when a drug is described as easy to administer?
pz pz pz pz pz pz pz pz pz pz pz pz
a. It can be stored indefinitelywithout need for refrigeration.
pz pz pz pz pz pz pz pz
b. It does not interact significantlywith other medications.
pz pz pz pz z
p pz pz
c. It enhances patient adherence to the drug regimen.
pz pz pz pz pz pz pz
d. It is usuallyrelativelyinexpensive to produce.
pz pz pz pz pz pz
ANS: C p z
A major benefit of drugs that are easyto administer is that patients taking them are morelikely
pz pz pz pz pz pz pz z
p pz pz pz pz pz pz pz pz z
p
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
listed, but those properties are independent of ease of administration.
pz pz pz pz pz pz pz pz pz pz
DIF: Cognitive Level: Comprehension pz pz
REF: Additional Properties of an Ideal Drug: Ease of
pz pz pz pz pz pz pz pz
AdministrationTOP: NursingProcess: Assessment
pz pz p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
effective. Which statement bythe patient demonstrates an understanding of the
pz pz pz pz pz pz pz pz pz pz pz
drug‘seffectiveness?
pz pz
a. ―Idon‘thavetoworryabouttoxicity,sinceittakesalargeamountofthisdrugtocause an
pz pz pz pz pz pz pz pz pz pz z
p pz pz z
p pz z
p z
p pz
overdose.‖ pz
b. ―It has no side effects and doesn‘t interact with other drugs.‖
pz pz pz pz pz pz pz pz pz pz
c. ―I only have to take it every 12 hours.‖ pz pz p z p z p z p z pz p z
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
pz pz pz pz pz pz pz pz pz pz pz pz pz pz
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+
zp pz pz
ANS: D
p z
, Test Bank Lehne's Pharmacology for Nursing Care, 11th pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
A drug is effective if it produces the intended effects, even if it also produces side effects. Because
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
no drug is completelysafe, the level of toxicitydoes not determine effectiveness. Alldrugs have
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
side effects and many react with other substances; these do not affect the drug‘s effectiveness.
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
Ease of administration is independent of a drug‘s effectiveness.
pz pz pz pz pz pz pz pz pz
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal pz pz pz pz pz pz
DrugTOP: NursingProcess: Evaluation
pz z
p p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
MULTIPLE RESPONSE pz
1. What arethe properties of an ideal drug? (Select all that apply.)
pz pz pz pz pz pz pz pz pz pz pz
a. Irreversible action pz
b. Predictability
c. Easeof administration pz pz
d. Chemical stability pz
e. A simple trade name pz pz pz
ANS: B, C, D p z pz pz
In addition to predictability, ease of administration, and chemical stability, other properties
pz pz pz pz pz pz pz pz pz pz pz
include a reversible action so that anyharm the drug maycause can be undone and a
pz pz pz pz pz pz pz z
p pz pz pz pz pz pz pz pz pz
simplegeneric name, because generic names are usually complex and difficult to remember and
pz pz pz pz pz pz pz pz pz pz pz pz pz pz
pronounce.
pz
DIF: Cognitive Level: Comprehension pz pz
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
pz pz pz pz pz pz pz pz pz pz pz
DrugTOP: NursingProcess: Assessment
pz z
p p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
2. Before administering a medication, what does the nurse need to know to evaluate how
pz pz pz pz pz pz pz pz pz pz pz pz pz
individual patient variabilitymight affect the patient‘s response to the medication? (Select allthat pz pz pz pz pz pz pz pz pz pz pz pz z
p
apply.)
pz
a. Chemical stabilityof the medication pz pz pz pz
b. Easeof administration pz pz
c. Familymedical history pz pz
d. Patient‘s age pz
e. Patient‘s diagnosis pz
ANS: C, D, E p z pz pz
The family medical history can indicate genetic factors that may affect a patient‘s response toa
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
medication. Patients of different ages can respond differently to medications. The patient‘s illness
pz pz pz pz pz pz pz pz pz pz pz pz pz
can affect how drugs are metabolized. The chemical stabilityof the medication and theease of
pz pz pz pz pz pz pz pz pz z
p pz pz pz pz z
p pz
administration are properties of drugs.
pz pz pz pz pz
DIF: Cognitive Level: Analysis REF: Sources of Individual pz pz pz pz pz
VariationTOP: NursingProcess: Implementation
pz pz p z pz pz
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reductionof RiskPotential
p z pz pz pz pz pz pz pz pz pz
, Test Bank Lehne's Pharmacology for Nursing Care, 11th pz pz pz pz pz pz pz
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
pz pz pz pz pz pz pz pz
112|Complete Guide A+ zp pz pz
Chapter 2: Application of Pharmacology in Nursing
pz pz pz pz pz pz
PracticeTest Bank
pz zp pz
MULTIPLE CHOICE pz
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medicationlabel
pz pz pz pz pz pz pz pz pz pz pz pz z
p
instructs the patient to administer ―2 puffs every4 hours as needed for coughing or
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
wheezing.‖ The patient reports feeling jitterysometimes when taking the medication, and pz pz p z pz pz pz pz pz pz p z pz
shedoesn‘t feel that the medication is always effective. Which is not an appropriate nursing
pz z
p pz pz pz pz pz pz pz pz pz pz pz pz pz
intervention for this patient?
pz pz pz pz
a. Askingthe patient to demonstrate use of the inhaler pz pz pz pz pz pz pz pz
b. Assessingthe patient‘s exposure to tobacco smoke pz pz pz pz pz pz
c. Auscultatinglung sounds and obtainingvital signs pz pz pz pz pz pz
d. Suggestingthat the patient use one puff to reduce side effects pz pz pz pz pz pz pz pz pz pz
ANS: D p z
It is not within the nurse‘s scope of practice to change the dose of a medication without an order
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
patient‘s abilityto administer the medication properlyand is part of the nurse‘sevaluation.
pz pz pz pz pz pz pz pz pz pz pz pz pz z
p
Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such
pz pz pz pz pz pz pz pz pz pz pz pz
a smoke avoidance, can be used as an adjunct to drug therapy. Performing aphysical assessment
pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
helps the nurse evaluate the patient‘s response to the medication.
pz pz pz pz pz pz pz pz pz pz
DIF: CognitiveLevel: Application pz pz
REF: Applying the NursingProcess in DrugTherapy: Preadministration Assessment [and
pz pz pz pz pz pz pz pz pz pz
allsubsectionsunder this heading]
pz z
p TOP: NursingProcess: Implementation pz pz pz p z pz pz
MSC: NCLEX Client NeedsCategory: Physiologic Integrity: PharmacologicandParenteralTherapies
p z pz pz pz pz pz pz pz pz pz
2. A postoperative patient is beingdischarged home with acetaminophen/hydrocodone (Lortab)for
pz pz pz pz pz pz pz pz pz z
p
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurseis
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
correct?
pz
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
pz pz pz pz pz pz pz pz pz pz
b. ―Takingthe two medications together poses a risk of drug toxicity.‖ pz pz pz pz pz pz pz pz pz pz
c. ―There are no known drug interactions, so this will be safe.‖ pz pz pz pz pz pz pz pz pz pz
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ pz pz pz pz pz pz pz pz pz pz pz pz
ANS: B p z
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz
important to teach patients to be aware of the different names for the same drug to minimizethe risk
pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz pz z
p pz
of overdose. Over-the-counter (OTC) medications and prescription medications may be taken
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together unless significant harmful drug interactions are possible. Even though no drug
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interactions are at play in this case, both drugs contain acetaminophen, which could lead to toxicity.
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DIF: CognitiveLevel: Application pz pz
REF: Applicationof Pharmacologyin Patient Education: Dosage and Administration
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