TEST BANK
Lehne's Pharmacology for Nursing Care, 12th Edition by
Jacqueline Burchum, Laura Rosenthal
The`nurse`is`teaching`a`patient`how`a`medicat`nurse`will`rely`on`knowledge`of:
a. clinical`pharmacology.
b. drug`efficacy.
, c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:` D
Pharmacotherapeutics`is`the`study`of`the`use`of`drugs`to`diagnose,`treat,`and`prevent`conditio`n
s.`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`Basic Terms`TOP:` Nursing`Process:`Implementa
gi
tion
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
1. 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`l
isted,`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:` Nursing Process:`Assessment
gi
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
2. A`patient`tells`the`nurse`that`he`was`told`by`the`prescriber`that`the`analgesic`he`is`taking`is`v
ery`effective.`Which`statement`by`the`patient`demonstrates`an`understanding`of`the`drug‘s`ef
fectiveness?
a. ―I`don‘t`have`to`worryabout`toxicity,`since`it`takes`a`large`amount of`this`drug`to`c`
gi
ause`an`overdose.‖
b. ―It`has`no`side`effects`and`doesn‘t`interact`with`other`drugs.‖
c. ―I only`have`to`take`it`every`12`hours.‖
gi
d. ―It`might`make`me`sleepy,`and`it`lessens`pain`for`several`hours`at`a`time.‖
,ANS:` D
, A`drug`is`effective`if`it`produces`the`intended`effects,`even`if`it`also`produces`side`effects.`Be`c
ause`no`drug`is`completely`safe,`the`level`of`toxicity`does`not determine`effectiveness.`All`dr`u
gi
gs`have`side`effects`and`many`react`with`other`substances;`these`do`not`affect`the`drug‘s`effe`ct
iveness.`Ease`of`administration`is`independent`of`a`drug‘s`effectiveness.
DIF: Cognitive`Level:`Comprehension
REF:`Properties`of`an`Ideal`Drug TOP:` Nursing`Process:`Evaluation
gi
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
MULTIPLE`RESPONSE
1. What are`the`properties`of`an`ideal`drug?`(Select`all`that`apply.)
gi
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`e
ric`name,`because`generic`names`are`usually`complex`and`difficult`to`remember`and`pronou`nc
e.
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`individ
ual`patient`variability`might`affect`the`patient‘s`response`to`the`medication?`(Select`all`t`hat`appl
y.)
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`ll
ness`can`affect`how`drugs`are`metabolized.`The`chemical`stability`of`the`medication`and`the`e`as
e`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
Lehne's Pharmacology for Nursing Care, 12th Edition by
Jacqueline Burchum, Laura Rosenthal
The`nurse`is`teaching`a`patient`how`a`medicat`nurse`will`rely`on`knowledge`of:
a. clinical`pharmacology.
b. drug`efficacy.
, c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:` D
Pharmacotherapeutics`is`the`study`of`the`use`of`drugs`to`diagnose,`treat,`and`prevent`conditio`n
s.`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`Basic Terms`TOP:` Nursing`Process:`Implementa
gi
tion
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
1. 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`l
isted,`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:` Nursing Process:`Assessment
gi
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
2. A`patient`tells`the`nurse`that`he`was`told`by`the`prescriber`that`the`analgesic`he`is`taking`is`v
ery`effective.`Which`statement`by`the`patient`demonstrates`an`understanding`of`the`drug‘s`ef
fectiveness?
a. ―I`don‘t`have`to`worryabout`toxicity,`since`it`takes`a`large`amount of`this`drug`to`c`
gi
ause`an`overdose.‖
b. ―It`has`no`side`effects`and`doesn‘t`interact`with`other`drugs.‖
c. ―I only`have`to`take`it`every`12`hours.‖
gi
d. ―It`might`make`me`sleepy,`and`it`lessens`pain`for`several`hours`at`a`time.‖
,ANS:` D
, A`drug`is`effective`if`it`produces`the`intended`effects,`even`if`it`also`produces`side`effects.`Be`c
ause`no`drug`is`completely`safe,`the`level`of`toxicity`does`not determine`effectiveness.`All`dr`u
gi
gs`have`side`effects`and`many`react`with`other`substances;`these`do`not`affect`the`drug‘s`effe`ct
iveness.`Ease`of`administration`is`independent`of`a`drug‘s`effectiveness.
DIF: Cognitive`Level:`Comprehension
REF:`Properties`of`an`Ideal`Drug TOP:` Nursing`Process:`Evaluation
gi
MSC:` NCLEX`Client`Needs`Category:`Physiologic`Integrity:`Pharmacologic`and`Parenteral`Therapies
MULTIPLE`RESPONSE
1. What are`the`properties`of`an`ideal`drug?`(Select`all`that`apply.)
gi
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`e
ric`name,`because`generic`names`are`usually`complex`and`difficult`to`remember`and`pronou`nc
e.
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`individ
ual`patient`variability`might`affect`the`patient‘s`response`to`the`medication?`(Select`all`t`hat`appl
y.)
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`ll
ness`can`affect`how`drugs`are`metabolized.`The`chemical`stability`of`the`medication`and`the`e`as
e`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
