, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
Pharmacology 1i
Test Bank 1i
MULTIPLE CHOICE 1i
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication i
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
s prescribed for:
1i 1i
1. Pain relief 1i
2. Increasing uterine contractions 1i 1i
3. Decreasing uterine contractions 1i 1i
4. Promoting fetal lung maturity 1i 1i 1i
ANS: 1 1 i
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal lun
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
g maturity‖ are not actions of this medication.
1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question. Re
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
member that this medication is used for pain relief. Review the action of this medication if you had diffic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ulty with this question and are unfamiliar with this medication.
1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Planning
1i 1i 1i 1i
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
administration following cesarean birth. If the client develops respiratory depression and requires
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
naloxone (Narcan) as an antidote, the client may complain of which of the following?
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Increase in her pain level
1i 1i 1i 1i
2. Decrease in her pain level 1i 1i 1i 1i
3. Increase in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
4. Decrease in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
Pharmacology 1i
Test Bank 1i
MULTIPLE CHOICE 1i
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication i
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
s prescribed for:
1i 1i
1. Pain relief 1i
2. Increasing uterine contractions 1i 1i
3. Decreasing uterine contractions 1i 1i
4. Promoting fetal lung maturity 1i 1i 1i
ANS: 1 1 i
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal lun
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
g maturity‖ are not actions of this medication.
1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question. Re
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
member that this medication is used for pain relief. Review the action of this medication if you had diffic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ulty with this question and are unfamiliar with this medication.
1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Planning
1i 1i 1i 1i
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
administration following cesarean birth. If the client develops respiratory depression and requires
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
naloxone (Narcan) as an antidote, the client may complain of which of the following?
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Increase in her pain level
1i 1i 1i 1i
2. Decrease in her pain level 1i 1i 1i 1i
3. Increase in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
4. Decrease in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
