TEST BANK
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
NURSES AND PHYSICIAN ASSISTANTS
LAURA D. ROSENTHAL, AND JACQUELINE ROSENJACK
BURCHUM
2nd78Edition
PlusBay.Plus
,Table78of78Contents
Unit780178Introduction 1
Unit780278Basic78Principles78of78Pharmacology 6
Unit780378Drug78Therapy78Across78the78Life78Span 15
Unit780478Peripheral78Nervous78System78Drugs 22
Unit780578Central78Nervous78System78Drugs 31
Unit780678Drugs78for78Pain 38
Unit780778Psychotherapeutic78Drugs 43
Unit780878Substance78Use78Disorders 51
Unit780978Drugs78That78Affect78the78Heart,78Blood78Vessels,78Blood,78and78Blood78Volume 59
Unit781078Drugs78for78Endocrine78Disorders 68
Unit781178Women’s78Health 73
Unit781278Men’s78Health 78
Unit781378Antiinflammatory,78Antiallergic,78and78Immunologic78Drugs 83
Unit781478Drugs78for78Bone78and78Joint78Disorders 91
Unit781578Respiratory78Tract78Drugs 97
Unit781678Gastrointestinal78Drugs 102
Unit781778Nutrition78and78Complimentary78Therapies 110
Unit781878Therapy78of78Infectious78and78Parasitic78Diseases 116
Unit781978Cancer78Therapy 140
Unit782078Drugs78for78Eyes,78Ears,78and78Skin 145
Unit782178Drugs78Therapy78in78Acute78Care 152
PlusBay.Plus
,Test78Bank78-
78Lehne’s78Pharmacotherapeutics78for78Advanced78Practice78Nurses78&78Physician78Assistants,782e78(Rosenthal,782
021) Unit7801:78Introduction
Rosenthal:78Lehne's78Pharmacotherapeutics78for78Advanced78Practice78Nurses78and78Ph
ysician78Assistants,782nd78Edition
MULTIPLE78CHOICE
1. A78patient78diagnosed78with78chronic78pain78calls78to78request78an78oxycodone78(Oxyco
ntin)78refill.78Which78action78should78the78prescriber78take78initially?
a. Fax78the78renewal78order78to78the78pharmacy.
b. Arrange78to78schedule78an78appointment78with78the78patient.
c. Verify78the78patient’s78adherence78to78the78prescribed78drug78regimen.
d. Determine78the78patient’s78current78medication78dosage78and78pain78level.
ANS:7 8 B
Schedule78II78medications78are78not78eligible78for78refills,78and78prescriptions78must78be78han
dwritten.78It78is78important78to78verify78the78patient’s78adherence78to78the78drug78regimen78a
nd78determine78the78current78dosage78of78medication78and78pain78level;78however,78this78ca
n78be78accomplished78by78scheduling78an78appointment78and78evaluating78the78patient78in78
person.
2. A78metered-
dose78albuterol78inhaler78is78prescribed78for78asthma78management.78The78patient78reports78
feeling78jittery78sometimes78when78taking78the78medication,78and78does78not78feel78that78the
78medication78is78always78effective.78Which78action78will78the78provider78take78to78best78
minimize78patient78risks78and78maximize78medication78effectiveness?
a. Ask78the78patient78to78demonstrate78use78of78the78inhaler78and78assess78effectiveness.
b. Assess78the78patient’s78exposure78to78first-78and78second-hand78tobacco78smoke.
c. Auscultate78the78patient's78l78un78W
g78 W
soWu.
ndTsBaS
ndMo.bW
taS
in78other78relevant78vital78signs.
d. Decrease78the78dosage78to78reduce78side78effects.
ANS:7 8 C
Assessing78and78evaluating78lung78sounds78as78well78as78other78vital78signs78helps78determi
ne78the78patient's78physical78response78to78the78medication78and78allows78comparison78to78th
e78patient's78baseline78vital78signs.78Asking78the78patient78to78demonstrate78inhaler78use78hel
ps78to78evaluate78the78patient’s78ability78to78administer78the78medication78properly78and78is78
part78of78an78effective78evaluation,78but78is78not78a78priority78intervention78based78on78the78p
atient’s78current78report.78Assessing78tobacco78smoke78exposure78helps78determine78whethe
r78nondrug78therapies,78such78as78smoke78avoidance,78can78be78used78as78an78adjunct78to78dru
g78therapy,78but78does78not78relate78to78the78patient’s78current78problem.78Rewriting78the78pr
escription78to78decrease78the78dosage78may78address78the78degree78of78jitteriness78experienc
ed,
but78does78not78address78the78patient’s78concern78that78the78drug78is78not78always78effective.
3. A78patient78is78prescribed78metronidazole78for78bacterial78vaginosis.78Which78patient78histo
ry78finding78would78be78most78concerning78to78the78provider?
a. The78patient78had78a78recent78yeast78infection.
b. There78is78a78family78history78of78cervical78cancer.
c. The78patient78drinks78two78glasses78of78wine78every78night.
d. The78patient78is78unemploy
ed.78ANS:7 8 C
178|78P78a78
PlusBay.Plus g78e
, Test78Bank78-
78Lehne’s78Pharmacotherapeutics78for78Advanced78Practice78Nurses78&78Physician78Assistants,782e78(Rosenthal,782
021) Patients78taking78metronidazole78should78be78educated78not78to78drink78alcohol78to78prevent
78a78disulfiram-
like78reaction.78It78would78be78concerning78that78the78patient78drinks78wine78daily.78History
78of78a78yeast78infection78may78indicate78increased78risk78for78recurrence78with78administrat
ion78of78an78antimicrobial.78A78family78history78of78cervical78cancer78is78not78related78to78a
dministration78of78metronidazole.78Unemployment78can78indicate78lack78of78insurance78cove
rage,78which78may78limit78the78patient’s78ability78to78purchase78medications;78however,78ge
neric78metronidazole78is78one78of78the78less78expensive78medications.
4. The78provider78prepares78a78patient78with78newly78diagnosed78type78178diabetes78for78hospita
l78discharge.78Which78action78by78the78provider78will78best78support78the78patient’s78ability7
8to78effectively78manage78medication78therapy?
a. Asking78the78patient78to78demonstrate78how78to78measure78and78administer78insulin
b. Discussing78methods78of78storing78insulin78and78discarding78syringes
c. Giving78information78about78how78diet78and78exercise78affect78insulin78requirements
d. Teaching78the78patient78about78the78long-term78consequences78of78poor78diabetes78control
ANS:7 8 A
Because78insulin78must78be78given78correctly78to78control78symptoms78and78prevent78an78ove
rdose,78it78is78most78important78for78the78patient78to78know78how78to78measure78and78admini
ster78it.78Asking78for78a78demonstration78of78technique78is78the78best78way78to78determine78w
hether78the78patient78has78understood78the78teaching.78The78other78teaching78points78are78im
portant78as78well,78but78they78are78not78as78critical.
5. A78patient78reports78that78a78medication78prescribed78for78recurrent78migraine78headache
s78is78not78working.78Which78action78is78the78prescriber’s78priority78when78addressing78th
e78patient's78concern?
a. Ask78the78patient78about78the78number78and78frequency78of78tablets78taken.
b. Assess78the78patient’s78headache78pain78on78a78scale78from78178to7810.
c. Prescribe78a78new78medicationWfW
orWm.iT
grBaiSnM
e7 8 .
mWanSagement.
d. Suggest78biofeedback78as78an78adjunct78to78drug78therapy.
ANS:7 8 A
When78evaluating78the78effectiveness78of78a78drug,78it78is78important78to78determine78how7
8often78the78patient78is78using78the78drug.78Asking78the78patient78to78identify78how78many78t
ablets78are78taken78and78how78often78helps78the78provider78determine78effective78dosages78
and78adherence78to78the78medication78regimen.78The78patient78has78already78stated78that78th
e78medication78is78not78working;78the78actual78level78of78pain78may78determine78the78degre
e78to78which78it78is78not78working,78but78it78does78not78help78the78provider78to78determine78
why78it78is78not78working.78The78assessment78process78should78gather78as78much78informati
on78about78compliance,78symptoms,78and78drug78effectiveness78as78possible78before78enact
ing78a78change78in78treatment.78Biofeedback78may78be78an78effective78adjunct78to78treatment
,78but78it78should78not78be78recommended78without78complete78information78about78drug78e
ffectiveness.
6. The78drug78manual78states78that78older78adult78patients78are78at78increased78risk78for78hepat
otoxicity.78Which78action78is78most78important78when78prescribing78this78medication78to78an
7880-year-old78patient?
a. Obtaining78baseline78liver78function78studies
b. Ensuring78that78the78drug78is78taken78in78the78correct78dose78at78the78correct78time
c. Discontinuing78the78order;78the78drug78is78contraindicated78for78this78patient
d. Giving78the78medication78intravenously78to78avoid78first78pass78met
abolism78ANS:7 8 A
278|78P78a78
PlusBay.Plus g78e
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
NURSES AND PHYSICIAN ASSISTANTS
LAURA D. ROSENTHAL, AND JACQUELINE ROSENJACK
BURCHUM
2nd78Edition
PlusBay.Plus
,Table78of78Contents
Unit780178Introduction 1
Unit780278Basic78Principles78of78Pharmacology 6
Unit780378Drug78Therapy78Across78the78Life78Span 15
Unit780478Peripheral78Nervous78System78Drugs 22
Unit780578Central78Nervous78System78Drugs 31
Unit780678Drugs78for78Pain 38
Unit780778Psychotherapeutic78Drugs 43
Unit780878Substance78Use78Disorders 51
Unit780978Drugs78That78Affect78the78Heart,78Blood78Vessels,78Blood,78and78Blood78Volume 59
Unit781078Drugs78for78Endocrine78Disorders 68
Unit781178Women’s78Health 73
Unit781278Men’s78Health 78
Unit781378Antiinflammatory,78Antiallergic,78and78Immunologic78Drugs 83
Unit781478Drugs78for78Bone78and78Joint78Disorders 91
Unit781578Respiratory78Tract78Drugs 97
Unit781678Gastrointestinal78Drugs 102
Unit781778Nutrition78and78Complimentary78Therapies 110
Unit781878Therapy78of78Infectious78and78Parasitic78Diseases 116
Unit781978Cancer78Therapy 140
Unit782078Drugs78for78Eyes,78Ears,78and78Skin 145
Unit782178Drugs78Therapy78in78Acute78Care 152
PlusBay.Plus
,Test78Bank78-
78Lehne’s78Pharmacotherapeutics78for78Advanced78Practice78Nurses78&78Physician78Assistants,782e78(Rosenthal,782
021) Unit7801:78Introduction
Rosenthal:78Lehne's78Pharmacotherapeutics78for78Advanced78Practice78Nurses78and78Ph
ysician78Assistants,782nd78Edition
MULTIPLE78CHOICE
1. A78patient78diagnosed78with78chronic78pain78calls78to78request78an78oxycodone78(Oxyco
ntin)78refill.78Which78action78should78the78prescriber78take78initially?
a. Fax78the78renewal78order78to78the78pharmacy.
b. Arrange78to78schedule78an78appointment78with78the78patient.
c. Verify78the78patient’s78adherence78to78the78prescribed78drug78regimen.
d. Determine78the78patient’s78current78medication78dosage78and78pain78level.
ANS:7 8 B
Schedule78II78medications78are78not78eligible78for78refills,78and78prescriptions78must78be78han
dwritten.78It78is78important78to78verify78the78patient’s78adherence78to78the78drug78regimen78a
nd78determine78the78current78dosage78of78medication78and78pain78level;78however,78this78ca
n78be78accomplished78by78scheduling78an78appointment78and78evaluating78the78patient78in78
person.
2. A78metered-
dose78albuterol78inhaler78is78prescribed78for78asthma78management.78The78patient78reports78
feeling78jittery78sometimes78when78taking78the78medication,78and78does78not78feel78that78the
78medication78is78always78effective.78Which78action78will78the78provider78take78to78best78
minimize78patient78risks78and78maximize78medication78effectiveness?
a. Ask78the78patient78to78demonstrate78use78of78the78inhaler78and78assess78effectiveness.
b. Assess78the78patient’s78exposure78to78first-78and78second-hand78tobacco78smoke.
c. Auscultate78the78patient's78l78un78W
g78 W
soWu.
ndTsBaS
ndMo.bW
taS
in78other78relevant78vital78signs.
d. Decrease78the78dosage78to78reduce78side78effects.
ANS:7 8 C
Assessing78and78evaluating78lung78sounds78as78well78as78other78vital78signs78helps78determi
ne78the78patient's78physical78response78to78the78medication78and78allows78comparison78to78th
e78patient's78baseline78vital78signs.78Asking78the78patient78to78demonstrate78inhaler78use78hel
ps78to78evaluate78the78patient’s78ability78to78administer78the78medication78properly78and78is78
part78of78an78effective78evaluation,78but78is78not78a78priority78intervention78based78on78the78p
atient’s78current78report.78Assessing78tobacco78smoke78exposure78helps78determine78whethe
r78nondrug78therapies,78such78as78smoke78avoidance,78can78be78used78as78an78adjunct78to78dru
g78therapy,78but78does78not78relate78to78the78patient’s78current78problem.78Rewriting78the78pr
escription78to78decrease78the78dosage78may78address78the78degree78of78jitteriness78experienc
ed,
but78does78not78address78the78patient’s78concern78that78the78drug78is78not78always78effective.
3. A78patient78is78prescribed78metronidazole78for78bacterial78vaginosis.78Which78patient78histo
ry78finding78would78be78most78concerning78to78the78provider?
a. The78patient78had78a78recent78yeast78infection.
b. There78is78a78family78history78of78cervical78cancer.
c. The78patient78drinks78two78glasses78of78wine78every78night.
d. The78patient78is78unemploy
ed.78ANS:7 8 C
178|78P78a78
PlusBay.Plus g78e
, Test78Bank78-
78Lehne’s78Pharmacotherapeutics78for78Advanced78Practice78Nurses78&78Physician78Assistants,782e78(Rosenthal,782
021) Patients78taking78metronidazole78should78be78educated78not78to78drink78alcohol78to78prevent
78a78disulfiram-
like78reaction.78It78would78be78concerning78that78the78patient78drinks78wine78daily.78History
78of78a78yeast78infection78may78indicate78increased78risk78for78recurrence78with78administrat
ion78of78an78antimicrobial.78A78family78history78of78cervical78cancer78is78not78related78to78a
dministration78of78metronidazole.78Unemployment78can78indicate78lack78of78insurance78cove
rage,78which78may78limit78the78patient’s78ability78to78purchase78medications;78however,78ge
neric78metronidazole78is78one78of78the78less78expensive78medications.
4. The78provider78prepares78a78patient78with78newly78diagnosed78type78178diabetes78for78hospita
l78discharge.78Which78action78by78the78provider78will78best78support78the78patient’s78ability7
8to78effectively78manage78medication78therapy?
a. Asking78the78patient78to78demonstrate78how78to78measure78and78administer78insulin
b. Discussing78methods78of78storing78insulin78and78discarding78syringes
c. Giving78information78about78how78diet78and78exercise78affect78insulin78requirements
d. Teaching78the78patient78about78the78long-term78consequences78of78poor78diabetes78control
ANS:7 8 A
Because78insulin78must78be78given78correctly78to78control78symptoms78and78prevent78an78ove
rdose,78it78is78most78important78for78the78patient78to78know78how78to78measure78and78admini
ster78it.78Asking78for78a78demonstration78of78technique78is78the78best78way78to78determine78w
hether78the78patient78has78understood78the78teaching.78The78other78teaching78points78are78im
portant78as78well,78but78they78are78not78as78critical.
5. A78patient78reports78that78a78medication78prescribed78for78recurrent78migraine78headache
s78is78not78working.78Which78action78is78the78prescriber’s78priority78when78addressing78th
e78patient's78concern?
a. Ask78the78patient78about78the78number78and78frequency78of78tablets78taken.
b. Assess78the78patient’s78headache78pain78on78a78scale78from78178to7810.
c. Prescribe78a78new78medicationWfW
orWm.iT
grBaiSnM
e7 8 .
mWanSagement.
d. Suggest78biofeedback78as78an78adjunct78to78drug78therapy.
ANS:7 8 A
When78evaluating78the78effectiveness78of78a78drug,78it78is78important78to78determine78how7
8often78the78patient78is78using78the78drug.78Asking78the78patient78to78identify78how78many78t
ablets78are78taken78and78how78often78helps78the78provider78determine78effective78dosages78
and78adherence78to78the78medication78regimen.78The78patient78has78already78stated78that78th
e78medication78is78not78working;78the78actual78level78of78pain78may78determine78the78degre
e78to78which78it78is78not78working,78but78it78does78not78help78the78provider78to78determine78
why78it78is78not78working.78The78assessment78process78should78gather78as78much78informati
on78about78compliance,78symptoms,78and78drug78effectiveness78as78possible78before78enact
ing78a78change78in78treatment.78Biofeedback78may78be78an78effective78adjunct78to78treatment
,78but78it78should78not78be78recommended78without78complete78information78about78drug78e
ffectiveness.
6. The78drug78manual78states78that78older78adult78patients78are78at78increased78risk78for78hepat
otoxicity.78Which78action78is78most78important78when78prescribing78this78medication78to78an
7880-year-old78patient?
a. Obtaining78baseline78liver78function78studies
b. Ensuring78that78the78drug78is78taken78in78the78correct78dose78at78the78correct78time
c. Discontinuing78the78order;78the78drug78is78contraindicated78for78this78patient
d. Giving78the78medication78intravenously78to78avoid78first78pass78met
abolism78ANS:7 8 A
278|78P78a78
PlusBay.Plus g78e
