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Nursing Care, 12th Editionfk fk fk
by Jacqueline Burchum & Laura Rosenth
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al
Expert Verified Q&As With Rationales
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, Chapterfk1:fkOrientationfktofkPharmacologyfkMULT
IPLEfkCHOICE
1. Thefknursefkisfkteachingfkafkpatientfkhowfkafkmedicationfkworksfktofktreatfkanfkillness.fkTofkdofkthis,fkth
efknursefkwillfkrelyfkonfkknowledgefkof:
a. clinicalfkpharmacology.
b. drugfkefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.f
kCORRECT fkANSWERfk
D
Pharmacotherapeuticsfkisfkthefkstudyfkoffkthefkusefkoffkdrugsfktofkdiagnose,fktreat,fkandfkpreventfkconditions.f
kClinicalfkpharmacologyfkisfkconcernedfkwithfkallfkaspectsfkoffkdrug–
humanfkinteractions.fkDrugfkefficacyfkmeasuresfkthefkextentfktofkwhichfkafkgivenfkdrugfkcausesfkanfkintende
dfkeffect.
Pharmacokineticsfkisfkthefkstudyfkoffkthefkimpactfkoffkthefkbodyfkonfkafkdrug.
DIF:fkCognitivefkLevel:fkComprehensionf k REF:fkFourfkBasicfkTermsfkTOP:fkNursingfkProcess:fkImplem
entationfkMSC:fkNCLEXfkClientfkNeedsfkCategory:fkPhysiologicfkIntegrity:fkPharmacologicfkandfkParente
ralfkTherapies
2. Whatfkdoesfkitfkmeanfkwhenfkafkdrugfkisfkdescribedfkasfkeasyfktofkadminister?
a. Itfkcanfkbefkstoredfkindefinitelyfkwithoutfkneedfkforfkrefrigeration.
b. Itfkdoesfknotfkinteractfksignificantlyfkwithfkotherfkmedications.
c. Itfkenhancesfkpatientfkadherencefktofkthefkdrugfkregimen.
d. Itfkisfkusuallyfkrelativelyfkinexpensivefktofkprod
uce.fkCORRECTfkANSWERfkC
Afkmajorfkbenefitfkoffkdrugsfkthatfkarefkeasyfktofkadministerfkisfkthatfkpatientsfktakingfkthemfkarefkmorefklikel
yfktofkcomplyfkwithfkthefkdrugfkregimen.fkDrugsfkthatfkarefkeasyfktofkgivefkmayfkhavefkthefkotherfkattributesfk
listed,fkbutfkthosefkpropertiesfkarefkindependentfkoffkeasefkoffkadministration.
DIF:fkCognitivefkLevel:fkComprehension
REF:fkAdditionalfkPropertiesfkoffkanfkIdealfkDrug:fkEasefkoffkAdministrationfkTOP:fkNursingfkProcess:fkAss
essmentfkMSC:fkNCLEXfkClientfkNeedsfkCategory:fkPhysiologicfkIntegrity:fkPharmacologicfkandfkParente
ralfkTherapies
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,3. Afkpatientfktellsfkthefknursefkthatfkhefkwasfktoldfkbyfkthefkprescriberfkthatfkthefkanalgesicfkhefkisfktakingfkisfkvery
effective.fkWhichfkstatementfkbyfkthefkpatientfkdemonstratesfkanfkunderstandingfkoffkthefkdrug‘sfkeffectiveness?
a. Ifkdon‘tfkhavefktofkworryfkaboutfktoxicity,fksincefkitfktakesfkafklargefkamountfkoffkthisfkdrugfktofkcausefkanfkoverd
ose.
b. Itfkhasfknofksidefkeffectsfkandfkdoesn‘tfkinteractfkwithfkotherfkdrugs.
c. Ifkonlyfkhavefktofktakefkitfkeveryfk12fkhours.
d. Itfkmightfkmakefkmefksleepy,fkandfkitfklessensfkpainfkforfkseveralfkhoursfk
atfkafktimefkCORRECTfkANSWERfkD
Afkdrugfkisfkeffectivefkiffkitfkproducesfkthefkintendedfkeffects,fkevenfkiffkitfkalsofkproducesfksidefkeffects.fkB
ecausefknofkdrugfkisfkcompletelyfksafe,fkthefklevelfkoffktoxicityfkdoesfknotfkdeterminefkeffectiveness.fkAllfkdr
ugsfkhavefksidefkeffectsfkandfkmanyfkreactfkwithfkotherfksubstances;fkthesefkdofknotfkaffectfkthefkdrug‘sfkeffec
tiveness.fkEasefkoffkadministrationfkisfkindependentfkoffkafkdrug‘sfkeffectiveness.
DIF:fkCognitivefkLevel:fkComprehensionf k REF:fkPropertiesfkoffkanfkIdealfkDrugfkTOP:fkNursingfkProces
s:fkEvaluation
MSC:fkNCLEXfkClientfkNeedsfkCategory:fkPhysiologicfkIntegrity:fkPharmacologicfkandfkParenteralfkTherapies
MULTIPLEfkRESPONSE
1. Whatfkarefkthefkpropertiesfkoffkanfkidealfkdrug?fk(Selectfkallfkthatfkapply.)
a. Irreversiblefkaction
b. Predictability
c. Easefkoffkadministration
d. Chemicalfkstability
e. AfksimplefktradefknamefkCO
RRECTfkANSWERfkB,fkC,fkD
Infkadditionfktofkpredictability,fkeasefkoffkadministration,fkandfkchemicalfkstability,fkotherfkpropertiesfkinclu
defkafkreversiblefkactionfksofkthatfkanyfkharmfkthefkdrugfkmayfkcausefkcanfkbefkundonefkandfkafksimplefkgeneri
cfkname,fkbecausefkgenericfknamesfkarefkusuallyfkcomplexfkandfkdifficultfktofkrememberfkandfkpronounce.
DIF:fkCognitivefkLevel:fkComprehension
REF:fkPropertiesfkoffkanfkIdealfkDrugfk|fkAdditionalfkPropertiesfkoffkanfkIdealfkDrugfkTOP:fkNursingfkProces
s:fkAssessment
MSC:fkNCLEXfkClientfkNeedsfkCategory:fkPhysiologicfkIntegrity:fkPharmacologicfkandfkParenteralfkTherapies
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, 2. Beforefkadministeringfkafkmedication,fkwhatfkdoesfkthefknursefkneedfktofkknowfktofkevaluatefkhow
individualfkpatientfkvariabilityfkmightfkaffectfkthefkpatient‘sfkresponsefktofkthefkmedication?fk(Selectfkallfkthatfkapp
ly.)
a. Chemicalfkstabilityfkoffkthefkmedication
b. Easefkoffkadministration
c. Familyfkmedicalfkhistory
d. Patient‘sfkage
e. Patient‘sfkdiagnosis
CORRECTfkANSWERfkC,fkD,fkE
Thefkfamilyfkmedicalfkhistoryfkcanfkindicatefkgeneticfkfactorsfkthatfkmayfkaffectfkafkpatient‘sfkresponsefktofk
afkmedication.fkPatientsfkoffkdifferentfkagesfkcanfkrespondfkdifferentlyfktofkmedications.fkThefkpatient‘sfkilln
essfkcanfkaffectfkhowfkdrugsfkarefkmetabolized.fkThefkchemicalfkstabilityfkoffkthefkmedicationfkandfkthefkeasef
koffkadministrationfkarefkpropertiesfkoffkdrugs.
DIF:fkCognitivefkLevel:fkAnalysisf k REF:fkSourcesfkoffkIndividualfkVariationfkTOP:fkNursingfkProcess:fkIm
plementation
MSC:fkNCLEXfkClientfkNeedsfkCategory:fkPhysiologicfkIntegrity:fkReductionfkoffkRiskfkPotential
Chapterfk2:fkApplicationfkoffkPharmacologyfkinfkNursingfkPrac
ticefkMULTIPLEfkCHOICE
1. Afkpatientfkisfkusingfkafkmetered-
dosefkinhalerfkcontainingfkalbuterolfkforfkasthma.fkThefkmedicationfklabelfkinstructsfkthefkpatientfktof
kadministerf k 2fkpuffsfkeveryfk4fkhoursfkasfkneededfkforfkcoughingfkor
wheezing.f k Thefkpatientfkreportsfkfeelingfkjitteryfksometimesfkwhenfktakingfkthefkmedication,fkandfkshefkdoesn‘tf
kfeel
thatfkthefkmedicationfkisfkalwaysfkeffective.fkWhichfkisfknotfkanfkappropriatefknursingfkinterventionfkforfkthisfkpati
ent?
a. Askingfkthefkpatientfktofkdemonstratefkusefkoffkthefkinhaler
b. Assessingfkthefkpatient‘sfkexposurefktofktobaccofksmoke
c. Auscultatingfklungfksoundsfkandfkobtainingfkvitalfksigns
d. Suggestingfkthatfkthefkpatientfkusefkonefkpufffktofkreducefksidefk
effectsfkCORRECTfkANSWERfkD
Itfkisfknotfkwithinfkthefknurse‘sfkscopefkoffkpracticefktofkchangefkthefkdosefkoffkafkmedicationfkwithoutfkanfkor
derfkfromfkafkprescriber.fkAskingfkthefkpatientfktofkdemonstratefkinhalerfkusefkhelpsfkthefknursefkto
evaluatefkthefkpatient‘sfkabilityfktofkadministerfkthefkmedicationfkproperlyfkandfkisfkpartfkoffkthefknurse‘sfke
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