Test Bank for Pharm Silvestri Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition (2023) – Full Test Bank with Rationales, Graded A+

, MULTIPLECHOICE

1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and
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ssss notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands
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that this medication is prescribed for:
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1. Pain relief ssss




2. Increasinguterine contractions ss ssss




3. Decreasinguterine contractions s ssss




4. Promoting fetal lung maturity ssss ssss ssss




ANS: 1


Rationale:The client in labor may be given parenteral analgesia during the first stage of labor, up to
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ssss 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be
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ssss prescribed forpain relief. ―Increasinguterine contractions,‖ ―decreasinguterine contractions,‖ and
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―promoting fetal lung maturity‖ are not actions of this medication. ssss ssss ssss ssss ssss ssss ssss ssss ssss




Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
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ssss question. Remember that this medication is used for pain relief. Review theaction of this medication if
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ssss you had difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Levelof CognitiveAbility: Understanding ssss s ssss




REF: Lehne, R. (2010). Pharmacologyfornursing care (7th ed.). St. Louis:
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ssss Saunders. OBJ: ssss Client Needs: Physiological Integrity ssss ssss ssss




TOP: ContentArea: Pharmacology s ss




MSC: Integrated Process: Nursing Process—Planning ssss ssss ss




2. The postpartum nurse
ssss ssss s s s s is caring for a client with an
ssss ssss ssss ssss ssss ssss s s s s epidural s s s s catheter in ssss s s s s place for ssss




ssss opioid analgesic administration following cesarean birth. If the client develops
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ssss respiratory depression and requires naloxone (Narcan) as an antidote, the client may
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ssss complain of which of the following? ssss ssss ssss ssss ssss

,1. Increase in her pain level
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2. Decrease in her pain level
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3. Increasein the amount of itching from the opioid used in the epidural
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4. Decreasein the amount of itching from the opioid used in the epidural
s ssss ssss ssss ssss ssss ssss ssss sss s ss ss ssss s s s s

, ANS: 1


Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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ssss which reverses the effects of opioids. If it is given, the client may complain of an increase in her
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ssss pain
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid
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ssss used in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss




ssss epidural‖ are incorrect. ssss ssss




Test-TakingStrategy:Toanswer this questionaccurately, you must knowthatopioid analgesics arethe ss ssss ssss ssss ssss ssss ssss




ssss medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an
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ssss antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this
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ssss question was difficult. ssss ssss




PTS: 1
DIF: Levelof CognitiveAbility: Understanding ssss s ssss




REF: Lehne, R. (2010). Pharmacologyfornursing care (7th ed.). St. Louis:
sss ssss ssss s ssss ssss ssss ssss ssss




ssss Saunders. OBJ: ssss Client Needs: Physiological Integrity ssss ssss ssss




TOP: ContentArea: Pharmacology s ss




MSC: Integrated Process: Nursing Process—Assessment sss s ssss ssss




3. Aclient experiencing preterm labor at the twenty-ninth week of gestation has been admitted
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ssss to the hospital.The client has a prescription to receive betamethasone (Celestone).The nurse
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understands that the medication will do which of the following?
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1. Preventspontaneous delivery. ssss




2. Stop the uterine contractions.
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3. Promote maturation of the fetal lungs. ssss ssss ssss ssss ssss




4. Accelerate the growth rate of the fetus. ssss s sss ssss ssss ssss ssss




ANS: 3