, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th Edition
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Pharmacology
w Test Bankw
MULTIPLE CHOICE w
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes
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w that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this
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wmedication is prescribed for: w w w
1. Pain relief w
2. Increasing uterine contractions w w
3. Decreasing uterine contractions w w
4. Promoting fetal lung maturity w w w
ANS: w w 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
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w2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be
w w w w w w w w w w w w w w w
w prescribed for pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and
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w “promoting fetal lung maturity” are not actions of this medication.
w w w w w w w w w
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
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w question. Remember that this medication is used for pain relief. Review the action of this
w w w w w w w w w w w w w w
wmedication if you had difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
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wSaunders. OBJ: w Client Needs: Physiological Integrity
w w w
TOP: Content Area: Pharmacology w w
MSC: Integrated Process: Nursing Process—Planning
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,2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
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w analgesic administration following cesarean birth. If the client develops respiratory
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depression and requires naloxone (Narcan) as an antidote, the client may complain of which
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w of the following?
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1. Increase in her pain level
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2. Decrease in her pain level
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3. Increase in the amount of itching from the opioid used in the epidural
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4. Decrease in the amount of itching from the opioid used in the epidural
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, ANS: w w 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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w which reverses the effects of opioids. If it is given, the client may complain of an increase in her
w w w w w w w w w w w w w w w w w w
w pain level. Therefore “decrease in her pain level,” “increase in the amount of itching from the
w w w w w w w w w w w w w w w
w opioid used in the epidural,” and “decrease in the amount of itching from the opioid used in the
w w w w w w w w w w w w w w w w w
wepidural” are incorrect. w w
Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are
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the medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered
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w as an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone
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w if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
w w w w
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
w w w w w w w w w w
wSaunders. OBJ: w Client Needs: Physiological Integrity
w w w
TOP: Content Area: Pharmacology w w
MSC: Integrated Process: Nursing Process—Assessment
w w w w
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to
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w the hospital. The client has a prescription to receive betamethasone (Celestone). The nurse
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wunderstands that the medication will do which of the following?
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1. Prevent spontaneous delivery. w w
2. Stop the uterine contractions.
w w w
3. Promote maturation of the fetal lungs. w w w w w
4. Accelerate the growth rate of the fetus. w w w w w w
ANS: w w 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It
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Pharmacology
w Test Bankw
MULTIPLE CHOICE w
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes
w w w w w w w w w w w w w w w w
w that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this
w w w w w w w w w w w w w w
wmedication is prescribed for: w w w
1. Pain relief w
2. Increasing uterine contractions w w
3. Decreasing uterine contractions w w
4. Promoting fetal lung maturity w w w
ANS: w w 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
w w w w w w w w w w w w w w w w w
w2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be
w w w w w w w w w w w w w w w
w prescribed for pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and
w w w w w w w w w w
w “promoting fetal lung maturity” are not actions of this medication.
w w w w w w w w w
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
w w w w w w w w w w w w w
w question. Remember that this medication is used for pain relief. Review the action of this
w w w w w w w w w w w w w w
wmedication if you had difficulty with this question and are unfamiliar with this medication.
w w w w w w w w w w w w w
PTS: 1
DIF: Level of Cognitive Ability: Understanding
w w w w
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
w w w w w w w w w w
wSaunders. OBJ: w Client Needs: Physiological Integrity
w w w
TOP: Content Area: Pharmacology w w
MSC: Integrated Process: Nursing Process—Planning
w w w w
,2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid
w w w w w w w w w w w w w w w
w analgesic administration following cesarean birth. If the client develops respiratory
w w w w w w w w w
depression and requires naloxone (Narcan) as an antidote, the client may complain of which
w w w w w w w w w w w w w w
w of the following?
w w
1. Increase in her pain level
w w w w
2. Decrease in her pain level
w w w w
3. Increase in the amount of itching from the opioid used in the epidural
w w w w w w w w w w w w
4. Decrease in the amount of itching from the opioid used in the epidural
w w w w w w w w w w w w
, ANS: w w 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
w w w w w w w w w w w w w
w which reverses the effects of opioids. If it is given, the client may complain of an increase in her
w w w w w w w w w w w w w w w w w w
w pain level. Therefore “decrease in her pain level,” “increase in the amount of itching from the
w w w w w w w w w w w w w w w
w opioid used in the epidural,” and “decrease in the amount of itching from the opioid used in the
w w w w w w w w w w w w w w w w w
wepidural” are incorrect. w w
Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are
w w w w w w w w w w w w w
the medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered
w w w w w w w w w w w w w w
w as an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone
w w w w w w w w w w w w w w w w
w if this question was difficult.
w w w w
PTS: 1
DIF: Level of Cognitive Ability: Understanding
w w w w
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
w w w w w w w w w w
wSaunders. OBJ: w Client Needs: Physiological Integrity
w w w
TOP: Content Area: Pharmacology w w
MSC: Integrated Process: Nursing Process—Assessment
w w w w
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to
w w w w w w w w w w w w w w
w the hospital. The client has a prescription to receive betamethasone (Celestone). The nurse
w w w w w w w w w w w w
wunderstands that the medication will do which of the following?
w w w w w w w w w
1. Prevent spontaneous delivery. w w
2. Stop the uterine contractions.
w w w
3. Promote maturation of the fetal lungs. w w w w w
4. Accelerate the growth rate of the fetus. w w w w w w
ANS: w w 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It
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