Saunders Comprehensive Review for the NCLEX-RN Examination, 5th
Edition best exam solution RATIONALE
Pharmacology
Test Bank
MULTIPLE CHOICE
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that
the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication
is prescribed for:
1. Pain relief
2. Increasing uterine contractions
3. Decreasing uterine contractions
4. Promoting fetal lung maturity
ANS: 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal
lung maturity” are not actions of this medication.
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
question. Remember that this medication is used for pain relief. Review the action of this medication if
you had difficulty with this question and are unfamiliar with this medication.
PTS: 1
DIF: Level of Cognitive Ability: Understanding
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
OBJ: Client Needs: Physiological Integrity
TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
administration following cesarean birth. If the client develops respiratory depression and requires
naloxone (Narcan) as an antidote, the client may complain of which of the following?
NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
Saunders Comprehensive Review for the NCLEX-RN Examination, 5th
Edition best exam solution RATIONALE
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
Saunders Comprehensive Review for the NCLEX-RN Examination, 5th
Edition best exam solution RATIONALE
1. Increase in her pain level
2. Decrease in her pain level
3. Increase in the amount of itching from the opioid used in the epidural
4. Decrease in the amount of itching from the opioid used in the epidural
NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
Saunders Comprehensive Review for the NCLEX-RN Examination, 5th
Edition best exam solution RATIONALE