Lehne's Pharmacology for Nursing Care 12th Edition Test Bank (Complete Chapters 1–25)

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, ChapterV1:VOrientationVtoVPharmacology
VTestVBank



MULTIPLEVCHOICE

1. TheVnurseVisVteachingVaVpatientVhowVaVmedicationVworksVtoVtreatVanVillness.VToVdo
Vthis,VtheVnurseVwillVrelyVonVknowledgeVof:
a. clinicalVpharmacology.
b. drugVefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:V D
PharmacotherapeuticsVisVtheVstudyVofVtheVuseVofVdrugsVtoVdiagnose,Vtreat,VandVprevent
Vconditions.VClinicalVpharmacologyVisVconcernedVwithVallVaspectsVofVdrug–
humanVinteractions.VDrugVefficacyVmeasuresVtheVextentVtoVwhichVaVgivenVdrugVcausesV
anVintendedVeffect.
PharmacokineticsVisVtheVstudyVofVtheVimpactVofVtheVbodyVonVaVdrug.

DIF: CognitiveVLevel:VComprehension
REF:VFourVBasicVTermsVTOP:V NursingVProcess:VImplem
entation
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VPharmacologicVandVParenteralVTherapie
s

2. WhatVdoesVitVmeanVwhenVaVdrugVisVdescribedVasVeasyVtoVadminister?
a. ItVcanVbeVstoredVindefinitelyVwithoutVneedVforVrefrigeration.
b. ItVdoesVnotVinteractVsignificantlyVwithVotherVmedications.
c. ItVenhancesVpatientVadherenceVtoVtheVdrugVregimen.
d. ItVisVusuallyVrelativelyVinexpensiveVtoVproduce.

ANS:V C
AVmajorVbenefitVofVdrugsVthatVareVeasyVtoVadministerVisVthatVpatientsVtakingVthemVareV
moreVlikelyVtoVcomplyVwithVtheVdrugVregimen.VDrugsVthatVareVeasyVtoVgiveVmayVhave
VtheVotherVattributesVlisted,VbutVthoseVpropertiesVareVindependentVofVeaseVofVadministrat
ion.

DIF: CognitiveVLevel:VComprehension
REF:VAdditionalVPropertiesVofVanVIdealVDrug:VEaseVofVAdministratio
nVTOP:V NursingVProcess:VAssessment
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VPharmacologicVandVParenteralVTherapie
s

3. AVpatientVtellsVtheVnurseVthatVheVwasVtoldVbyVtheVprescriberVthatVtheVanalgesicVheVis
VtakingVisVveryVeffective.VWhichVstatementVbyVtheVpatientVdemonstratesVanVunderstand
ingVofVtheVdrug’sVeffectiveness?
a. “IVdon’tVhaveVtoVworryVaboutVtoxicity,VsinceVitVtakesVaVlargeVamountVofVthi
sVdrugVtoVcauseVanVoverdose.”
b. “ItVhasVnoVsideVeffectsVandVdoesn’tVinteractVwithVotherVdrugs.”
c. “IVonlyVhaveVtoVtakeVitV everyV12Vhours.”
d. “ItVmightVmakeVmeVsleepy,VandVitVlessensVpainVforVseveralVhoursVatVaVtime.”

ANS:V D
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, AVdrugVisVeffectiveVifVitVproducesVtheVintendedVeffects,VevenVifVitValsoVproducesVsideVef
fects.VBecauseVnoVdrugVisVcompletelyVsafe,VtheVlevelVofVtoxicityVdoesVnotVdetermineVeffe
ctiveness.VAllVdrugsVhaveVsideVeffectsVandVmanyVreactVwithVotherVsubstances;VtheseVdoV
notVaffectVtheVdrug’sVeffectiveness.VEaseVofVadministrationVisVindependentVofVaVdrug’sVe
ffectiveness.

DIF: CognitiveVLevel:VComprehension
REF:VPropertiesVofVanVIdealVDrugVTOP:V NursingVProcess:VEvalu
ation
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VPharmacologicVandVParenteralVTherapie
s


MULTIPLEVRESPONSE

1. WhatVareVtheVpropertiesVofVanVidealVdrug?V (SelectVallVthatVapply.)
a. IrreversibleVaction
b. Predictability
c. EaseVofVadministration
d. ChemicalVstability
e. AVsimpleVtradeVname

ANS:V B,VC,VD
InVadditionVtoVpredictability,VeaseVofVadministration,VandVchemicalVstability,VotherVprope
rtiesVincludeVaVreversibleVactionVsoVthatVanyVharmVtheVdrugVmayVcauseVcanVbeVundoneV
andVaVsimpleVgenericVname,VbecauseVgenericVnamesVareVusuallyVcomplexVandVdifficultV
toVrememberVandVpronounce.

DIF: CognitiveVLevel:VComprehension
REF:VPropertiesVofVanVIdealVDrugV|VAdditionalVPropertiesVofVanVIde
alVDrugVTOP:V NursingVProcess:VAssessment
MSC:VNCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VPharmacologicVandVParenteralVTherapie
s

2. BeforeVadministeringVaVmedication,VwhatVdoesVtheVnurseVneedVtoVknowVtoVevaluateVho
wVindividualVpatientVvariabilityVmightVaffectVtheVpatient’sVresponseVtoVtheVmedication?V(
SelectVallVthatVapply.)
a. ChemicalVstabilityVofVtheVmedication
b. EaseVofVadministration
c. FamilyVmedicalVhistory
d. Patient’sVage
e. Patient’sVdiagnosis

ANS:V C,VD,VE
TheVfamilyVmedicalVhistoryVcanVindicateVgeneticVfactorsVthatVmayVaffectVaVpatient’sVresp
onseVtoVaVmedication.VPatientsVofVdifferentVagesVcanVrespondVdifferentlyVtoVmedications.
VTheVpatient’sVillnessVcanVaffectVhowVdrugsVareVmetabolized.VTheVchemicalVstabilityVofVt
heVmedicationVandVtheVeaseVofVadministrationVareVpropertiesVofVdrugs.

DIF: CognitiveVLevel:VAnalysis
REF:VSourcesVofVIndividualVVariationVTOP:V NursingVProcess:VImple
mentation
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VReductionVofVRiskVPotential

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, ChapterV2:VApplicationVofVPharmacologyVinVNursingVPractice
VTestVBank



MULTIPLEVCHOICE

1. AVpatientVisVusingVaVmetered-
doseVinhalerVcontainingValbuterolVforVasthma.VTheVmedicationVlabelVinstructsVtheVpat
ientVtoVadministerV“2VpuffsVeveryV4VhoursVasVneededVforVcoughingVor
wheezing.”VTheVpatientVreportsVfeelingVjitteryVsometimesVwhenVtakingVtheVmedication,Va
ndVsheVdoesn’tVfeelVthatVtheVmedicationVisValwaysVeffective.VWhichVisVnotVanVappropri
ateVnursingVinterventionVforVthisVpatient?
a. AskingVtheVpatientVtoVdemonstrateVuseVofVtheVinhaler
b. AssessingVtheVpatient’sVexposureVtoVtobaccoVsmoke
c. AuscultatingVlungVsoundsVandVobtainingVvitalVsigns
d. SuggestingVthatVtheVpatientVuseVoneVpuffVtoVreduceVsideVeffects

ANS:V D
ItVisVnotVwithinVtheVnurse’sVscopeVofVpracticeVtoVchangeVtheVdoseVofVaVmedicationVwit
houtVanVorderVfromVaVprescriber.VAskingVtheVpatientVtoVdemonstrateVinhalerVuseVhelpsV
theVnurseVtoVevaluateVtheVpatient’sVabilityVtoVadministerVtheVmedicationVproperlyVandVis
VpartVofVtheVnurse’sVevaluation.VAssessingVtobaccoVsmokeVexposureVhelpsVtheVnurseVde
termineVwhetherVnondrugVtherapies,VsuchVaVsmokeVavoidance,VcanVbeVusedVasVanVadjun
ctVtoVdrugVtherapy.VPerformingVaVphysicalVassessmentVhelpsVtheVnurseVevaluateVtheVpati
ent’sVresponseVtoVtheVmedication.

DIF: CognitiveVLevel:VApplication
REF:VApplyingVtheVNursingVProcessVinVDrugVTherapy:VPreadministrationVAssessmentV[
andVallVsubsectionsVunderVthisVheading] TOP:V NursingVProcess:VImplementation
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VPharmacologicVandVParenteralVTherapie
s

2. AVpostoperativeVpatientVisVbeingVdischargedVhomeVwithVacetaminophen/hydrocodoneV(L
ortab)VforVpain.VTheVpatientVasksVtheVnurseVaboutVusingVTylenolVforVfever.VWhichVstat
ementVbyVtheVnurseVisVcorrect?
a. “ItVisVnotVsafeVtoVtakeVover-the-counterVdrugsVwithVprescriptionVmedications.”
b. “TakingVtheVtwoVmedicationsVtogetherVposesVaVriskVofVdrugVtoxicity.”
c. “ThereVareVnoVknownVdrugVinteractions,VsoVthisVwillVbeVsafe.”
d. “TylenolVandVLortabVareVdifferentVdrugs,VsoVthereVisVnoVriskVofVoverdose.”

ANS:V B
TylenolVisVtheVtradeVnameVandVacetaminophenVisVtheVgenericVnameVforVtheVsameVmedic
ation.VItVisVimportantVtoVteachVpatientsVtoVbeVawareVofVtheVdifferentVnamesVforVtheVsame
VdrugVtoVminimizeVtheVriskVofVoverdose.VOver-the-
counterV(OTC)VmedicationsVandVprescriptionVmedicationsVmayVbeVtakenVtogetherVunlessV
significantVharmfulVdrugVinteractionsVareVpossible.VEvenVthoughVnoVdrugVinteractionsVare
VatVplayVinVthisVcase,VbothVdrugsVcontainVacetaminophen,VwhichVcouldVleadVtoVtoxicity.


DIF: CognitiveVLevel:VApplication
REF:VApplicationVofVPharmacologyVinVPatientVEducation:VDosageVandVAdministrat
ionVTOP:V NursingVProcess:VImplementation
MSC:V NCLEXVClientVNeedsVCategory:VPhysiologicVIntegrity:VReductionVofVRiskVPotential

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