Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum, Laura Rosenthal ( 112 Chapters)

, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal
Chapter 1: Orientation to Pharmacology
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Test Bank
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MULTIPLE CHOICE x




1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
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nurse will rely on knowledge of:
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a. clinical pharmacology. x



b. drug efficacy. x



c. pharmacokinetics.
d. pharmacotherapeutics.

ANS: D x



Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent x x x x x x x x x x x x x



conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
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Drug efficacy measures the extent to which a given drug causes an intended effect.
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Pharmacokinetics is the study of the impact of the body on a drug. x x x x x x x x x x x x




DIF: Cognitive Level: Comprehension REF: Four Basic Terms x x x x x



TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. What does it mean when a drug is described as easy to administer?
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a. It can be stored indefinitely without need for refrigeration.
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b. It does not interact significantly with other medications.
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c. It enhances patient adherence to the drug regimen.
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d. It is usually relatively inexpensive to produce.
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ANS: C x



A major benefit of drugs that are easy to administer is that patients taking them are more likely
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to comply with the drug regimen. Drugs that are easy to give may have the other attributes
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listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension x x



REF: Additional Properties of an Ideal Drug: Ease of Administration TOP:
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Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
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very effective. Which statement by the patient demonstrates an understanding of the drug‘s
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effectiveness?
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a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
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cause an overdose.‖
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b. ―It has no side effects and doesn‘t interact with other drugs.‖
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c. ―I only have to take it every 12 hours.‖
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d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
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ANS: D x

, A drug is effective if it produces the intended effects, even if it also produces side effects.
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Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
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drugs have side effects and many react with other substances; these do not affect the drug‘s
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effectiveness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug x x x x x x x



TOP: Nursing Process: Evaluation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE x




1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action x



b. Predictability
c. Ease of administration x x



d. Chemical stability x



e. A simple trade name
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ANS: B, C, D x x x



In addition to predictability, ease of administration, and chemical stability, other properties
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include a reversible action so that any harm the drug may cause can be undone and a simple
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generic name, because generic names are usually complex and difficult to remember and
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pronounce.
x




DIF: Cognitive Level: Comprehension x x



REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
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TOP: Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. Before administering a medication, what does the nurse need to know to evaluate how
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individual patient variability might affect the patient‘s response to the medication? (Select all
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that apply.)
x x



a. Chemical stability of the medication x x x x



b. Ease of administration x x



c. Family medical history x x



d. Patient‘s age x



e. Patient‘s diagnosis x




ANS: C, D, E x x x



The family medical history can indicate genetic factors that may affect a patient‘s response to a
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medication. Patients of different ages can respond differently to medications. The patient‘s
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illness can affect how drugs are metabolized. The chemical stability of the medication and the
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ease of administration are properties of drugs.
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DIF: Cognitive Level: Analysis REF: Sources of Individual Variation x x x x x x



TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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, Chapter 2: Application of Pharmacology in Nursing Practice Test
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Bank
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MULTIPLE CHOICE x




1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
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label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
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wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and she doesn‘t
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feel that the medication is always effective. Which is not an appropriate nursing intervention for this
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patient?
x



a. Asking the patient to demonstrate use of the inhaler x x x x x x x x



b. Assessing the patient‘s exposure to tobacco smoke x x x x x x



c. Auscultating lung sounds and obtaining vital signs x x x x x x



d. Suggesting that the patient use one puff to reduce side effects x x x x x x x x x x




ANS: D x



It is not within the nurse‘s scope of practice to change the dose of a medication without an order
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from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
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evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
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evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
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therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical
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assessment helps the nurse evaluate the patient‘s response to the medication.
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DIF: Cognitive Level: Application x x



REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
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subsections under this heading]
x TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
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for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
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nurse is correct?
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a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
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b. ―Taking the two medications together poses a risk of drug toxicity.‖ x x x x x x x x x x



c. ―There are no known drug interactions, so this will be safe.‖ x x x x x x x x x x



d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ x x x x x x x x x x x x




ANS: B x



Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
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important to teach patients to be aware of the different names for the same drug to minimize the
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risk of overdose. Over-the-counter (OTC) medications and prescription medications may be
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taken together unless significant harmful drug interactions are possible. Even though no drug
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interactions are at play in this case, both drugs contain acetaminophen, which could lead to
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toxicity.
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DIF: Cognitive Level: Application x x



REF: Application of Pharmacology in Patient Education: Dosage and Administration
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TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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