t
LEHNES PHARMACOLOGY FOR
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NURSING CARE 9TH EDITION BU
t t t t
RCHUM
,Contents
Chaptert01:tThetNursingtProcesstandtDrugtTherapy ....................................................................................... 4
Chaptert02:tPharmacologictPrinciples ........................................................................................................... 8
Chaptert03:tLifespantConsiderations ........................................................................................................... 14
Chaptert04:tCultural,tLegal,tandtEthicaltConsiderations ............................................................................... 20
Chaptert05:tMedicationtErrors:tPreventingtandtResponding ....................................................................... 26
Chaptert06:tPatienttEducationtandtDrugtTherapy ........................................................................................ 29
Chaptert07:tOver-the-CountertDrugstandtHerbaltandtDietarytSupplements ................................................ 34
Chaptert08:tGenetTherapytandtPharmacogenomics .................................................................................... 38
Chaptert09:tPhototAtlastoftDrugtAdministration .......................................................................................... 41
Chaptert10:tAnalgesictDrugs ........................................................................................................................ 50
Chaptert11:tGeneraltandtLocaltAnesthetics .................................................................................................. 57
Chaptert12:tCentraltNervoustSystemtDepressantstandtMuscletRelaxants .................................................... 61
Chaptert13:tCentraltNervoustSystemtStimulantstandtRelatedtDrugs ............................................................ 66
Chaptert14:tAntiepileptictDrugs ................................................................................................................... 70
Chaptert15:tAntiparkinsontDrugs..................N..U
...R..S..I.N
...G
...T..B...C
..O
...Mt............................................................................. 76
Chaptert16:tPsychotherapeutictDrugs ......................................................................................................... 81
Chaptert17:tSubstancetUsetDisorder ............................................................................................................ 88
Chaptert18:tAdrenergictDrugs ...................................................................................................................... 93
Chaptert19:tAdrenergic-BlockingtDrugs ....................................................................................................... 98
Chaptert20:tCholinergictDrugs ................................................................................................................... 103
Chaptert21:tCholinergic-BlockingtDrugs..................................................................................................... 108
Chaptert22:tAntihypertensivetDrugs .......................................................................................................... 113
Chaptert23:tAntianginaltDrugs ................................................................................................................... 119
Chaptert24:tHearttFailuretDrugs ................................................................................................................. 125
Chaptert25:tAntidysrhythmictDrugs ........................................................................................................... 131
Chaptert26:tCoagulationtModifiertDrugs.................................................................................................... 137
Chaptert27:tAntilipemictDrugs ................................................................................................................... 143
Chaptert28:tDiuretictDrugs ......................................................................................................................... 148
Chaptert29:tFluidstandtElectrolytes ............................................................................................................ 154
Chaptert30:tPituitarytDrugs ........................................................................................................................ 160
,Chaptert31:tThyroidtandtAntithyroidtDrugs ................................................................................................ 163
Chaptert32:tAntidiabetictDrugs .................................................................................................................. 168
Chaptert33:tAdrenaltDrugs ......................................................................................................................... 177
Chaptert34:tWomen’stHealthtDrugs ........................................................................................................... 181
Chaptert35:tMen’stHealthtDrugs ................................................................................................................ 188
Chaptert36:tAntihistamines,tDecongestants,tAntitussives,tandtExpectorants ........................................... 193
Chaptert37:tRespiratorytDrugs ................................................................................................................... 198
Chaptert38:tAntibioticstPartt1 .................................................................................................................... 204
Chaptert39:tAntibioticstPartt2 .................................................................................................................... 211
Chaptert40:tAntiviraltDrugs ........................................................................................................................ 216
Chaptert41:tAntituberculartDrugs .............................................................................................................. 221
Chaptert42:tAntifungaltDrugs ..................................................................................................................... 226
Chaptert43:tAntimalarial,tAntiprotozoal,tandtAnthelmintictDrugs ............................................................. 231
Chaptert44:tAnti-inflammatorytandtAntigouttDrugs .................................................................................. 236
Chaptert45:tAntineoplastictDrugstPartt1:tCancertOverviewtandtCelltCycle–SpecifictDrugs .......................... 242
Chaptert46:tAntineoplastictDrugstPartt2:tCelltCycle–NonspecifictDrugstandtMiscellaneoustDrugs .............. 248
NURSINGTB.COM
Chaptert47:tBiologictResponse–ModifyingtandtAntirheumatictDrugs ........................................................ 253
Chaptert48:tImmunosuppressanttDrugs .................................................................................................... 258
Chaptert49:tImmunizingtDrugs................................................................................................................... 263
Chaptert50:tAcid-ControllingtDrugs ........................................................................................................... 268
Chaptert51:tBoweltDisordertDrugs ............................................................................................................. 274
Chaptert52:tAntiemetictandtAntinauseatDrugs .......................................................................................... 281
Chaptert53:tVitaminstandtMinerals ............................................................................................................ 286
Chaptert54:tAnemiatDrugs ......................................................................................................................... 292
Chaptert55:tNutritionaltSupplements ........................................................................................................ 299
Chaptert56:tDermatologictDrugs ................................................................................................................ 304
Chaptert57:tOphthalmictDrugs ................................................................................................................... 310
Chaptert58:tOtictDrugs ............................................................................................................................... 315
, Chapter 01: The Nursing Process and Drug Therapy
t t t t t t t
MULTIPLEtCHOICE
1. Thetnursetistwritingtatnursingtdiagnosistfortatplantoftcaretfortatpatienttwhothastbeentnewlytdiagn
osedtwithttypet2tdiabetes.tWhichtstatementtreflectstthetcorrecttformattfortatnursingtdiagnosis?
a. Anxiety
b. Anxietytrelatedttotnewtdrugttherapy
c. Anxietytrelatedttotanxioustfeelingstabouttdrugttherapy,tastevidencedtbytstatementstsuc
htast“I’mtupsettaboutthavingttottesttmytbloodtsugars.”
d. Anxietytrelatedttotnewtdrugttherapy,tastevidencedtbytstatementstsuchtast“I’mtups
ettaboutthavingttottesttmytbloodtsugars.”
ANS:t D
Formulationtoftnursingtdiagnosestistusuallytatthree-
steptprocess.t“Anxiety”tistmissingtthet“relatedtto”tandt“astevidencedtby”tportionstoftdefiningtcharac
teristics.t“Anxietytrelatedttotnewtdrugttherapy”tistmissingtthet“astevidencedtby”tportiontoftdefiningtc
haracteristics.tThetstatementtbeginningt“Anxietytrelatedttotanxioustfeelings”tistincorrecttbecausetth
et“relatedtto”tsectiontistsimplytatrestatementtoftthetproblemt“anxiety,”tnottatseparatetfactortrelatedttot
thetresponse.
DIF:
COGNITIVEtLEVEL:tUnderstandingt(Comprehension)t
TOP:tttNURSINGtPROCESS:tNursingtDiagNnU osRiSs INGTB.COM
MSC:t NCLEX:tSafetandtEffectivetCaretEnvironment:tManagementtoftCare
2. Thetpatienttisttotreceivetoraltguaifenesint(Mucinex)ttwicetatday.tToday,tthetnursetwastbusytandtgavet
thetmedicationt2thourstaftertthetscheduledtdosetwastdue.tWhatttypetoftproblemtdoestthistrepresent?
a. “Rightttime”
b. “Righttdose”
c. “Righttroute”
d. “Righttmedication”
ANS:t A
“Rightttime”tistcorrecttbecausetthetmedicationtwastgiventmoretthant30tminutestaftertthetscheduledtd
osetwastdue.t“Dose”tistincorrecttbecausetthetdosetistnottrelatedttotthettimetthetmedicationtadministra
tiontistscheduled.t“Route”tistincorrecttbecausetthetroutetistnottaffected.t“Medication”tistincorrecttbec
ausetthetmedicationtorderedtwilltnottchange.
DIF:
COGNITIVEtLEVEL:tApplyingt(Application)t
TOP:t NURSINGtPROCESS:tImplementation
MSC:t NCLEX:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
3. Thetnursethastbeentmonitoringtthetpatient’stprogresstontatnewtdrugtregimentsincetthetfirsttdosetandtd
ocumentingtthetpatient’sttherapeutictresponsettotthetmedication.tWhichtphasetoftthetnursingtproces
stdotthesetactionstillustrate?
a. Nursingtdiagnosis