Test Bank for Saunders Comprehensive Review for the NCLEX-RN® Examination, 9th Edition by Linda Anne Silvestri and Angela Silvestri Complete Questions and Answers Pass Guaranteed

Test Bankb1b1




for Saunders Comprehensive Review for the NCLEX-RN®
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b1b1 Examination, 9th Edition by Linda Anne Silvestri and Angela
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b1b1 Silvestri ||ISBN NO: 9780721677958|| All Chapters
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b1b1 Covered||Complete Guide A+. b1b1 b1b1




Geniusexpert
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Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
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Edition
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Pharmacology

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MULTIPLE CHOICE b1b1




1. The nurse is caring for a client in labor. The nurse reviews the physician’s
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prescriptions and notes that the client has a prescription for butorphanol tartrate
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(Stadol). The nurse understands that this medication is prescribed for:
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1. Pain relief b1b1



2. Increasing uterine contractions b1b1 b1b1




3. Decreasing uterine contractions b1b1 b1b1




4. Promoting fetal lung maturity b1b1 b1b1 b1b1




ANS: b1b1 b1b1 1

Rationale: The client b1b1 b1b1 b1b1 in labor may be given parenteral analgesia during the first stage
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of labor, up to 2
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 to 3 hours before the anticipated delivery. Butorphanol tartrate is
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a medication that
b1b1 b1b1 b1b1 b1b1 may be prescribed for pain relief. “Increasing uterine contractions,”
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“decreasing uterine
b1b1 b1b1 b1b1 contractions,” and “promoting fetal lung maturity” are not actions
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of this medication.
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Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to
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answer this question. Remember that this medication is used for pain relief. Review
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the action of this medication if you had difficulty with this question and are
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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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Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology b1b1 b1b1


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
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for opioid analgesic administration following cesarean birth. If the client develops
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respiratory depression and requires naloxone (Narcan) as an antidote, the client
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may complain of which of the following?
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1. Increase in her pain level b1b1 b1b1 b1b1 b1b1




2. Decrease in her pain level b1b1 b1b1 b1b1 b1b1




3. Increase in the amount of itching from the opioid used in the
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epidural
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, 4. Decrease in the amount of itching from the opioid used in the
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epidural
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https://www.stuvia.com/user/GeniusExpert

, ANS: b1b1 b1b1 1

Rationale: Remember that b1b1 b1b1 b1b1 opioids are used for epidural analgesia. Naloxone is an
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opioid antagonist, which
b1b1 b1b1 b1b1 b1b1 reverses the effects of opioids. If it is given, the client may
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complain of an increase
b1b1 b1b1 b1b1 b1b1 b1b1 in her pain level. Therefore “decrease in her pain level,”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1


“increase in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural,” and
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“decrease in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural” are
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incorrect.
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Test-Taking Strategy: To answer this question accurately, you must know that opioid
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analgesics are the medications used with epidural analgesia to relieve pain. Therefore
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if naloxone is administered as an antidote for an opioid analgesic, the client’s pain
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will increase. Review the effects of naloxone if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding b1b1 b1b1 b1b1 b1b1


REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
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Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology b1b1 b1b1


MSC: Integrated Process: Nursing Process—Assessment
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3. A client experiencing preterm labor at the twenty-ninth week of gestation has been
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admitted to the hospital. The client has a prescription to receive betamethasone
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(Celestone). The nurse understands that the medication will do which of the
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following?
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1. Prevent spontaneous delivery. b1b1 b1b1



2. Stop the uterine contractions.
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3. Promote maturation of the fetal lungs. b1b1 b1b1 b1b1 b1b1 b1b1




4. Accelerate the growth rate of the fetus. b1b1 b1b1 b1b1 b1b1 b1b1 b1b1




ANS: b1b1 b1b1 3

Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and
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corticosteroid. It increases the surfactant level and lung maturity in the fetus, which
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reduces the incidence of respiratory distress syndrome. Delivery must be delayed for
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at least 48 hours after administration of betamethasone to allow time for the lungs
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of the fetus to mature.
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Test-Taking Strategy: Options that are comparable or alike are not likely to be
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correct. With this in mind, eliminate “prevent spontaneous delivery” and “stop the
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uterine contractions.” Note the strategic words “twenty-ninth week of gestation.”
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Specific knowledge about the medication and knowledge of the problems encountered
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by premature infants will assist in answering this question. Review the action of this
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medication if this question was difficult.
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