Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
Chapter 1 - The Nursing Process and Drug Therapy _______________________ 3
v v v v v v v v
Chapter 2 - Pharmacologic Principles __________________________________ 7
v v v v
Chapter 3 - Lifespan Considerations __________________________________ 13
v v v v
Chapter 4 - Cultural Legal and Ethical Considerations _____________________ 19
v v v v v v v
Chapter 5 - Medication Errors Preventing and Responding _________________ 25
v v v v v v v
Chapter 6 - Patient Education and Drug Therapy ________________________ 29
v v v v v v v
Chapter 7 - Over-the-Counter Drugs and Herbal and Dietary Supplements ____ 34
v v v v v v v v v
Chapter 8 - Gene Therapy and Pharmacogenomics ______________________ 38
v v v v v v
Chapter 9 - Photo Atlas of Drug Administration __________________________ 42
v v v v v v v
Chapter 10 - Analgesic Drugs________________________________________ 50
v v v v
Chapter 11 - General and Local Anesthetics ____________________________ 57
v v v v v v
Chapter 12 - Central Nervous System Depressants and Muscle Relaxants ____ 61
v v v v v v v v v
Chapter 13 - Central Nervous System Stimulants and Related Drugs ________ 66
v v v v v v v v v
Chapter 14 - Antiepileptic Drugs ______________________________________ 70
v v v v
Chapter 15 - Anti-Parkinson Drugs____________________________________ 75
v v v v
Chapter 16 - Psychotherapeutic Drugs ________________________________ 80
v v v v
Chapter 17 - Substance Use Disorder _________________________________ 87
v v v v v
Chapter 18 - Adrenergic Drugs _______________________________________ 92
v v v v
Chapter 19 - Adrenergic-Blocking Drugs _______________________________ 97
v v v v
Chapter 20 - Cholinergic Drugs _____________________________________ 102
v v v v
Chapter 21 - Cholinergic-Blocking Drugs ______________________________ 107
v v v v
Chapter 22 - Antihypertensive Drugs _________________________________ 112
v v v v
Chapter 23 - Antianginal Drugs _____________________________________ 118
v v v v
Chapter 24 - Heart Failure Drugs ____________________________________ 124
v v v v v
Chapter 25 - Antidysrhythmic Drugs__________________________________ 129
v v v v
Chapter 26 - Coagulation Modifier Drugs ______________________________ 134
v v v v v
Chapter 27 - Antilipemic Drugs ______________________________________ 140
v v v v
Chapter 28 - Diuretic Drugs ________________________________________ 145
v v v v
Chapter 29 - Fluids and Electrolytes __________________________________ 151
v v v v v
Chapter 30 - Pituitary Drugs ________________________________________ 157
v v v v
,Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
Chapter 31 - Thyroid and Antithyroid Drugs ____________________________ 161
v v v v v v
Chapter 32 - Antidiabetic Drugs _____________________________________ 166
v v v v
Chapter 33 - Adrenal Drugs ________________________________________ 174
v v v v
Chapter 34 - Women’s Health Drugs _________________________________ 178
v v v v v
Chapter 35 - Men’s Health Drugs ____________________________________ 185
v v v v v
Chapter 36 - Antihistamines Decongestants Antitussives and Expectorants
v v v v v v v v v 189
Chapter 37 - Respiratory Drugs _____________________________________ 194
v v v v v
Chapter 38 - Antibiotics Part 1 ______________________________________ 199
v v v v v
Chapter 39 - Antibiotics Part 2 ______________________________________ 206
v v v v v
Chapter 40 - Antiviral Drugs ________________________________________ 211
v v v v
Chapter 41 - Antitubercular Drugs ___________________________________ 216
v v v v
Chapter 42 - Antifungal Drugs ______________________________________ 221
v v v v
Chapter 43 - Antimalarial Antiprotozoal and Anthelmintic Drugs ____________ 226
v v v v v v v
Chapter 44 - Anti-inflammatory and Antigout Drugs _____________________ 231
v v v v v v
Chapter 45 - Antineoplastic Drugs Part 1 Cancer Overview and Cell Cycle ___ 236
v v v v v v v v v v v
Chapter 46 - Antineoplastic Drugs Part 2 Cell Cycle Nonspecific and Misc.
v v v v v v v v v v v
Drugs _________________________________________________________ 242
Chapter 47 - Biologic Response–Modifying and Antirheumatic Drugs _______ 247
v v v v v v v
Chapter 48 - Immunosuppressant Drugs ______________________________ 252
v v v v
Chapter 49 - Immunizing Drugs _____________________________________ 257
v v v v
Chapter 50 - Acid-Controlling Drugs__________________________________ 262
v v v v
Chapter 51 - Bowel Disorder Drugs __________________________________ 268
v v v v v
Chapter 52 - Antiemetic and Antinausea Drugs _________________________ 275
v v v v v v
Chapter 53 - Vitamins and Minerals __________________________________ 280
v v v v v
Chapter 54 - Anemia Drugs ________________________________________ 286
v v v v
Chapter 55 - Nutritional Supplements _________________________________ 292
v v v v
Chapter 56 - Drugs _______________________________________________ 296
v v v
Chapter 57 - Ophthalmic Drugs _____________________________________ 302
v v v v
Chapter 58 - Otic Drugs ___________________________________________ 307
v v v v
,Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
Chapter 01: The Nursing Process and Drug Therapy
v v v v v v v
Lilley: Pharmacology and the Nursing Process, 9th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
v v v v v v v v v v v v v v v v
heart failure. Identification of human needs statements occur with which of these
v v v v v v v v v v v v
activities?
v
a. Collection of patient data v v v
b. Administering interventions v
c. Deciding on patient outcomes v v v
d. Documenting the patient’s behavior v v v
ANS: A v
Identification of human needs occurs with the collection of patient data. v v v v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) v v v
TOP: Nursing Process: Human Needs Statement
v v v v v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
v v v v v v v v v v v v v v
busy and gave the medication 2 hours after the scheduled dose was due. What type of
v v v v v v v v v v v v v v v v
problem does this represent?
v v v v
a. “Right time” v
b. “Right dose” v
c. “Right route” v
d. “Right medication” v
ANS: A v
“Right time” is correct because the medication was given more than 30 minutes after the
v v v v v v v v v v v v v v
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
v v v v v v v v v v v v v v v v v
medication administration is scheduled. “Route” is incorrect because the route is not
v v v v v v v v v v v v
affected. “Medication” is incorrect because the medication ordered will not change.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
v v v v v v v v v v
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
v v v v v v v v v v v v v v v
dose and documenting the patient’s therapeutic response to the medication. Which phase
v v v v v v v v v v v v
of the nursing process do these actions illustrate?
v v v v v v v v
a. Human needs statement v v
b. Planning
c. Implementation
d. Evaluation
ANS: D v
Monitoring the patient’s progress, including the patient’s response to the medication, is
v v v v v v v v v v v
part of the evaluation phase. Planning, implementation, and human needs statement are not
v v v v v v v v v v v v v
illustrated by this example.
v v v v
Chapter 1 - The Nursing Process and Drug
v v v v v v v 3
Therapy
v
, Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing v v v v
Process: Evaluation
v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
v v v v v v v v v v v v v v v
Which statement best illustrates an outcome criterion for this patient?
v v v v v v v v v v
a. The patient will follow instructions.v v v v
b. The patient will not experience complications.
v v v v v
c. The patient will adhere to the new insulin treatment regimen.
v v v v v v v v v
d. The patient will demonstrate correct blood glucose testing technique.
v v v v v v v v
ANS: D v
“Demonstrating correct blood glucose testing technique” is a specific and measurable v v v v v v v v v v
outcome criterion. “Following instructions” and “not experiencing complications” are not
v v v v v v v v v v
specific criteria. “Adhering to new regimen” would be difficult to measure.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) TOP: Nursing v v v v
Process: Planning
v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
5. Which activity best reflects the implementation phase of the nursing process for the patient
v v v v v v v v v v v v v
who is newly diagnosed with hypertension?
v v v v v v
a. Providing education on keeping a journal of blood pressure readings v v v v v v v v v
b. Setting goals and outcome criteria with the patient’s input
v v v v v v v v
c. Recording a drug history regarding over-the-counter medications used at home v v v v v v v v v
d. Formulating human needs statements regarding insufficient knowledge related to v v v v v v v v
the new treatment regimen
v v v v
ANS: A v
Education is an intervention that occurs during the implementation phase. Setting goals
v v v v v v v v v v v
and outcomes reflects the planning phase. Recording a drug history reflects the assessment
v v v v v v v v v v v v v
phase. Formulating human needs statements reflects analysis of data as part of planning.
v v v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before
v v v v v v v v v v v
beginning chemotherapy to prevent nausea.” The nurse notes that the route is missing from
v v v v v v v v v v v v v v
the order. What is the nurse’s best action?
v v v v v v v v
a. Give the medication intravenously because the patient might vomit.
v v v v v v v v
b. Give the medication orally because the tablets are available in 4-mg doses.
v v v v v v v v v v v
c. Contact the prescriber to clarify the route of the medication ordered.
v v v v v v v v v v
d. Hold the medication until the prescriber returns to make rounds.
v v v v v v v v v
ANS: C v
A complete medication order includes the route of administration. If a medication order
v v v v v v v v v v v v
does not include the route, the nurse must ask the prescriber to clarify it. The intravenous
v v v v v v v v v v v v v v v v
and oral routes are not interchangeable. Holding the medication until the prescriber returns
v v v v v v v v v v v v v
would mean that the patient would not receive a needed medication.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
Chapter 1 - The Nursing Process and Drug
v v v v v v v 4
Therapy
v
v v v v v v v
Chapter 1 - The Nursing Process and Drug Therapy _______________________ 3
v v v v v v v v
Chapter 2 - Pharmacologic Principles __________________________________ 7
v v v v
Chapter 3 - Lifespan Considerations __________________________________ 13
v v v v
Chapter 4 - Cultural Legal and Ethical Considerations _____________________ 19
v v v v v v v
Chapter 5 - Medication Errors Preventing and Responding _________________ 25
v v v v v v v
Chapter 6 - Patient Education and Drug Therapy ________________________ 29
v v v v v v v
Chapter 7 - Over-the-Counter Drugs and Herbal and Dietary Supplements ____ 34
v v v v v v v v v
Chapter 8 - Gene Therapy and Pharmacogenomics ______________________ 38
v v v v v v
Chapter 9 - Photo Atlas of Drug Administration __________________________ 42
v v v v v v v
Chapter 10 - Analgesic Drugs________________________________________ 50
v v v v
Chapter 11 - General and Local Anesthetics ____________________________ 57
v v v v v v
Chapter 12 - Central Nervous System Depressants and Muscle Relaxants ____ 61
v v v v v v v v v
Chapter 13 - Central Nervous System Stimulants and Related Drugs ________ 66
v v v v v v v v v
Chapter 14 - Antiepileptic Drugs ______________________________________ 70
v v v v
Chapter 15 - Anti-Parkinson Drugs____________________________________ 75
v v v v
Chapter 16 - Psychotherapeutic Drugs ________________________________ 80
v v v v
Chapter 17 - Substance Use Disorder _________________________________ 87
v v v v v
Chapter 18 - Adrenergic Drugs _______________________________________ 92
v v v v
Chapter 19 - Adrenergic-Blocking Drugs _______________________________ 97
v v v v
Chapter 20 - Cholinergic Drugs _____________________________________ 102
v v v v
Chapter 21 - Cholinergic-Blocking Drugs ______________________________ 107
v v v v
Chapter 22 - Antihypertensive Drugs _________________________________ 112
v v v v
Chapter 23 - Antianginal Drugs _____________________________________ 118
v v v v
Chapter 24 - Heart Failure Drugs ____________________________________ 124
v v v v v
Chapter 25 - Antidysrhythmic Drugs__________________________________ 129
v v v v
Chapter 26 - Coagulation Modifier Drugs ______________________________ 134
v v v v v
Chapter 27 - Antilipemic Drugs ______________________________________ 140
v v v v
Chapter 28 - Diuretic Drugs ________________________________________ 145
v v v v
Chapter 29 - Fluids and Electrolytes __________________________________ 151
v v v v v
Chapter 30 - Pituitary Drugs ________________________________________ 157
v v v v
,Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
Chapter 31 - Thyroid and Antithyroid Drugs ____________________________ 161
v v v v v v
Chapter 32 - Antidiabetic Drugs _____________________________________ 166
v v v v
Chapter 33 - Adrenal Drugs ________________________________________ 174
v v v v
Chapter 34 - Women’s Health Drugs _________________________________ 178
v v v v v
Chapter 35 - Men’s Health Drugs ____________________________________ 185
v v v v v
Chapter 36 - Antihistamines Decongestants Antitussives and Expectorants
v v v v v v v v v 189
Chapter 37 - Respiratory Drugs _____________________________________ 194
v v v v v
Chapter 38 - Antibiotics Part 1 ______________________________________ 199
v v v v v
Chapter 39 - Antibiotics Part 2 ______________________________________ 206
v v v v v
Chapter 40 - Antiviral Drugs ________________________________________ 211
v v v v
Chapter 41 - Antitubercular Drugs ___________________________________ 216
v v v v
Chapter 42 - Antifungal Drugs ______________________________________ 221
v v v v
Chapter 43 - Antimalarial Antiprotozoal and Anthelmintic Drugs ____________ 226
v v v v v v v
Chapter 44 - Anti-inflammatory and Antigout Drugs _____________________ 231
v v v v v v
Chapter 45 - Antineoplastic Drugs Part 1 Cancer Overview and Cell Cycle ___ 236
v v v v v v v v v v v
Chapter 46 - Antineoplastic Drugs Part 2 Cell Cycle Nonspecific and Misc.
v v v v v v v v v v v
Drugs _________________________________________________________ 242
Chapter 47 - Biologic Response–Modifying and Antirheumatic Drugs _______ 247
v v v v v v v
Chapter 48 - Immunosuppressant Drugs ______________________________ 252
v v v v
Chapter 49 - Immunizing Drugs _____________________________________ 257
v v v v
Chapter 50 - Acid-Controlling Drugs__________________________________ 262
v v v v
Chapter 51 - Bowel Disorder Drugs __________________________________ 268
v v v v v
Chapter 52 - Antiemetic and Antinausea Drugs _________________________ 275
v v v v v v
Chapter 53 - Vitamins and Minerals __________________________________ 280
v v v v v
Chapter 54 - Anemia Drugs ________________________________________ 286
v v v v
Chapter 55 - Nutritional Supplements _________________________________ 292
v v v v
Chapter 56 - Drugs _______________________________________________ 296
v v v
Chapter 57 - Ophthalmic Drugs _____________________________________ 302
v v v v
Chapter 58 - Otic Drugs ___________________________________________ 307
v v v v
,Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
Chapter 01: The Nursing Process and Drug Therapy
v v v v v v v
Lilley: Pharmacology and the Nursing Process, 9th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
v v v v v v v v v v v v v v v v
heart failure. Identification of human needs statements occur with which of these
v v v v v v v v v v v v
activities?
v
a. Collection of patient data v v v
b. Administering interventions v
c. Deciding on patient outcomes v v v
d. Documenting the patient’s behavior v v v
ANS: A v
Identification of human needs occurs with the collection of patient data. v v v v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) v v v
TOP: Nursing Process: Human Needs Statement
v v v v v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
v v v v v v v v v v v v v v
busy and gave the medication 2 hours after the scheduled dose was due. What type of
v v v v v v v v v v v v v v v v
problem does this represent?
v v v v
a. “Right time” v
b. “Right dose” v
c. “Right route” v
d. “Right medication” v
ANS: A v
“Right time” is correct because the medication was given more than 30 minutes after the
v v v v v v v v v v v v v v
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
v v v v v v v v v v v v v v v v v
medication administration is scheduled. “Route” is incorrect because the route is not
v v v v v v v v v v v v
affected. “Medication” is incorrect because the medication ordered will not change.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
v v v v v v v v v v
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
v v v v v v v v v v v v v v v
dose and documenting the patient’s therapeutic response to the medication. Which phase
v v v v v v v v v v v v
of the nursing process do these actions illustrate?
v v v v v v v v
a. Human needs statement v v
b. Planning
c. Implementation
d. Evaluation
ANS: D v
Monitoring the patient’s progress, including the patient’s response to the medication, is
v v v v v v v v v v v
part of the evaluation phase. Planning, implementation, and human needs statement are not
v v v v v v v v v v v v v
illustrated by this example.
v v v v
Chapter 1 - The Nursing Process and Drug
v v v v v v v 3
Therapy
v
, Pharmacology and the Nursing Process 9th Edition 9780323529495
v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing v v v v
Process: Evaluation
v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
v v v v v v v v v v v v v v v
Which statement best illustrates an outcome criterion for this patient?
v v v v v v v v v v
a. The patient will follow instructions.v v v v
b. The patient will not experience complications.
v v v v v
c. The patient will adhere to the new insulin treatment regimen.
v v v v v v v v v
d. The patient will demonstrate correct blood glucose testing technique.
v v v v v v v v
ANS: D v
“Demonstrating correct blood glucose testing technique” is a specific and measurable v v v v v v v v v v
outcome criterion. “Following instructions” and “not experiencing complications” are not
v v v v v v v v v v
specific criteria. “Adhering to new regimen” would be difficult to measure.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) TOP: Nursing v v v v
Process: Planning
v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
5. Which activity best reflects the implementation phase of the nursing process for the patient
v v v v v v v v v v v v v
who is newly diagnosed with hypertension?
v v v v v v
a. Providing education on keeping a journal of blood pressure readings v v v v v v v v v
b. Setting goals and outcome criteria with the patient’s input
v v v v v v v v
c. Recording a drug history regarding over-the-counter medications used at home v v v v v v v v v
d. Formulating human needs statements regarding insufficient knowledge related to v v v v v v v v
the new treatment regimen
v v v v
ANS: A v
Education is an intervention that occurs during the implementation phase. Setting goals
v v v v v v v v v v v
and outcomes reflects the planning phase. Recording a drug history reflects the assessment
v v v v v v v v v v v v v
phase. Formulating human needs statements reflects analysis of data as part of planning.
v v v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
v v v v v v v v v
6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before
v v v v v v v v v v v
beginning chemotherapy to prevent nausea.” The nurse notes that the route is missing from
v v v v v v v v v v v v v v
the order. What is the nurse’s best action?
v v v v v v v v
a. Give the medication intravenously because the patient might vomit.
v v v v v v v v
b. Give the medication orally because the tablets are available in 4-mg doses.
v v v v v v v v v v v
c. Contact the prescriber to clarify the route of the medication ordered.
v v v v v v v v v v
d. Hold the medication until the prescriber returns to make rounds.
v v v v v v v v v
ANS: C v
A complete medication order includes the route of administration. If a medication order
v v v v v v v v v v v v
does not include the route, the nurse must ask the prescriber to clarify it. The intravenous
v v v v v v v v v v v v v v v v
and oral routes are not interchangeable. Holding the medication until the prescriber returns
v v v v v v v v v v v v v
would mean that the patient would not receive a needed medication.
v v v v v v v v v v v
DIF: Cognitive Level: Applying (Application) v v v
Chapter 1 - The Nursing Process and Drug
v v v v v v v 4
Therapy
v
