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

Silvestri: Saunders Comprehensive Review for the NCLEX-
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RN® Examination, 9th Edition
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Silvestri: Saunders Comprehensive Review for the NCLEX- Xt Xt Xt Xt Xt Xt




RN® Examination, 9thEdition XtXt Xt




Pharmacology Xt




Test Bank Xt




MULTIPLE CHOICE Xt




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




2. Increasing uterine contractions Xt Xt




3. Decreasing uterine contractions Xt Xt



4. Promoting fetal lung maturity Xt Xt Xt




ANS: 1 X t




Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
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2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescrib
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ed for Xt


pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal l
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ung maturity‖ are not actions of this medication.
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Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
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Remember that this medication is used for pain relief. Review the action of this medication if you had
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difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding Xt Xt Xt Xt


REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology
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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 for opioid analge
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sic administration following cesarean birth. If the client develops respiratory depression and re
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quires naloxone (Narcan) as an antidote, the client may complain of which of the following?
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1. Increase in her pain level Xt Xt Xt Xt




2. Decrease in her pain level Xt Xt Xt Xt




3. Increase in the amount of itching from the opioid used in the epidural
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,Silvestri: Saunders Comprehensive Review for the NCLEX-
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RN® Examination, 9th Edition
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4. Decrease in the amount of itching from the opioid used in the epidural
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, Silvestri: Saunders Comprehensive Review for the NCLEX-
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RN® Examination, 9th Edition
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ANS: 1 X t




Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
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which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
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level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
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in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are inco
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rrect.

Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
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cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
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ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this quest
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ion was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding Xt Xt Xt Xt


REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
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s. OBJ: Client Needs: Physiological Integrity
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TOP: Content Area: Pharmacology
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MSC: Integrated Process: Nursing Process—Assessment
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3. A client experiencing preterm labor at the twenty-
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ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
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amethasone (Celestone). The nurse understands that the medication will do which of the following?
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1. Prevent spontaneous delivery. Xt Xt



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




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




ANS: 3 X t




Rationale: Betamethasone (Celestone) is classified as an anti-
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inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, whic
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h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
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rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
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Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
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eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic wor
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ds ―twenty-
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ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
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countered by premature infants will assist in answering this question. Review the action of this medic
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ation if this question was difficult.
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PTS: 1

, Silvestri: Saunders Comprehensive Review for the NCLEX-
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RN® Examination, 9th Edition
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DIF: Level of Cognitive Ability: Understanding
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REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
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child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
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