Chapter 1
cx Introduction to Pharmacology
cx cx c x
,The nurse is reviewing key events in the history of pharmacology with a student nurse. Whic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
h student comment indicates an understanding?
cx cx cx cx cx
"Early researchers used themselves as test subjects."
cx cx cx cx cx cx
"A primary goal of pharmacology is to prevent disease."
cx cx cx cx cx cx cx cx
"Penicillin is one of the initial drugs isolated from a natural source."
cx cx cx cx cx cx cx cx cx cx cx
"Pharmacologists began synthesizing drugs in the laboratory in the nineteenth century." Answ
cx cx cx cx cx cx cx cx cx cx cx
er: 1 c x
Explanation:
Some early researchers, like Friedrich Serturner, used themselves as test subjects.
cx cx cx cx cx cx cx cx cx cx cx
An early goal of pharmacology was to relieve human suffering.
cx cx cx cx cx cx cx cx cx
Initial drugs isolated from complex mixtures included morphine, colchicine, curare, and cocai
cx cx cx cx cx cx cx cx cx cx cx
ne, but not penicillin.
cx cx cx
By the twentieth century, pharmacologists could synthesize drugs in the laboratory
cx cx cx cx cx cx cx cx cx cx
. Page Ref: 3
cx cx cx
Cognitive Level: Analyzing cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Evaluation
cx cx
Learning Outcome: 1-1 Identify key events in the history of pharmacology.
cx c x c x cx cx cx cx cx cx cx cx
MNL Learning Outcome: Examine the relationship between medicine and pharmacology.
cx cx c x cx cx cx cx cx cx cx
The nursing student asks why anatomy and physiology as well as microbiology are required c
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ourses when learning about pharmacology. Which response will the instructor make? "Beca
cx cx cx cx cx cx cx cx cx cx cx
use pharmacology is an outgrowth of those subjects."
cx cx cx cx cx cx cx
"You must learn all, since all of those subjects are part of the curriculum."
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
"Knowledge of all those subjects will prepare you to administer medication.
cx cx cx cx cx cx cx cx cx cx
" "An understanding of those subjects is essential to understand pharmacolog
cx cx cx cx cx cx cx cx cx cx
y." Answer: 4
cx c x
Explanation:
Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but this is not the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
most essential reason for the nurse to learn them.
cx cx cx cx cx cx cx cx
The nurse must learn anatomy, physiology, and microbiology to understand pharmacology, not beca
cx cx cx cx cx cx cx cx cx cx cx cx
use they are part of the curriculum.
cx cx cx cx cx cx
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
cx cx cx cx cx cx cx cx cx cx
,pharmacology, not to provide care such as administration of medications. cx cx cx cx cx cx cx cx cx
It is essential for the nurse to have a broad knowledge base of many sciences in order to learn p
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
harmacology.
Page Ref: 4 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Implementation
cx cx
Learning Outcome: 1- cx c x
2 Explain the interdisciplinary nature of pharmacology, giving an example of how knowledge fro
cx cx cx cx cx cx cx cx cx cx cx cx cx
m different sciences impacts the nurse's role in drug administration.
cx cx cx cx cx cx cx cx cx
MNL Learning Outcome: Identify how drugs are named and classified.
cx cx c x c x cx cx cx cx cx cx
The nurse is teaching about the differences between pharmacology and therapeutics. Which st
cx cx cx cx cx cx cx cx cx cx cx cx
atement indicates that teaching was effective?
cx cx cx cx cx
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Selec
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t all that apply.
cx cx cx
"Pharmacology is the development of medicines." cx cx cx cx cx cx
"Pharmacology is the study of medicines." "Thera cx cx cx cx cx cx
peutics relates to drug use to treat suffering." "Ther
cx cx cx cx cx cx cx cx
apeutics is the study of drug interactions."
cx cx cx cx cx cx
"Pharmacology is the study of drugs to prevent disease and alleviate suffering." A
cx cx cx cx cx cx cx cx cx cx cx cx
nswer: 2, 3, 5 c x cx cx
Explanation:
Pharmacology is not the development of medicines. cx cx cx cx cx cx c
xPharmacology is the study of medicines. cx cx cx cx cx
Therapeutics is the use of drugs in the treatment of suffering. Therapeu
cx cx cx cx cx cx cx cx cx cx cx
tics is not related to the study of drug interactions.
cx cx cx cx cx cx cx cx cx
Pharmacology is the study of drugs for the purpose of disease prevention and to alleviate suff
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ering.
Page Ref: 4 cx cx
Cognitive Level: Analyzing cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Evaluation
cx cx
Learning Outcome: 1- cx c x
3 Compare and contrast therapeutics and pharmacology. MNL Learning Outcome
cx cx cx cx cx cx cx cx cx
: Identify how drugs are named and classified.
c x cx cx cx cx cx cx
, The nurse is preparing to administer a vaccine to a client. Which information about the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx c
xmanufacture of vaccines should the nurse recall when administering this medication?
cx cx cx cx cx cx cx cx cx cx c
xThe vaccine is produced by natural plant extracts in the laboratory.
cx cx cx cx cx cx cx cx cx cx
The vaccine is naturally produced in animal cells or microorganisms.
cx cx cx cx cx cx cx cx cx cx
The vaccine is produced by a combination of animal and plant products
cx cx cx cx cx cx cx cx cx cx cx
. The vaccine is most commonly synthesized in a laboratory.
cx cx cx cx cx cx cx cx cx
Answer: 2 Explanati c x cx
on:
Vaccines are not produced by natural plant extracts.
cx cx cx cx cx cx cx
Vaccines are naturally produced in animal cells, microorganisms, or by the body itself. Vacci
cx cx cx cx cx cx cx cx cx cx cx cx cx
nes are not produced by a combination of animal and plant products.
cx cx cx cx cx cx cx cx cx cx cx
Vaccines are not synthesized in a laboratory. cx cx cx cx cx cx c
xPage Ref: 4 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
cx cxcx cx cx cx cx cx
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
c x cx cx cx cx cx cx cx cx cx
d processes. | AACN Domains and Competencies: 5.2 Contribute to a culture of patient safety.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx c
| NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and oth
x cx cx cx cx cx cx cx cx cx cx cx cx
er disciplines. | Nursing/Integrated Concepts: Nursing Process: Evaluation
cx cx cx cx cx cx cx
Learning Outcome: 1- cx c x
4 Compare and contrast traditional drugs, biologics including biosimilars, and complementary a
cx cx cx cx cx cx cx cx cx cx cx
nd alternative medicine therapies.
cx cx cx
MNL Learning Outcome: Identify how drugs are named and classified.
cx cx c x c x cx cx cx cx cx cx
An older client with gastrointestinal bleeding asks why the condition developed when only ib
cx cx cx cx cx cx cx cx cx cx cx cx cx
uprofen was used to self-treat arthritis. Which response should the nurse make?
cx cx cx cx cx cx cx cx cx cx cx
"There are nonpharmacologic methods to relieve joint pain." "
cx cx cx cx cx cx cx cx
Maybe you should take acetaminophen because it is safer."
cx cx cx cx cx cx cx cx
"Ask your healthcare provider before taking over-the-
cx cx cx cx cx cx
counter medications." "I'm going to review the side effects of ibuprofen wit
cx cx cx cx cx cx cx cx cx cx cx
h you."
cx
Answer: 4 Explanati c x cx
on:
Reviewing nonpharmacologic methods to relieve joint pain is appropriate for this client, but it
cx cx cx cx cx cx cx cx cx cx cx cx cx
's not the highest priority. It doesn't address the client's current concern about how ibuprofen
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
may have increased the risk of having a GI bleed.
cx cx cx cx cx cx cx cx cx
Substitution of other drugs may be beneficial; however, it is beyond the nurse's scope of practice to sug
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
gest or prescribe medications.
cx cx cx
It is not a realistic plan to expect clients to contact the healthcare provider prior to taking any
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
over-the-
counter medication. In addition, it doesn't address the client's current concern about how ibuprof
cx cx cx cx cx cx cx cx cx cx cx cx cx
en may have increased the risk of having a GI bleed.
cx cx cx cx cx cx cx cx cx cx
It is essential for the nurse to teach clients about the advantages, and the disadvantages (inclu
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ding side effects), of all medications and supplements the client is taking.
cx cx cx cx cx cx cx cx cx cx cx
Page Ref: 6 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
cx cxcx cx cx cx cx cx
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
c x cx cx cx cx cx cx cx cx cx
d processes. | AACN Domains and Competencies: 2.2 Communicate effectively with individua
cx cx cx cx cx cx cx cx cx cx cx
ls. | NLN Competencies: Context and Environment: Health promotion/disease prevention. |
cx cx cx cx cx cx cx cx cx cx
cx Introduction to Pharmacology
cx cx c x
,The nurse is reviewing key events in the history of pharmacology with a student nurse. Whic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
h student comment indicates an understanding?
cx cx cx cx cx
"Early researchers used themselves as test subjects."
cx cx cx cx cx cx
"A primary goal of pharmacology is to prevent disease."
cx cx cx cx cx cx cx cx
"Penicillin is one of the initial drugs isolated from a natural source."
cx cx cx cx cx cx cx cx cx cx cx
"Pharmacologists began synthesizing drugs in the laboratory in the nineteenth century." Answ
cx cx cx cx cx cx cx cx cx cx cx
er: 1 c x
Explanation:
Some early researchers, like Friedrich Serturner, used themselves as test subjects.
cx cx cx cx cx cx cx cx cx cx cx
An early goal of pharmacology was to relieve human suffering.
cx cx cx cx cx cx cx cx cx
Initial drugs isolated from complex mixtures included morphine, colchicine, curare, and cocai
cx cx cx cx cx cx cx cx cx cx cx
ne, but not penicillin.
cx cx cx
By the twentieth century, pharmacologists could synthesize drugs in the laboratory
cx cx cx cx cx cx cx cx cx cx
. Page Ref: 3
cx cx cx
Cognitive Level: Analyzing cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Evaluation
cx cx
Learning Outcome: 1-1 Identify key events in the history of pharmacology.
cx c x c x cx cx cx cx cx cx cx cx
MNL Learning Outcome: Examine the relationship between medicine and pharmacology.
cx cx c x cx cx cx cx cx cx cx
The nursing student asks why anatomy and physiology as well as microbiology are required c
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ourses when learning about pharmacology. Which response will the instructor make? "Beca
cx cx cx cx cx cx cx cx cx cx cx
use pharmacology is an outgrowth of those subjects."
cx cx cx cx cx cx cx
"You must learn all, since all of those subjects are part of the curriculum."
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
"Knowledge of all those subjects will prepare you to administer medication.
cx cx cx cx cx cx cx cx cx cx
" "An understanding of those subjects is essential to understand pharmacolog
cx cx cx cx cx cx cx cx cx cx
y." Answer: 4
cx c x
Explanation:
Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but this is not the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
most essential reason for the nurse to learn them.
cx cx cx cx cx cx cx cx
The nurse must learn anatomy, physiology, and microbiology to understand pharmacology, not beca
cx cx cx cx cx cx cx cx cx cx cx cx
use they are part of the curriculum.
cx cx cx cx cx cx
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
cx cx cx cx cx cx cx cx cx cx
,pharmacology, not to provide care such as administration of medications. cx cx cx cx cx cx cx cx cx
It is essential for the nurse to have a broad knowledge base of many sciences in order to learn p
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
harmacology.
Page Ref: 4 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Implementation
cx cx
Learning Outcome: 1- cx c x
2 Explain the interdisciplinary nature of pharmacology, giving an example of how knowledge fro
cx cx cx cx cx cx cx cx cx cx cx cx cx
m different sciences impacts the nurse's role in drug administration.
cx cx cx cx cx cx cx cx cx
MNL Learning Outcome: Identify how drugs are named and classified.
cx cx c x c x cx cx cx cx cx cx
The nurse is teaching about the differences between pharmacology and therapeutics. Which st
cx cx cx cx cx cx cx cx cx cx cx cx
atement indicates that teaching was effective?
cx cx cx cx cx
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Selec
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t all that apply.
cx cx cx
"Pharmacology is the development of medicines." cx cx cx cx cx cx
"Pharmacology is the study of medicines." "Thera cx cx cx cx cx cx
peutics relates to drug use to treat suffering." "Ther
cx cx cx cx cx cx cx cx
apeutics is the study of drug interactions."
cx cx cx cx cx cx
"Pharmacology is the study of drugs to prevent disease and alleviate suffering." A
cx cx cx cx cx cx cx cx cx cx cx cx
nswer: 2, 3, 5 c x cx cx
Explanation:
Pharmacology is not the development of medicines. cx cx cx cx cx cx c
xPharmacology is the study of medicines. cx cx cx cx cx
Therapeutics is the use of drugs in the treatment of suffering. Therapeu
cx cx cx cx cx cx cx cx cx cx cx
tics is not related to the study of drug interactions.
cx cx cx cx cx cx cx cx cx
Pharmacology is the study of drugs for the purpose of disease prevention and to alleviate suff
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ering.
Page Ref: 4 cx cx
Cognitive Level: Analyzing cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
cx c x cx cx cx cx cx cx
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
c x cx cx cx cx cx cx cx cx
patient-
centered care: patient/family/community preferences, values; coordination and integration of care
cx cx cx cx cx cx cx cx cx
; information, communication, and education; physical comfort and emotional support; involve
cx cx cx cx cx cx cx cx cx cx
ment of family and friends; and transition and continuity. | AACN Domains and Competencies
cx cx cx cx cx cx cx cx cx cx cx cx cx
: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and where s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Science: I
cx cx cx cx cx cx cx cx cx cx cx cx
ntegration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts: Nu
cx cx cx cx cx cx cx cx cx cx cx
rsing Process: Evaluation
cx cx
Learning Outcome: 1- cx c x
3 Compare and contrast therapeutics and pharmacology. MNL Learning Outcome
cx cx cx cx cx cx cx cx cx
: Identify how drugs are named and classified.
c x cx cx cx cx cx cx
, The nurse is preparing to administer a vaccine to a client. Which information about the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx c
xmanufacture of vaccines should the nurse recall when administering this medication?
cx cx cx cx cx cx cx cx cx cx c
xThe vaccine is produced by natural plant extracts in the laboratory.
cx cx cx cx cx cx cx cx cx cx
The vaccine is naturally produced in animal cells or microorganisms.
cx cx cx cx cx cx cx cx cx cx
The vaccine is produced by a combination of animal and plant products
cx cx cx cx cx cx cx cx cx cx cx
. The vaccine is most commonly synthesized in a laboratory.
cx cx cx cx cx cx cx cx cx
Answer: 2 Explanati c x cx
on:
Vaccines are not produced by natural plant extracts.
cx cx cx cx cx cx cx
Vaccines are naturally produced in animal cells, microorganisms, or by the body itself. Vacci
cx cx cx cx cx cx cx cx cx cx cx cx cx
nes are not produced by a combination of animal and plant products.
cx cx cx cx cx cx cx cx cx cx cx
Vaccines are not synthesized in a laboratory. cx cx cx cx cx cx c
xPage Ref: 4 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
cx cxcx cx cx cx cx cx
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
c x cx cx cx cx cx cx cx cx cx
d processes. | AACN Domains and Competencies: 5.2 Contribute to a culture of patient safety.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx c
| NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and oth
x cx cx cx cx cx cx cx cx cx cx cx cx
er disciplines. | Nursing/Integrated Concepts: Nursing Process: Evaluation
cx cx cx cx cx cx cx
Learning Outcome: 1- cx c x
4 Compare and contrast traditional drugs, biologics including biosimilars, and complementary a
cx cx cx cx cx cx cx cx cx cx cx
nd alternative medicine therapies.
cx cx cx
MNL Learning Outcome: Identify how drugs are named and classified.
cx cx c x c x cx cx cx cx cx cx
An older client with gastrointestinal bleeding asks why the condition developed when only ib
cx cx cx cx cx cx cx cx cx cx cx cx cx
uprofen was used to self-treat arthritis. Which response should the nurse make?
cx cx cx cx cx cx cx cx cx cx cx
"There are nonpharmacologic methods to relieve joint pain." "
cx cx cx cx cx cx cx cx
Maybe you should take acetaminophen because it is safer."
cx cx cx cx cx cx cx cx
"Ask your healthcare provider before taking over-the-
cx cx cx cx cx cx
counter medications." "I'm going to review the side effects of ibuprofen wit
cx cx cx cx cx cx cx cx cx cx cx
h you."
cx
Answer: 4 Explanati c x cx
on:
Reviewing nonpharmacologic methods to relieve joint pain is appropriate for this client, but it
cx cx cx cx cx cx cx cx cx cx cx cx cx
's not the highest priority. It doesn't address the client's current concern about how ibuprofen
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
may have increased the risk of having a GI bleed.
cx cx cx cx cx cx cx cx cx
Substitution of other drugs may be beneficial; however, it is beyond the nurse's scope of practice to sug
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
gest or prescribe medications.
cx cx cx
It is not a realistic plan to expect clients to contact the healthcare provider prior to taking any
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
over-the-
counter medication. In addition, it doesn't address the client's current concern about how ibuprof
cx cx cx cx cx cx cx cx cx cx cx cx cx
en may have increased the risk of having a GI bleed.
cx cx cx cx cx cx cx cx cx cx
It is essential for the nurse to teach clients about the advantages, and the disadvantages (inclu
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ding side effects), of all medications and supplements the client is taking.
cx cx cx cx cx cx cx cx cx cx cx
Page Ref: 6 cx cx
Cognitive Level: Applying cx c xc x
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
cx cxcx cx cx cx cx cx
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
c x cx cx cx cx cx cx cx cx cx
d processes. | AACN Domains and Competencies: 2.2 Communicate effectively with individua
cx cx cx cx cx cx cx cx cx cx cx
ls. | NLN Competencies: Context and Environment: Health promotion/disease prevention. |
cx cx cx cx cx cx cx cx cx cx
