Exam (elaborations)
Lehne's Pharmacology for Nursing Care, 11th Edition Test Bank All Chapters (1-112) | A+ ULTIMATE GUIDE
Lehne's Pharmacology for Nursing Care, 11th Edition Test Bank All Chapters (1-112) | A+ ULTIMATE GUIDE
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TEST BANK LEHNE'S PHARMACOLOGY FOR NURSINGy y y y y
CARE, 11TH EDITION BY JACQUELINE BURCHUM,
y y y y y y
LAURA ROSENTHAL CHAPTER 1- 112|COMPLETE
y y y y y
GUIDE A+ y y
Chapter 1: Orientation to Pharmacology
y y y y
Test Bank
y y
MULTIPLE CHOICE y
1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
y y y y y y y y y y y y y y y y
ythe nurse will rely on knowledge of:
y y y y y y
a. clinical pharmacology. y
b. drug efficacy. y
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D y
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent y y y y y y y y y y y y y
yconditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
y y y y y y y y y y
yDrug efficacy measures the extent to which a given drug causes an intended effect.
y y y y y y y y y y y y y
Pharmacokinetics is the study of the impact of the body on a drug. y y y y y y y y y y y y
DIF: Cognitive Level: Comprehension REF: Four Basic Terms y y y y y
yTOP: Nursing Process: Implementation
y y y
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
y y y y y y y y y y
2. What does it mean when a drug is described as easy to administer?
y y y y y y y y y y y y
a. It can be stored indefinitely without need for refrigeration.
y y y y y y y y
b. It does not interact significantly with other medications.
y y y y y y y
c. It enhances patient adherence to the drug regimen.
y y y y y y y
d. It is usually relatively inexpensive to produce.
y y y y y y
ANS: C y
A major benefit of drugs that are easy to administer is that patients taking them are more
y y y y y y y y y y y y y y y y
ylikely to comply with the drug regimen. Drugs that are easy to give may have the other
y y y y y y y y y y y y y y y y
yattributes listed, but those properties are independent of ease of administration.
y y y y y y y y y y
DIF: Cognitive Level: Comprehension y y
REF: Additional Properties of an Ideal Drug: Ease of Administration
y y y y y y y y y
yTOP: Nursing Process: Assessment
y y y
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
y y y y y y y y y y
,3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking
y y y y y y y y y y y y y y y y y
yis very effective. Which statement by the patient demonstrates an understanding of the
y y y y y y y y y y y y
drug‘s effectiveness?
y y
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug
y y y y y y y y y y y y y y y
to cause an overdose.‖
y y y y
b. ―It has no side effects and doesn‘t interact with other drugs.‖
y y y y y y y y y y
c. ―I only have to take it every 12 hours.‖
y y y y y y y y
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
y y y y y y y y y y y y y y
,ANS: D
y
, A drug is effective if it produces the intended effects, even if it also produces side effects.
y y y y y y y y y y y y y y y y
Because no drug is completely safe, the level of toxicity does not determine effectiveness.
y y y y y y y y y y y y y y
All drugs have side effects and many react with other substances; these do not affect the
y y y y y y y y y y y y y y y y
drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
y y y y y y y y y y y
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal y y y y y y
Drug TOP: Nursing Process: Evaluation
y y y y y
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
y y y y y y y y y y
MULTIPLE RESPONSE y
1. What are the properties of an ideal drug? (Select all that apply.)
y y y y y y y y y y y
a. Irreversible action y
b. Predictability
c. Ease of administration y y
d. Chemical stability y
e. A simple trade name y y y
ANS: B, C, D y y y
In addition to predictability, ease of administration, and chemical stability, other properties
y y y y y y y y y y y
include a reversible action so that any harm the drug may cause can be undone and a simple
y y y y y y y y y y y y y y y y y y
generic name, because generic names are usually complex and difficult to remember and
y y y y y y y y y y y y y
pronounce.
y
DIF: Cognitive Level: Comprehension y y
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
y y y y y y y y y y y
Drug TOP: Nursing Process: Assessment
y y y y y
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
y y y y y y y y y y
2. Before administering a medication, what does the nurse need to know to evaluate how
y y y y y y y y y y y y y
individual patient variability might affect the patient‘s response to the medication? (Select
y y y y y y y y y y y y
all that apply.)
y y y
a. Chemical stability of the medication y y y y
b. Ease of administration y y
c. Family medical history y y
d. Patient‘s age y
e. Patient‘s diagnosis y
ANS: C, D, E y y y
The family medical history can indicate genetic factors that may affect a patient‘s response
y y y y y y y y y y y y y
to a medication. Patients of different ages can respond differently to medications. The
y y y y y y y y y y y y y
patient‘s illness can affect how drugs are metabolized. The chemical stability of the
y y y y y y y y y y y y
medication and the ease of administration are properties of drugs.
y y y y y y y y y y
DIF: Cognitive Level: Analysis REF: Sources of Individual y y y y y
Variation TOP: Nursing Process: Implementation
y y y y y
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
y y y y y y y y y y
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