Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
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on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
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112|Complete Guide A+ gi gi gi
Chapter 1: Orientation to Pharmacology
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Test Bank
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MULTIPLE CHOICE gi
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, th
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enurse will rely on knowledge of:
i
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a. clinical pharmacology. gi
b. drug efficacy. gi
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D gi
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ons. Clinical pharmacology is concerned with all aspects of drug–
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human interactions.Drug efficacy measures the extent to which a given drug causes an inten
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ded effect.gi
Pharmacokinetics is the study of the impact of the body on a drug. gi gi gi gi gi gi gi gi gi gi gi gi
DIF: Cognitive Level: Comprehension gi gi
REF: Four Basic TermsTOP: Nursing Process: Implementagi gi gi gi g i gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. What does it mean when a drug is described as easy to administer?
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a. It can be stored indefinitely without need for refrigeration.
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b. It does not interact significantly with other medications.
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c. It enhances patient adherence to the drug regimen.
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d. It is usually relatively inexpensive to produce.
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ANS: C gi
A major benefit of drugs that are easy to administer is that patients taking them are more
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likely to comply with the drug regimen. Drugs that are easy to give may have the other
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attributes listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension gi gi
REF: Additional Properties of an Ideal Drug: Ease of Administratio
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nTOP: Nursing Process: Assessment
i
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
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very effective. Which statement by the patient demonstrates an understanding of the drug‘s
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effectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug toc
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ause an overdose.‖ gi gi
b. ―It has no side effects and doesn‘t interact with other drugs.‖
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c. ―I only have to take it every 12 hours.‖
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d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
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,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
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on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
gi gi gi gi gi gi gi
112|Complete Guide A+
gi gi gi
ANS: D gi
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
gi gi gi gi gi gi gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
gi gi gi gi gi gi gi
112|Complete Guide A+ gi gi gi
A drug is effective if it produces the intended effects, even if it also produces side effects. Be
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cause no drug is completely safe, the level of toxicity does not determine effectiveness. Alldr
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ugs have side effects and many react with other substances; these do not affect the drug‘s eff
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ectiveness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension gi gi
REF: Properties of an Ideal DrugTOP: Nursing Process: Evaluation
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g g i gi gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE gi
1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action gi
b. Predictability
c. Ease of administration gi gi
d. Chemical stability gi
e. A simple trade name gi gi gi
ANS: B, C, D gi gi gi
In addition to predictability, ease of administration, and chemical stability, other properties
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include a reversible action so that any harm the drug may cause can be undone and a simpl
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egeneric name, because generic names are usually complex and difficult to remember and
i
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pronounce.
DIF: Cognitive Level: Comprehension gi gi
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dru
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gTOP: Nursing Process: Assessment
i
g g i gi gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
g i gi gi gi gi gi gi gi gi gi
2. Before administering a medication, what does the nurse need to know to evaluate how
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individual patient variability might affect the patient‘s response to the medication? (Select allth
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at apply.)
gi
a. Chemical stability of the medication gi gi gi gi
b. Ease of administration gi gi
c. Family medical history gi gi
d. Patient‘s age gi
e. Patient‘s diagnosis gi
ANS: C, D, E gi gi gi
The family medical history can indicate genetic factors that may affect a patient‘s response t
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oa medication. Patients of different ages can respond differently to medications. The patient‘
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s illness can affect how drugs are metabolized. The chemical stability of the medication and t
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heease of administration are properties of drugs.
i
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DIF: Cognitive Level: Analysis gi gi
REF: Sources of Individual VariationTOP: Nursing Process: Implementa
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g g i gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
g i gi gi gi gi gi gi gi gi gi
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
gi gi gi gi gi gi gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
gi gi gi gi gi gi gi
112|Complete Guide A+ gi gi gi
Chapter 2: Application of Pharmacology in Nursing Practice
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g
Test Bank
gi
MULTIPLE CHOICE gi
1. A patient is using a metered-
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dose inhaler containing albuterol for asthma. The medicationlabel instructs the patient to
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administer ―2 puffs every 4 hours as needed for coughing or gi gi gi gi gi gi gi gi gi gi
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and sh
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edoesn‘t feel that the medication is always effective. Which is not an appropriate nursing int
i
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ervention for this patient? gi gi gi
a. Asking the patient to demonstrate use of the inhaler gi gi gi gi gi gi gi gi
b. Assessing the patient‘s exposure to tobacco smoke gi gi gi gi gi gi
c. Auscultating lung sounds and obtaining vital signs gi gi gi gi gi gi
d. Suggesting that the patient use one puff to reduce side effects gi gi gi gi gi gi gi gi gi gi
ANS: D gi
It is not within the nurse‘s scope of practice to change the dose of a medication without an
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order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to ev
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aluate the patient‘s ability to administer the medication properly and is part of the nurse‘sev
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aluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug th
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erapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing ap
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hysical assessment helps the nurse evaluate the patient‘s response to the medication.
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DIF: Cognitive Level: Application gi gi
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and al
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lsubsections under this heading]
i
g TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
g i gi gi gi gi gi gi gi gi gi
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
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for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the n
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urse is correct? gi gi
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
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b. ―Taking the two medications together poses a risk of drug toxicity.‖
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c. ―There are no known drug interactions, so this will be safe.‖
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d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
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ANS: B gi
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It
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is important to teach patients to be aware of the different names for the same drug to minimiz
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ethe risk of overdose. Over-the-
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counter (OTC) medications and prescription medications may be taken together unless signifi
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cant harmful drug interactions are possible. Even though no drug interactions are at play in thi
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s case, both drugs contain acetaminophen, which could lead to toxicity.
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DIF: Cognitive Level: Application gi gi
REF: Application of Pharmacology in Patient Education: Dosage and Administration
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