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Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum & Laura Rosenthal
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Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum & Laura Rosenthal Chapter 1: Orientation to Pharmacology Test Bank MULTIPLE CHOICE 1. The nurse is teaching a client how a medication works to treat an illness. To do this, the nurse will rely on knowl...

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Test Bank for Lehne's Pharmacology for Nursing Care,
11th Edition by Jacqueline Burchum, Laura Rosenthal

,Chapter 1: Orientation to Pharmacology
Test Bank


MULTIPLE CHOICE

1. The nurse is teaching a client how a medication works to treat an illness. To do this, the
nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
CORRECT ANSWER:
D
RATIONALE: Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and
prevent conditions. Clinical pharmacology is concerned with all aspects of drug–human
interactions.Drug efficacy measures the extent to which a given drug causes an intended
effect.
Pharmacokinetics is the study of the impact of the body on a drug.

DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances client adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
CORRECT ANSWER:
C
RATIONALE: A major benefit of drugs that are easy to administer is that clients taking
them are morelikely to comply with the drug regimen. Drugs that are easy to give may
have the other attributes listed, but those properties are independent of ease of
administration.

DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

3. A client tells the nurse that he was told by the prescriber that the analgesic he is taking is
very effective. Which statement by the client demonstrates an understanding of the drug’s
effectiveness?
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
cause an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”

CORRECT ANSWER:
D

, RATIONALE: A drug is effective if it produces the intended effects, even if it also produces
side effects. Because no drug is completely safe, the level of toxicity does not determine
effectiveness. Alldrugs have side effects and many react with other substances; these do not
affect the drug’s effectiveness. Ease of administration is independent of a drug’s
effectiveness.

DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies


MULTIPLE RESPONSE

1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name

CORRECT ANSWER: B, C, D
RATIONALE: In addition to predictability, ease of administration, and chemical stability,
other properties include a reversible action so that any harm the drug may cause can be
undone and a simplegeneric name, because generic names are usually complex and
difficult to remember and pronounce.

DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. Before administering a medication, what does the nurse need to know to evaluate how
individual client variability might affect the client’s response to the medication? (Select allthat
apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Client’s age
e. Client’s diagnosis
CORRECT ANSWER: C, D, E
RATIONALE: The family medical history can indicate genetic factors that may affect a
client’s response toa medication. Clients of different ages can respond differently to
medications. The client’s illness can affect how drugs are metabolized. The chemical stability
of the medication and theease of administration are properties of drugs.

DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

, Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank


MULTIPLE CHOICE

1. A client is using a metered-dose inhaler containing albuterol for asthma. The medication
label instructs the client to administer “2 puffs every 4 hours as needed for coughing or
wheezing.” The client reports feeling jittery sometimes when taking the medication, and she
doesn’t feel that the medication is always effective. Which is not an appropriate nursing
intervention for this client?
a. Asking the client to demonstrate use of the inhaler
b. Assessing the client’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the client use one puff to reduce side effects

CORRECT ANSWER:
D
RATIONALE: It is not within the nurse’s scope of practice to change the dose of a
medication without an order from a prescriber. Asking the client to demonstrate inhaler use
helps the nurse to evaluate the client’s ability to administer the medication properly and is
part of the nurse’sevaluation. Assessing tobacco smoke exposure helps the nurse determine
whether nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug
therapy. Performing aphysical assessment helps the nurse evaluate the client’s response to
the medication.

DIF: Cognitive Level: Application
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
subsections under this heading] TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. A postoperative client is being discharged home with acetaminophen/hydrocodone (Lortab)
for pain. The client asks the nurse about using Tylenol for fever. Which statement by the
nurse is correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
b. “Taking the two medications together poses a risk of drug toxicity.”
c. “There are no known drug interactions, so this will be safe.”
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”

CORRECT ANSWER:
B
RATIONALE: Tylenol is the trade name and acetaminophen is the generic name for the same
medication. It is important to teach clients to be aware of the different names for the same
drug to minimizethe risk of overdose. Over-the-counter (OTC) medications and prescription
medications may be taken together unless significant harmful drug interactions are possible.
Even though no drug interactions are at play in this case, both drugs contain acetaminophen,
which could lead to toxicity.

DIF: Cognitive Level: Application
REF: Application of Pharmacology in Client Education: Dosage and Administration
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

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