Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Rosenjack Burchum
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Course
Pharmacology
Institution
Pharmacology
Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition 11e by Jacqueline Rosenjack Burchum, Laura D. Rosenthal. ISBN-13: 5221
Full Chapters test bank included (Chap 1 to 112)
UNIT I: INTRODUCTION
1. Orientation to Pharmacology
2. Application of Pharmacology in Nursing Practice
3...
1. The nurse is teaching a patient how a medication works to treat an
illness. To do this, the nurse will rely on knowledge of which topic?
a. Clinical pharmacology
b. Drug efficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS: d
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.
PTS: 1
2.What is a desired outcome 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 patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
ANS: c
A major benefit of drugs that are easy to administer is that patients
taking them are more likely 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.
PTS: 1
3.A patient tells the nurse that an analgesic he will begin taking may
cause drowsiness and will decrease pain up to 4 hours at a time. Based
on this understanding of the drug's effects by the patient, the nurse will
,anticipate which outcome?
a. Decreased chance of having a placebo effect
b. Decreased motivation to take the drug
c. Improved compliance with the drug regimen
d. Increased likelihood of drug overdose
ANS: c
A drug is effective if it produces the intended effects, even if it also
produces side effects. Patients who understand both the risks and
benefits of taking a medication are more likely to comply with the drug
regimen.
PTS: 1
4.What are considered the ‘Big Three' properties of an ideal drug?
(Select all that apply.)
a. Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
ANS: b,c,d
The ‘Big Three' properties of the ideal drug are effectiveness, safety, and
selectivity.
PTS: 1
5. Before administering a medication, what does the nurse need to know
to evaluate how individual patient variability might affect the patient's
response to the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient's age
e. Patient's diagnosis
,ANS: c,d,e
The family medical history can indicate genetic factors that may affect a
patient's response to a medication. Patients of different ages can respond
differently to medications. The patient's illness can affect how drugs are
metabolized. The chemical stability of the medication and the ease of
administration are properties of drugs.
PTS: 1
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MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for
asthma. The medication label instructs the patient to administer "2 puffs
every 4 hours as needed for coughing or wheezing." The patient reports
feeling jittery sometimes when taking the medication, and doesn't feel
that the medication is always effective. Which action is outside the
nurse's scope of practice?
a. Asking the patient to demonstrate the use of the inhaler
b. Assessing the patient's exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use 1 puff to reduce side effects
ANS: d
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 patient to
demonstrate inhaler use helps the nurse to evaluate the patient's ability to
administer the medication properly and is part of the nurse's evaluation.
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 a physical assessment helps the nurse evaluate
the patient's response to the medication.
PTS: 1
2.A postoperative patient is being discharged home with
acetaminophen/hydrocodone [Norco] for pain. The patient 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 Norco are different drugs, so there is no risk of
overdose."
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