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Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum, Laura Rosenthal (Complete 112 Chapters $15.99   Add to cart
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Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum, Laura Rosenthal (Complete 112 Chapters
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Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition by Jacqueline Burchum, Laura Rosenthal (Complete 112 Chapters

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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-
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112|Complete Guide A+ :r r: r:




Chapter 1: Orientation to Pharmacology
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Test Bank
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MULTIPLE CHOICE r:




1. The nurse is teaching a patient how a medication works to treat an illness. To do this, then
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urse will rely on knowledge of:
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a. clinical pharmacology. r:


b. drug efficacy. r:


c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D r:


Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent condition r: r: r: r: r: r: r: r: r: r: r: r: r: r:


s. 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 intende
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d effect.
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Pharmacokinetics is the study of the impact of the body on a drug. r: r: r: r: r: r: r: r: r: r: r: r:




DIF: Cognitive Level: Comprehension r: r:


REF: Four Basic TermsTOP: Nursing Process: Implementat r: r: r: :r r : r: r:


ion
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 r:


A major benefit of drugs that are easy to administer is that patients taking them are moreli
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kely to comply with the drug regimen. Drugs that are easy to give may have the other attri
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butes listed, but those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension r: r:


REF: Additional Properties of an Ideal Drug: Ease of Administration
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TOP: Nursing Process: Assessment
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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 ve
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ry effective. Which statement by the patient demonstrates an understanding of the drug‘seffe
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ctiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug tocau
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se an overdose.‖ r: r:


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.‖r: r: r: r: r: r: r: r:


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
r: r: r: r: r: r: r: r:




on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
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112|Complete Guide A+
:r r: r:




ANS: D r:

,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
r: r: r: r: r: r: r: r:




on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
r: r: r: r: r: r: r:




112|Complete Guide A+ :r r: r:




A drug is effective if it produces the intended effects, even if it also produces side effects. Beca
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use no drug is completely safe, the level of toxicity does not determine effectiveness. Alldrugs
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have side effects and many react with other substances; these do not affect the drug‘s effective
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ness. Ease of administration is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension r: r:


REF: Properties of an Ideal DrugTOP: Nursing Process: Evaluation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE r:




1. What are the properties of an ideal drug? (Select all that apply.)
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a. Irreversible action r:


b. Predictability
c. Ease of administration r: r:


d. Chemical stability r:


e. A simple trade name r: r: r:




ANS: B, C, D r: r: r:


In addition to predictability, ease of administration, and chemical stability, other properties i
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nclude a reversible action so that any harm the drug may cause can be undone and a simplege
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neric name, because generic names are usually complex and difficult to remember and prono
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unce.

DIF: Cognitive Level: Comprehension r: r:


REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
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TOP: Nursing Process: Assessment
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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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 allthat
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apply.)
a. Chemical stability of the medication r: r: r: r:


b. Ease of administration r: r:


c. Family medical history r: r:


d. Patient‘s age r:


e. Patient‘s diagnosis r:




ANS: C, D, E r: r: r:


The family medical history can indicate genetic factors that may affect a patient‘s response toa
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medication. Patients of different ages can respond differently to medications. The patient‘s illn
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ess can affect how drugs are metabolized. The chemical stability of the medication and theease
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of administration are properties of drugs.
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DIF: Cognitive Level: Analysis r: r:


REF: Sources of Individual VariationTOP: Nursing Process: Implementat
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ion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
r: r: r: r: r: r: r: r:




on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
r: r: r: r: r: r: r:




112|Complete Guide A+ :r r: r:




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




MULTIPLE CHOICE r:




1. A patient is using a metered-
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dose inhaler containing albuterol for asthma. The medicationlabel instructs the patient to a
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dminister ―2 puffs every 4 hours as needed for coughing or
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wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and shed
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oesn‘t feel that the medication is always effective. Which is not an appropriate nursing interve
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ntion for this patient? r: r: r:


a. Asking the patient to demonstrate use of the inhaler r: r: r: r: r: r: r: r:


b. Assessing the patient‘s exposure to tobacco smoke r: r: r: r: r: r:


c. Auscultating lung sounds and obtaining vital signs r: r: r: r: r: r:


d. Suggesting that the patient use one puff to reduce side effects r: r: r: r: r: r: r: r: r: r:




ANS: D r:


It is not within the nurse‘s scope of practice to change the dose of a medication without an or
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der from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evalua
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te the patient‘s ability to administer the medication properly and is part of the nurse‘sevaluati
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on. Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies
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, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing aphysical as
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sessment helps the nurse evaluate the patient‘s response to the medication.
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DIF: Cognitive Level: Application r: r:


REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and alls
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ubsections under this heading] TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)f
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or pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurs
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e is correct?
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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.‖ r: r: r: r: r: r: r: r: r: r:


c. ―There are no known drug interactions, so this will be safe.‖ r: r: r: r: r: r: r: r: r: r:


d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ r: r: r: r: r: r: r: r: r: r: r: r:




ANS: B r:


Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
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important to teach patients to be aware of the different names for the same drug to minimizethe r
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isk of overdose. Over-the-
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counter (OTC) medications and prescription medications may be taken together unless signific
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ant harmful drug interactions are possible. Even though no drug interactions are at play in this c
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ase, both drugs contain acetaminophen, which could lead to toxicity.
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DIF: Cognitive Level: Application r: r:


REF: Application of Pharmacology in Patient Education: Dosage and Administration
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