TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE
2024-2025
,CH 01: Orientation to Pharmacology
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Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
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MULTIPLE CHOICE wf
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To dot
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his, the nursing attendantwill rely on knowledge of which topic?
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a. Clinical pharmacology wf
b. Drugs efficacy wf
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D wf w f
Reasoning :- wf
>>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent con
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ditions.Clinical pharmacology is concerned with all aspects of drugs- wf wf wf wf wf wf wf wf
human interactions. Drugs efficacy measures the extent to which a given drugs causes aninten
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ded effect. Pharmacokinetics is the study of the impact of the body on a drugs.
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POINTS: 1 w f
2. What is a desired outcome when a drugs 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 drugs.
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c. It enhances hospital client adherence to the drugs regimen.
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d. It is usually relatively inexpensive to produce.
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ACCURATE ANSWER:- C wf w f
Reasoning :- wf
>>>>A major benefit of drugs that are easy to administer is that hospital clients taking them are
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morelikely tocomply with the drugs regimen. Drugs that are easy to give may have the other attr
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ibutes listed, but those properties are independent of ease of administration.
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POINTS: 1 w f
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may causedro
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wsiness and willdecrease pain up to 4 hours at a time. Based on this understanding of the drugs’
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s effects by thehospital client, the nursing attendant will anticipate which outcome?
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a. Decreased chance of having a placebo effect wf wf wf wf wf wf
b. Decreased motivation to take the drugs wf wf wf wf wf
c. Improved compliance with the drugs regimen wf wf wf wf wf
d. Increased likelihood of drugs overdose wf wf wf wf
ACCURATE ANSWER:- C wf w f
A drugs is effective if it produces the intended effects, even if it also produces side effects. H
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ospital clients who understand both the risks and benefits of taking a drugs are morelikely toc
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omply with the drugs regimen.wf wf wf wf
POINTS: 1 w f
,MULTIPLE RESPONSE wf
1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
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a. Irreversible action wf
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
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ACCURATE ANSWER:- B, C, D wf w f wf wf
Reasoning :- wf
>>>>The ‘Big Three’ properties of the ideal drugs are effectiveness, safety, ands
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electivity.POINTS: 1 w f
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how indi
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vidualhospital client variability might affect the hospital client’s response to the drugs? (Select all
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that apply.)wf
a. Chemical stability of the drugs wf wf wf wf
b. Ease of administration wf wf
c. Family medical history wf wf
d. Hospital client’s age wf wf
e. Hospital client’s diagnosis wf wf
ACCURATE ANSWER:- C, D, E wf w f wf wf
Reasoning :- wf
>>>>The family medical history can indicate genetic factors that may affect a hospital client’s r
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esponse to adrugs. Hospital clients of different ages can respond differently to drugs. The hospit
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al client’s illness can affect how drugs are metabolized. The chemical stability of the drugs and t
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he ease of administration are properties of drugs.
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POINTS: 1 w f
, CH 02: Application of Pharmacology in Nursing Practice Burchum:
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Lehne’s Pharmacology for Nursing Care, 12TH Edition
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MULTIPLE CHOICE wf
1. A hospital client is using a metered-
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dose inhaler containing albuterol for asthma. The drugs labelinstructs the hospital client to admi
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nister “2 puffs every 4 hours as needed for coughing or wheezing.”The hospital client reports fe
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eling jittery sometimes when taking the drugs, and doesn’t feel that the drugs is always effective
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. Which action is outside the nursing attendant’s scope of practice?
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a. Asking the hospital client to demonstrate the use of the inhaler wf wf wf wf wf wf wf wf wf wf
b. Assessing the hospital client’s exposure to tobacco smoke wf wf wf wf wf wf wf
c. Auscultating lung sounds and obtaining vital signs wf wf wf wf wf wf
d. Suggesting that the hospital client use 1 puff to reduce side effects wf wf wf wf wf wf wf wf wf wf wf
ACCURATE ANSWER:- D wf w f
Reasoning :- wf
>>>>It is not within the nursing attendant’s scope of practice to change the dose of a drugs with
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out an orderfrom a prescriber. Asking the hospital client to demonstrate inhaler use helps the nur
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sing attendant to evaluate the hospital client’s ability to administer the drugs properly and ispart o
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a. “It is not safe to take over-the-counter drugs with prescription drugs.”
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b. “Taking the two drugs together poses a risk of drugs toxicity.” wf wf wf wf wf wf wf wf wf wf
c. “There are no known drugs interactions, so this will be safe.” wf wf wf wf wf wf wf wf wf wf
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.” wf wf wf wf wf wf wf wf wf wf wf wf
ACCURATE ANSWER:- B wf w f
Reasoning :- wf
>>>>Tylenol is the trade name and acetaminophen is the generic name for the same drugs. It isimp wf wf wf wf wf wf wf wf wf wf wf wf wf wf wf wf fw
ortant to teach hospital clients to be aware of the different names for the same drugs to minimize th
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erisk of overdose. Over-the- wf wf wf
counter (OTC) drugs and prescription drugs may be taken together unless significant harmful dru
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gs interactions are possible. Even though no drugs interactions are at play in this case, both drugs c
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ontain acetaminophen, which could lead to toxicity.
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POINTS: 1 w f
3. The nursing attendant is preparing to care for a hospital client who will be taking an antihyperte
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nsivedrugs.Which action by the nursing attendant is part of the assessment step of the nursing p
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rocess?
a. Asking the prescriber for an order to monitor serum drugs levels wf wf wf wf wf wf wf wf wf wf
b. Monitoring the hospital client for drugs interactions after giving the drugs wf wf wf wf wf wf wf wf wf wf
c. Questioning the hospital client about over-the-counter drugs wf wf wf wf wf wf
d. Taking the hospital client’s blood pressure throughout the course of treatment wf wf wf wf wf wf wf wf wf wf
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