SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN EXAMINATION 9TH EDITION BY SILVESTRI CHAPTER 44-70
SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN EXAMINATION 9TH EDITION BY SILVESTRI CHAPTER 1-44
NCLEX DISCOVERY CLASS 2023, WORKBOOK ON ALPHASCLICE NURSING, 2023 Update
Todos para este libro de texto (6)
Escuela, estudio y materia
SILVESTRI SAUNDERS COMPREHENSIVE
Todos documentos para esta materia (2)
Vendedor
Seguir
Blueacademy
Comentarios recibidos
Vista previa del contenido
SILVESTRI, SAUNDERS
COMPREHENSIVE REVIEW
FOR THE NCLEX_RN
EXAMINATION 5TH EDITION
100% CORRECT TEST BANK
WITH RATIONALE
,
, TEST BANK SILVESTRI: SAUNDERS COMPREHENSIVE REVIEW FOR THE
NCLEX-RN EXAMINATION, 5THEDITION WITH WELL EXPLAINED
RATIONALE
Pharmacology
MULTIPLE CHOICE
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that
the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication
is prescribed for:
1. Pain relief
2. Increasing uterine contractions
3. Decreasing uterine contractions
4. Promoting fetal lung maturity
ANS: 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal
lung maturity” are not actions of this medication.
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this
question. Remember that this medication is used for pain relief. Review the action of this medication if
you had difficulty with this question and are unfamiliar with this medication.
PTS: 1
DIF: Level of Cognitive Ability: Understanding
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
OBJ: Client Needs: Physiological Integrity
TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
administration following cesarean birth. If the client develops respiratory depression and requires
naloxone (Narcan) as an antidote, the client may complain of which of the following?
1. Increase in her pain level
2. Decrease in her pain level
3. Increase in the amount of itching from the opioid used in the epidural
4. Decrease in the amount of itching from the opioid used in the epidural
, ANS: 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
level. Therefore “decrease in her pain level,” “increase in the amount of itching from the opioid used in
the epidural,” and “decrease in the amount of itching from the opioid used in the epidural” are incorrect.
Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the
medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an
antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this
question was difficult.
PTS: 1
DIF: Level of Cognitive Ability: Understanding
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
OBJ: Client Needs: Physiological Integrity
TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Assessment
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the
hospital. The client has a prescription to receive betamethasone (Celestone). The nurse understands that
the medication will do which of the following?
1. Prevent spontaneous delivery.
2. Stop the uterine contractions.
3. Promote maturation of the fetal lungs.
4. Accelerate the growth rate of the fetus.
ANS: 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It
increases the surfactant level and lung maturity in the fetus, which reduces the incidence of respiratory
distress syndrome. Delivery must be delayed for at least 48 hours after administration of betamethasone
to allow time for the lungs of the fetus to mature.
Test-Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
mind, eliminate “prevent spontaneous delivery” and “stop the uterine contractions.” Note the strategic
words “twenty-ninth week of gestation.” Specific knowledge about the medication and knowledge of the
problems encountered by premature infants will assist in answering this question. Review the action of
this medication if this question was difficult.
PTS: 1
DIF: Level of Cognitive Ability: Understanding
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed.). St.
Louis: Saunders. OBJ: Client Needs: Physiological Integrity
Los beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable.
Así llegas a la conclusión rapidamente!
Preguntas frecuentes
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Blueacademy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for 13,92 €. You're not tied to anything after your purchase.
