, Study Guide
Pharmacology for
Nursing Care
Eighth Edition
RICHARD A. LEHNE, PhD
Prepared by
Sherry Neely, MSN, RN, CRNP
Associate Professor
Butler County Community College
Butler, Pennsylvania
,3251 Riverport Lane
Maryland Heights, Missouri 63043
STUDY GUIDE FOR PHARMACOLOGY FOR NURSING CARE ISBN: 978-1-4377-3581-9
Copyright © 2013, 2010, 2007, 2004, 2000, 1999 by Saunders, an imprint of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or me-
chanical, including photocopying, recording, or any information storage and retrieval system, without permis-
sion in writing from the Publisher. Details on how to seek permission, further information about the Publisher’s
permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the
Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Although for mechanical reasons all pages of this publication are perforated, only those pages imprinted with an
Elsevier, Inc. copyright notice are intended for removal.
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
and drug therapy may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
and using any information. methods, compounds, or experiments described herein. In using such infor-
mation or methods, they should be mindful of their own safety and the safety of others, including parties
for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to
be administered, to verify the recommended dose or formula, the method and duration of administra-
tion, and contraindications. It is the responsibility of practitioners, relying on their own experience and
knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each
individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors as-
sume any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
The Publisher
ISBN: 978-1-4377-3581-9
Executive Content Strategist: Lee Henderson
Senior Content Development Specialist: Jennifer Ehlers
Content Coordinator: Kelly McGowan
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Anne Konopka
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, INTRODUCTION
The critical thinking and study questions in this Study administer pharmacotherapy. They are an excellent source
Guide include review of knowledge, application of knowl- of review when preparing for the NCLEX® examination.
edge to nursing care, analysis of nursing situations that A useful strategy when presented with the case studies
require clinical decision-making, and prioritization of in this workbook is to read the last sentence first. Know-
nursing actions. When this book is used as a study guide, ing the question that is being asked guides identification of
the questions that do not have a ➤ or ✳ before them are ex- pertinent information in the case. When reading the rest of
cellent tools to augment the initial reading of the textbook the information in the case, identify key words and data.
before attending class and to use for review after classroom Identify assessment findings and laboratory values that are
activities. Knowledge of drug action, interactions, admin- normal or abnormal. Think about the situation to identify if
istration directives, and adverse effects is required before it is a normal part of nursing care or if it requires collabora-
the nurse can engage in clinical decision-making. tion with the prescriber.
The questions that have a ➤ or ✳ before them require Critical thinking by the nursing student requires as-
more than repetition of the information in the textbook. similating classroom learning and clinical experience. No
Questions preceded by ➤ require application and analysis two experiences are the same. Be careful not to add addi-
of information; whereas those preceded by ✳ require pri- tional information into the question based on your experi-
oritization, including selecting the most important infor- ence with patients when answering questions in this Study
mation or action. Identifying the correct answer to these Guide. But do engage in discussion about similar patient
questions requires careful examination of the data and re- experiences with faculty and peers. Be prepared to explain
flection on the patient in a holistic manner. The student will your thinking. It will enrich your learning experience.
have to integrate other nursing knowledge, such as devel- The author and Elsevier welcome any feedback you
opmental considerations and laboratory values, as well as have about the content of the Study Guide.
timing and prioritization of actions. These ➤ and ✳ criti- Answers to the Case Studies can be reviewed online
cal thinking questions reflect the reasoning that students at http://evolve.elsevier.com/Lehne/.
and new graduate nurses must be able to perform to safely
Copyright © 2013, 2010, 2007, 2004, 2000, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved. iii
Pharmacology for
Nursing Care
Eighth Edition
RICHARD A. LEHNE, PhD
Prepared by
Sherry Neely, MSN, RN, CRNP
Associate Professor
Butler County Community College
Butler, Pennsylvania
,3251 Riverport Lane
Maryland Heights, Missouri 63043
STUDY GUIDE FOR PHARMACOLOGY FOR NURSING CARE ISBN: 978-1-4377-3581-9
Copyright © 2013, 2010, 2007, 2004, 2000, 1999 by Saunders, an imprint of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or me-
chanical, including photocopying, recording, or any information storage and retrieval system, without permis-
sion in writing from the Publisher. Details on how to seek permission, further information about the Publisher’s
permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the
Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Although for mechanical reasons all pages of this publication are perforated, only those pages imprinted with an
Elsevier, Inc. copyright notice are intended for removal.
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
and drug therapy may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
and using any information. methods, compounds, or experiments described herein. In using such infor-
mation or methods, they should be mindful of their own safety and the safety of others, including parties
for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to
be administered, to verify the recommended dose or formula, the method and duration of administra-
tion, and contraindications. It is the responsibility of practitioners, relying on their own experience and
knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each
individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors as-
sume any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
The Publisher
ISBN: 978-1-4377-3581-9
Executive Content Strategist: Lee Henderson
Senior Content Development Specialist: Jennifer Ehlers
Content Coordinator: Kelly McGowan
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Anne Konopka
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, INTRODUCTION
The critical thinking and study questions in this Study administer pharmacotherapy. They are an excellent source
Guide include review of knowledge, application of knowl- of review when preparing for the NCLEX® examination.
edge to nursing care, analysis of nursing situations that A useful strategy when presented with the case studies
require clinical decision-making, and prioritization of in this workbook is to read the last sentence first. Know-
nursing actions. When this book is used as a study guide, ing the question that is being asked guides identification of
the questions that do not have a ➤ or ✳ before them are ex- pertinent information in the case. When reading the rest of
cellent tools to augment the initial reading of the textbook the information in the case, identify key words and data.
before attending class and to use for review after classroom Identify assessment findings and laboratory values that are
activities. Knowledge of drug action, interactions, admin- normal or abnormal. Think about the situation to identify if
istration directives, and adverse effects is required before it is a normal part of nursing care or if it requires collabora-
the nurse can engage in clinical decision-making. tion with the prescriber.
The questions that have a ➤ or ✳ before them require Critical thinking by the nursing student requires as-
more than repetition of the information in the textbook. similating classroom learning and clinical experience. No
Questions preceded by ➤ require application and analysis two experiences are the same. Be careful not to add addi-
of information; whereas those preceded by ✳ require pri- tional information into the question based on your experi-
oritization, including selecting the most important infor- ence with patients when answering questions in this Study
mation or action. Identifying the correct answer to these Guide. But do engage in discussion about similar patient
questions requires careful examination of the data and re- experiences with faculty and peers. Be prepared to explain
flection on the patient in a holistic manner. The student will your thinking. It will enrich your learning experience.
have to integrate other nursing knowledge, such as devel- The author and Elsevier welcome any feedback you
opmental considerations and laboratory values, as well as have about the content of the Study Guide.
timing and prioritization of actions. These ➤ and ✳ criti- Answers to the Case Studies can be reviewed online
cal thinking questions reflect the reasoning that students at http://evolve.elsevier.com/Lehne/.
and new graduate nurses must be able to perform to safely
Copyright © 2013, 2010, 2007, 2004, 2000, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved. iii
