Nursing Care 11th Edition |
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Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
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
What is a desired outcome when a drug is described as easy to administer?
It can be stored indefinitely without need for refrigeration.
It does not interact significantly with other medications.
It enhances patient adherence to the drug regimen.
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
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
Decreased motivation to take the drug
Improved compliance with the drug regimen
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
,MULTIPLE RESPONSE
What are considered the ‘Big Three’ properties of an ideal drug? (Select all that apply.)
a. Irreversible action b. Effectiveness
Safety
Selectivity
A recognizable trade name
ANS: B, C, D
The ‘Big Three’ properties of the ideal drug are effectiveness, safety, and selectivity.
PTS: 1
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
Family medical history
Patient’s age
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
Chapter 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
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
Auscultating lung sounds and obtaining vital signs
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
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?
“It is not safe to take over-the-counter drugs with prescription medications.”
“Taking the two medications together poses a risk of drug toxicity.”
“There are no known drug interactions, so this will be safe.”
“Tylenol and Norco are different drugs, so there is no risk of overdose.”
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
important to teach patients to be aware of the different names for the same drug to minimize
the risk of overdose. Over-the-counter (OTC) medications and prescription medications may
be taken together unless significant harmful drug interactions are possible. Even though no
drug interactions are at play in this case, both drugs contain acetaminophen, which could lead
to toxicity.
PTS: 1
The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
Which action by the nurse is part of the assessment step of the nursing process? a.
Asking the prescriber for an order to monitor serum drug levels
Monitoring the patient for drug interactions after giving the medication
Questioning the patient about over-the-counter medications
Taking the patient’s blood pressure throughout the course of treatment
ANS: C
The assessment part of the nursing process involves gathering information before
beginning treatment, and this includes asking about other medications the patient may be
taking. Monitoring serum drug levels, watching for drug interactions, and checking vital
signs after giving the medication are all part of the evaluation phase.
PTS: 1