PHARMACOLOGYANDTHE NURSING PROCESS9THEDITION
LINDALANELILLEY,SHELLYRAINFORTHCOLLINS,JULIES.SNYDER|GRADED A+
,Contents
Chapter01:TheNursingProcessandDrugTherapy ....................................................................................... 4
Chapter02:PharmacologicPrinciples ......................................................................................................... 8
Chapter03:LifespanConsiderations......................................................................................................... 14
Chapter04:Cultural,Legal,andEthical Considerations .............................................................................. 20
Chapter05:MedicationErrors:PreventingandResponding ........................................................................ 26
Chapter06:PatientEducationandDrugTherapy ........................................................................................ 29
Chapter07:Over-the-CounterDrugsandHerbalandDietarySupplements................................................... 34
Chapter08:GeneTherapyandPharmacogenomics.................................................................................... 38
Chapter09:PhotoAtlasofDrugAdministration .......................................................................................... 41
Chapter10:AnalgesicDrugs ..................................................................................................................... 50
Chapter11:GeneralandLocalAnesthetics................................................................................................. 57
Chapter12:CentralNervousSystemDepressantsandMuscleRelaxants ...................................................... 61
Chapter13:CentralNervousSystemStimulantsandRelatedDrugs .............................................................. 66
Chapter14:AntiepilepticDrugs................................................................................................................ 70
Chapter15:AntiparkinsonDrugs .............................................................................................................. 76
Chapter16:PsychotherapeuticDrugs....................................................................................................... 81
Chapter17:SubstanceUseDisorder.......................................................................................................... 88
Chapter18:AdrenergicDrugs................................................................................................................... 93
Chapter19:Adrenergic-BlockingDrugs .................................................................................................... 98
Chapter20:CholinergicDrugs ................................................................................................................ 103
Chapter21:Cholinergic-BlockingDrugs .................................................................................................. 108
Chapter22:AntihypertensiveDrugs ....................................................................................................... 113
Chapter23:AntianginalDrugs ................................................................................................................ 119
Chapter24:HeartFailureDrugs .............................................................................................................. 125
Chapter25:AntidysrhythmicDrugs ........................................................................................................ 131
Chapter26:CoagulationModifierDrugs ................................................................................................. 137
Chapter27:AntilipemicDrugs ................................................................................................................ 143
Chapter28:DiureticDrugs ..................................................................................................................... 148
Chapter29:FluidsandElectrolytes.......................................................................................................... 154
Chapter30:Pituitary Drugs.................................................................................................................... 160
,Chapter31:ThyroidandAntithyroidDrugs .............................................................................................. 163
Chapter32:AntidiabeticDrugs ............................................................................................................... 168
Chapter33:Adrenal Drugs..................................................................................................................... 177
Chapter34:Women’sHealthDrugs ........................................................................................................ 181
Chapter35:Men’sHealthDrugs.............................................................................................................. 188
Chapter36:Antihistamines,Decongestants,Antitussives,andExpectorants ............................................. 193
Chapter37:RespiratoryDrugs................................................................................................................ 198
Chapter38:AntibioticsPart1.................................................................................................................. 204
Chapter39:AntibioticsPart2.................................................................................................................. 211
Chapter40:AntiviralDrugs .................................................................................................................... 216
Chapter41:AntitubercularDrugs ........................................................................................................... 221
Chapter42:Antifungal Drugs ................................................................................................................. 226
Chapter43:Antimalarial,Antiprotozoal,andAnthelminticDrugs.............................................................. 231
Chapter44:Anti-inflammatoryandAntigoutDrugs.................................................................................. 236
Chapter45:AntineoplasticDrugsPart1:CancerOverviewandCellCycle–SpecificDrugs .............................. 242
Chapter46:AntineoplasticDrugsPart2:CellCycle–NonspecificDrugsandMiscellaneousDrugs .................. 248
Chapter47:BiologicResponse–ModifyingandAntirheumaticDrugs......................................................... 253
Chapter48:ImmunosuppressantDrugs.................................................................................................. 258
Chapter49:ImmunizingDrugs ............................................................................................................... 263
Chapter50:Acid-ControllingDrugs ........................................................................................................ 268
Chapter51:BowelDisorderDrugs........................................................................................................... 274
Chapter52:AntiemeticandAntinauseaDrugs ......................................................................................... 281
Chapter53:VitaminsandMinerals.......................................................................................................... 286
Chapter54:AnemiaDrugs...................................................................................................................... 292
Chapter55:NutritionalSupplements...................................................................................................... 299
Chapter56:DermatologicDrugs............................................................................................................. 304
Chapter57:OphthalmicDrugs................................................................................................................ 310
Chapter58:Otic Drugs........................................................................................................................... 315
, Chapter01:TheNursingProcessandDrugTherapy4
Chapter01:TheNursingProcessandDrugTherapy
MULTIPLECHOICE
1. Thenurseiswritinganursingdiagnosisforaplanofcareforapatientwho hasbeennewly
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. Anxiety
b. Anxietyrelatedto newdrug therapy
c. Anxietyrelated to anxiousfeelings about drugtherapy,as evidenced bystatements
suchas“I’m upset abouthavingto test myblood sugars.”
d. Anxietyrelated tonewdrugtherapy, asevidencedbystatementssuch as“I’m
upset about havingto testmybloodsugars.”
ANS:D
Formulation ofnursingdiagnoses is usuallyathree-step process. “Anxiety”ismissingthe
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
newdrugtherapy”ismissingthe“asevidencedby”
portionofdefiningcharacteristics.Thestatementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is
simplyarestatement oftheproblem “anxiety,”nota separate factor relatedto theresponse.
DIF: COGNITIVELEVEL:Understanding(Comprehension)
TOP:NURSING PROCESS: Nursing Diagnosis
MSC:NCLEX:SafeandEffectiveCareEnvironment:ManagementofCare
2. Thepatientistoreceiveoralguaifenesin(Mucinex)twiceaday.Today,thenursewasbusyand gave the
medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
a. “Righttime”
b. “Rightdose”
c. “Rightroute”
d. “Rightmedication”
ANS:A
“Righttime”iscorrectbecause themedicationwasgivenmorethan30minutesafter the
scheduleddosewasdue.“Dose”isincorrectbecause thedoseisnot relatedto thetime the
medicationadministrationisscheduled.“Route”isincorrectbecausetherouteisnotaffected.
“Medication”isincorrectbecausethemedicationordered willnotchange.
DIF: COGNITIVELEVEL:Applying(Application)
TOP:NURSING PROCESS: Implementation
MSC:NCLEX:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
3. Thenursehasbeenmonitoringthepatient’sprogressonanewdrugregimensincethefirstdose and
documenting the patient’s therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
a. Nursingdiagnosis
LINDALANELILLEY,SHELLYRAINFORTHCOLLINS,JULIES.SNYDER|GRADED A+
,Contents
Chapter01:TheNursingProcessandDrugTherapy ....................................................................................... 4
Chapter02:PharmacologicPrinciples ......................................................................................................... 8
Chapter03:LifespanConsiderations......................................................................................................... 14
Chapter04:Cultural,Legal,andEthical Considerations .............................................................................. 20
Chapter05:MedicationErrors:PreventingandResponding ........................................................................ 26
Chapter06:PatientEducationandDrugTherapy ........................................................................................ 29
Chapter07:Over-the-CounterDrugsandHerbalandDietarySupplements................................................... 34
Chapter08:GeneTherapyandPharmacogenomics.................................................................................... 38
Chapter09:PhotoAtlasofDrugAdministration .......................................................................................... 41
Chapter10:AnalgesicDrugs ..................................................................................................................... 50
Chapter11:GeneralandLocalAnesthetics................................................................................................. 57
Chapter12:CentralNervousSystemDepressantsandMuscleRelaxants ...................................................... 61
Chapter13:CentralNervousSystemStimulantsandRelatedDrugs .............................................................. 66
Chapter14:AntiepilepticDrugs................................................................................................................ 70
Chapter15:AntiparkinsonDrugs .............................................................................................................. 76
Chapter16:PsychotherapeuticDrugs....................................................................................................... 81
Chapter17:SubstanceUseDisorder.......................................................................................................... 88
Chapter18:AdrenergicDrugs................................................................................................................... 93
Chapter19:Adrenergic-BlockingDrugs .................................................................................................... 98
Chapter20:CholinergicDrugs ................................................................................................................ 103
Chapter21:Cholinergic-BlockingDrugs .................................................................................................. 108
Chapter22:AntihypertensiveDrugs ....................................................................................................... 113
Chapter23:AntianginalDrugs ................................................................................................................ 119
Chapter24:HeartFailureDrugs .............................................................................................................. 125
Chapter25:AntidysrhythmicDrugs ........................................................................................................ 131
Chapter26:CoagulationModifierDrugs ................................................................................................. 137
Chapter27:AntilipemicDrugs ................................................................................................................ 143
Chapter28:DiureticDrugs ..................................................................................................................... 148
Chapter29:FluidsandElectrolytes.......................................................................................................... 154
Chapter30:Pituitary Drugs.................................................................................................................... 160
,Chapter31:ThyroidandAntithyroidDrugs .............................................................................................. 163
Chapter32:AntidiabeticDrugs ............................................................................................................... 168
Chapter33:Adrenal Drugs..................................................................................................................... 177
Chapter34:Women’sHealthDrugs ........................................................................................................ 181
Chapter35:Men’sHealthDrugs.............................................................................................................. 188
Chapter36:Antihistamines,Decongestants,Antitussives,andExpectorants ............................................. 193
Chapter37:RespiratoryDrugs................................................................................................................ 198
Chapter38:AntibioticsPart1.................................................................................................................. 204
Chapter39:AntibioticsPart2.................................................................................................................. 211
Chapter40:AntiviralDrugs .................................................................................................................... 216
Chapter41:AntitubercularDrugs ........................................................................................................... 221
Chapter42:Antifungal Drugs ................................................................................................................. 226
Chapter43:Antimalarial,Antiprotozoal,andAnthelminticDrugs.............................................................. 231
Chapter44:Anti-inflammatoryandAntigoutDrugs.................................................................................. 236
Chapter45:AntineoplasticDrugsPart1:CancerOverviewandCellCycle–SpecificDrugs .............................. 242
Chapter46:AntineoplasticDrugsPart2:CellCycle–NonspecificDrugsandMiscellaneousDrugs .................. 248
Chapter47:BiologicResponse–ModifyingandAntirheumaticDrugs......................................................... 253
Chapter48:ImmunosuppressantDrugs.................................................................................................. 258
Chapter49:ImmunizingDrugs ............................................................................................................... 263
Chapter50:Acid-ControllingDrugs ........................................................................................................ 268
Chapter51:BowelDisorderDrugs........................................................................................................... 274
Chapter52:AntiemeticandAntinauseaDrugs ......................................................................................... 281
Chapter53:VitaminsandMinerals.......................................................................................................... 286
Chapter54:AnemiaDrugs...................................................................................................................... 292
Chapter55:NutritionalSupplements...................................................................................................... 299
Chapter56:DermatologicDrugs............................................................................................................. 304
Chapter57:OphthalmicDrugs................................................................................................................ 310
Chapter58:Otic Drugs........................................................................................................................... 315
, Chapter01:TheNursingProcessandDrugTherapy4
Chapter01:TheNursingProcessandDrugTherapy
MULTIPLECHOICE
1. Thenurseiswritinganursingdiagnosisforaplanofcareforapatientwho hasbeennewly
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. Anxiety
b. Anxietyrelatedto newdrug therapy
c. Anxietyrelated to anxiousfeelings about drugtherapy,as evidenced bystatements
suchas“I’m upset abouthavingto test myblood sugars.”
d. Anxietyrelated tonewdrugtherapy, asevidencedbystatementssuch as“I’m
upset about havingto testmybloodsugars.”
ANS:D
Formulation ofnursingdiagnoses is usuallyathree-step process. “Anxiety”ismissingthe
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
newdrugtherapy”ismissingthe“asevidencedby”
portionofdefiningcharacteristics.Thestatementbeginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is
simplyarestatement oftheproblem “anxiety,”nota separate factor relatedto theresponse.
DIF: COGNITIVELEVEL:Understanding(Comprehension)
TOP:NURSING PROCESS: Nursing Diagnosis
MSC:NCLEX:SafeandEffectiveCareEnvironment:ManagementofCare
2. Thepatientistoreceiveoralguaifenesin(Mucinex)twiceaday.Today,thenursewasbusyand gave the
medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
a. “Righttime”
b. “Rightdose”
c. “Rightroute”
d. “Rightmedication”
ANS:A
“Righttime”iscorrectbecause themedicationwasgivenmorethan30minutesafter the
scheduleddosewasdue.“Dose”isincorrectbecause thedoseisnot relatedto thetime the
medicationadministrationisscheduled.“Route”isincorrectbecausetherouteisnotaffected.
“Medication”isincorrectbecausethemedicationordered willnotchange.
DIF: COGNITIVELEVEL:Applying(Application)
TOP:NURSING PROCESS: Implementation
MSC:NCLEX:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
3. Thenursehasbeenmonitoringthepatient’sprogressonanewdrugregimensincethefirstdose and
documenting the patient’s therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
a. Nursingdiagnosis
