Test Bank For
t t
Lehne's Pharmacology for Nursing Care1
t t t t t
1th Edition
t
By
Jacqueline Burchum, Laura Rosenthal
t t t
,Chapter 01: Orientation to Pharmacology
t t t t
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
t t t t t t t
MULTIPLEtCHOICE
1. Thetnursetistteachingtatpatientthowtatmedicationtworksttottreattantillness.tTotdotthis,tthetnursetwilltre
lytontknowledgetoftwhichttopic?
a. Clinicaltpharmacology
b. Drugtefficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS:t D
Pharmacotherapeuticstistthetstudytoftthetusetoftdrugsttotdiagnose,ttreat,tandtpreventtconditions.tClin
icaltpharmacologytistconcernedtwithtalltaspectstoftdrug-
humantinteractions.tDrugtefficacytmeasurestthetextentttotwhichtatgiventdrugtcausestantintendedteff
ect.tPharmacokineticstistthetstudytoftthet impacttoftthetbodytontatdrug.
PTS:t 1
2. Whattistatdesiredtoutcometwhentatdrugtistdescribedtasteasyttotadminister?
a. Ittcantbetstoredtindefinitelytwithouttneedtfortrefrigeration.
b. Ittdoestnottinteracttsignificantlytwithtothertmedications.
c. Ittenhancestpatienttadherencettotthetdrugtregimen.
d. Ittistusuallytrelativelytinexpensivettotproduce.
ANS:t C
Atmajortbenefittoftdrugstthattareteasyttotadministertistthattpatientsttakingtthemtaretmoretlikelyttotcompl
ytwithtthetdrugtregimen.tDrugstthattareteasyttotgivetmaythavetthetothertattributestlisted,tbuttthosetprop
ertiestaret independentt ofteasetoftadministration.
PTS:t 1
3. Atpatientttellstthetnursetthattantanalgesicthetwilltbeginttakingtmaytcausetdrowsinesstandtwilltdecre
asetpaintupttot4thourstattattime.tBasedtontthistunderstandingtoftthetdrug‘steffectstbytthetpatient,tthet
nursetwilltanticipatetwhichtoutcome?
a. Decreasedtchancetofthavingtatplaceboteffect
b. Decreasedtmotivationttottaketthetdrug
c. Improvedtcompliancetwithtthetdrugtregimen
d. Increasedtlikelihoodtoftdrugtoverdose
ANS:t C
Atdrugtisteffectivetiftittproducestthetintendedteffects,teventiftittalsotproducestsideteffects.tPatient
stwhotunderstandtbothtthetriskstandtbenefitstofttakingtatmedicationtaretmoretlikelytto tcomplytwith
tthet drugtregimen.
PTS:t 1
,MULTIPLEtRESPONSE
1. Whattaretconsideredtthet‗BigtThree‘tpropertiestoftantidealtdrug?t(Selecttalltthattapply.)
a. Irreversibletaction
b. Effectiveness
c. Safety
d. Selectivity
e. Atrecognizablettradetname
ANS:t B,tC,tD
Thet‗BigtThree‘tpropertiestoftthetidealtdrugtareteffectiveness,tsafety,tandtselectivity.tPT
S:t 1
2. Beforetadministeringtatmedication,twhattdoestthetnursetneedttotknowttotevaluatethowtindividualtpatie
nttvariabilitytmighttaffecttthetpatient‘stresponsettotthetmedication?t(Selecttalltthattapply.)
a. Chemicaltstabilitytoftthetmedication
b. Easetoftadministration
c. Familytmedicalthistory
d. Patient‘stage
e. Patient‘stdiagnosis
ANS:t C,tD,tE
Thetfamilytmedicalthistorytcantindicatetgenetictfactorstthattmaytaffecttatpatient‘stresponsettotatmedi
cation.tPatientstoftdifferenttagestcantrespondtdifferentlyttotmedications.tThetpatient‘stillnesstcantaf
fectthowtdrugstaretmetabolized.tThetchemicaltstabilitytoftthetmedicationtandttheteasetoftadministrat
iontaretpropertiestoftdrugs.
PTS:t 1
Chapter 02: Application of Pharmacology in Nursing Practice Bur
t t t t t t t t
chum: Lehne’s Pharmacology for Nursing Care, 11th Edition
t t t t t t t
MULTIPLEtCHOICE
1. Atpatienttistusingtatmetered-
dosetinhalertcontainingtalbuteroltfortasthma.tThetmedicationtlabeltinstructstthetpatientttotadministe
rt―2tpuffsteveryt4thourstastneededtfortcoughingtortwheezing.‖tThetpatienttreportstfeelingtjitterytsom
etimestwhenttakingtthetmedication,tandtdoesn‘ttfeeltthattthetmedicationtistalwaysteffective.tWhicht
actiontistoutsidetthetnurse‘stscopetoftpractice?
a. Askingtthetpatientttotdemonstratetthetusetoftthetinhaler
b. Assessingtthetpatient‘stexposurettottobaccotsmoke
c. Auscultatingtlungtsoundstandtobtainingtvitaltsigns
d. Suggestingtthattthetpatienttuset1tpuffttotreducetsideteffects
ANS:t D
, Ittistnottwithintthetnurse‘stscopetoftpracticettotchangetthetdosetoftatmedicationtwithouttantordertfromt
atprescriber.tAskingtthetpatientttotdemonstratetinhalertusethelpstthetnursettotevaluatetthetpatient‘stab
ilityttotadministertthetmedicationtproperlytandtistparttoftthetnurse‘stevaluation.
Assessingttobaccotsmoketexposurethelpstthetnursetdeterminetwhethertnondrugttherapies,tsuchtatsmo
ketavoidance,tcantbetusedtastantadjunctttotdrugttherapy.tPerformingtatphysicaltassessmentthelpstthet
nursetevaluatetthetpatient‘stresponsettotthetmedication.
PTS:t 1
2. Atpostoperativetpatienttistbeingtdischargedthometwithtacetaminophen/hydrocodonet[Norco]tfortpai
n.tThetpatienttaskstthetnursetabouttusingtTylenoltfortfever.tWhichtstatementtbytthetnursetistcorrect?
a. ―Itt ist nott safet tot taket over-the-countert drugst witht prescriptiont medications.‖
b. ―Takingt thet twot medicationst togethert posest at riskt oft drugt toxicity.‖
c. ―Theretaretnotknowntdrugtinteractions,tsotthistwilltbetsafe.‖
d. ―Tylenolt andt Norcot aret differentt drugs,t sot theret ist not riskt oft overdose.‖
ANS:t B
Tylenoltistthettradetnametandtacetaminophentistthetgenerictnametfortthetsametmedication.tIttistimpor
tantttotteachtpatientsttotbetawaretoftthetdifferenttnamestfortthetsametdrugttotminimizetthetrisktoftoverd
ose.tOver-the-
countert(OTC)tmedicationstandtprescriptiontmedicationstmaytbettakenttogethertunlesstsignificantth
armfultdrugtinteractionstaretpossible.tEventthoughtnotdrugtinteractionstaretattplaytintthistcase,tbothtd
rugstcontaintacetaminophen,twhichtcouldtleadttottoxicity.
PTS:t 1
3. Thetnursetistpreparingttotcaretfortatpatienttwhotwilltbettakingtantantihypertensivetmedication.tWhi
chtactiontbytthetnurset istparttoftthetassessmentt steptoftthetnursingtprocess?
a. Askingtthetprescribertfortantorderttotmonitortserumtdrugtlevels
b. Monitoringtthetpatienttfortdrugtinteractionstaftertgivingtthetmedication
c. Questioningtthetpatienttabouttover-the-countertmedications
d. Takingtthetpatient‘stbloodtpressuretthroughouttthetcoursetofttreatment
ANS:t C
Thetassessmenttparttoftthetnursingtprocesstinvolvestgatheringtinformationtbeforetbeginningttrea
tment,tandtthistincludestaskingtabouttothertmedicationstthetpatienttmaytbettaking.
Monitoringtserumtdrugtlevels,twatchingtfortdrugtinteractions,tandtcheckingtvitaltsignstaftertgivi
ngtthet medicationtaretalltparttoftthetevaluationtphase.
PTS:t 1
4. Atpostoperativetpatienttreportstpain,twhichtthetpatienttratestastant8tontatscaletfromt1ttot10t(10tbeingtt
hetmosttextremetpain).tThetprescriberthastorderedtacetaminophent[Tylenol]t650tmgtPOteveryt6t ho
urstPRNtpain.t Whatt willtthetnursetdo?
a. Asktthetpatienttwhattmedicationsthavethelpedtwithtpaintintthetpast.
b. Contacttthetproviderttotrequesttatdifferenttanalgesictmedication.
c. Givetthetpaintmedicationtandtrepositiontthetpatientttotpromotetcomfort.
t t
Lehne's Pharmacology for Nursing Care1
t t t t t
1th Edition
t
By
Jacqueline Burchum, Laura Rosenthal
t t t
,Chapter 01: Orientation to Pharmacology
t t t t
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
t t t t t t t
MULTIPLEtCHOICE
1. Thetnursetistteachingtatpatientthowtatmedicationtworksttottreattantillness.tTotdotthis,tthetnursetwilltre
lytontknowledgetoftwhichttopic?
a. Clinicaltpharmacology
b. Drugtefficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS:t D
Pharmacotherapeuticstistthetstudytoftthetusetoftdrugsttotdiagnose,ttreat,tandtpreventtconditions.tClin
icaltpharmacologytistconcernedtwithtalltaspectstoftdrug-
humantinteractions.tDrugtefficacytmeasurestthetextentttotwhichtatgiventdrugtcausestantintendedteff
ect.tPharmacokineticstistthetstudytoftthet impacttoftthetbodytontatdrug.
PTS:t 1
2. Whattistatdesiredtoutcometwhentatdrugtistdescribedtasteasyttotadminister?
a. Ittcantbetstoredtindefinitelytwithouttneedtfortrefrigeration.
b. Ittdoestnottinteracttsignificantlytwithtothertmedications.
c. Ittenhancestpatienttadherencettotthetdrugtregimen.
d. Ittistusuallytrelativelytinexpensivettotproduce.
ANS:t C
Atmajortbenefittoftdrugstthattareteasyttotadministertistthattpatientsttakingtthemtaretmoretlikelyttotcompl
ytwithtthetdrugtregimen.tDrugstthattareteasyttotgivetmaythavetthetothertattributestlisted,tbuttthosetprop
ertiestaret independentt ofteasetoftadministration.
PTS:t 1
3. Atpatientttellstthetnursetthattantanalgesicthetwilltbeginttakingtmaytcausetdrowsinesstandtwilltdecre
asetpaintupttot4thourstattattime.tBasedtontthistunderstandingtoftthetdrug‘steffectstbytthetpatient,tthet
nursetwilltanticipatetwhichtoutcome?
a. Decreasedtchancetofthavingtatplaceboteffect
b. Decreasedtmotivationttottaketthetdrug
c. Improvedtcompliancetwithtthetdrugtregimen
d. Increasedtlikelihoodtoftdrugtoverdose
ANS:t C
Atdrugtisteffectivetiftittproducestthetintendedteffects,teventiftittalsotproducestsideteffects.tPatient
stwhotunderstandtbothtthetriskstandtbenefitstofttakingtatmedicationtaretmoretlikelytto tcomplytwith
tthet drugtregimen.
PTS:t 1
,MULTIPLEtRESPONSE
1. Whattaretconsideredtthet‗BigtThree‘tpropertiestoftantidealtdrug?t(Selecttalltthattapply.)
a. Irreversibletaction
b. Effectiveness
c. Safety
d. Selectivity
e. Atrecognizablettradetname
ANS:t B,tC,tD
Thet‗BigtThree‘tpropertiestoftthetidealtdrugtareteffectiveness,tsafety,tandtselectivity.tPT
S:t 1
2. Beforetadministeringtatmedication,twhattdoestthetnursetneedttotknowttotevaluatethowtindividualtpatie
nttvariabilitytmighttaffecttthetpatient‘stresponsettotthetmedication?t(Selecttalltthattapply.)
a. Chemicaltstabilitytoftthetmedication
b. Easetoftadministration
c. Familytmedicalthistory
d. Patient‘stage
e. Patient‘stdiagnosis
ANS:t C,tD,tE
Thetfamilytmedicalthistorytcantindicatetgenetictfactorstthattmaytaffecttatpatient‘stresponsettotatmedi
cation.tPatientstoftdifferenttagestcantrespondtdifferentlyttotmedications.tThetpatient‘stillnesstcantaf
fectthowtdrugstaretmetabolized.tThetchemicaltstabilitytoftthetmedicationtandttheteasetoftadministrat
iontaretpropertiestoftdrugs.
PTS:t 1
Chapter 02: Application of Pharmacology in Nursing Practice Bur
t t t t t t t t
chum: Lehne’s Pharmacology for Nursing Care, 11th Edition
t t t t t t t
MULTIPLEtCHOICE
1. Atpatienttistusingtatmetered-
dosetinhalertcontainingtalbuteroltfortasthma.tThetmedicationtlabeltinstructstthetpatientttotadministe
rt―2tpuffsteveryt4thourstastneededtfortcoughingtortwheezing.‖tThetpatienttreportstfeelingtjitterytsom
etimestwhenttakingtthetmedication,tandtdoesn‘ttfeeltthattthetmedicationtistalwaysteffective.tWhicht
actiontistoutsidetthetnurse‘stscopetoftpractice?
a. Askingtthetpatientttotdemonstratetthetusetoftthetinhaler
b. Assessingtthetpatient‘stexposurettottobaccotsmoke
c. Auscultatingtlungtsoundstandtobtainingtvitaltsigns
d. Suggestingtthattthetpatienttuset1tpuffttotreducetsideteffects
ANS:t D
, Ittistnottwithintthetnurse‘stscopetoftpracticettotchangetthetdosetoftatmedicationtwithouttantordertfromt
atprescriber.tAskingtthetpatientttotdemonstratetinhalertusethelpstthetnursettotevaluatetthetpatient‘stab
ilityttotadministertthetmedicationtproperlytandtistparttoftthetnurse‘stevaluation.
Assessingttobaccotsmoketexposurethelpstthetnursetdeterminetwhethertnondrugttherapies,tsuchtatsmo
ketavoidance,tcantbetusedtastantadjunctttotdrugttherapy.tPerformingtatphysicaltassessmentthelpstthet
nursetevaluatetthetpatient‘stresponsettotthetmedication.
PTS:t 1
2. Atpostoperativetpatienttistbeingtdischargedthometwithtacetaminophen/hydrocodonet[Norco]tfortpai
n.tThetpatienttaskstthetnursetabouttusingtTylenoltfortfever.tWhichtstatementtbytthetnursetistcorrect?
a. ―Itt ist nott safet tot taket over-the-countert drugst witht prescriptiont medications.‖
b. ―Takingt thet twot medicationst togethert posest at riskt oft drugt toxicity.‖
c. ―Theretaretnotknowntdrugtinteractions,tsotthistwilltbetsafe.‖
d. ―Tylenolt andt Norcot aret differentt drugs,t sot theret ist not riskt oft overdose.‖
ANS:t B
Tylenoltistthettradetnametandtacetaminophentistthetgenerictnametfortthetsametmedication.tIttistimpor
tantttotteachtpatientsttotbetawaretoftthetdifferenttnamestfortthetsametdrugttotminimizetthetrisktoftoverd
ose.tOver-the-
countert(OTC)tmedicationstandtprescriptiontmedicationstmaytbettakenttogethertunlesstsignificantth
armfultdrugtinteractionstaretpossible.tEventthoughtnotdrugtinteractionstaretattplaytintthistcase,tbothtd
rugstcontaintacetaminophen,twhichtcouldtleadttottoxicity.
PTS:t 1
3. Thetnursetistpreparingttotcaretfortatpatienttwhotwilltbettakingtantantihypertensivetmedication.tWhi
chtactiontbytthetnurset istparttoftthetassessmentt steptoftthetnursingtprocess?
a. Askingtthetprescribertfortantorderttotmonitortserumtdrugtlevels
b. Monitoringtthetpatienttfortdrugtinteractionstaftertgivingtthetmedication
c. Questioningtthetpatienttabouttover-the-countertmedications
d. Takingtthetpatient‘stbloodtpressuretthroughouttthetcoursetofttreatment
ANS:t C
Thetassessmenttparttoftthetnursingtprocesstinvolvestgatheringtinformationtbeforetbeginningttrea
tment,tandtthistincludestaskingtabouttothertmedicationstthetpatienttmaytbettaking.
Monitoringtserumtdrugtlevels,twatchingtfortdrugtinteractions,tandtcheckingtvitaltsignstaftertgivi
ngtthet medicationtaretalltparttoftthetevaluationtphase.
PTS:t 1
4. Atpostoperativetpatienttreportstpain,twhichtthetpatienttratestastant8tontatscaletfromt1ttot10t(10tbeingtt
hetmosttextremetpain).tThetprescriberthastorderedtacetaminophent[Tylenol]t650tmgtPOteveryt6t ho
urstPRNtpain.t Whatt willtthetnursetdo?
a. Asktthetpatienttwhattmedicationsthavethelpedtwithtpaintintthetpast.
b. Contacttthetproviderttotrequesttatdifferenttanalgesictmedication.
c. Givetthetpaintmedicationtandtrepositiontthetpatientttotpromotetcomfort.
