evolve nclex prep q a pharm silvestri saunders comprehensive review

NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x




Pharmacologyx

TestxBank

MULTIPLExCHOICE

1. Thexnursexisxcaringxforxaxclientxinxlabor.xThexnursexreviewsxthexphysician’sxprescriptionsxandxnotesxthatxth
exclientxhasxaxprescriptionxforxbutorphanolxtartratex(Stadol).xThexnursexunderstandsxthatxthisxmedicationxisxp
rescribedxfor:
1. Painxrelief
2. Increasingxuterinexcontractions
3. Decreasingxuterinexcontractions
4. Promotingxfetalxlungxmaturity

ANS:x 1

Rationale:xThexclientxinxlaborxmayxbexgivenxparenteralxanalgesiaxduringxthexfirstxstagexofxlabor,xupxtox2xtox3x
hoursxbeforexthexanticipatedxdelivery.xButorphanolxtartratexisxaxmedicationxthatxmayxbexprescribedxforxpainx
relief.x“Increasingxuterinexcontractions,”x“decreasingxuterinexcontractions,”xandx“promotingxfetal
lungxmaturity”xarexnotxactionsxofxthisxmedication.

Test-
TakingxStrategy:xKnowledgexofxthexactionxofxbutorphanolxtartratexisxrequiredxtoxanswerxthisxquestion.xRe
memberxthatxthisxmedicationxisxusedxforxpainxrelief.xReviewxthexactionxofxthisxmedicationxifxyouxhadxdifficul
tyxwithxthisxquestionxandxarexunfamiliarxwithxthisxmedication.

PTS: 1
DIF: LevelxofxCognitivexAbility:xUnderstanding
REF:
Lehne,xR.x(2010).xPharmacologyxforxnursingxcarex(7thxed.).xSt.xLouis:xSaunders.x
OBJ: ClientxNeeds:xPhysiologicalxIntegrity
TOP: ContentxArea:xPharmacology
MSC:x IntegratedxProcess:xNursingxProcess—Planning

2. Thexpostpartumxnursexisxcaringxforxaxclientxwithxanxepiduralxcatheterxinxplacexforxopioidxanalgesicxa
dministrationxfollowingxcesareanxbirth.xIfxthexclientxdevelopsxrespiratoryxdepressionxandxrequiresxn
aloxonex(Narcan)xasxanxantidote,xthexclientxmayxcomplainxofxwhichxofxthexfollowing?

NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x

, NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x



1. Increasexinxherxpainxlevel
2. Decreasexinxherxpainxlevel
3. Increasexinxthexamountxofxitchingxfromxthexopioidxusedxinxthexepidural
4. Decreasexinxthexamountxofxitchingxfromxthexopioidxusedxinxthexepidural




NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x

, NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x




ANS:x 1

Rationale:xRememberxthatxopioidsxarexusedxforxepiduralxanalgesia.xNaloxonexisxanxopioidxantagonist,xw
hichxreversesxthexeffectsxofxopioids.xIfxitxisxgiven,xthexclientxmayxcomplainxofxanxincreasexinxherxpain
level.xThereforex“decreasexinxherxpainxlevel,”x“increasexinxthexamountxofxitchingxfromxthexopioidxusedxinxth
exepidural,”xandx“decreasexinxthexamountxofxitchingxfromxthexopioidxusedxinxthexepidural”xarexincorrect.

Test-
TakingxStrategy:xToxanswerxthisxquestionxaccurately,xyouxmustxknowxthatxopioidxanalgesicsxarexthexmedic
ationsxusedxwithxepiduralxanalgesiaxtoxrelievexpain.xThereforexifxnaloxonexisxadministeredxasxanxantidotexf
orxanxopioidxanalgesic,xthexclient’sxpainxwillxincrease.xReviewxthexeffectsxofxnaloxonexifxthisxquestionxwa
sxdifficult.

PTS: 1
DIF: LevelxofxCognitivexAbility:xUnderstanding
REF:
Lehne,xR.x(2010).xPharmacologyxforxnursingxcarex(7thxed.).xSt.xLouis:xSaunders.x
OBJ: ClientxNeeds:xPhysiologicalxIntegrity
TOP: ContentxArea:xPharmacology
MSC:x IntegratedxProcess:xNursingxProcess—Assessment

3. Axclientxexperiencingxpretermxlaborxatxthextwenty-
ninthxweekxofxgestationxhasxbeenxadmittedxtoxthexhospital.xThexclientxhasxaxprescriptionxtoxreceivexbetame
thasonex(Celestone).xThexnursexunderstandsxthatxthexmedicationxwillxdoxwhichxofxthexfollowing?
1. Preventxspontaneousxdelivery.
2. Stopxthexuterinexcontractions.
3. Promotexmaturationxofxthexfetalxlungs.
4. Acceleratexthexgrowthxratexofxthexfetus.

ANS:x 3

Rationale:xBetamethasonex(Celestone)xisxclassifiedxasxanxanti-
inflammatoryxandxcorticosteroid.xItxincreasesxthexsurfactantxlevelxandxlungxmaturityxinxthexfetus,xwhichxre
ducesxthexincidencexofxrespiratoryxdistressxsyndrome.xDeliveryxmustxbexdelayedxforxatxleastx48xhoursxafterx
administrationxofxbetamethasonextoxallowxtimexforxthexlungsxofxthexfetusxtoxmature.

Test-

NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x

, NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


Taking Strategy:
x
RN Examination,
x
x x x
5th Edition
Options that are comparable
x
x
or alike
x bestareexam
x not likely
x
x
to be correct.
solution
x
x
With this in mind, elimi
RATIONALE
x x
x
x x x
x
x x x x x

natex“preventxspontaneousxdelivery”xandx“stopxthexuterinexcontractions.”xNotexthexstrategic




NURSING TEST- x


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Compre
x x x x x x x x x x


hensive Review for the NCLEX-
x x x x


RN Examination, 5th Edition best exam solution RATIONALE
x x x x x x x