Test Bank Lehne-s Pharmacology for Nursing Care- 10th 11th Edition by Jacqueline Burchum-

Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
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on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
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112|Complete Guide A+ h h h




Chapter 1: Orientation to Pharmacology Te
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st Bank
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MULTIPLEhCHOICE

1. Thehnursehishteachinghahpatienthhowhahmedicationhworkshtohtreathanhillness.hTohdohthis,hthehn
ursehwillhrelyhonhknowledgehof:
a. clinicalhpharmacology.
b. drughefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:h D
Pharmacotherapeuticshishthehstudyhofhthehusehofhdrugshtohdiagnose,htreat,handhpreventhconditions
.hClinicalhpharmacologyhishconcernedhwithhallhaspectshofhdrug–
humanhinteractions.hDrughefficacyhmeasureshthehextenthtohwhichhahgivenhdrughcauseshanhintende
dheffect.
Pharmacokineticshishthehstudyhofhthehimpacthofhthehbodyhonhahdrug.

DIF: CognitivehLevel:hComprehension
REF:hFourhBasichTermshTOP:h NursinghProcess:hImplementati
on
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies

2. Whathdoeshithmeanhwhenhahdrughishdescribedhasheasyhtohadminister?
a. Ithcanhbehstoredhindefinitelyhwithouthneedhforhrefrigeration.
b. Ithdoeshnothinteracthsignificantlyhwithhotherhmedications.
c. Ithenhanceshpatienthadherencehtohthehdrughregimen.
d. Ithishusuallyhrelativelyhinexpensivehtohproduce.
ANS:h C
Ahmajorhbenefithofhdrugshthathareheasyhtohadministerhishthathpatientshtakinghthemharehmorehlikelyh
tohcomplyhwithhthehdrughregimen.hDrugshthathareheasyhtohgivehmayhhavehthehotherhattributeshlist
ed,hbuththosehpropertiesharehindependenthofheasehofhadministration.

DIF: CognitivehLevel:hComprehension
REF:hAdditionalhPropertieshofhanhIdealhDrug:hEasehofhAdministrationhTOP
:h NursinghProcess:hAssessment
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies

3. Ahpatienthtellshthehnursehthathhehwashtoldhbyhthehprescriberhthaththehanalgesichhehishtakinghishve
ryheffective.hWhichhstatementhbyhthehpatienthdemonstrateshanhunderstandinghofhthehdrug‘sheff
ectiveness?
a. ―Ihdon‘thhavehtohworryhabouthtoxicity,hsincehithtakeshahlargehamounthofhthishdrughtohc
ausehanhoverdose.‖
b. ―Ithhashnohsideheffectshandhdoesn‘thinteracthwithhotherhdrugs.‖
c. ―Ihonlyhhavehtohtakehitheveryh12hhours.‖
d. ―Ithmighthmakehmehsleepy,handhithlessenshpainhforhseveralhhourshathahtime.‖

,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
h h h h h h h h



on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
h h h h h h h



112|Complete Guide A+
h h h




ANS:h D

,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
h h h h h h h h



on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
h h h h h h h



112|Complete Guide A+
h h h




Ahdrughisheffectivehifhithproduceshthehintendedheffects,hevenhifhithalsohproduceshsideheffects.hBeca
usehnohdrughishcompletelyhsafe,hthehlevelhofhtoxicityhdoeshnothdetermineheffectiveness.hAllhdrugsh
havehsideheffectshandhmanyhreacthwithhotherhsubstances;hthesehdohnothaffecththehdrug‘sheffectiven
ess.hEasehofhadministrationhishindependenthofhahdrug‘sheffectiveness.

DIF: CognitivehLevel:hComprehension
REF:hPropertieshofhanhIdealhDrughTOP:h NursinghProcess:hEvaluation
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies


MULTIPLEhRESPONSE

1. Whatharehthehpropertieshofhanhidealhdrug?h(Selecthallhthathapply.)
a. Irreversiblehaction
b. Predictability
c. Easehofhadministration
d. Chemicalhstability
e. Ahsimplehtradehname
ANS:h B,hC,hD
Inhadditionhtohpredictability,heasehofhadministration,handhchemicalhstability,hotherhpropertieshincl
udehahreversiblehactionhsohthathanyhharmhthehdrughmayhcausehcanhbehundonehandhahsimplehgenerich
name,hbecausehgenerichnamesharehusuallyhcomplexhandhdifficulthtohrememberhandhpronounce.

DIF: CognitivehLevel:hComprehension
REF:hPropertieshofhanhIdealhDrugh|hAdditionalhPropertieshofhanhIdealhDrugh
TOP:h NursinghProcess:hAssessment
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies

2. Beforehadministeringhahmedication,hwhathdoeshthehnursehneedhtohknowhtohevaluatehhow
individualhpatienthvariabilityhmighthaffecththehpatient‘shresponsehtohthehmedication?h(Selecthallhth
athapply.)
a. Chemicalhstabilityhofhthehmedication
b. Easehofhadministration
c. Familyhmedicalhhistory
d. Patient‘shage
e. Patient‘shdiagnosis

ANS:h C,hD,hE
Thehfamilyhmedicalhhistoryhcanhindicatehgenetichfactorshthathmayhaffecthahpatient‘shresponsehtohah
medication.hPatientshofhdifferenthageshcanhrespondhdifferentlyhtohmedications.hThehpatient‘shilln
esshcanhaffecthhowhdrugsharehmetabolized.hThehchemicalhstabilityhofhthehmedicationhandhtheheaseh
ofhadministrationharehpropertieshofhdrugs.

DIF: CognitivehLevel:hAnalysis
REF:hSourceshofhIndividualhVariationhTOP:h NursinghProcess:hImplementati
on
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hReductionhofhRiskhPotential

, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
h h h h h h h h



on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
h h h h h h h



112|Complete Guide A+ h h h




Chapter 2: Application of Pharmacology in Nursing Practice Tes
h h h h h h h h

t Bank
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MULTIPLEhCHOICE

1. Ahpatienthishusinghahmetered-
dosehinhalerhcontaininghalbuterolhforhasthma.hThehmedicationhlabelhinstructshthehpatienthtoha
dministerh―2hpuffsheveryh4hhourshashneededhforhcoughinghor
wheezing.‖hThehpatienthreportshfeelinghjitteryhsometimeshwhenhtakinghthehmedication,handhshehd
oesn‘thfeelhthaththehmedicationhishalwaysheffective.hWhichhishnothanhappropriatehnursinghinterven
tionhforhthishpatient?
a. Askinghthehpatienthtohdemonstratehusehofhthehinhaler
b. Assessinghthehpatient‘shexposurehtohtobaccohsmoke
c. Auscultatinghlunghsoundshandhobtaininghvitalhsigns
d. Suggestinghthaththehpatienthusehonehpuffhtohreducehsideheffects
ANS:h D
Ithishnothwithinhthehnurse‘shscopehofhpracticehtohchangehthehdosehofhahmedicationhwithouthanhorder
hfromhahprescriber.hAskinghthehpatienthtohdemonstratehinhalerhusehhelpshthehnursehto

evaluatehthehpatient‘shabilityhtohadministerhthehmedicationhproperlyhandhishparthofhthehnurse‘sheva
luation.hAssessinghtobaccohsmokehexposurehhelpshthehnursehdeterminehwhetherhnondrughtherapi
es,hsuchhahsmokehavoidance,hcanhbehusedhashanhadjuncthtohdrughtherapy.hPerforminghahphysicalha
ssessmenthhelpshthehnursehevaluatehthehpatient‘shresponsehtohthehmedication.

DIF: CognitivehLevel:hApplication
REF:hApplyinghthehNursinghProcesshinhDrughTherapy:hPreadministrationhAssessmenth[andhallh
subsectionshunderhthishheading] TOP:h NursinghProcess:hImplementation
MSC:h NCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies

2. Ahpostoperativehpatienthishbeinghdischargedhhomehwithhacetaminophen/hydrocodoneh(Lortab)hf
orhpain.hThehpatienthaskshthehnursehabouthusinghTylenolhforhfever.hWhichhstatementhbyhthehnurs
ehishcorrect?
a. ―Ithishnothsafehtohtakehover-the-counterhdrugshwithhprescriptionhmedications.‖
b. ―Takinghthehtwohmedicationshtogetherhposeshahriskhofhdrughtoxicity.‖
c. ―Thereharehnohknownhdrughinteractions,hsohthishwillhbehsafe.‖
d. ―TylenolhandhLortabharehdifferenthdrugs,hsohtherehishnohriskhofhoverdose.‖
ANS:h B
Tylenolhishthehtradehnamehandhacetaminophenhishthehgenerichnamehforhthehsamehmedication.hIthish
importanthtohteachhpatientshtohbehawarehofhthehdifferenthnameshforhthehsamehdrughtohminimizehtheh
riskhofhoverdose.hOver-the-
counterh(OTC)hmedicationshandhprescriptionhmedicationshmayhbehtakenhtogetherhunlesshsignific
anthharmfulhdrughinteractionsharehpossible.hEvenhthoughhnohdrughinteractionsharehathplayhinhthishc
ase,hbothhdrugshcontainhacetaminophen,hwhichhcouldhleadhtohtoxicity.

DIF: CognitivehLevel:hApplication
REF:hApplicationhofhPharmacologyhinhPatienthEducation:hDosagehandhAdministration