TEST BANK for NCLEX-RN® Examination, 5th Edition Pharmacology.pdf

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RN Examination, 5th Edition best exam solution RATIONALE
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Pharmacology

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MULTIPLElCHOICE

1. Thelnurselislcaringlforlalclientlinllabor.lThelnurselreviewslthelphysician’slprescriptionslandlnoteslthatlthelclie
ntlhaslalprescriptionlforlbutorphanolltartratel(Stadol).lThelnurselunderstandslthatlthislmedication
l l islprescribedlfor:


1. Painlrelief
2. Increasingluterinelcontractions
3. Decreasingluterinelcontractions
4. Promotinglfetalllunglmaturity

ANS:l 1

Rationale:lThelclientlinllaborlmaylbelgivenlparenterallanalgesialduringlthelfirstlstagelofllabor,lupltol2ltol3lhour
slbeforelthelanticipatedldelivery.lButorphanolltartratelislalmedicationlthatlmaylbelprescribedlfor
painlrelief.l“Increasingluterinelcontractions,”l“decreasingluterinelcontractions,”landl“promotinglfetalllunglm
aturity”larelnotlactionsloflthislmedication.

Test-
TakinglStrategy:lKnowledgeloflthelactionloflbutorphanolltartratelislrequiredltolanswerlthislquestion.lRemem
berlthatlthislmedicationlislusedlforlpainlrelief.lReviewlthelactionloflthislmedicationliflyoulhadldifficultylwithlth
islquestionlandlarelunfamiliarlwithlthislmedication.

PTS: 1
DIF: LevelloflCognitivelAbility:lUnderstanding
REF:
Lehne,lR.l(2010).lPharmacologylforlnursinglcarel(7thled.).lSt.lLouis:lSaunders.lOB
J: ClientlNeeds:lPhysiologicallIntegrity
TOP: ContentlArea:lPharmacology
MSC:l IntegratedlProcess:lNursinglProcess—Planning

2. Thelpostpartumlnurselislcaringlforlalclientlwithlanlepidurallcatheterlinlplacelforlopioidlanalgesicladmi
nistrationlfollowinglcesareanlbirth.lIflthelclientldevelopslrespiratoryldepressionlandlrequireslnaloxon
el(Narcan)laslanlantidote,lthelclientlmaylcomplainloflwhichloflthelfollowing?

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, NURSING TEST- l


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1. Increaselinlherlpainllevel
2. Decreaselinlherlpainllevel
3. Increaselinlthelamountloflitchinglfromlthelopioidlusedlinlthelepidural
4. Decreaselinlthelamountloflitchinglfromlthelopioidlusedlinlthelepidural




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ANS:l 1

Rationale:lRememberlthatlopioidslarelusedlforlepidurallanalgesia.lNaloxonelislanlopioidlantagonist,lwhichlr
eversesltheleffectsloflopioids.lIflitlislgiven,lthelclientlmaylcomplainloflanlincreaselinlherlpain
level.lThereforel“decreaselinlherlpainllevel,”l“increaselinlthelamountloflitchinglfromlthelopioidlusedlinlthelepi
dural,”landl“decreaselinlthelamountloflitchinglfromlthelopioidlusedlinlthelepidural”larelincorrect.

Test-
TakinglStrategy:lTolanswerlthislquestionlaccurately,lyoulmustlknowlthatlopioidlanalgesicslarelthelmedication
slusedlwithlepidurallanalgesialtolrelievelpain.lThereforeliflnaloxonelisladministeredlaslanlantidotelforlanlopioi
dlanalgesic,lthelclient’slpainlwilllincrease.lReviewltheleffectsloflnaloxoneliflthislquestionlwasldifficult.

PTS: 1
DIF: LevelloflCognitivelAbility:lUnderstanding
REF:
Lehne,lR.l(2010).lPharmacologylforlnursinglcarel(7thled.).lSt.lLouis:lSaunders.lOB
J: ClientlNeeds:lPhysiologicallIntegrity
TOP: ContentlArea:lPharmacology
MSC:l IntegratedlProcess:lNursinglProcess—Assessment

3. Alclientlexperiencinglpretermllaborlatltheltwenty-
ninthlweekloflgestationlhaslbeenladmittedltolthelhospital.lThelclientlhaslalprescriptionltolreceivelbetamethas
onel(Celestone).lThelnurselunderstandslthatlthelmedicationlwillldolwhichloflthelfollowing?
1. Preventlspontaneousldelivery.
2. Stopltheluterinelcontractions.
3. Promotelmaturationloflthelfetalllungs.
4. Acceleratelthelgrowthlrateloflthelfetus.

ANS:l 3

Rationale:lBetamethasonel(Celestone)lislclassifiedlaslanlanti-
inflammatorylandlcorticosteroid.lItlincreaseslthelsurfactantllevellandllunglmaturitylinlthelfetus,lwhichlreduce
slthelincidenceloflrespiratoryldistresslsyndrome.lDeliverylmustlbeldelayedlforlatlleastl48lhourslafterladministr
ationloflbetamethasoneltolallowltimelforlthellungsloflthelfetusltolmature.

Test-
TakinglStrategy:lOptionslthatlarelcomparablelorlalikelarelnotllikelyltolbelcorrect.lWithlthislinlmind,leliminate

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“prevent spontaneous
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delivery” and “stop
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5th Edition
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contractions.”
the uterinebest
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RATIONALE
Note the strategic
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