Nursing test bank 112023 evolve nclex prep q a pharm silvestri saunders comprehensive review for

NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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




Pharmacology

mTestmBank

MULTIPLEmCHOICE

1. Themnursemismcaringmformamclientminmlabor.mThemnursemreviewsmthemphysician’smprescriptionsmandmnotesmth
atmthemclientmhasmamprescriptionmformbutorphanolmtartratem(Stadol).mThemnursemunderstandsmthatmthismmedi
cationmismprescribedmfor:
1. Painmrelief
2. Increasingmuterinemcontractions
3. Decreasingmuterinemcontractions
4. Promotingmfetalmlungmmaturity

ANS:m 1

Rationale:mThemclientminmlabormmaymbemgivenmparenteralmanalgesiamduringmthemfirstmstagemofmlabor,mupmtom
2mtom3mhoursmbeforemthemanticipatedmdelivery.mButorphanolmtartratemismammedicationmthatmmaymbemprescribe
dmformpainmrelief.m“Increasingmuterinemcontractions,”m“decreasingmuterinemcontractions,”mandm“promotingm
fetal
lungmmaturity”maremnotmactionsmofmthismmedication.

Test-
TakingmStrategy:mKnowledgemofmthemactionmofmbutorphanolmtartratemismrequiredmtomanswermthismquestion.m
Remembermthatmthismmedicationmismusedmformpainmrelief.mReviewmthemactionmofmthismmedicationmifmyoumhad
mdifficultymwithmthism questionmandmaremunfamiliarmwithmthismmedication.




PTS: 1
DIF: LevelmofmCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: ClientmNeeds:mPhysiologicalm Integrity
TOP: ContentmArea:mPharmacology
MSC:m IntegratedmProcess:mNursingmProcess—Planning

2. Thempostpartummnursemismcaringmformamclientmwithmanmepiduralmcatheterminmplacemformopioidmanalge
sicmadministrationmfollowingmcesareanmbirth.mIfmthemclientmdevelopsmrespiratorymdepressionmandmre

NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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

, NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


quires naloxone
m
RN Examination,
m
m m m
5th Edition
(Narcan) as an antidote,
m the clientbest
m m
m may complain
m
m
of which of
exam solution
m m
m
the following?
RATIONALE
m
m m m
m
m m




NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX- m m m m


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

, NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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



1. Increaseminmhermpainmlevel
2. Decreaseminmhermpainmlevel
3. Increaseminmthemamountmofmitchingmfrommthemopioidmusedminmthemepidural
4. Decreaseminmthemamountmofmitchingmfrommthemopioidmusedminmthemepidural




NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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

, NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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




ANS:m 1

Rationale:mRemembermthatmopioidsmaremusedmformepiduralmanalgesia.mNaloxonemismanmopioidmantagoni
st,mwhichmreversesmthemeffectsmofmopioids.mIfmitmismgiven,mthemclientmmaymcomplainmofmanmincreaseminmhe
rmpain
level.mThereforem“decreaseminmhermpainmlevel,”m“increaseminmthemamountmofmitchingmfrommthemopioidmused
minmthemepidural,”mandm“decreaseminmthemamountmofmitchingmfrommthemopioidmusedminmthemepidural”mareminc
orrect.

Test-
TakingmStrategy:mTomanswermthismquestionmaccurately,myoummustmknowmthatmopioidmanalgesicsmaremthemm
edicationsmusedmwithmepiduralmanalgesiamtomrelievempain.mThereforemifmnaloxonemismadministeredmasmanm
antidotemformanmopioidmanalgesic,mthemclient’smpainmwillmincrease.mReviewmthemeffectsmofmnaloxonemifmthi
smquestionmwasmdifficult.

PTS: 1
DIF: LevelmofmCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: ClientmNeeds:mPhysiologicalmIntegrity
TOP: ContentmArea:mPharmacology
MSC:m IntegratedmProcess:mNursingmProcess—Assessment

3. Amclientmexperiencingmpretermmlabormatmthemtwenty-
ninthmweekmofmgestationmhasmbeenmadmittedmtomthemhospital.mThemclientmhasmamprescriptionmtomreceivembe
tamethasonem(Celestone).mThemnursemunderstandsmthatmthemmedicationmwillmdomwhichmofmthemfollowing?
1. Preventmspontaneousmdelivery.
2. Stopmthemuterinemcontractions.
3. Promotemmaturationmofmthemfetalmlungs.
4. Acceleratemthemgrowthmratemofmthemfetus.

ANS:m 3

Rationale:mBetamethasonem(Celestone)mismclassifiedmasmanmanti-
inflammatorymandmcorticosteroid.mItmincreasesmthemsurfactantmlevelmandmlungmmaturityminmthemfetus,mwhic
hmreducesmthemincidencemofmrespiratorymdistressmsyndrome.mDeliverymmustmbemdelayedmformatmleastm48mho
ursmaftermadministrationmofmbetamethasonemtomallowmtimemformthemlungsmofmthemfetusmtommature.

NURSING TEST- m


BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:Saunders Com
m m m m m m m m m m


prehensive Review for the NCLEX-
m m m m


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