Chapterm01:mThemNursingmProcessmandmDrugmThera
py
TEST BANK m
Pharmacology and the Nursing Process
m m m m
9th Edition
m
Authors: Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
m m m m m m m m m
Contents
Chapterm01:mThemNursingmProcessmandmDrugmTherapy ........................................................................... 3
Chapterm02:mPharmacologicmPrinciples.................................................................................................. 8
Chapterm03:mLifespanmConsiderations ................................................................................................. 14
Chapterm04:mCultural,mLegal,mandmEthicalmConsiderations ..................................................................... 20
Chapterm05:mMedicationmErrors:mPreventingmandmResponding.............................................................. 26
Chapterm06:mPatientmEducationmandmDrugmTherapy ............................................................................. 29
Chapterm07:mOver-the-CountermDrugsmandmHerbalmandmDietarymSupplements ....................................... 34
Chapterm08:mGenemTherapymandmPharmacogenomics........................................................................... 38
Chapterm09:mPhotomAtlasmofmDrugmAdministration ............................................................................... 41
Chapterm10:mAnalgesicmDrugs ............................................................................................................. 50
Chapterm11:mGeneralmandmLocalmAnesthetics....................................................................................... 57
Chapterm12:mCentralmNervousmSystemmDepressantsmandmMusclemRelaxants .......................................... 61
Chapterm13:mCentralmNervousmSystemmStimulantsmandmRelatedmDrugs.................................................. 66
Chapterm14:mAntiepilepticmDrugs ........................................................................................................ 70
Chapterm15:mAntiparkinsonmDrugs ...................................................................................................... 76
Chapterm16:mPsychotherapeuticmDrugs................................................................................................ 81
Chapterm17:mSubstancemUsemDisorder................................................................................................. 88
Chapterm18:mAdrenergicmDrugs........................................................................................................... 93
Chapterm19:mAdrenergic-BlockingmDrugs ............................................................................................. 98
Chapterm20:mCholinergicmDrugs ........................................................................................................ 103
Chapterm21:mCholinergic-BlockingmDrugs........................................................................................... 108
Chapterm22:mAntihypertensivemDrugs................................................................................................ 113
Chapterm23:mAntianginalmDrugs........................................................................................................ 119
Chapterm24:mHeartmFailuremDrugs ..................................................................................................... 125
Chapterm25:mAntidysrhythmicmDrugs................................................................................................. 131
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
Chapterm26:mCoagulationmModifiermDrugs ......................................................................................... 137
Chapterm27:mAntilipemicmDrugs ........................................................................................................ 143
Chapterm28:mDiureticmDrugs ............................................................................................................. 148
Chapterm29:mFluidsmandmElectrolytes................................................................................................. 154
Chapterm30:mPituitarymDrugs ............................................................................................................ 160
Chapterm31:mThyroidmandmAntithyroidmDrugs..................................................................................... 163
Chapterm32:mAntidiabeticmDrugs....................................................................................................... 168
Chapterm33:mAdrenalmDrugs ............................................................................................................. 177
Chapterm34:mWomen’smHealthmDrugs................................................................................................ 181
Chapterm35:mMen’smHealthmDrugs..................................................................................................... 188
Chapterm36:mAntihistamines, mDecongestants,mAntitussives,mandmExpectorants .................................... 193
Chapterm37:mRespiratorymDrugs........................................................................................................ 198
Chapterm38:mAntibioticsmPartm1 ........................................................................................................ 204
Chapterm39:mAntibioticsmPartm2 ........................................................................................................ 211
Chapterm40:mAntiviralmDrugs............................................................................................................. 216
Chapterm41:mAntitubercularmDrugs.................................................................................................... 221
Chapterm42:mAntifungalmDrugs.......................................................................................................... 226
Chapterm43:mAntimalarial,mAntiprotozoal, mandmAnthelminticmDrugs .................................................... 231
Chapterm44:mAnti-inflammatorymandmAntigoutmDrugs......................................................................... 236
Chapterm45:mAntineoplasticmDrugsmPartm1:mCancermOverviewmandmCellmCycle–SpecificmDrugs ............... 242
Chapterm46:mAntineoplasticmDrugsmPartm2:mCellmCycle–NonspecificmDrugsmandmMiscellaneousmDrugs .... 248
Chapterm47:mBiologicmResponse–ModifyingmandmAntirheumaticmDrugs................................................ 253
Chapterm48:mImmunosuppressantmDrugs .......................................................................................... 258
Chapterm49:mImmunizingmDrugs ....................................................................................................... 263
Chapterm50:mAcid-ControllingmDrugs ................................................................................................. 268
Chapterm51:mBowelmDisordermDrugs.................................................................................................. 274
Chapterm52:mAntiemeticmandmAntinauseamDrugs................................................................................ 281
Chapterm53:mVitaminsmandmMinerals................................................................................................. 286
Chapterm54:mAnemiamDrugs.............................................................................................................. 292
Chapterm55:mNutritionalmSupplements .............................................................................................. 299
Chapterm56:mDermatologicmDrugs..................................................................................................... 304
Chapterm57:mOphthalmicmDrugs........................................................................................................ 310
Chapterm58:mOticmDrugs ................................................................................................................... 315
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
Chapter 01: The Nursing Process and Drug Therapy
m m m m m m m
MULTIPLEmCHOICE
1. Themnursemismwritingmamnursingmdiagnosismformamplanmof mcaremformampatient mwhomhasmbeen mne
wlymdiagnosed mwithmtypem2mdiabetes.mWhichmstatement mreflectsmthemcorrect mformat mformamnu
rsingmdiagnosis?
a. Anxiety
b. Anxietymrelated mtomnew mdrugmtherapy
c. Anxietymrelated mtomanxiousmfeelingsmabout mdrugmtherapy,masmevidenced mbymstatemen
tsmsuchmasm“I’mmupset mabout mhavingmtomtest mmymblood msugars.”
d. Anxietymrelated mtomnew mdrugmtherapy,masmevidenced mbymstatementsmsuchmasm“I’mmu
pset mabout mhavingmtomtest mmymblood msugars.”
ANS:m D
Formulationmof mnursingmdiagnosesmismusuallymamthree-
stepmprocess.m“Anxiety”mismmissingmthem“related mto”mand m“asmevidenced mby”mportionsmof mdefiningm
characteristics.m“Anxietymrelated mtomnew mdrugmtherapy”mismmissingmthem“asmevidenced mby”mportion
mof mdefiningmcharacteristics.mThemstatement mbeginningm“Anxietymrelated mtomanxiousmfeelings”mismi
ncorrect mbecausemthem“related mto”msectionmismsimplymamrestatement mof mthemproblemm“anxiety,”mnot m
amseparatemfactormrelated mtomthemresponse.
DIF:
COGNITIVEmLEVEL:mUnderstandingm(Comprehension
)mTOP:m NURSINGmPROCESS:mNursingmDiagNnUo sRiSs I NGTB .C O
M
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
2. Thempatient mismtomreceivemoralmguaifenesinm(Mucinex)mtwicemamday.mToday,mthemnursemwasmbusyma
nd mgavemthemmedicationm2mhoursmaftermthemscheduled mdosemwasmdue.mWhat mtypemof mproblemmdoe
smthismrepresent?
a. “Right mtime”
b. “Right mdose”
c. “Right mroute”
d. “Right mmedication”
ANS:m A
“Right mtime”mismcorrect mbecausemthemmedicationmwasmgivenmmoremthanm30mminutesmaftermthemsche
duled mdosemwasmdue.m“Dose”mismincorrect mbecausemthemdosemismnot mrelated mtomthemtimemthemmedica
tionmadministrationmismscheduled.m“Route”mismincorrect mbecausemthemroutemismnot maffected.m“Medic
ation”mismincorrect mbecausemthemmedicationmordered mwillmnot mchange.
DIF:
COGNITIVEmLEVEL:mApplyingm(Application
)mTOP:m NURSINGmPROCESS:mImplementation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mSafety mand mInfection mControl
3. Themnursemhasmbeenmmonitoringmthempatient’smprogressmonmamnew mdrugmregimen msincemthemfirst md
osemand mdocumentingmthempatient’smtherapeuticmresponsemtomthemmedication.mWhichmphasemof mth
emnursingmprocessmdomthesemactionsmillustrate?
a. Nursingmdiagnosis
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
b. Planning
c. Implementation
d. Evaluation
ANS:m D
Monitoringmthempatient’smprogress,mincludingmthempatient’smresponsemtomthemmedication,mismpart mof
mthemevaluationmphase.mPlanning,mimplementation,mand mnursingmdiagnosismaremnot millustrated mbymth
ismexample.
DIF:
COGNITIVEmLEVEL:mUnderstandingm(Comprehension
)mTOP:m NURSINGmPROCESS:mEvaluation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
4. Themnursemismassigned mtomampatient mwhomismnewlymdiagnosed mwithmtypem1mdiabetesmmellitus.mWh
ichmstatement mbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatient mwillmfollow minstructions.
b. Thempatient mwillmnot mexperiencemcomplications.
c. Thempatient mwillmadheremtomthemnew minsulinmtreatment mregimen.
d. Thempatient mwillmdemonstratemcorrect mblood mglucosemtestingmtechnique
.
ANS:m D
“Demonstratingmcorrect mblood mglucosemtestingmtechnique”mismamspecificmand mmeasurable moutcomemcrit
erion.m“Followingminstructions”mand m“not mexperiencingmcomplications”maremnot mspecificmcriteria.m“Ad
heringmtomnew mregimen”mwould mbemdifficult mtommeasure.
DIF: COGNITIVEmLEVEL:mApplyingm(Application)
TOP:m NURSINGmPROCESS:mPlanning
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
5. Whichmactivitymbestmreflectsmthemimplementationmphasemof mthemnursingmprocessmformthempatient mw
homismnewlymdiagnosed mwithmhypertension?
a. Providingmeducationmonmkeepingmamjournalmof mblood mpressuremreadings
b. Settingmgoalsmand moutcomemcriteriamwithmthempatient’sminput
c. Recordingmamdrugmhistorymregardingmover-the-countermmedicationsmused mat mhome
d. Formulatingmnursingmdiagnosesmregardingmdeficient mknowledgemrelated mtomthemne
w mtreatment mregimen
ANS:m A
Educationmismanminterventionmthat moccursmduringmthemimplementationmphase.mSettingmgoalsmand mou
tcomesmreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassessment mphase.mFor
mulatingmnursingmdiagnosesmreflectsmanalysismof mdatamasmpart mof mplanning.
DIF:
COGNITIVEmLEVEL:mApplyingm(Application
)mTOP:m NURSINGmPROCESS:mImplementation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
6. Themmedicationmordermreads,m“Givemondansetronm(Zofran)m4mmg,m30mminutesmbeforembeginningmc
hemotherapymtomprevent mnausea.”mThemnursemnotesmthat mthemroutemismmissingmfrom mthemorder.mWh
at mismthemnurse’smbestmaction?
py
TEST BANK m
Pharmacology and the Nursing Process
m m m m
9th Edition
m
Authors: Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
m m m m m m m m m
Contents
Chapterm01:mThemNursingmProcessmandmDrugmTherapy ........................................................................... 3
Chapterm02:mPharmacologicmPrinciples.................................................................................................. 8
Chapterm03:mLifespanmConsiderations ................................................................................................. 14
Chapterm04:mCultural,mLegal,mandmEthicalmConsiderations ..................................................................... 20
Chapterm05:mMedicationmErrors:mPreventingmandmResponding.............................................................. 26
Chapterm06:mPatientmEducationmandmDrugmTherapy ............................................................................. 29
Chapterm07:mOver-the-CountermDrugsmandmHerbalmandmDietarymSupplements ....................................... 34
Chapterm08:mGenemTherapymandmPharmacogenomics........................................................................... 38
Chapterm09:mPhotomAtlasmofmDrugmAdministration ............................................................................... 41
Chapterm10:mAnalgesicmDrugs ............................................................................................................. 50
Chapterm11:mGeneralmandmLocalmAnesthetics....................................................................................... 57
Chapterm12:mCentralmNervousmSystemmDepressantsmandmMusclemRelaxants .......................................... 61
Chapterm13:mCentralmNervousmSystemmStimulantsmandmRelatedmDrugs.................................................. 66
Chapterm14:mAntiepilepticmDrugs ........................................................................................................ 70
Chapterm15:mAntiparkinsonmDrugs ...................................................................................................... 76
Chapterm16:mPsychotherapeuticmDrugs................................................................................................ 81
Chapterm17:mSubstancemUsemDisorder................................................................................................. 88
Chapterm18:mAdrenergicmDrugs........................................................................................................... 93
Chapterm19:mAdrenergic-BlockingmDrugs ............................................................................................. 98
Chapterm20:mCholinergicmDrugs ........................................................................................................ 103
Chapterm21:mCholinergic-BlockingmDrugs........................................................................................... 108
Chapterm22:mAntihypertensivemDrugs................................................................................................ 113
Chapterm23:mAntianginalmDrugs........................................................................................................ 119
Chapterm24:mHeartmFailuremDrugs ..................................................................................................... 125
Chapterm25:mAntidysrhythmicmDrugs................................................................................................. 131
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
Chapterm26:mCoagulationmModifiermDrugs ......................................................................................... 137
Chapterm27:mAntilipemicmDrugs ........................................................................................................ 143
Chapterm28:mDiureticmDrugs ............................................................................................................. 148
Chapterm29:mFluidsmandmElectrolytes................................................................................................. 154
Chapterm30:mPituitarymDrugs ............................................................................................................ 160
Chapterm31:mThyroidmandmAntithyroidmDrugs..................................................................................... 163
Chapterm32:mAntidiabeticmDrugs....................................................................................................... 168
Chapterm33:mAdrenalmDrugs ............................................................................................................. 177
Chapterm34:mWomen’smHealthmDrugs................................................................................................ 181
Chapterm35:mMen’smHealthmDrugs..................................................................................................... 188
Chapterm36:mAntihistamines, mDecongestants,mAntitussives,mandmExpectorants .................................... 193
Chapterm37:mRespiratorymDrugs........................................................................................................ 198
Chapterm38:mAntibioticsmPartm1 ........................................................................................................ 204
Chapterm39:mAntibioticsmPartm2 ........................................................................................................ 211
Chapterm40:mAntiviralmDrugs............................................................................................................. 216
Chapterm41:mAntitubercularmDrugs.................................................................................................... 221
Chapterm42:mAntifungalmDrugs.......................................................................................................... 226
Chapterm43:mAntimalarial,mAntiprotozoal, mandmAnthelminticmDrugs .................................................... 231
Chapterm44:mAnti-inflammatorymandmAntigoutmDrugs......................................................................... 236
Chapterm45:mAntineoplasticmDrugsmPartm1:mCancermOverviewmandmCellmCycle–SpecificmDrugs ............... 242
Chapterm46:mAntineoplasticmDrugsmPartm2:mCellmCycle–NonspecificmDrugsmandmMiscellaneousmDrugs .... 248
Chapterm47:mBiologicmResponse–ModifyingmandmAntirheumaticmDrugs................................................ 253
Chapterm48:mImmunosuppressantmDrugs .......................................................................................... 258
Chapterm49:mImmunizingmDrugs ....................................................................................................... 263
Chapterm50:mAcid-ControllingmDrugs ................................................................................................. 268
Chapterm51:mBowelmDisordermDrugs.................................................................................................. 274
Chapterm52:mAntiemeticmandmAntinauseamDrugs................................................................................ 281
Chapterm53:mVitaminsmandmMinerals................................................................................................. 286
Chapterm54:mAnemiamDrugs.............................................................................................................. 292
Chapterm55:mNutritionalmSupplements .............................................................................................. 299
Chapterm56:mDermatologicmDrugs..................................................................................................... 304
Chapterm57:mOphthalmicmDrugs........................................................................................................ 310
Chapterm58:mOticmDrugs ................................................................................................................... 315
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
Chapter 01: The Nursing Process and Drug Therapy
m m m m m m m
MULTIPLEmCHOICE
1. Themnursemismwritingmamnursingmdiagnosismformamplanmof mcaremformampatient mwhomhasmbeen mne
wlymdiagnosed mwithmtypem2mdiabetes.mWhichmstatement mreflectsmthemcorrect mformat mformamnu
rsingmdiagnosis?
a. Anxiety
b. Anxietymrelated mtomnew mdrugmtherapy
c. Anxietymrelated mtomanxiousmfeelingsmabout mdrugmtherapy,masmevidenced mbymstatemen
tsmsuchmasm“I’mmupset mabout mhavingmtomtest mmymblood msugars.”
d. Anxietymrelated mtomnew mdrugmtherapy,masmevidenced mbymstatementsmsuchmasm“I’mmu
pset mabout mhavingmtomtest mmymblood msugars.”
ANS:m D
Formulationmof mnursingmdiagnosesmismusuallymamthree-
stepmprocess.m“Anxiety”mismmissingmthem“related mto”mand m“asmevidenced mby”mportionsmof mdefiningm
characteristics.m“Anxietymrelated mtomnew mdrugmtherapy”mismmissingmthem“asmevidenced mby”mportion
mof mdefiningmcharacteristics.mThemstatement mbeginningm“Anxietymrelated mtomanxiousmfeelings”mismi
ncorrect mbecausemthem“related mto”msectionmismsimplymamrestatement mof mthemproblemm“anxiety,”mnot m
amseparatemfactormrelated mtomthemresponse.
DIF:
COGNITIVEmLEVEL:mUnderstandingm(Comprehension
)mTOP:m NURSINGmPROCESS:mNursingmDiagNnUo sRiSs I NGTB .C O
M
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
2. Thempatient mismtomreceivemoralmguaifenesinm(Mucinex)mtwicemamday.mToday,mthemnursemwasmbusyma
nd mgavemthemmedicationm2mhoursmaftermthemscheduled mdosemwasmdue.mWhat mtypemof mproblemmdoe
smthismrepresent?
a. “Right mtime”
b. “Right mdose”
c. “Right mroute”
d. “Right mmedication”
ANS:m A
“Right mtime”mismcorrect mbecausemthemmedicationmwasmgivenmmoremthanm30mminutesmaftermthemsche
duled mdosemwasmdue.m“Dose”mismincorrect mbecausemthemdosemismnot mrelated mtomthemtimemthemmedica
tionmadministrationmismscheduled.m“Route”mismincorrect mbecausemthemroutemismnot maffected.m“Medic
ation”mismincorrect mbecausemthemmedicationmordered mwillmnot mchange.
DIF:
COGNITIVEmLEVEL:mApplyingm(Application
)mTOP:m NURSINGmPROCESS:mImplementation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mSafety mand mInfection mControl
3. Themnursemhasmbeenmmonitoringmthempatient’smprogressmonmamnew mdrugmregimen msincemthemfirst md
osemand mdocumentingmthempatient’smtherapeuticmresponsemtomthemmedication.mWhichmphasemof mth
emnursingmprocessmdomthesemactionsmillustrate?
a. Nursingmdiagnosis
, Chapterm01:mThemNursingmProcessmandmDrugmThera
py
b. Planning
c. Implementation
d. Evaluation
ANS:m D
Monitoringmthempatient’smprogress,mincludingmthempatient’smresponsemtomthemmedication,mismpart mof
mthemevaluationmphase.mPlanning,mimplementation,mand mnursingmdiagnosismaremnot millustrated mbymth
ismexample.
DIF:
COGNITIVEmLEVEL:mUnderstandingm(Comprehension
)mTOP:m NURSINGmPROCESS:mEvaluation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
4. Themnursemismassigned mtomampatient mwhomismnewlymdiagnosed mwithmtypem1mdiabetesmmellitus.mWh
ichmstatement mbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatient mwillmfollow minstructions.
b. Thempatient mwillmnot mexperiencemcomplications.
c. Thempatient mwillmadheremtomthemnew minsulinmtreatment mregimen.
d. Thempatient mwillmdemonstratemcorrect mblood mglucosemtestingmtechnique
.
ANS:m D
“Demonstratingmcorrect mblood mglucosemtestingmtechnique”mismamspecificmand mmeasurable moutcomemcrit
erion.m“Followingminstructions”mand m“not mexperiencingmcomplications”maremnot mspecificmcriteria.m“Ad
heringmtomnew mregimen”mwould mbemdifficult mtommeasure.
DIF: COGNITIVEmLEVEL:mApplyingm(Application)
TOP:m NURSINGmPROCESS:mPlanning
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
5. Whichmactivitymbestmreflectsmthemimplementationmphasemof mthemnursingmprocessmformthempatient mw
homismnewlymdiagnosed mwithmhypertension?
a. Providingmeducationmonmkeepingmamjournalmof mblood mpressuremreadings
b. Settingmgoalsmand moutcomemcriteriamwithmthempatient’sminput
c. Recordingmamdrugmhistorymregardingmover-the-countermmedicationsmused mat mhome
d. Formulatingmnursingmdiagnosesmregardingmdeficient mknowledgemrelated mtomthemne
w mtreatment mregimen
ANS:m A
Educationmismanminterventionmthat moccursmduringmthemimplementationmphase.mSettingmgoalsmand mou
tcomesmreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassessment mphase.mFor
mulatingmnursingmdiagnosesmreflectsmanalysismof mdatamasmpart mof mplanning.
DIF:
COGNITIVEmLEVEL:mApplyingm(Application
)mTOP:m NURSINGmPROCESS:mImplementation
MSC:m NCLEX:mSafemand mEffective mCaremEnvironment:mManagementmof mCare
6. Themmedicationmordermreads,m“Givemondansetronm(Zofran)m4mmg,m30mminutesmbeforembeginningmc
hemotherapymtomprevent mnausea.”mThemnursemnotesmthat mthemroutemismmissingmfrom mthemorder.mWh
at mismthemnurse’smbestmaction?
