Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
1. i
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The nurse is teaching a patient how a medicat nurse will rely on knowledge of:
gi gi g gi
a. clinical pharmacology.
b. drug efficacy.
gi
,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditio gi gi
ns. Clinical pharmacology is concerned with all aspects of drug– gi gi
human interactions. Drug efficacy measures the extent to which a given drug causes an intend
gi gi
ed effect.
Pharmacokinetics is the study of the impact of the body on a drug. gi gi gi gi
DIF: Cognitive Level: Comprehension
REF: Four Basic Terms TOP: Nursing Process: Implementa
gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi gi
2. What does it mean when a drug is described as easy to administer?
gi gi gi
a. It can be stored indefinitely without need for refrigeration.
gi gi gi
b. It does not interact significantly with other medications. gi gi
c. It enhances patient adherence to the drug regimen. gi gi
d. It is usually relatively inexpensive to produce.
gi gi
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likel
gi gi gi gi gi
y to comply with the drug regimen. Drugs that are easy to give may have the other attributes
gi gi
listed, but those properties are independent of ease of administration.
gi gi gi gi
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration TO gi gi
P: Nursing Process: Assessment
gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
gi gi gi gi gi gi
very effective. Which statement by the patient demonstrates an understanding of the drug‘s gi gi gi
effectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to c
gi gi gi gi gi
ause an overdose.‖gi
b. ―It has no side effects and doesn‘t interact with other drugs.‖
gi gi gi gi
c. ―I only have to take it every 12 hours.‖
gi gi gi gi
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖ gi gi
,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS: D
, Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
A drug is effective if it produces the intended effects, even if it also produces side effects. Be
gi gi gi gi gi gi
cause no drug is completely safe, the level of toxicity does not determine effectiveness. All dr
gi gi gi gi
ugs have side effects and many react with other substances; these do not affect the drug‘s effe gi gi
ctiveness. Ease of administration is independent of a drug‘s effectiveness.
gi gi gi
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
gi gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
gi gi gi
a. Irreversible action
b. Predictability
c. Ease of administration gi
d. Chemical stability gi
e. A simple trade name
gi
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties in gi gi gi
clude a reversible action so that any harm the drug may cause can be undone and a simple gen
gi gi gi gi gi gi
eric name, because generic names are usually complex and difficult to remember and pronou gi
nce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
gi gi gi gi
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
2. Before administering a medication, what does the nurse need to know to evaluate how gi gi
individual patient variability might affect the patient‘s response to the medication? (Select all t
gi gi
hat apply.)
gi
a. Chemical stability of the medication gi gi
b. Ease of administration gi
c. Family medical history gi
d. Patient‘s age
e. Patient‘s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient‘s response to
gi gi gi
a medication. Patients of different ages can respond differently to medications. The patient‘s i
gi gi gi gi
llness can affect how drugs are metabolized. The chemical stability of the medication and the e
gi gi gi gi
ase of administration are properties of drugs.
gi gi
DIF: Cognitive Level: Analysis
REF: Sources of Individual Variation TOP: Nursing Process: Implementa
gi gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
gi gi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
1. i
o
n
w
o
r
k
s
t
o
t
r
e
a
t
a
n
i
l
l
n
e
s
s
.
T
o
d
o
t
h
i
s
,
t
h
e
The nurse is teaching a patient how a medicat nurse will rely on knowledge of:
gi gi g gi
a. clinical pharmacology.
b. drug efficacy.
gi
,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditio gi gi
ns. Clinical pharmacology is concerned with all aspects of drug– gi gi
human interactions. Drug efficacy measures the extent to which a given drug causes an intend
gi gi
ed effect.
Pharmacokinetics is the study of the impact of the body on a drug. gi gi gi gi
DIF: Cognitive Level: Comprehension
REF: Four Basic Terms TOP: Nursing Process: Implementa
gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi gi
2. What does it mean when a drug is described as easy to administer?
gi gi gi
a. It can be stored indefinitely without need for refrigeration.
gi gi gi
b. It does not interact significantly with other medications. gi gi
c. It enhances patient adherence to the drug regimen. gi gi
d. It is usually relatively inexpensive to produce.
gi gi
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likel
gi gi gi gi gi
y to comply with the drug regimen. Drugs that are easy to give may have the other attributes
gi gi
listed, but those properties are independent of ease of administration.
gi gi gi gi
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration TO gi gi
P: Nursing Process: Assessment
gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
gi gi gi gi gi gi
very effective. Which statement by the patient demonstrates an understanding of the drug‘s gi gi gi
effectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to c
gi gi gi gi gi
ause an overdose.‖gi
b. ―It has no side effects and doesn‘t interact with other drugs.‖
gi gi gi gi
c. ―I only have to take it every 12 hours.‖
gi gi gi gi
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖ gi gi
,Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS: D
, Test Bank Lehne's Pharmacology for Nursing Care, 12th Editi
gi gi
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
A drug is effective if it produces the intended effects, even if it also produces side effects. Be
gi gi gi gi gi gi
cause no drug is completely safe, the level of toxicity does not determine effectiveness. All dr
gi gi gi gi
ugs have side effects and many react with other substances; these do not affect the drug‘s effe gi gi
ctiveness. Ease of administration is independent of a drug‘s effectiveness.
gi gi gi
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
gi gi
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
gi gi gi
a. Irreversible action
b. Predictability
c. Ease of administration gi
d. Chemical stability gi
e. A simple trade name
gi
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties in gi gi gi
clude a reversible action so that any harm the drug may cause can be undone and a simple gen
gi gi gi gi gi gi
eric name, because generic names are usually complex and difficult to remember and pronou gi
nce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
gi gi gi gi
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
gi
2. Before administering a medication, what does the nurse need to know to evaluate how gi gi
individual patient variability might affect the patient‘s response to the medication? (Select all t
gi gi
hat apply.)
gi
a. Chemical stability of the medication gi gi
b. Ease of administration gi
c. Family medical history gi
d. Patient‘s age
e. Patient‘s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient‘s response to
gi gi gi
a medication. Patients of different ages can respond differently to medications. The patient‘s i
gi gi gi gi
llness can affect how drugs are metabolized. The chemical stability of the medication and the e
gi gi gi gi
ase of administration are properties of drugs.
gi gi
DIF: Cognitive Level: Analysis
REF: Sources of Individual Variation TOP: Nursing Process: Implementa
gi gi gi
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
gi gi
