Test Bank Lehne's Pharmacology Fornursingcare, 11th
Edition By Jacqueline Burchum, Laura Rosenthal
Chapter 1: Orientation To
PharmacologyTest Bank
MULTIPLE CHOICE
1. The Nurse Is Teaching A Patient How A Medication Works To Treat An Illness. To Do
This, TheNurse Will Rely On Knowledge Of:
a. Clinical Pharmacology.
b. Drug Efficacy.
c. Pharmacokinetics.
d. Pharmacotherapeutics.
SOLUTION:D
Pharmacotherapeutics Is The Study Of The Use Of Drugs To Diagnose, Treat, And Prevent
Conditions. Clinical Pharmacology Is Concerned With All Aspects Of Drug–Human
Interactions.Drug Efficacy Measures The Extent To Which A Given Drug Causes An
Intended Effect.
Pharmacokinetics Is The Study Of The Impact Of The Body On A Drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP:N u r s i n g process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. What Does It Mean When A Drug Is Described As Easy To Administer?
a. It Can Be Stored Indefinitely Without Need For Refrigeration.
b. It Does Not Interact Significantly With Other Medications.
c. It Enhances Patient Adherence To The Drug Regimen.
d. It Is Usually Relatively Inexpensive To Produce.
SOLUTION:C
A Major Benefit Of Drugs That Are Easy To Administer Is That Patients Taking Them
Are MoreLikely To Comply With The Drug Regimen. Drugs That Are Easy To Give
May Have The Other Attributes Listed, But Those Properties Are Independent Of Ease
Of Administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties Of An Ideal Drug: Ease Of
AdministrationTOP:N u r s i n g process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
3. A Patient Tells The Nurse That He Was Told By The Prescriber That The Analgesic He Is
Taking Is Very Effective. Which Statement By The Patient Demonstrates An
Understanding Of The Drug’sEffectiveness?
a. “I Don’t Have To Worry About Toxicity, Since It Takes A Large Amount Of
This Drug ToCause An Overdose.”
b. “It Has No Side Effects And Doesn’t Interact With Other Drugs.”
c. “I Only Have To Take It Every 12 Hours.”
d. “It Might Make Me Sleepy, And It Lessens Pain For Several Hours At A Time.”
SOLUTION:D
, A Drug Is Effective If It Produces The Intended Effects, Even If It Also Produces Side
Effects. Because No Drug Is Completely Safe, The Level Of Toxicity Does Not Determine
Effectiveness. AllDrugs Have Side Effects And Many React With Other Substances; These
Do Not Affect The Drug’s Effectiveness. Ease Of Administration Is Independent Of A
Drug’s Effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties Of An Ideal
DrugTOP:N u r s i n g process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
MULTIPLE RESPONSE
1. What Are The Properties Of An Ideal Drug? (Select All That Apply.)
a. Irreversible Action
b. Predictability
c. Ease Of Administration
d. Chemical Stability
e. A Simple Trade Name
SOLUTION:B, C, D
In Addition To Predictability, Ease Of Administration, And Chemical Stability, Other
Properties Include A Reversible Action So That Any Harm The Drug May Cause Can Be
Undone And A SimpleGeneric Name, Because Generic Names Are Usually Complex And
Difficult To Remember And Pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties Of An Ideal Drug | Additional Properties Of An Ideal
DrugTOP:N u r s i n g process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. Before Administering A Medication, What Does The Nurse Need To Know To Evaluate How
Individual Patient Variability Might Affect The Patient’s Response To The Medication? (Select
AllThat Apply.)
a. Chemical Stability Of The Medication
b. Ease Of Administration
c. Family Medical History
d. Patient’s Age
e. Patient’s Diagnosis
SOLUTION:C, D, E
The Family Medical History Can Indicate Genetic Factors That May Affect A Patient’s
Response ToA Medication. Patients Of Different Ages Can Respond Differently To
Medications. The Patient’s Illness Can Affect How Drugs Are Metabolized. The Chemical
Stability Of The Medication And TheEase Of Administration Are Properties Of Drugs.
DIF: Cognitive Level: Analysis REF: Sources Of Individual
VariationTOP:N u r s i n g process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
,Chapter 2: Application Of Pharmacology Innursingpractice
Test Bank
MULTIPLE CHOICE
1. A Patient Is Using A Metered-Dose Inhaler Containing Albuterol For Asthma. The
MedicationLabel Instructs The Patient To Administer “2 Puffs Every 4 Hours As Needed
For Coughing Or
Wheezing.” The Patient Reports Feeling Jittery Sometimes When Taking The Medication,
And SheDoesn’t Feel That The Medication Is Always Effective. Which Is Not An
Appropriatenursingintervention For This Patient?
a. Asking The Patient To Demonstrate Use Of The Inhaler
b. Assessing The Patient’s Exposure To Tobacco Smoke
c. Auscultating Lung Sounds And Obtaining Vital Signs
d. Suggesting That The Patient Use One Puff To Reduce Side Effects
SOLUTION:D
It Is Not Within The Nurse’s Scope Of Practice To Change The Dose Of A Medication
Without An Order From A Prescriber. Asking The Patient To Demonstrate Inhaler Use
Helps The Nurse To Evaluate The Patient’s Ability To Administer The Medication
Properly And Is Part Of The Nurse’sEvaluation. Assessing Tobacco Smoke Exposure
Helps The Nurse Determine Whether Nondrug Therapies, Such A Smoke Avoidance, Can
Be Used As An Adjunct To Drug Therapy. Performing APhysical Assessment Helps The
Nurse Evaluate The Patient’s Response To The Medication.
DIF: Cognitive Level: Application
REF: Applying Thenursingprocess In Drug Therapy: Preadministration Assessment [And
AllSubsections Under This Heading] TOP:N u r s i n g process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. A Postoperative Patient Is Being Discharged Home With Acetaminophen/Hydrocodone
(Lortab)For Pain. The Patient Asks The Nurse About Using Tylenol For Fever. Which
Statement By The Nurse Is Correct?
a. “It Is Not Safe To Take Over-The-Counter Drugs With Prescription Medications.”
b. “Taking The Two Medications Together Poses A Risk Of Drug Toxicity.”
c. “There Are No Known Drug Interactions, So This Will Be Safe.”
d. “Tylenol And Lortab Are Different Drugs, So There Is No Risk Of Overdose.”
SOLUTION:B
Tylenol Is The Trade Name And Acetaminophen Is The Generic Name For The Same
Medication. It Is Important To Teach Patients To Be Aware Of The Different Names For The
Same Drug To MinimizeThe Risk Of Overdose. Over-The-Counter (OTC) Medications And
Prescription Medications May Be Taken Together Unless Significant Harmful Drug
Interactions Are Possible. Even Though No Drug Interactions Are At Play In This Case, Both
Drugs Contain Acetaminophen, Which Could Lead To Toxicity.
DIF: Cognitive Level: Application
REF: Application Of Pharmacology In Patient Education: Dosage And Administration
TOP:N u r s i n g process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
, 3. The Nurse Is Preparing To Care For A Patient Who Will Be Taking An Antihypertensive
Medication.Which Action By The Nurse Is Part Of The Assessment Step Of
Thenursingprocess?
a. Asking The Prescriber For An Order To Monitor Serum Drug Levels
b. Monitoring The Patient For Drug Interactions After Giving The Medication
c. Questioning The Patient About Over-The-Counter Medications
d. Taking The Patient’s Blood Pressure Throughout The Course Of Treatment
SOLUTION:C
The Assessment Part Of Thenursingprocess Involves Gathering Information Before
BeginningTreatment, And This Includes Asking About Other Medications The Patient May
Be Taking.
Monitoring Serum Drug Levels, Watching For Drug Interactions, And Checking Vital
Signs AfterGiving The Medication Are All Part Of The Evaluation Phase.
DIF: Cognitive Level: Application REF: Preadministration Assessment
TOP:N u r s i n g process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
4. A Postoperative Patient Reports Pain, Which The Patient Rates As An 8 On A Scale From
1 To 10 (10 Being The Most Extreme Pain). The Prescriber Has Ordered Acetaminophen
(Tylenol) 650Mg PO Every 6 Hours PRN Pain. What Will The Nurse Do?
a. Ask The Patient What Medications Have Helped With Pain In The Past.
b. Contact The Provider To Request A Different Analgesic Medication.
c. Give The Pain Medication And Reposition The Patient To Promote Comfort.
d. Request An Order To Administer The Medication Every 4 Hours.
SOLUTION:B
Thenursingdiagnosis For This Patient Is Severe Pain. Acetaminophen Is Given For Mild To
Moderate Pain, So The Nurse Should Ask The Prescriber To Order A Stronger Analgesic
Medication.Asking The Patient To Tell The Nurse What Has Helped In The Past Is A Part Of
An Initial AssessmentAnd Should Be Done Preoperatively And Not When The Patient Is
Having Severe Pain. Because ThePatient Is Having Severe Pain, Acetaminophen Combined
With Nondrug Therapies Will Not Be Sufficient. Increasing The Frequency Of The Dose Of
A Medication For Mild Pain Will Not Be Effective.
DIF: Cognitive Level: Analysis REF: Analysis Andnursingdiagnosis
TOP:N u r s i n g process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. A Patient Newly Diagnosed With Diabetes Is To Be Discharged From The Hospital.
The NurseTeaching This Patient About Home Management Should Begin By Doing
What?
a. Asking The Patient To Demonstrate How To Measure And Administer Insulin
b. Discussing Methods Of Storing Insulin And Discarding Syringes
c. Giving Information About How Diet And Exercise Affect Insulin Requirements
d. Teaching The Patient About The Long-Term Consequences Of Poor Diabetes Control
SOLUTION:A
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