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Test Bank: Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th Edition $17.99   Add to cart

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Test Bank: Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th Edition

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Test Bank: Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th Edition| Excellent Resource for Exam Practice| Download for Grade A+| Complete questions and correct answers with rationale.

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  • October 7, 2024
  • 497
  • 2024/2025
  • Exam (elaborations)
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NursingPieces
.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersb
Comprehensive
ReviewbforbthebNCLEX-
RN®bExamination,b
5th Edition
bPharmacology
TestbBankbA+bGUIDE

,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersbComprehensivebReviewbforbthebNCLEX-
RN®bExamination,b5thbEdition
Pharmacologyb

TestbBank

MULTIPLEbCHOICE

1. Thebnursebisbcaringbforbabclientbinblabor.bThebnursebreviewsbthebphysician’sbprescriptionsbandbn
otesbthatbthebclientbhasbabprescriptionbforbbutorphanolbtartrateb(Stadol).bThebnursebunderstandsbth
atbthisbmedicationbisbprescribedbfor:
1. Painbrelief
2. Increasingbuterinebcontractions
3. Decreasingbuterinebcontractions
4. Promotingbfetalblungbmaturity

ANS:b b 1

Rationale:bThebclientbinblaborbmaybbebgivenbparenteralbanalgesiabduringbthebfirstbstagebofblabor,b
upbtob2btob3bhoursbbeforebthebanticipatedbdelivery.bButorphanolbtartratebisbabmedicationbthatbma
ybbebprescribedbforbpainbrelief.b“Increasingbuterinebcontractions,”b“decreasingbuterinebcontractions
,”bandb“promotingbfetalblungbmaturity”barebnotbactionsbofbthisbmedication.

Test-
TakingbStrategy:bKnowledgebofbthebactionbofbbutorphanolbtartratebisbrequiredbtobanswerbthisbque
stion.bRememberbthatbthisbmedicationbisbusedbforbpainbrelief.bReviewbthebactionbofbthisbmedicati
onbifbyoubhadbdifficultybwithbthisbquestionbandbarebunfamiliarbwithbthisbmedication.

PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Planning

2. Thebpostpartumbnursebisbcaringbforbabclientbwithbanbepiduralbcatheterbinbplacebforbopioid
banalgesicbadministrationbfollowingbcesareanbbirth.bIfbthebclientbdevelopsbrespiratorybdepres
sionbandbrequiresbnaloxoneb(Narcan)basbanbantidote,bthebclientbmaybcomplainbofbwhichbof
bthebfollowing?
1. Increasebinbherbpainblevel
2. Decreasebinbherbpainblevel

,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
3. Increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
4. Decreasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural

, .Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
ANS:b b 1

Rationale:bRememberbthatbopioidsbarebusedbforbepiduralbanalgesia.bNaloxonebisbanbopioidbantago
nist,bwhichbreversesbthebeffectsbofbopioids.bIfbitbisbgiven,bthebclientbmaybcomplainbofbanbincreas
ebinbherbpainblevel.bThereforeb“decreasebinbherbpainblevel,”b“increasebinbthebamountbofbitchingbf
rombthebopioidbusedbinbthebepidural,”bandb“decreasebinbthebamountbofbitchingbfrombthebopioidbu
sedbinbthebepidural”barebincorrect.

Test-
TakingbStrategy:bTobanswerbthisbquestionbaccurately,byoubmustbknowbthatbopioidbanalgesicsbarebth
ebmedicationsbusedbwithbepiduralbanalgesiabtobrelievebpain.bThereforebifbnaloxonebisbadministeredb
asbanbantidotebforbanbopioidbanalgesic,bthebclient’sbpainbwillbincrease.bReviewbthebeffectsbofbnalo
xonebifbthisbquestionbwasbdifficult.

PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Assessment

3. Abclientbexperiencingbpretermblaborbatbthebtwenty-
ninthbweekbofbgestationbhasbbeenbadmittedbtobthebhospital.bThebclientbhasbabprescriptionbtobrece
ivebbetamethasoneb(Celestone).bThebnursebunderstandsbthatbthebmedicationbwillbdobwhichbofbthe
bfollowing?
1. Preventbspontaneousbdelivery.
2. Stopbthebuterinebcontractions.
3. Promotebmaturationbofbthebfetalblungs.
4. Acceleratebthebgrowthbratebofbthebfetus.

ANS:b b 3

Rationale:bBetamethasoneb(Celestone)bisbclassifiedbasbanbanti-
inflammatorybandbcorticosteroid.bItbincreasesbthebsurfactantblevelbandblungbmaturitybinbthebfetus,b
whichbreducesbthebincidencebofbrespiratorybdistressbsyndrome.bDeliverybmustbbebdelayedbforbatble
astb48bhoursbafterbadministrationbofbbetamethasonebtoballowbtimebforbtheblungsbofbthebfetusbtob
mature.

Test-
TakingbStrategy:bOptionsbthatbarebcomparableborbalikebarebnotblikelybtobbebcorrect.bWithbthisbin
bmind,beliminateb“preventbspontaneousbdelivery”bandb“stopbthebuterinebcontractions.”bNotebthebstr
ategicbwordsb“twenty-
ninthbweekbofbgestation.”bSpecificbknowledgebaboutbthebmedicationbandbknowledgebofbthebproble

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