Test Bank Lehnes Pharmacology for Nursing Care, 10th Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-110|Complete
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TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE 10TH EDITION Author: Jacqueline Burchum| Laura
Test Bank Lehne's Pharmacology For Nursing Care, 10th Edition By Jacqueline Burchum, Laura Rosenthal Chapter 1-110|Complete
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Test Bank Lehne's Pharmacology for Nursing Care, 10th Edition by
Jacqueline Burchum, Laura RosenthalChapter 1-110|Complete
,Test Bank Lehne's Pharmacology For Nursing Care, 10th Edition By Jacqueline Burchum, Laura Rosenthal
Chapter 1-110|Complete
TABLE OF CONTENT
UNIT I: INTRODUCTION
Chapter 1. Orientation to Pharmacology
Chapter 2. Application of Pharmacology in Nursing Practice Chapter 3. Drug Regulation, Development,
Names, and Information
UNIT II: BASIC PRINCIPLES OF PHARMACOLOGY
Chapter 4. Pharmacokinetics
Chapter 5. Pharmacodynamics
Chapter 6. Drug Interactions
Chapter 7. Adverse Drug Reactions and Medication Errors
Chapter 8. Individual Variation in Drug Responses
UNIT III: DRUG THERAPY ACROSS THE LIFE SPAN
Chapter 9. Drug Therapy During Pregnancy and Breast-Feeding
Chapter 10. Drug Therapy in Pediatric Patients
Chapter 11. Drug Therapy in Geriatric Patients
UNIT IV: PERIPHERAL NERVOUS SYSTEM DRUGS
Section 1: Introduction
Chapter 12. Basic Principles of Neuropharmacology
Chapter 13. Physiology of the Peripheral Nervous System
Section 2: Cholinergic Drugs
Chapter 14. Muscarinic Agonists and Antagonists
Chapter 15. Cholinesterase Inhibitors and Their Use in Myasthenia Gravis
Chapter 16. Drugs That Block Nicotinic Cholinergic Transmission: Neuromuscular Blocking Agents
Section 3: Adrenergic Drugs
Chapter 17. Adrenergic Agonists
Chapter 18. Adrenergic Antagonists
Chapter 19. Indirect-Acting Antiadrenergic Agents
UNIT V: CENTRAL NERVOUS SYSTEM DRUGS
Section 4: Introduction
Chapter 20. Introduction to Central Nervous System Pharmacology
Section 5: Drugs for Neurodegenerative Disorders
Chapter 21. Drugs for Parkinson's Disease
Chapter 22. Drugs for Alzheimer's Disease
Chapter 23. Drugs for Multiple Sclerosis
Section 6: Neurologic Drugs
Chapter 24. Drugs for Epilepsy
Chapter 25. Drugs for Muscle Spasm and Spasticity
Section 7: Drugs for Pain
Chapter 26. Local Anesthetics
Chapter 27. General Anesthetics
Chapter 28. Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics
Chapter 29. Pain Management in Patients with Cancer
Chapter 30. Drugs for Headache
Section 8: Psychotherapeutic Drugs
Chapter 31. Antipsychotic Agents and Their Use in Schizophrenia
Chapter 32. Antidepressants
Chapter 33. Drugs for Bipolar Disorder
Chapter 34. Sedative-Hypnotic Drugs
Chapter 35. Management of Anxiety Disorders
Chapter 36. Central Nervous System Stimulants and Attention-Deficit/Hyperactivity Disorder
Section 9: Drug Abuse
Chapter 37. Drug Abuse I: Basic Considerations
,Chapter 38. Drug Abuse II: Alcohol
Chapter 39. Drug Abuse III: Nicotine and Smoking
Chapter 40. Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine
UNIT VI: DRUGS THAT AFFECT FLUID AND ELECTROLYTE BALANCE
Chapter 41. Diuretics
Chapter 42. Agents Affecting the Volume and Ion Content of Body Fluids
UNIT VII: DRUGS THAT AFFECT THE HEART, BLOOD VESSELS, AND BLOOD
Chapter 43. Review of Hemodynamics
Chapter 44. Drugs Acting on the Renin-Angiotensin-Aldosterone System
Chapter 45. Calcium Channel Blockers
Chapter 46. Vasodilators
Chapter 47. Drugs for Hypertension
Chapter 48. Drugs for Heart Failure
Chapter 49. Antidysrhythmic Drugs
Chapter 50. Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and
Triglyceride Levels
Chapter 51. Drugs for Angina Pectoris
Chapter 52. Anticoagulant, Antiplatelet, and Thrombolytic Drugs
Chapter 53. Management of ST-Elevation Myocardial Infarction
Chapter 54. Drugs for Hemophilia
Chapter 55. Drugs for Deficiency Anemias
Chapter 56. Hematopoietic Agents
UNIT VIII: DRUGS FOR ENDOCRINE DISORDERS
Chapter 57. Drugs for Diabetes Mellitus
Chapter 58. Drugs for Thyroid Disorders
Chapter 59. Drugs Related to Hypothalamic and Pituitary Function
Chapter 60. Drugs for Disorders of the Adrenal Cortex
UNIT IX: WOMEN'S HEALTH
Chapter 61. Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications
Chapter 62. Birth Control
Chapter 63. Drug Therapy of Infertility
Chapter 64. Drugs That Affect Uterine Function
UNIT X: MEN'S HEALTH
Chapter 65. Androgens
Chapter 66. Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia
UNIT XI: ANTI-INFLAMMATORY, ANTIALLERGIC, AND IMMUNOLOGIC DRUGS
Chapter 67. Review of the Immune System
Chapter 68. Childhood Immunization
Chapter 69. Immunosuppressants
Chapter 70. Antihistamines
Chapter 71. Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen
Chapter 72. Glucocorticoids in Nonendocrine Disorders
UNIT XII: DRUGS FOR BONE AND JOINT DISORDERS
Chapter 73. Drug Therapy of Rheumatoid Arthritis
Chapter 74. Drug Therapy of Gout
Chapter 75. Drugs Affecting Calcium Levels and Bone Mineralization
UNIT XIII: RESPIRATORY TRACT DRUGS
Chapter 76. Drugs for Asthma and Chronic Obstructive Pulmonary Disease
Chapter 77. Drugs for Allergic Rhinitis, Cough, and Colds
UNIT XIV: GASTROINTESTINAL DRUGS
Chapter 78. Drugs for Peptic Ulcer Disease
Chapter 79. Laxatives
Chapter 80. Other Gastrointestinal Drugs
,UNIT XV: NUTRITION
Chapter 81. Vitamins
Chapter 82. Drugs for Weight Loss
UNIT XVI: CHEMOTHERAPY OF INFECTIOUS DISEASES
Chapter 83. Basic Principles of Antimicrobial Therapy
Chapter 84. Drugs That Weaken the Bacterial Cell Wall I: Penicillins
Chapter 85. Drugs That Weaken the Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin, Telavancin,
Aztreonam, Teicoplanin, and Fosfomycin
Chapter 86. Bacteriostatic Inhibitors of Protein Synthesis: Tetracyclines, Macrolides, and Others
Chapter 87. Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis
Chapter 88. Sulfonamides and Trimethoprim
Chapter 89. Drug Therapy of Urinary Tract Infections
Chapter 90. Antimycobacterial Agents: Drugs for Tuberculosis, Leprosy, and Mycobacterium avium Complex
Infection
Chapter 91. Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole, Daptomycin, Rifampin, Rifaximin,
Bacitracin, and Polymyxins
Chapter 92. Antifungal Agents
Chapter 93. Antiviral Agents I: Drugs for Non-HIV Viral Infections
Chapter 94. Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections
Chapter 95. Drug Therapy of Sexually Transmitted Diseases
Chapter 96. Antiseptics and Disinfectants
UNIT XVII: CHEMOTHERAPY OF PARASITIC DISEASES
Chapter 97. Anthelmintics
Chapter 98. Antiprotozoal Drugs I: Antimalarial Agents
Chapter 99. Antiprotozoal Drugs II: Miscellaneous Agents
Chapter 100. Ectoparasiticides
UNIT XVIII: CANCER CHEMOTHERAPY
Chapter 101. Basic Principles of Cancer Chemotherapy
Chapter 102. Anticancer Drugs I: Cytotoxic Agents
Chapter 103. Anticancer Drugs II: Hormonal Agents, Targeted Drugs, and Other Noncytotoxic Anticancer Drugs
UNIT XIX: MISCELLANEOUS DRUGS AND THERAPIES
Chapter 104. Drugs for the Eye
Chapter 105. Drugs for the Skin
Chapter 106. Drugs for the Ear
Chapter 107. Additional Noteworthy Drugs
Chapter 108. Complementary and Alternative Therapy
UNIT XX: TOXICOLOGY
Chapter 109. Management of Poisoning
Chapter 110. Potential Weapons of Biologic, Radiologic, and Chemical Terrorism
,Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
will rely on knowledge of which topic?
a. Clinical pharmacology
b. Drug efficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS: 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.
PTS: 1
2. What is a desired outcome 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.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely 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.
PTS: 1
3. A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will
decrease pain up to 4 hours at a time. Based on this understanding of the drug’s effects by the
patient, the nurse will anticipate which outcome?
a. Decreased chance of having a placebo effect
b. Decreased motivation to take the drug
c. Improved compliance with the drug regimen
d. Increased likelihood of drug overdose
ANS: C
A drug is effective if it produces the intended effects, even if it also produces side effects.
Patients who understand both the risks and benefits of taking a medication are more likely to
comply with the drug regimen.
PTS: 1
MULTIPLE RESPONSE
1. What are considered the ‘Big Three’ properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
ANS: B, C, D
The ‘Big Three’ properties of the ideal drug are effectiveness, safety, and selectivity.
, TS: 1
2. Before administering a medication, what does the nurse need to know to evaluate howindividual
patient variability might affect the patient’s response to the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
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 a
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 the
ease of administration are properties of drugs.
PTS: 1
Chapter 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
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 doesn’t feel that
the medication is always effective. Which action is outside the nurse’s scope of practice?
a. Asking the patient to demonstrate the 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 1 puff to reduce side effects
ANS: 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’s evaluation.
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 a physical assessment
helps the nurse evaluate the patient’s response to the medication.
PTS: 1
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Norco] 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 Norco are different drugs, so there is no risk of overdose.”
ANS: 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 minimize the
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.
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