{"id":113210,"date":"2023-08-15T23:36:50","date_gmt":"2023-08-15T23:36:50","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113210"},"modified":"2023-08-15T23:36:51","modified_gmt":"2023-08-15T23:36:51","slug":"lehnes-pharmacology-for-nursing-care-11th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/lehnes-pharmacology-for-nursing-care-11th-edition\/","title":{"rendered":"Lehne’s Pharmacology for Nursing Care 11th Edition"},"content":{"rendered":"\n

MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  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:
    a. clinical pharmacology.
    b. drug efficacy.
    c. pharmacokinetics.
    d. pharmacotherapeutics.
    1 \/ 4
    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\u2013human 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: Nursing Process: Implementation
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies<\/li>\n\n\n\n
  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.
    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.
    DIF: Cognitive Level: Comprehension
    REF: Additional Properties of an Ideal Drug: Ease of Administration
    TOP: Nursing Process: Assessment
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies<\/li>\n\n\n\n
  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\u2018s
    effectiveness?
    a. \u2015I don\u2018t have to worry about toxicity, since it takes a large amount of this drug to
    cause an overdose.\u2016
    b. \u2015It has no side effects and doesn\u2018t interact with other drugs.\u2016
    c. \u2015I only have to take it every 12 hours.\u2016
    d. \u2015It might make me sleepy, and it lessens pain for several hours at a time.\u2016
    ANS: D
    2 \/ 4
    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. All
    drugs have side effects and many react with other substances; these do not affect the drug\u2018s
    effectiveness. Ease of administration is independent of a drug\u2018s effectiveness.
    DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
    TOP: Nursing Process: Evaluation
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
    MULTIPLE RESPONSE<\/li>\n\n\n\n
  4. 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
    ANS: 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 simple
    generic 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 Drug
    TOP: Nursing Process: Assessment
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies<\/li>\n\n\n\n
  5. Before administering a medication, what does the nurse need to know to evaluate how
    individual patient variability might affect the patient\u2018s response to the medication? (Select all
    that apply.)
    a. Chemical stability of the medication
    b. Ease of administration
    c. Family medical history
    d. Patient\u2018s age
    e. Patient\u2018s diagnosis
    ANS: C, D, E
    The family medical history can indicate genetic factors that may affect a patient\u2018s response to
    a medication. Patients of different ages can respond differently to medications. The patient\u2018s
    illness can affect how drugs are metabolized. The chemical stability of the medication and the
    ease of administration are properties of drugs.
    DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
    TOP: Nursing Process: Implementation
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
    3 \/ 4
    Chapter 2: Application of Pharmacology in Nursing Practice
    Test Bank
    MULTIPLE CHOICE<\/li>\n\n\n\n
  6. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
    label instructs the patient to administer \u20152 puffs every 4 hours as needed for coughing or
    wheezing.\u2016 The patient reports feeling jittery sometimes when taking the medication, and she
    doesn\u2018t feel that the medication is always effective. Which is not an appropriate nursing
    intervention for this patient?
    a. Asking the patient to demonstrate use of the inhaler
    b. Assessing the patient\u2018s exposure to tobacco smoke
    c. Auscultating lung sounds and obtaining vital signs
    d. Suggesting that the patient use one puff to reduce side effects
    ANS: D
    It is not within the nurse\u2018s 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\u2018s ability to administer the medication properly and is part of the nurse\u2018s
    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\u2018s response to the medication.
    DIF: Cognitive Level: Application
    REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
    subsections under this heading] TOP: Nursing Process: Implementation
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies<\/li>\n\n\n\n
  7. 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. \u2015It is not safe to take over-the-counter drugs with prescription medications.\u2016
    b. \u2015Taking the two medications together poses a risk of drug toxicity.\u2016
    c. \u2015There are no known drug interactions, so this will be safe.\u2016
    d. \u2015Tylenol and Lortab are different drugs, so there is no risk of overdose.\u2016
    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.
    DIF: Cognitive Level: Application
    REF: Application of Pharmacology in Patient Education: Dosage and Administration
    TOP: Nursing Process: Implementation
    MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    MULTIPLE CHOICE<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113210","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113210"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113210\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}