Chapter 39 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 39 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The client tells the nurse that her symptoms have become worse since she has been using oxymetazoline (Afrin) for nasal congestion. What is the best assessment question for the nurse to ask?

1. “How old is the bottle you are using?”
2. “May I take your temperature?”
3. “Are you using any other inhaled medications?”
4. “How long have you been using the medication?”

Correct Answer: 4

Rationale 1: While it is possible that the client is using outdated medication, this is not the best question.

Rationale 2: Asking to take the client’s temperature is not the best question.

Rationale 3: The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary.

Rationale 4: Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question.

Global Rationale: Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question. While it is possible that the client is using outdated medication, this is not the best question. Asking to take the client’s temperature is not the best question. The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 39-4 Compare and contrast the oral and intranasal decongestants.

MNL Learning Outcome: 10.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 650

 

Question 2

Type: MCSA

Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed)?

1. Temperature of 100°F
2. Respiratory rate of 22
3. Heart rate 82 and irregular
4. Complaints of a dry mouth

Correct Answer: 3

Rationale 1: A high temperature is possible with pseudoephedrine but is not the primary concern.

Rationale 2: A respiratory rate of 22 is possible with pseudoephedrine but is not the primary concern.

Rationale 3: Pseudoephedrine may cause dysrhythmias.

Rationale 4: A dry mouth is possible with pseudoephedrine but is not the primary concern.

Global Rationale: Pseudoephedrine may cause dysrhythmias. A high temperature, respiratory rate of 22, or a dry mouth is possible with pseudoephedrine but is not the primary concern.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 39-4 Compare and contrast the oral and intranasal decongestants.

MNL Learning Outcome: 10.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 651

 

Question 3

Type: MCSA

The elderly client receives diphenhydramine (Benadryl) for allergies. The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

1. “Drowsiness is common but should lessen within a few doses.”
2. “If this medication makes my nose run, I can use a nasal spray.”
3. “I need to watch my intake of sodium with this medication.”
4. “I cannot take this medication with pseudoephedrine (Sudafed).”

Correct Answer: 1

Rationale 1: Drowsiness is a common adverse effect of antihistamines. The client should develop a tolerance to this effect within a few doses.

Rationale 2: Antihistamines would dry the nasal secretions, not increase them.

Rationale 3: Sodium intake is not related to antihistamines.

Rationale 4: Pseudoephedrine (Sudafed) is commonly used with antihistamines.

Global Rationale: Drowsiness is a common adverse effect of antihistamines. The client should develop a tolerance to this effect within a few doses. Antihistamines would dry the nasal secretions, not increase them. Sodium intake is not related to antihistamines. Pseudoephedrine (Sudafed) is commonly used with antihistamines.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: V.A.4 Delineate general categories of errors and hazards in care.

AACN Essentials Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings.

NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 39-7 For each of the drug classes listed in Drugs at a Glance, know representative drug examples, and explain their mechanisms of action, primary action, and important adverse effects.

MNL Learning Outcome: 10.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 649

 

Question 4

Type: MCSA

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

1. “I can still have my after-dinner drink.”
2. “I need to increase fluids while taking this medication.”
3. “This medication is safe because it is sold over-the-counter (OTC).”
4. “This medication could make me very sleepy.”

Correct Answer: 4

Rationale 1: Alcohol will increase the sedative effects of antihistamines, so the client should not drink while taking antihistamines.

Rationale 2: There is no need to increase fluids when taking antihistamines.

Rationale 3: Just because a medicine is sold over-the-counter (OTC) does not mean it is safe.

Rationale 4: Sedation is a common side effect of antihistamines.

Global Rationale: Sedation is a common side effect of antihistamines. Alcohol will increase the sedative effects of antihistamines, so the client should not drink while taking antihistamines. There is no need to increase fluids when taking antihistamines. Just because a medicine is sold over-the-counter (OTC) does not mean it is safe.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 39-3 Differentiate between H₁ and H₂ histamine receptors.

MNL Learning Outcome: 10.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 656