Chapter 47 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 47 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nursing instructor teaches student nurses about male reproductive function and the role of follicle-stimulating hormone (FSH). The instructor evaluates learning has occurred when the students make which statement?

1. “Follicle-stimulating hormone (FSH) regulates sperm production.”
2. “Follicle-stimulating hormone (FSH) regulates male androgen production.”
3. “Follicle-stimulating hormone (FSH) regulates production of testosterone.”
4. “Follicle-stimulating hormone (FSH) regulates male progesterone.”

Correct Answer: 1

Rationale 1: Follicle-stimulating hormone (FSH) regulates sperm production in men.

Rationale 2: Androgens are male sex hormones not regulated by follicle-stimulating hormone (FSH).

Rationale 3: Testosterone is regulated by luteinizing hormone (LH), not follicle-stimulating hormone (FSH).

Rationale 4: Follicle-stimulating hormone (FSH) does not regulate progesterone in men.

Global Rationale: Follicle-stimulating hormone (FSH) regulates sperm production in men. Androgens are male sex hormones not regulated by follicle-stimulating hormone (FSH). Testosterone is regulated by luteinizing hormone (LH), not follicle-stimulating hormone (FSH). Follicle-stimulating hormone (FSH) does not regulate progesterone in men.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

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: 47-1 Describe the roles of the hypothalamus, pituitary, and testes in regulating male reproductive function.

MNL Learning Outcome: 8.2.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 810

 

Question 2

Type: MCSA

The newly licensed nurse is preparing to administer a high dose of androgen to the female client. The nurse manager asks for the rationale. What is the best response by the new nurse?

1. “My client wants to improve athletic performance.”
2. “My client has breast cancer.”
3. “My client has brain cancer.”
4. “My client is planning on sexual reassignment surgery.”

Correct Answer: 2

Rationale 1: Androgens will help with athletic performance, but this is not the reason the drug would be administered in a clinical setting.

Rationale 2: High doses of androgens are occasionally used as a palliative measure to treat certain types of breast cancer.

Rationale 3: Androgens would not have any effect on brain cancer.

Rationale 4: Sexual reassignment surgery would not be the reason for the drug to be administered in a clinical setting.

Global Rationale: High doses of androgens are occasionally used as a palliative measure to treat certain types of breast cancer. Androgens will help with athletic performance, but this is not the reason the drug would be administered in a clinical setting. Androgens would not have any effect on brain cancer. Sexual reassignment surgery would not be the reason for the drug to be administered in a clinical setting.

 

Cognitive Level: Applying

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.6 Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

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

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 47-2 Identify indications for pharmacotherapy with androgens.

MNL Learning Outcome: 8.2.2 Compare the classes of medications used in pharmacologic management.

Page Number: 812

 

Question 3

Type: MCSA

A male client is considered infertile. He asks the nurse why drug companies aren’t developing drugs to treat this problem. What is the best response by the nurse?

1. “It’s difficult because the medications have many side effects that men do not like.”
2. “It’s difficult because about 25% of infertile men also have erectile dysfunction.”
3. “It’s difficult because only about 5% of infertile men have an endocrine problem.”
4. “It’s difficult because many men do not want to even admit they have a problem.”

Correct Answer: 3

Rationale 1: All medications have side effects, but if they were successful in treating infertility, men would use them.

Rationale 2: Erectile dysfunction is not considered a prominent problem in male infertility.

Rationale 3: Drug therapy for male infertility is not as successful as fertility pharmacotherapy for women because only about 5% of infertile males have an endocrine disorder, which would be more treatable.

Rationale 4: Men are willing to admit to a problem, but male infertility is difficult to treat.

Global Rationale: Drug therapy for male infertility is not as successful as fertility pharmacotherapy for women because only about 5% of infertile males have an endocrine disorder, which would be more treatable. All medications have side effects, but if they were successful in treating infertility, men would use them. Erectile dysfunction is not considered a prominent problem in male infertility. Men are willing to admit to a problem, but male infertility is difficult to treat.

 

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: 47-4 Explain the role of medications in the treatment of male infertility.

MNL Learning Outcome: 8.2.2 Compare the classes of medications used in pharmacologic management.

Page Number: 813

 

Question 4

Type: MCSA

The client receives androgen therapy and is concerned about recent body changes as a result of the therapy. He tells the nurse he is not sure if the treatment is worth it. What is the best therapeutic response by the nurse?

1. “You sound concerned; I’ll ask your doctor if anything can be done.”
2. “You sound concerned; let’s talk about your body changes.”
3. “You sound concerned, but the effects on your body are only temporary.”
4. “You sound concerned, but you really do not look any different to me.”

Correct Answer: 2

Rationale 1: Telling the client the nurse will speak to the physician is inappropriate, as there may be nothing that can be done to correct the results of the therapy.

Rationale 2: For the conversation to be therapeutic, the nurse must first assess the client’s perception of the problem.

Rationale 3: The effects last throughout the course of therapy and are not temporary.

Rationale 4: Telling the client he does not look any different does not acknowledge his concerns and is non-therapeutic.

Global Rationale: For the conversation to be therapeutic, the nurse must first assess the client’s perception of the problem. Telling the client the nurse will speak to the physician is inappropriate, as there may be nothing that can be done to correct the results of the therapy. The effects last throughout the course of therapy and are not temporary. Telling the client he does not look any different does not acknowledge his concerns and is non-therapeutic.

 

Cognitive Level: Applying

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.6 Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

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

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 47-2 Identify indications for pharmacotherapy with androgens.

MNL Learning Outcome: 8.2.2 Compare the classes of medications used in pharmacologic management.

Page Number: 811