Chapter 49 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 49 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nursing instructor teaches the student nurses about the structure and function of the skin. What will the best teaching plan of the instructor include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The outermost layer of the epidermis serves as the major waterproof barrier to the environment.
2. The epidermis provides a foundation for the accessory structures such as hair and nails.
3. The amount of subcutaneous tissue varies and is determined by nutritional status and heredity.
4. Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat.
5. The deepest epidermal layer provides new cells.

Correct Answer: 1,3,5

Rationale 1: The outermost layer of the epidermis, or stratum corneum, forms an effective barrier. Most substances cannot penetrate this barrier.

Rationale 2: The dermis, not the epidermis, provides a foundation for the accessory structures such as hair and nails.

Rationale 3: The amount of subcutaneous tissue varies and is determined by nutritional status and heredity.

Rationale 4: Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the dermis, not the subcutaneous fat.

Rationale 5: The deepest epidermal sublayer supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear.

Global Rationale: The outermost layer of the epidermis, or stratum corneum, forms an effective barrier. Most substances cannot penetrate this barrier. The amount of subcutaneous tissue varies and is determined by nutritional status and heredity. The deepest epidermal sublayer supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear. The dermis, not the epidermis, provides a foundation for the accessory structures such as hair and nails. Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the dermis, not the subcutaneous fat.

 

Cognitive Level: Applying

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: Planning

Learning Outcome: 49-1 Identify the structure and functions of the skin and associated structures.

MNL Learning Outcome: 12.3.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 848

 

Question 2

Type: MCSA

The client asks the nurse how skin cells are replaced. What is the best response by the nurse?

1. “The epidermis supplies new cells after older cells have been damaged or lost.”
2. “The dermis supplies new cells after older cells have been damaged or lost.”
3. “The stratum corneum supplies new cells after older cells have been damaged or lost.”
4. “The stratum germinativum supplies new cells after older cells have been damaged or lost.”

Correct Answer: 1

Rationale 1: The deepest epidermal sublayer, the stratum basale, supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear.

Rationale 2: The deepest epidermal sublayer, the stratum basale, not the dermis, supplies the epidermis with new cells.

Rationale 3: The deepest epidermal sublayer, the stratum basale, not the stratum corneum, supplies the epidermis with new cells.

Rationale 4: The deepest epidermal sublayer, the stratum basale, not the stratum germinativum, supplies the epidermis with new cells

Global Rationale: The deepest epidermal sublayer, the stratum basale, supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear. The dermis, stratum corneum, and stratum germinativum are not the layers that supply the epidermis with new cells.

 

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.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: Implementation

Learning Outcome: 49-2 Explain the process by which superficial skin cells are replaced.

MNL Learning Outcome: 12.3.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 848

 

Question 3

Type: MCSA

The client has scabies. The nurse has taught the client about safety in using topical scabicide medications and evaluates that teaching has been effective when the client makes which statement?

1. “I should cover the area with a clean cloth.”
2. “I will need help in showering to remove the lotion.”
3. “I need to sign a consent for this medication.”
4. “I must avoid putting this lotion on my face.”

Correct Answer: 4

Rationale 1: It is not necessary to cover the area with a cloth.

Rationale 2: The client should not need assistance to shower.

Rationale 3: A consent is not necessary for these medications.

Rationale 4: These medications are irritating to sensitive skin and eyes, so the facial area should be avoided.

Global Rationale: These medications are irritating to sensitive skin and eyes, so the facial area should be avoided. It is not necessary to cover the area with a cloth. The client should not need assistance to shower. A consent is not necessary for these medications.

 

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: 49-3 Describe drug therapies for skin infections, mite and lice infestations, acne vulgaris, rosacea, dermatitis, and psoriasis.

MNL Learning Outcome: 12.3.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 852

 

Question 4

Type: MCMA

The client receives a topical medication for treatment of an acne-like skin disorder. The nurse completes medication education and evaluates learning has occurred when the client makes which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. “My daughter has a similar problem so she can use this too.”
2. “I will call my doctor if I notice a change in my symptoms.”
3. “I will apply the medication only to the affected area.”
4. “I do not need to shower prior to using this medication.”
5. “My medication only needs to be applied once a day.”

Correct Answer: 2,3

Rationale 1: Clients should not share medications; the daughter should have an evaluation herself.

Rationale 2: The client must notify the physician if the symptoms change.

Rationale 3: Medications can be irritating, so they should be applied only to the affected area.

Rationale 4: The medication should be applied to clean skin, so it is a good idea to shower prior to using this medication.

Rationale 5: Some topical medications need to be applied more than once a day.

Global Rationale: The client must notify the physician if the symptoms change. Medications can be irritating, so they should be applied only to the affected area. Clients should not share medications; the daughter should have an evaluation herself. The medication should be applied to clean skin, so it is a good idea to shower prior to using this medication. Some topical medications need to be applied more than once a day.

 

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: 49-3 Describe drug therapies for skin infections, mite and lice infestations, acne vulgaris, rosacea, dermatitis, and psoriasis.

MNL Learning Outcome: 12.3.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 856