Chapter 08 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 08 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a class participant makes which response?

1. “The baby can only be harmed by medications during the first trimester.”
2. “It is important to not take over-the-counter (OTC) drugs during my pregnancy.”
3. “Exposure to teratogens can result in my baby’s death or in malformations.”
4. “If I breastfeed my baby, drugs can come through my breast milk.”

Correct Answer: 1

Rationale 1: A baby can be harmed by medication used throughout the period of gestation.

Rationale 2: Over-the-counter (OTC) drugs should be avoided during pregnancy.

Rationale 3: Teratogens can cause fetal demise and congenital malformations.

Rationale 4: Many drugs are transferred through breast milk.

Global Rationale: A baby can be harmed by medication used throughout the period of gestation. Over-the-counter (OTC) drugs should be avoided during pregnancy. Many drugs are transferred through breast milk. Teratogens can cause fetal demise and congenital malformations.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of the human experience.

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: Relationships between knowledge and science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 8-2 Describe the placental transfer of drugs from mother to infant.

MNL Learning Outcome: 1.2.2 Examine the effects of pharmacotherapy of the pregnant client.

Page Number: 82

 

 

Question 2

Type: MCSA

The pregnant patient plans to breastfeed her baby. She asks the nurse about the use of herbal products during breastfeeding. What is the best response by the nurse?

1. “Be sure to check the label to see if the herbal product could be used during breastfeeding.”
2. “Most drugs can be transferred to the infant during breastfeeding, so this is not recommended.”
3. “Herbal products are considered natural, so it should be fine to use them during breastfeeding.”
4. “This should be fine, as long as there is at least 12 hours between the time you use the product and when you breastfeed.”

Correct Answer: 2

Rationale 1: The bottle may not be labeled for breastfeeding, so the patient should check with the nurse.

Rationale 2: It is best to avoid as many drugs as possible during breastfeeding.

Rationale 3: Herbal products are drugs.

Rationale 4: There is no safety time limit established between the use of the product and breastfeeding.

Global Rationale: It is best to avoid as many drugs as possible during breastfeeding. The bottle may not be labeled for breastfeeding, so the patient should check with the nurse. There is no safety time limit established between the use of the product and breastfeeding. Herbal products are drugs.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of the human experience.

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: Relationships between knowledge and science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8-4 Identify factors that influence the transfer of drugs into breast milk.

MNL Learning Outcome: 1.2.2 Examine the effects of pharmacotherapy of the pregnant client.

Page Number: 84

 

Question 3

Type: MCMA

The nurse plans to teach a safety class to parents of toddlers about household exposure to medications. What will the best plan of the nurse include?

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

Standard Text: Select all that apply.

1. Keep the toddler awake and observe for side effects of the medication.
2. Keep all medications locked up and stored out of reach of the toddler.
3. Use syrup of ipecac immediately if the toddler has ingested medication.
4. Call the Poison Control Center for guidance with any medication ingested.
5. Teach the toddler that medications are for adult use only.

Correct Answer: 2,4

Rationale 1: The Poison Control Center should be contacted, and they will advise if the child is to be kept awake.

Rationale 2: Locking up medications is the safest way to childproof the home.

Rationale 3: Syrup of ipecac should only be used if recommended by the Poison Control Center.

Rationale 4: The Poison Control Center should be contacted for any type of medication the toddler has ingested.

Rationale 5: It is unrealistic to expect a toddler to understand that medications are for adult use only.

Global Rationale: Locking up medications is the safest way to childproof the home. The Poison Control Center should be contacted for any type of medication the toddler has ingested. Syrup of ipecac should only be used if recommended by the Poison Control Center. The Poison Control Center should be contacted, and they will advise if the child is to be kept awake. It is unrealistic to expect a toddler to understand that medications are for adult use only.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of the human experience.

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: Relationships between knowledge and science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 8-7 Discuss the nursing and pharmacologic implications associated with each pediatric developmental age group.

MNL Learning Outcome: 1.2.3 Compare pharmacologic implications across the life span and various community settings.

Page Number: 86

 

 

Question 4

Type: MCMA

The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What is the best information to include?

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

Standard Text: Select all that apply.

1. Food and Drug Administration (FDA) Pregnancy Category C is safe to use during pregnancy.
2. Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women.
3. Food and Drug Administration (FDA) Pregnancy categories for individual drugs seldom change once they are established.
4. Food and Drug Administration (FDA) Pregnancy categories are based on studies using clinical human research trials.
5. Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.

Correct Answer: 2,5

Rationale 1: Pregnancy Category C is not necessarily safe, it just means that animal studies have shown an adverse effect, but well-controlled studies in pregnant women have not been done.

Rationale 2: Food and Drug Administration (FDA) Pregnancy Categories provide a framework for safe use of drugs in pregnant women.

Rationale 3: Food and Drug Administration (FDA) Pregnancy categories for individual drugs do change based on reported effects on fetuses.

Rationale 4: Food and Drug Administration (FDA) Pregnancy Categories are based on animal studies.

Rationale 5: Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.

Global Rationale: Food and Drug Administration (FDA) Pregnancy Categories provide a framework for safe use of drugs in pregnant women. Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects. Food and Drug Administration (FDA) Pregnancy Categories are based on animal studies. Pregnancy Category C is not necessarily safe, it just means that animal studies have shown an adverse effect, but well-controlled studies in pregnant women have not been done. Food and Drug Administration (FDA) Pregnancy categories for individual drugs do change based on reported effects on fetuses.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: V.B.2 Demonstrate effective use of strategies to reduce risk of harm to self or others.

AACN Essentials Competencies: V.7 Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety and the scope of nursing and other health professional’s practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge and science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8-3 Identify examples of drugs that fall into the five U.S. Food and Drug Administration pregnancy risk categories.

MNL Learning Outcome: 1.2.3 Compare pharmacologic implications across the life span and various community settings.

Page Number: 83