Pharmacology For Nurses A Pathophysiologic Approach 5th Edition by Michael Patrick Adams
Pharmacology For Nurses A Pathophysiologic Approach 5th Edition by Michael Patrick Adams
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Chapter 13 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Question 1
Type: MCSA
The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?
Correct Answer: 3
Rationale 1: Adrenergic drugs dilate the pupils, so vision should not be affected.
Rationale 2: Anticholinergic, not adrenergic, drugs dry secretions, therefore the patient would not be thirsty.
Rationale 3: Adrenergic drugs mimic the effect of the sympathetic nervous system (SNS). This can result in anxiety and restlessness.
Rationale 4: Adrenergic drugs increase alertness, so the patient would not be sleepy.
Global Rationale: Adrenergic drugs mimic the effect of the sympathetic nervous system (SNS). This can result in anxiety and restlessness. Adrenergic drugs increase alertness, so the patient would not be sleepy. Anticholinergic, not adrenergic, drugs dry secretions, therefore the patient would not be thirsty. Adrenergic drugs dilate the pupils, so vision should not be affected.
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
QSEN Competencies: I.B.3 Provide patient-centered care with sensitivity and respect for the diversity of 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 patient care.
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 13-5 Use the nursing process to care for patients receiving adrenergic drugs and adrenergic-blocking drugs.
MNL Learning Outcome: 2.1.4 Explore the nurse’s role in administering adrenergic agonists and antagonists.
Page Number: 153
Question 2
Type: MCSA
The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta blocker. What best describes the nurse’s assessment?
Correct Answer: 2
Rationale 1: A hypertensive crisis is unlikely.
Rationale 2: Beta-adrenergic blockers block the receptors that are stimulated by adrenergic drugs; the effects of metaproterenol (Alupent) would be decreased.
Rationale 3: The drugs are not compatible.
Rationale 4: The effects of metaproterenol (Alupent) would not be increased.
Global Rationale: Beta-adrenergic blockers block the receptors that are stimulated by adrenergic drugs; the effects of metaproterenol (Alupent) would be decreased, not increased. The drugs are not compatible; the effects of metaproterenol (Alupent) would be decreased. A hypertensive crisis is unlikely.
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: Relationships between knowledge and science and quality and safe patient care.
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 13-1 Compare and contrast the types of responses that occur when drugs activate alpha1-, alpha2-, beta1-, beta2-, or beta3– adrenergic receptors.
MNL Learning Outcome: 2.1.2 Compare the classes of adrenergic agonist drugs.
Page Number: 153
Question 3
Type: MCSA
The nurse has been doing medication education for the patient receiving atenolol (Tenormin), a beta blocker. The nurse determines that learning has occurred when the patient makes which statement?
Correct Answer: 1
Rationale 1: Beta blockers slow the heart rate; therefore, the patient must monitor his pulse every day.
Rationale 2: Beta blockers should not be stopped suddenly.
Rationale 3: Adrenergic blockers, not beta blockers, are used to treat glaucoma.
Rationale 4: Caffeine is not prohibited with beta blockers.
Global Rationale: Beta blockers slow the heart rate; therefore, the patient must monitor his pulse every day. Beta blockers should not be stopped suddenly. Caffeine is not prohibited with beta blockers. Adrenergic blockers, not beta blockers, are used to treat glaucoma.
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 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 patient care.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 13-5 Use the nursing process to care for patients receiving adrenergic drugs and adrenergic-blocking drugs.
MNL Learning Outcome: 2.1.4 Explore the nurse’s role in administering adrenergic agonists and antagonists.
Page Number: 157
Question 4
Type: MCSA
The physician ordered prazosin (Minipress), an alpha-adrenergic blocker, for the patient. The nurse plans to do medication education. What will the best plan of the nurse include?
Correct Answer: 1
Rationale 1: A hypotensive response may occur when saw palmetto is taken concurrently.
Rationale 2: Patients should be careful when taking tub baths, especially if the drug causes dizziness, but such baths are not prohibited.
Rationale 3: There is no relationship between alpha blockers and sodium intake.
Rationale 4: Alpha blockers do not cause photophobia; sunglasses are not required with this drug.
Global Rationale: A hypotensive response may occur when saw palmetto is taken concurrently. Patients should be careful when taking tub baths, especially if the drug causes dizziness, but such baths are not prohibited. Alpha blockers do not cause photophobia; sunglasses are not required with this drug. There is no relationship between alpha blockers and sodium intake. It is a good idea to avoid herbal preparations, but this is not the primary plan.
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 human experience.
AACN Essentials Competencies: I.X.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 patient care.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 13-5 Use the nursing process to care for patients receiving adrenergic drugs and adrenergic-blocking drugs.
MNL Learning Outcome: 2.1.4 Explore the nurse’s role in administering adrenergic agonists and antagonists.
Page Number: 156
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