Chapter 21 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 21 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nurse teaches a class about muscle movement to a group of patients who have neuromuscular disorders. 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. Body movement depends on an intact spinal cord.
2. Body movement depends on proper functioning of muscles.
3. Body movement depends on intact nerves.
4. Body movement depends on proper endocrine functioning.
5. Body movement depends on the level of consciousness.

Correct Answer: 2,3

Rationale 1: Body movement does not depend on an intact spinal cord as portions of the body move even if the spinal cord is damaged.

Rationale 2: Body movement depends on proper functioning of muscles.

Rationale 3: Body movement depends on intact nerves.

Rationale 4: Body movement does not depend on proper endocrine functioning.

Rationale 5: Body movement does not depend on the level of consciousness.

Global Rationale: Body movement depends on proper functioning of muscles. Body movement does not depend on the level of consciousness. Body movement does not depend on an intact spinal cord as portions of the body move even if the spinal cord is damaged. Body movement does not depend on proper endocrine functioning.

 

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: 21-1 Identify the different body systems contributing to muscle movement.

MNL Learning Outcome: 3.6.1 Examine etiology, pathophysiology, clinical manifestations.

Page Number: 300

 

Question 2

Type: MCMA

The nurse teaches the patient with a neuromuscular disorder about nonpharmacological treatment of muscle spasms. What will the best information include?

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

Standard Text: Select all that apply.

1. Application of heat or cold
2. Ultrasound
3. Massage
4. Relaxation techniques
5. Guided imagery

Correct Answer: 1,2,3

Rationale 1: Nonpharmacological treatment of muscle spasms includes application of heat or cold.

Rationale 2: Nonpharmacological treatment of muscle spasms includes ultrasound.

Rationale 3: Nonpharmacological treatment of muscle spasms includes massage.

Rationale 4: Relaxation techniques are not a type of nonpharmacological treatment for muscle spasms.

Rationale 5: Guided imagery is not a nonpharmacological treatment for muscle spasms.

Global Rationale: Nonpharmacological treatment of muscle spasms includes application of heat or cold, ultrasound, and massage. Guided imagery is not a nonpharmacological treatment for muscle spasms. Relaxation techniques are not a type of nonpharmacological treatment for muscle spasms.

 

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.17 Develop a beginning understanding of complementary and alternative modalities and their role in health care.

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

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 21-2 Discuss pharmacologic and nonpharmacologic therapies used to treat muscle spasms and spasticity.

MNL Learning Outcome: 3.6.2 Compare the classes of medications used in pharmacologic management.

Page Number: 300

 

Question 3

Type: MCSA

The patient is started on a medication to treat a neuromuscular disorder. What does the nurse teach as the primary therapeutic goal of the medication?

1. To stop the patient’s muscle spasms
2. To improve the patient’s appearance
3. To promote exercise in the patient
4. To allow the patient increased independence

Correct Answer: 4

Rationale 1: Stopping muscle spasms can be achieved, but this is not the primary goal.

Rationale 2: Improving the patient’s appearance is not a goal.

Rationale 3: Promoting exercise is not a goal.

Rationale 4: The therapeutic goals of pharmacotherapy include minimizing pain and discomfort, increasing range of motion, and improving the patient’s ability to function independently.

Global Rationale: The therapeutic goals of pharmacotherapy include minimizing pain and discomfort, increasing range of motion, and improving the patient’s ability to function independently. Stopping muscle spasms can be achieved, but this is not the primary goal. Promoting exercise is not a goal. Improving the patient’s appearance is not a goal.

 

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: 21-3 Explain the goals of pharmacotherapy with skeletal muscle relaxants.

MNL Learning Outcome: 3.6.2 Compare the classes of medications used in pharmacologic management.

Page Number: 300

 

Question 4

Type: MCSA

The patient receives dantrolene (Dantrium) for muscle spasticity. Which lab result is a priority for the nurse to assess?

1. Creatinine clearance
2. Serum amylase
3. Hemoglobin and hematocrit
4. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)

Correct Answer: 4

Rationale 1: Dantrolene (Dantrium) does not significantly affect renal function; the creatinine clearance test isn’t a priority laboratory test to assess.

Rationale 2: Dantrolene (Dantrium) does not affect pancreatic function; the serum amylase isn’t a priority laboratory test to assess.

Rationale 3: Dantrolene (Dantrium) does not affect hemoglobin or hematocrit; these laboratory tests are not a priority to assess.

Rationale 4: Dantrolene (Dantrium) can cause hepatitis; the aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are the priority laboratory tests for the nurse to assess.

Global Rationale: Dantrolene (Dantrium) can cause hepatitis; the aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are the priority laboratory tests for the nurse to assess. Dantrolene (Dantrium) does not affect hemoglobin or hematocrit; these laboratory tests are not a priority to assess. Dantrolene (Dantrium) does not significantly affect renal function; the creatinine clearance test isn’t a priority laboratory test to assess. Dantrolene (Dantrium) does not affect pancreatic function; the serum amylase isn’t a priority laboratory test to assess.

 

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: Assessment

Learning Outcome: 21-6 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: 3.6.2 Compare the classes of medications used in pharmacologic management.

Page Number: 305