Chapter 33 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 33 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?

1. “Constipation is common; include roughage in your diet.”
2. “Drink at least eight glasses of water a day.”
3. “Take your medication with food.”
4. “Take your medication on an empty stomach.”

Correct Answer: 2

Rationale 1: Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDs).

Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDs) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage.

Rationale 3: Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority.

Rationale 4: Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.

Global Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage. Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDs). Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority. Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.

 

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: Implementation

Learning Outcome: 33-5 Compare and contrast the actions and adverse effects of the different nonsteroidal anti-inflammatory drugs.

MNL Learning Outcome: 5.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 507

 

Question 2

Type: MCSA

A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse?

1. “Infants should not have acetaminophen (Tylenol) because it damages the liver.”
2. “It is best if the pediatrician is called; he can be asked this question.”
3. “It is fine to use the same medicine for both children.”
4. “Infant drops should be used for the baby; they are different from liquid medicine.”

Correct Answer: 4

Rationale 1: Acetaminophen (Tylenol) is the preferred antipyretic drug for infants and children.

Rationale 2: The nurse can answer the mother’s question; it is not necessary to refer to the pediatrician.

Rationale 3: It is not fine to use the same medicine for both children because the concentration of medication is different.

Rationale 4: Infant drops should be used for the baby; they have a different concentration of medication than the liquid preparations.

Global Rationale: Infant drops should be used for the baby; they have a different concentration of medication than the liquid preparations. Acetaminophen (Tylenol) is the preferred antipyretic drug for infants and children. The nurse can answer the mother’s question; it is not necessary to refer to the pediatrician. It is not fine to use the same medicine for both children because the concentration of medication is different.

 

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 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: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8 Use the nursing process to care for patients receiving pharmacotherapy for inflammation or fever.

MNL Learning Outcome: 5.1.3 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 511

 

Question 3

Type: MCMA

The nurse is managing care for clients who will receive ibuprofen (Advil) for long-term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?

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

Standard Text: Select all that apply.

1. Electrolytes
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
5. Serum amylase

Correct Answer: 2,3,4

Rationale 1: There is no specific reason to monitor the clients’ electrolytes.

Rationale 2: Ibuprofen may result in a decrease in hemoglobin and hematocrit. Baseline levels should be documented.

Rationale 3: Ibuprofen may increase bleeding times. Baseline values should be documented.

Rationale 4: AST and ALT may be increased so it is important to document baseline levels.

Rationale 5: It is not necessary to draw baseline serum amylase levels.

Global Rationale: Ibuprofen may result in a decrease in hemoglobin and hematocrit. Baseline levels should be documented. Ibuprofen may increase bleeding times. Baseline values should be documented. AST and ALT may be increased so it is important to document baseline levels. There is no specific reason to monitor the clients’ electrolytes. It is not necessary to draw baseline serum amylase levels.

 

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: 33-7 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: 5.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 508

 

Question 4

Type: MCMA

The client experienced a sports-related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess?

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

Standard Text: Select all that apply.

1. Swelling
2. Pain
3. Warmth
4. Pallor
5. Pitting edema

Correct Answer: 1,2,3

Rationale 1: Swelling is a sign of inflammation.

Rationale 2: Pain is a sign of inflammation.

Rationale 3: Warmth is a sign of inflammation.

Rationale 4: Pallor is not a sign of inflammation; redness is.

Rationale 5: Pitting edema is not a sign of inflammation.

Global Rationale: Swelling, pain, and warmth are signs of inflammation. Pallor is not a sign of inflammation; redness is. Pitting edema is not a sign of inflammation.

 

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: Assessment

Learning Outcome: 33-1 Explain the pathophysiology of inflammation and fever.

MNL Learning Outcome: 5.1.1 Examine specific and nonspecific body defenses and functions of the inflammatory response.

Page Number: 503