Chapter 36 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 36 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 fungal infections. The nursing instructor evaluates that learning has occurred when the student nurses make 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. “Superficial infections are more difficult to treat than systemic infections.”
2. “Newer medications can be used for superficial as well as systemic infections.”
3. “Systemic infections are much more common than superficial infections.”
4. “Superficial infections are considered more benign than systemic infections.”
5. “Systemic infections require oral medications that have serious adverse effects.”

Correct Answer: 2,4,5

Rationale 1: Superficial infections are less difficult, not more difficult, to treat than systemic infections.

Rationale 2: Some of the newer antifungal agents may be used for either superficial or systemic infections.

Rationale 3: Systemic infections are less, not more, common than superficial infections.

Rationale 4: Superficial infections are relatively benign; systemic infections can be life threatening.

Rationale 5: Systemic infections often require aggressive oral or parenteral medications that produce more adverse effects than the topical agents.

Global Rationale: Some of the newer antifungal agents may be used for either superficial or systemic infections. Superficial infections are relatively benign; systemic infections can be life threatening. Systemic infections often require aggressive oral or parenteral medications that produce more adverse effects than the topical agents. Superficial infections are less difficult, not more difficult, to treat than systemic infections. Systemic infections are less, not more, common than superficial infections.

 

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: 36-1 Compare and contrast the pharmacotherapy of superficial and systemic fungal infections.

MNL Learning Outcome: 6.2.1 Examine pathophysiology, classifications, and pharmacotherapy: Fungal infections.

Page Number: 571

 

Question 2

Type: MCSA

The client has had malaria for many years. He asks the nurse why medications might not cure his illness when there are several drugs available. What is the best response by the nurse?

1. “When erythrocytes rupture, the parasites are too numerous for medications to be effective.”
2. “Late in the illness, the immune system is too overwhelmed for medications to be effective.”
3. “Once the parasite starts multiplying in your liver, medications are usually ineffective.”
4. “When cysts occur late in the disease, the parasite is too resistant for medications to be effective.”

Correct Answer: 4

Rationale 1: Erythrocytes rupture early in the course of the illness, and medications are more effective at this stage.

Rationale 2: Late in the illness, medications are often ineffective because the parasites are in cysts, not because the immune system is overwhelmed.

Rationale 3: The parasites begin multiplying in the liver in the earliest stage of the illness when medications are most effective.

Rationale 4: When cysts occur inside the host, the parasite is often resistant to pharmacotherapy.

Global Rationale: When cysts occur inside the host, the parasite is often resistant to pharmacotherapy. Erythrocytes rupture early in the course of the illness, and medications are more effective at this stage. Late in the illness, medications are often ineffective because the parasites are in cysts, not because the immune system is overwhelmed. The parasites begin multiplying in the liver in the earliest stage of the illness when medications are most effective.

 

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: 36-4 Explain how an understanding of the Plasmodium life cycle is important to the effective pharmacotherapy of malaria.

MNL Learning Outcome: 6.2.2 Examine pathophysiology, classifications, and pharmacotherapy: Protozoan infections.

Page Number: 576

 

Question 3

Type: MCSA

The nurse plans to provide health promotion to a group of business travelers who are going to travel to Africa. What will the best teaching plan by the nurse include?

1. Plan to take antibiotics prophylactically.
2. Plan to take protease inhibitors prophylactically.
3. Plan to receive immunizations for malaria.
4. Plan to take antimalarial drugs prophylactically.

Correct Answer: 4

Rationale 1: Prophylactic antibiotics are not recommended.

Rationale 2: Protease inhibitors are used to treat viral infections and are not taken prophylactically.

Rationale 3: To date, there are no effective immunizations against malaria.

Rationale 4: Taking antimalarial drugs prophylactically is recommended when traveling to countries where malaria is found.

Global Rationale: Taking antimalarial drugs prophylactically is recommended when traveling to countries where malaria is found. Prophylactic antibiotics are not recommended. Protease inhibitors are used to treat viral infections and are not taken prophylactically. To date, there are no effective immunizations against malaria.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.15 Communicate care provided and needed at each transition in care.

AACN Essentials Competencies: IX.8 Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 36-5 Describe the nurse’s role in the pharmacologic management of fungal, protozoan, and helminthic infections.

MNL Learning Outcome: 6.2.4 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 579

 

Question 4

Type: MCSA

The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk for acquiring a fungal infection?

1. The client with severe burns over 20% of the body
2. The adolescent client with a fractured femur from an auto accident
3. The client with anemia who is pregnant with triplets
4. The client with malignant melanoma who is receiving chemotherapy

Correct Answer: 4

Rationale 1: The client with burns is at risk but will not acquire the infection if infection control procedures are followed.

Rationale 2: The adolescent with a fractured femur is not at risk.

Rationale 3: The pregnant client with anemia is not at risk.

Rationale 4: Chemotherapy suppresses the immune system; clients with a suppressed immune system are at highest risk.

Global Rationale: Chemotherapy suppresses the immune system; clients with a suppressed immune system are at highest risk. The client with burns is at risk but will not acquire the infection if infection control procedures are followed. The adolescent with a fractured femur is not at risk. The pregnant client with anemia is not at risk.

 

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: Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends transition and continuity

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

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 36-2 Identify the types of patients who are at greatest risk for acquiring serious fungal infections.

MNL Learning Outcome: 6.2.1 Examine pathophysiology, classifications, and pharmacotherapy: Fungal infections.

Page Number: 570