Chapter 44 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 44 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 the endocrine system. 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. “The hypothalamus secretes releasing hormones.”
2. “Hormones released by the endocrine system influence every organ in the body.”
3. “The hypothalamus is considered the master gland.”
4. “The pituitary gland secretes TSH (thyroid-stimulating hormone).”
5. “The endocrine system is a major controller of homeostasis.”

Correct Answer: 1,2,4,5

Rationale 1: The hypothalamus secretes releasing hormones.

Rationale 2: Hormones released by the endocrine system influence every organ in the body.

Rationale 3: The pituitary, not the hypothalamus, is often called the master gland; however, the pituitary and hypothalamus are best visualized as an integrated unit.

Rationale 4: The pituitary gland secretes TSH (thyroid-stimulating hormone).

Rationale 5: The endocrine system is a major controller of homeostasis.

Global Rationale: The hypothalamus secretes releasing hormones. Hormones released by the endocrine system influence every organ in the body. The pituitary gland secretes TSH (thyroid-stimulating hormone). The endocrine system is a major controller of homeostasis.

 

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: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 44-1 Describe the general structure and functions of the endocrine system.

MNL Learning Outcome: 9.1.1 Examine hypothalamus/pituitary gland function and drug classed used to treat hormone disorders.

Page Number: 745

 

 

Question 2

Type: MCSA

The client is very distraught that her 12-year-old son is of very short stature. What is the best plan by the nurse?

1. Tell the client that treatment with growth hormone might result in acromegaly.
2. Tell the client that treatment for short stature is too expensive for many to afford.
3. Tell the client that treatment with growth hormone might help and refer her to an endocrinologist.
4. Tell the client that treatment with growth hormone can add 6 inches of height to her son.

Correct Answer: 3

Rationale 1: Acromegaly is the result of too much growth hormone in adults.

Rationale 2: Treatment with growth hormone is very expensive, but it is up to the client to decide whether or not to pursue treatment.

Rationale 3: Clients should be referred to endocrinologists to discuss the uses of this hormone.

Rationale 4: In order to achieve this much additional growth, treatment would have to be started very early in life, not at age 12.

Global Rationale: Clients should be referred to endocrinologists to discuss the uses of this hormone. Acromegaly is the result of too much growth hormone in adults. Treatment with growth hormone is very expensive, but it is up to the client to decide whether or not to pursue treatment. In order to achieve this much additional growth, treatment would have to be started very early in life, not at age 12.

 

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: 44-3 Explain the pharmacotherapy of growth hormone disorders in children and adults.

MNL Learning Outcome: 9.1.1 Examine hypothalamus/pituitary gland function and drug classed used to treat hormone disorders.

Page Number: 747

 

 

Question 3

Type: MCSA

A client has diabetes insipidus and receives desmopressin (DDAVP). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

1. “This medication is a potent vasodilator; my blood pressure can fall.”
2. “This medication promotes diuresis in my body; my blood pressure can fall.”
3. “This medication increases water reabsorption in my kidneys.”
4. “This medication suppresses hormone secretion from my posterior pituitary gland.”

Correct Answer: 3

Rationale 1: Desmopressin is a potent vasoconstrictor, not a vasodilator, and can cause blood pressure to rise, not fall.

Rationale 2: Desmopressin promotes water retention; blood pressure can rise, not fall.

Rationale 3: Desmopressin is the same as ADH (antidiuretic hormone) and acts on the collecting ducts in the kidney to increase water reabsorption.

Rationale 4: Desmopressin does not suppress hormone secretion from the posterior pituitary gland.

Global Rationale: Desmopressin is the same as ADH (antidiuretic hormone) and acts on the collecting ducts in the kidney to increase water reabsorption. Desmopressin promotes water retention and is a potent vasoconstrictor, not a vasodilator, and can cause blood pressure to rise, not fall. Desmopressin does not suppress hormone secretion from the posterior pituitary gland.

 

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: 44-4 Explain the pharmacotherapy of antidiuretic hormone disorders.

MNL Learning Outcome: 9.1.3 Examine adrenal gland function, disorders, and the drug classes affecting the adrenal cortex.

Page Number: 747

 

 

Question 4

Type: MCSA

The client has been diagnosed with Cushing’s syndrome. What will the nurse’s assessment likely reveal?

1. Low blood pressure and hypoglycemia
2. Well-healed scars on the upper body
3. Upper body obesity
4. Thin, gaunt appearance of the face

Correct Answer: 3

Rationale 1: Hypertension and hyperglycemia are commonly seen.

Rationale 2: Delayed wound healing is a sign of Cushing’s disease.

Rationale 3: Primary symptoms of Cushing’s syndrome include upper body obesity.

Rationale 4: A redistribution of fat around the face results in a “moon face” appearance.

Global Rationale: Primary symptoms of Cushing’s syndrome include upper body obesity. Hypertension and hyperglycemia are commonly seen. Delayed wound healing is a sign of Cushing’s disease. A redistribution of fat around the face results in a “moon face” appearance.

 

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.6 Integrate evidence, clinical judgment, interprofessional perspective, and patient preferences in planning, implementing, and evaluating outcomes of care.

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

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 44-7 Describe the signs and symptoms of Addison’s disease and Cushing’s syndrome.

MNL Learning Outcome: 9.1.3 Examine adrenal gland function, disorders, and the drug classes affecting the adrenal cortex.

Page Number: 761