Chapter 46 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 46 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 on pregnancy to clients in their first trimester. The nurse evaluates that learning has occurred when the clients 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. “Ovulation occurs on approximately Day 21 of the ovarian cycle.”
2. “Ovulation is caused by a surge of luteinizing hormone.”
3. “Ovulation is caused by a surge of human chorionic gonadotropin.”
4. “Follicle-stimulating hormone causes ovarian follicles to develop.”
5. “The pituitary gland secretes gonadotropin-releasing hormone.”

Correct Answer: 2,4

Rationale 1: Ovulation occurs on approximately Day 14, not Day 21, of the ovarian cycle.

Rationale 2: Ovulation is caused by a surge of luteinizing hormone.

Rationale 3: Human chorionic gonadotropin is produced during pregnancy; it is not involved with ovulation.

Rationale 4: Follicle-stimulating hormone causes ovarian follicles to develop.

Rationale 5: The hypothalamus, not the pituitary gland, secretes gonadotropin-releasing hormone.

Global Rationale: Ovulation is caused by a surge of luteinizing hormone. Follicle-stimulating hormone causes ovarian follicles to develop. Ovulation occurs on approximately Day 14, not Day 21, of the ovarian cycle. Human chorionic gonadotropin is produced during pregnancy; it is not involved with ovulation. The hypothalamus, not the pituitary gland, secretes gonadotropin-releasing hormone.

 

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: 46-1 Describe the roles of the hypothalamus, pituitary, and ovaries in maintaining female reproductive function.

MNL Learning Outcome: 8.1.1 Examine etiology, pathophysiology, and clinical manifestations.

Page Number: 787

 

Question 2

Type: MCSA

A client comes to the women’s center and tells the nurse she has had unprotected sex. She asks for emergency contraception. What is the best assessment question for the nurse to ask?

1. “How long ago did you have unprotected sex?”
2. “Did you use a condom?”
3. “What kind of birth control have you used in the past?”
4. “Where are you in your monthly cycle?”

Correct Answer: 1

Rationale 1: Choice of emergency contraceptive is guided in some ways by the amount of time since unprotected sex.

Rationale 2: A condom is important to help prevent STDs but will not affect emergency contraception timeframes, and the client said she had unprotected sex.

Rationale 3: Prior methods of birth control are not an issue here.

Rationale 4: Where the client is in her monthly cycle is not an issue here.

Global Rationale: Choice of emergency contraceptive is guided in some ways by the amount of time since unprotected sex. A condom is important to help prevent STDs but will not affect emergency contraception timeframes, and the client said she had unprotected sex. Prior methods of birth control are not an issue here. Where the client is in her monthly cycle is not an issue here.

 

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: 46-3 Explain how drugs may be used to provide emergency contraception and to terminate early pregnancy.

MNL Learning Outcome: 8.1.3 Compare and contrast the oral medications used for birth control.

Page Number: 795

 

Question 3

Type: MCSA

The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?

1. “It shrinks your cancer by making the cells die at a faster rate.”
2. “It eliminates the testosterone that feeds your cancer.”
3. “It suppresses secretion of the androgens that make your cancer grow.”
4. “It keeps nutrients from getting to, and feeding, your cancer.”

Correct Answer: 3

Rationale 1: Administration of estrogens will suppress androgen secretion, not kill the cells faster.

Rationale 2: Administration of estrogens will suppress androgen secretion but will not eliminate testosterone.

Rationale 3: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion.

Rationale 4: Administration of estrogens will suppress androgen secretion, not prevent nutrients from getting to, or feeding, the cancer.

Global Rationale: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion. Administration of estrogens does not kill the cells faster, eliminate testosterone, or prevent nutrients from getting to, or feeding, the cancer.

 

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: 46-5 Identify the role of female sex hormones in the treatment of cancer.

MNL Learning Outcome: 8.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 797

 

Question 4

Type: MCSA

The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?

1. “This medication increases my estrogen levels so I can ovulate.”
2. “This medication stimulates LH (luteinizing hormone).”
3. “This medication stimulates FSH (follicle-stimulating hormone).”
4. “This medication stimulates gonadotropin-releasing hormone.”

Correct Answer: 2

Rationale 1: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not increase estrogen levels.

Rationale 2: Clomiphene (Clomid) stimulates LH (luteinizing hormone) resulting in the maturation of more ovarian follicles than would normally occur.

Rationale 3: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not stimulate FSH (follicle-stimulating hormone).

Rationale 4: Clomiphene (Clomid) stimulates LH (luteinizing hormone), not gonadotropin-releasing hormone.

Global Rationale: Clomiphene (Clomid) stimulates LH (luteinizing hormone) resulting in the maturation of more ovarian follicles than would normally occur. It does not increase estrogen levels, stimulate FSH, or stimulate gonadotropin-releasing hormone.

 

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: 46-8 Explain how drug therapy may be used to treat female infertility.

MNL Learning Outcome: 8.1.2 Compare the classes of medications used in pharmacologic management.

Page Number: 802