Chapter 48 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 48 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A child has rickets and is being treated at the clinic. In addition to taking vitamin D as prescribed, what is the best information the nurse can provide?

1. Avoid dairy products while taking vitamin D.
2. Be sure to take brand name, not generic, vitamin D.
3. Spend at least 20 minutes/day in the sunlight.
4. Take your vitamin D on an empty stomach.

Correct Answer: 3

Rationale 1: Dairy products are good sources of vitamin D and should be consumed.

Rationale 2: Generic vitamin D is fine to take.

Rationale 3: Twenty minutes/day in the sun will provide all the vitamin D that is required.

Rationale 4: Vitamin D should be taken with food, not on an empty stomach.

Global Rationale: Twenty minutes/day in the sun will provide all the vitamin D that is required. Dairy products are good sources of vitamin D and should be consumed. Generic vitamin D is fine to take. Vitamin D should be taken with food, not on an empty stomach.

 

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.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: 48-8 Use the nursing process to care for patients receiving pharmacotherapy for bone and joint disorders.

MNL Learning Outcome: 12.1.4 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 836

 

Question 2

Type: MCMA

The client receives alendronate (Fosamax) as treatment for osteoporosis. The nurse has completed medication education and evaluates learning has occurred when the client makes 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. “I cannot lie down for at least 30 minutes after taking the medication.”
2. “Milk will help with the absorption of this medication.”
3. “I should call my doctor if I experience heartburn.”
4. “I must take this with a full glass of water.”
5. “The medication can be taken with or without food.”

Correct Answer: 1,3,4

Rationale 1: The client must stay upright for at least 30 minutes to prevent GI upset.

Rationale 2: Milk will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.

Rationale 3: Alendronate (Fosamax) is irritating to the esophagus; the client must contact the physician if heartburn occurs.

Rationale 4: Alendronate (Fosamax) must be taken on an empty stomach with a full glass of water to ensure absorption.

Rationale 5: Food will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.

Global Rationale: The client must stay upright for at least 30 minutes to prevent GI upset. Alendronate (Fosamax) is irritating to the esophagus; the client must contact the physician if heartburn occurs. Alendronate (Fosamax) must be taken on an empty stomach with a full glass of water to ensure absorption. Milk will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach. Food will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.

 

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: Evaluation

Learning Outcome: 48-7 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: 12.1.2 Compare the classes of medications used in pharmacologic management: Bone Related Disorders.

Page Number: 832

 

Question 3

Type: MCSA

The client has osteomalacia, and the physician has ordered a treatment to restore calcium balance. What will the nurse plan to administer to the client?

1. Calcium supplements and dark green, leafy vegetables
2. Calcium supplements and milk products
3. Calcium supplements and potassium
4. Calcium supplements and vitamin D

Correct Answer: 4

Rationale 1: Dark green, leafy vegetables are not the best of the sources of calcium listed.

Rationale 2: Calcium supplements and milk products are good choices, but the client must also have vitamin D.

Rationale 3: Potassium is not necessary with this illness.

Rationale 4: Calcium supplements and vitamin D are considered the most effective treatments for osteomalacia.

Global Rationale: Calcium supplements and vitamin D are considered the most effective treatments for osteomalacia. Dark green, leafy vegetables are not the best of the sources of calcium listed. Calcium supplements and milk products are good choices, but the client must also have vitamin D. Potassium is not necessary with this illness.

 

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: Planning

Learning Outcome: 48-4 Explain the pharmacotherapy of metabolic bone diseases, including osteomalacia, osteoporosis, and Paget’s disease.

MNL Learning Outcome: 12.1.2 Compare the classes of medications used in pharmacologic management: Bone Related Disorders.

Page Number: 829

 

Question 4

Type: SEQ

The nurse is teaching about the need for vitamin D in the body. The nurse would put these steps of vitamin D activation and action in which order?

 

1. Calcium absorption is increased in the small intestine
2. Calcifediol is formed
3. Dietary products are consumed
4. Calcitriol is formed
5. Cholecalciferol is synthesized

 

Standard Text: Click and drag the options below to move them up or down.

Correct Answer: 3,5,2,4,1

 

Global Rationale: After dietary products are consumed, cholecalciferol is synthesized from cholesterol. Calcifediol is formed from cholecalciferol. Calcitriol is formed, and calcium absorption is increased in the small intestine.

 

Cognitive Level: Understanding

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: 48-1 Describe the role of calcium in the body in maintaining homeostasis in the nervous, muscular, and nervous systems.

MNL Learning Outcome: 12.1.1 Examine etiology, pathophysiology, and clinical manifestations: Bone Related Diseases.

Page Number: 826