Pharmacology for Nursing Care, 6e Test Bank

Pharmacology for Nursing Care, 6e Test Bank

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 Lehne: Pharmacology for Nursing Care, 6th Edition

Chapter 8: Individual Variation in Drug Responses

1. When adjusting doses of a particular drug for variations in patient size, the most accurate dose
determination can be calculated based on:
1. the drug’s pharmacokinetics.
2. the patient’s creatinine clearance.
3. the patient’s ideal body weight.
4. the patient’s body surface area.

Correct Answer: 4
Cognitive Level: Application
Nursing Process: Analysis
NCLEX: Physiological Integrity
Text Reference: p. 77

2. Select the accurate statement regarding gender differences in response to drugs.

1. Men metabolize drugs more efficiently and are therefore more likely to experience the
intended drug effect.
2. Women are inefficient metabolizers of drugs and will be more prone to side effects.
3. Men and women respond differently to drugs, but little is known about how and why.
4. Gender has no effect on drug kinetics or dynamics.

Correct Answer: 3
Cognitive Level: Comprehension
Nursing Process: Analysis
NCLEX: Physiological Integrity
Text Reference: p. 82

3. When teaching a patient about development of tolerance, the nurse should include which
information?
1. The phenomenon occurs only with opioids.
2. The patient will require more drug for the same effect to be achieved.
3. The patient requires a stable dose of medication until the drug is discontinued.
4. Addiction is likely to develop if the drug is not tapered.

Correct Answer: 2
Cognitive Level: Application
Nursing Process: Implementation
NCLEX: Physiological Integrity
Text Reference: pp. 78-79

4. Which patient is the most likely to develop tachyphylaxis?

1. A patient using opioids for pain relief
2. A patient using opioids for recreational purposes

Elsevier Inc. items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
Pharmacology for Nursing Care, 6e Test Bank

Chapter 8: Individual Variation in Drug Responses 2

3. A patient taking large insulin doses for a long period of time

4. A patient wearing a nitroglycerin patch for 24 hours

Correct Answer: 4
Cognitive Level: Application
Nursing Process: Planning
NCLEX: Physiological Integrity
Text Reference: p. 79

5. Which route of drug administration is the most likely to affect drug bioavailability?
1. PO
2. Subcutaneous
3. Intramuscular
4. Intravenous

Correct Answer: 1
Cognitive Level: Application
Nursing Process: Analysis
NCLEX: Physiological Integrity
Text Reference: p. 81

6. Select the most important factor affecting adherence to a drug regimen.

1. Genetics
2. Placebo effect
3. Patient education
4. Variability in absorption

Correct Answer: 3
Cognitive Level: Application
Nursing Process: Analysis
NCLEX: Health Promotion and Maintenance
Text Reference: p. 83

7. Select the accurate statement regarding the placebo effect of medications.

1. It is caused by psychologic factors rather than physiologic ones.
2. When it occurs, it indicates that the patient did not have an illness.
3. It is a rare effect, seen only with psychotropic medications.
4. It is almost always a positive response that facilitates healing.

Correct Answer: 1
Cognitive Level: Application
Nursing Process: Evaluation
NCLEX: Physiological Integrity
Text Reference: p. 79

Elsevier Inc. items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.

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