*NURSING > NCLEX-RN > Silvestri: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition TESTBANK (All)

Silvestri: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition TESTBANK

Document Content and Description Below

. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands th... at this medication is prescribed for: 1. Pain relief 2. Increasing uterine contractions 3. Decreasing uterine contractions 4. Promoting fetal lung maturity ANS: 1 Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal lung maturity” are not actions of this medication. Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question. Remember that this medication is used for pain relief. Review the action of this medication if you had difficulty with this question and are unfamiliar with this medication. PTS: 1 DIF: Level of Cognitive Ability: Understanding REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Pharmacology MSC: Integrated Process: Nursing Process—Planning 2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic administration following cesarean birth. If the client develops respiratory depression and requires naloxone (Narcan) as an antidote, the client may complain of which of the following? 1. Increase in her pain level 2. Decrease in her pain level 3. Increase in the amount of itching from the opioid used in the epidural 4. Decrease in the amount of itching from the opioid used in the epidural ANS: 1 Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain level. Therefore “decrease in her pain level,” “increase in the amount of itching from the opioid used in the epidural,” and “decrease in the amount of itching from the opioid used in the epidural” are incorrect. Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antidote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was difficult. PTS: 1 DIF: Level of Cognitive Ability: Understanding REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Pharmacology MSC: Integrated Process: Nursing Process—Assessment 3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone (Celestone). The nurse understands that the medication will do which of the following? 1. Prevent spontaneous delivery. 2. Stop the uterine contractions. 3. Promote maturation of the fetal lungs. 4. Accelerate the growth rate of the fetus. ANS: 3 Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours after administration of betamethasone to allow time for the lungs of the fetus to mature. Test-Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind, eliminate “prevent spontaneous delivery” and “stop the uterine contractions.” Note the strategic words “twenty-ninth week of gestation.” Specific knowledge about the medication and knowledge of the problems encountered by premature infants will assist in answering this question. Review the action of this medication if this question was difficult. PTS: 1 DIF: Level of Cognitive Ability: Understanding REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Pharmacology MSC: Integrated Process: Nursing Process—Planning 4. A client with preeclampsia is receiving magnesium sulfate. The nurse assesses the client closely for which sign of magnesium toxicity? 1. Proteinuria 2. Hyperactive deep tendon reflexes 3. Respiratory rate of 10 breaths/min 4. Serum magnesium level of 5 mEq/L ANS: 3 Rationale: Magnesium toxicity is a risk associated with magnesium sulfate therapy. Signs of magnesium toxicity relate to central nervous system (CNS) depression and include respiratory depression, loss of deep tendon reflexes, and sudden drop in fetal heart rate and/or maternal heart rate and blood pressure. Magnesium is excreted through the kidneys. If renal impairment is present, magnesium toxicity can develop very quickly. Therapeutic serum levels of magnesium are 4 to 7 mEq/L. Test-Taking Strategy: To answer this question accurately, you must recall that magnesium sulfate is a CNS depressant. Begin to answer this question by eliminating “proteinuria” and “hyperactive deep tendon reflexes,” which are signs of preeclampsia. Select between the last two options using medication knowledge and recalling that the therapeutic serum levels of magnesium are 4 to 7 mEq/L. Review this medication and the normal magnesium level if this question was difficult. PTS: 1 DIF: Level of Cognitive Ability: Analyzing REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing (8th ed.). St. Louis: Mosby. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Pharmacology MSC: Integrated Process: Nursing Process—Assessment 5. A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has reached how many weeks of gestation? 1. 4 2. 14 3. 24 4. 34 ANS: 2 Rationale: The pregnant women with HIV infection will be prescribed oral AZT in the fourteenth week of gestation. Before this time, the fetus is at risk because of the teratogenic effects of the medication. In addition, a bolus of AZT is given intravenously during labor, and the neonate is treated for six weeks after birth. Test-Taking Strategy: To answer this question accurately, you must be familiar with pharmacological therapy for clients who are HIV-positive. Knowing that the fetus is most vulnerable to the effects of medications and chemicals during the period of organogenesis will assist you in selecting the correct answer. Review treatment measures for the pregnant client with HIV infection if you had difficulty with this question. PTS: 1 DIF: Level of Cognitive Ability: Understanding REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Pharmacology MSC: Integrated Process: Nursing Process—Planning 6. The nurse has a routine prescription to instill erythromycin ointment (Ilotycin) into the eyes of a newborn. The nurse plans to explain to the parents that the purpose of the medication is to: 1. Help the newborn to see more clearly. 2. Guard against infection acquired during intrauterine life. 3. Ensure the sterility of the conjunctiva in the newborn. 4. Protect the newborn from contracting an eye infection during birth. ANS: 4 Rationale: The use of eye prophylaxis with an agent such as erythromycin protects the newborn from contracting a conjunctival infection during birth. This infection, called ophthalmia neonatorum, results from maternal vaginal infection with chlamydia or gonorrhea. This prophylaxis is mandatory in the United States. “Help the newborn to see more clearly,” “guard against infection acquired during intrauterine life,” and “ensure the sterility of the conjunctiva in the newborn” do not describe the purposes of this medication. Test-Taking Strategy: Familiarity with the purpose of this medication is needed to answer this question. Remember erythromycin protects the newborn from contracting a conjunctival infection during birth. Review the purpose of this medication if you had difficulty with this question. PTS: 1 DIF: Level of Cognitive Ability: Applying REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders. OBJ: Client Needs: Health Promotion and Maintenance TOP: Content Area: Pharmacology MSC: Integrated Process: Teaching and Learning 7. The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to the newborn. Before giving the medication, the nurse explains to the client that this medication will: [Show More]

Last updated: 1 year ago

Preview 1 out of 277 pages

Reviews( 1 )

user-profile-pic


by Pierre Percy · 2 years ago

I just purchase the information. Maybe later for the review.

Recommended For You

 *NURSING> NCLEX-RN > Saunders Comprehensive Review for the NCLEX-RN Examination (All)

preview
Saunders Comprehensive Review for the NCLEX-RN Examination

Saunders Comprehensive Review for the NCLEX-RN Examination the nurse is caring for a patient with a diagnosis of heart failure who suddenly complains about shortness of breath and dyspnea. the nurse...

By Professor_Chue , Uploaded: Jul 23, 2022

$9

 *NURSING> NCLEX-RN > C H A P T E R 5: Care of Special Populations: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference. (All)

preview
C H A P T E R 5: Care of Special Populations: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference.

Priority Concepts Caregiving, Health Disparities I. Special Population Groups A. The literature identifies numerous groups that may be designated as a special population group. B. For this chapte...

By SuperSolutions© , Uploaded: Oct 22, 2020

$3.5

 *NURSING> NCLEX-RN > C H A P T E R 6: Ethical and Legal Issues: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference. (All)

preview
C H A P T E R 6: Ethical and Legal Issues: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference.

Priority Concepts Ethics; Health Care Law I. Ethics A. Description: The branch of philosophy concerned with the distinction between right and wrong on the basis of a body of knowledge, not only o...

By SuperSolutions© , Uploaded: Oct 22, 2020

$3.5

 *NURSING> NCLEX-RN > C H A P T E R 7_ Prioritizing Client Care: Leadership, Delegation, and Emergency Response Planning: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference. (All)

preview
C H A P T E R 7_ Prioritizing Client Care: Leadership, Delegation, and Emergency Response Planning: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference.

Priority Concepts Leadership; Health Care Organizations I. Health Care Delivery Systems A. Managed care 1. Managed care is a broad term used to describe strategies used in the health care deliver...

By SuperSolutions© , Uploaded: Oct 22, 2020

$3.5

 *NURSING> NCLEX-RN > C H A P T E R 8_ Fluids and Electrolytes: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference (All)

preview
C H A P T E R 8_ Fluids and Electrolytes: From Saunders Comprehensive Review for the NCLEX-RN Examination 8th Edition. (Available: https://bit.ly/2HeJuMt ). Contains Practice questions and Answers with the Rationale, Test-Taking Strategy, Level of Cognitive Ability, Client Needs, Integrated Process, Content Area, Health Problem, Priority Concepts and Reference

Priority Concepts Cellular Regulation; Fluid and Electrolytes I. Concepts of Fluid and Electrolyte Balance A. Electrolytes 1. Description: An electrolyte is a substance that, on dissolving in sol...

By SuperSolutions© , Uploaded: Oct 22, 2020

$3.5

 *NURSING> NCLEX-RN > Cardiovascular - Summary Saunders Comprehensive Review for the Nclex-Rn Examination Cardiovascular Nursing. Everything you need to know about cardiovascular nursing (excluding pharmacology) based on lecture notes and Saunders Comprehensive Review for the NCLEX-RN Examination. (All)

preview
Cardiovascular - Summary Saunders Comprehensive Review for the Nclex-Rn Examination Cardiovascular Nursing. Everything you need to know about cardiovascular nursing (excluding pharmacology) based on lecture notes and Saunders Comprehensive Review for the NCLEX-RN Examination.

Cardiovascular - Summary Saunders Comprehensive Review for the Nclex-Rn Examination Cardiovascular Nursing Diagnostic Tests Cardiac Markers CK-MB (creatinine kinase, myocardial muscle) - an ele...

By QuizMaster , Uploaded: Sep 02, 2020

$12.5

 *NURSING> NCLEX-RN > SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE. This Document Contains 1004 most tested questions and answers. 100%. (All)

preview
SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE. This Document Contains 1004 most tested questions and answers. 100%.

SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE 1) The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the...

By QuizMaster , Uploaded: Aug 20, 2020

$7.5

 *NURSING> NCLEX-RN > SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX THREE (Recovered). 1000 Questions and Answers. (All)

preview
SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX THREE (Recovered). 1000 Questions and Answers.

SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX THREE (Recovered) 1) The nurse performs an assessment on a client admitted with contact dermatitis. Which signs and symptoms should the nurse look for? 2) The...

By QuizMaster , Uploaded: Aug 20, 2020

$9.5

 *NURSING> NCLEX-RN > SaundersCardiovascular Medications Comprehensive Review For The NCLEX-RN Examination; Revision Questions and Answers. (All)

preview
SaundersCardiovascular Medications Comprehensive Review For The NCLEX-RN Examination; Revision Questions and Answers.

Saunders Cardio Meds: Final Exam Revision Questions and Answers Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse take to plan for prepar...

By QuizMaster , Uploaded: Aug 06, 2020

$7.5

 Pharmacology> NCLEX-RN > SILVESTRI SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN® EXAMINATION, 5TH EDITION(278 pages) (All)

preview
SILVESTRI SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN® EXAMINATION, 5TH EDITION(278 pages)

Edition Pharmacology Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that the client has a prescription for butor...

By MAYEXPERT , Uploaded: Apr 09, 2022

$16

$18.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
94
1

Document information


Connected school, study & course



About the document


Uploaded On

Jun 07, 2021

Number of pages

277

Written in

Seller


seller-icon
Rose Babyface

Member since 2 years

33 Documents Sold


Additional information

This document has been written for:

Uploaded

Jun 07, 2021

Downloads

 1

Views

 94

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$18.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·