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Introduction to Pharmacology 12th Edition Asperheim Favaro Test Bank

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Introduction to Pharmacology 12th Edition Asperheim Favaro Test Bank

ISBN-13: 978-1437717068

ISBN-10: 1437717063

 

Description

Introduction to Pharmacology 12th Edition Asperheim Favaro Test Bank

ISBN-13: 978-1437717068

ISBN-10: 1437717063

 

 

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Free Nursing Test Questions:

Asperheim: Introduction to Pharmacology, 12th Edition

 

Chapter 26: Home Health and End-of-Life Care

 

Test Bank

 

MULTIPLE CHOICE

 

  1. Which best describes the current trend in home health care?
a. It is reserved for palliative care, when the patient is not expected to improve.
b. It is an expensive alternative to in-patient treatment.
c. It is often more efficient and more economical than other delivery methods.
d. It is only available for indigent patients who have no caregiver.

 

 

ANS: C

 

  Feedback
A Home health care is effective for patients who have healing wounds, chronic illnesses, and rehabilitation agendas.
B Home health care is usually much less expensive than hospitalization.
C Home health care is an effective alternative to extended hospitalization.
D Home health care is available for patients all across the socioeconomic continuum and is valuable in supporting available caregivers.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 242

 

  1. Home infusion is a possible option for which of the following?
a. Transfusions for an older adult man with anemia who has frequent episodes of hypotension
b. Chemotherapy for a child with leukemia who has respiratory distress
c. Tocolytic therapy for a woman in preterm labor with an abrupted placenta
d. Chemotherapy for a medically stable postmastectomy patient

 

 

ANS: D

 

  Feedback
A Frequent episodes of hypotension make this patient medically unstable and therefore not necessarily a good candidate for home infusion.
B A child with leukemia who has respiratory distress is not medically stable and therefore not necessarily a good candidate for home infusion.
C A patient with an abrupted placenta is not medically stable and therefore not necessarily a good candidate for home infusion.
D Patients who are medically stable other than the need for continued infusion are generally good candidates for home care.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 243

 

  1. Which of the following may be a sign that the home-based psychiatric patient is compliant with the prescribed medication regimen?
a. Imbalances of rest and activity
b. Appropriate food choices
c. Deteriorating environment
d. Poor self-care

 

 

ANS: B

 

  Feedback
A Imbalances of rest and activity might suggest that the patient is not compliant with the prescribed medication regimen.
B The ability to choose and consume appropriate food choices is a sign that the psychiatric patient is functioning in an appropriate manner.
C Deteriorating environment might suggest that the patient is not compliant with the prescribed medication regimen.
D Poor self-care might suggest that the patient is not compliant with the prescribed medication regimen.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 244

 

  1. In addition to continuous or regular administration of narcotic pain medication, which of the following is helpful in providing comfort to the hospice patient?
a. Stimulants to maintain consciousness
b. Regular feedings to maintain stamina
c. Short-acting pain medications for breakthrough pain
d. Tricyclic antidepressant agents to improve mood

 

 

ANS: C

 

  Feedback
A Stimulants might create unwanted anxiety in the patient and may not be metabolized correctly with the physiologic changes taking place in the body.
B The terminally ill patient often has a reduced appetite, especially when pain is not adequately controlled.
C In addition to fentanyl or morphine, terminally ill patients may benefit from such medications as ibuprofen for pain that exceeds the regular narcotic medication, without creating unnecessary sedation.
D Although some tricyclic antidepressant agents may help manage pain levels, it would not benefit the terminally ill patient in pain as much as short-acting pain medications would.

 

 

DIF:   Cognitive Level: Remember          REF:  Page 245

 

  1. With respect to tolerance of opioid agents, the terminally ill patient in pain has which of the following?
a. Decreased ability to tolerate the effects of the medication
b. Unaltered ability to tolerate high doses of the medication
c. Increased ability to tolerate the sedative effects of the medication
d. Increased susceptibility to addiction to the medication

 

 

ANS: C

 

  Feedback
A The patient in pain has a higher ability to tolerate opioid effects.
B The patient in pain has a higher ability to tolerate opioid effects.
C Severe pain allows patients to tolerate the sedative effects of opioid agents in high doses.
D The patient in pain has a higher ability to tolerate opioid effects without becoming addicted.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 245

 

  1. One common result of vigorous feeding and hydration of the terminally ill patient is:
a. Improved mental status
b. Decreased pain
c. Discomfort because of sluggish metabolism and circulation
d. Significant lengthening of life

 

 

ANS: C

 

  Feedback
A Forcing fluids and food does not improve the mental status of a terminally ill patient.
B Food and fluids do not help relieve pain in the terminally ill patient.
C Because of changes in the cardiovascular and gastrointestinal systems, feeding and hydration often produce severe discomfort in the terminally ill patient.
D Food and fluid do not lengthen the life of a terminally ill patient; they may, in fact, shorten it because of complications of overloading failing body systems.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 246

 

  1. A patient with diabetes might need home care for which of the following?
a. Consistently high blood glucose levels
b. Consistently low blood glucose levels
c. Severely impaired vision
d. Peripheral neuropathy

 

 

ANS: C

 

  Feedback
A Hyperglycemia is generally treated in the hospital.
B Hypoglycemia is generally treated in the hospital.
C Diabetic retinopathy often leaves the patient severely visually compromised or even totally blind. The patient then cannot self-administer insulin injections or attend to personal hygiene, foot care, or skin care properly.
D Peripheral neuropathy cannot be treated; it might be slowed by good control of blood glucose at home.

 

 

DIF:   Cognitive Level: Understand        REF:  Page 243

 

MULTIPLE RESPONSE

 

  1. Types of home infusion that a patient might receive would include which of the following? Select all that apply.
a. Antibiotic agents
b. Vasoconstrictor agents
c. Chemotherapy
d. Radioactive substances
e. Analgesic agents
f. Antiviral agents
g. Antifungal agents

 

 

ANS: A, C, E, F, G

 

  Feedback
Correct Any of the following may be administered in the patient’s home:

antibiotic agents, chemotherapy, hydration, pain medication, immunoglobulins, transfusions, parenteral nutrition, anticoagulation therapy, antiviral and antifungal infusion therapy.

Incorrect Vasoconstrictive or radioactive substances would not be administered at home.

 

 

DIF:   Cognitive Level: Remember          REF:  Page 243