Available separately. UPDTED guidelines cover injection and enteral medication administration, with an emphasis on safe medication practice. Objectives and key terms are listed at the beginning of each chapter, making it easy to see chapter content at a glance.
Known for its impeccably accurate and up-to-date drug content, this best-selling text consistently underscores medication safety as it guides you in applying pharmacology information to the nursing process.
Introductory units acquaint you with the basic principles of pharmacology and medication administration, while subsequent body-system units prepare you to apply the nursing process to every major disorder. Clear guidelines cover safe drug. Basic Pharmacology for Nurses is a modern classic nursing pharmacology textbook known for its impeccably accurate drug content and its practical applications of the nursing process.
A consistent emphasis on health promotion through monitoring and patient education is a hallmark of the book. Introductory units ground the reader in basic principles of pharmacology and medication administration. Subsequent body-system units apply the nursing process to every major disorder, and appropriate nursing implications are discussed for every drug class to promote safe. Known for its accurate, up-to-date drug content and its practical application of the nursing process to drugs and disorders, Clayton and Willihnganz's Basic Pharmacology for Nurses, 17th Edition prepares you for safe medication administration.
Emphasizing the nurse's role, clear guidelines cover safe drug handling, types of drugs used for disorders or to affect body systems, injection and enteral administration, and patient education. Master nursing pharmacology with this helpful study tool! More than 1, review questions grouped by textbook chapter objective. Includes alternate format question types such as multiple response and priority order to give you practice with new question types found on the NCLEX-PN exam Clinical patient scenarios help you understand drug classifications and.
Adverse effects are reactions that occur in another system of the body; they are usually predictable. Allergic reactions appear after repeated medication dosages. Which is the best description of when drug interactions occur? On administration of toxic dosages of a drug. On an increase in the pharmacodynamics of bound drugs c. On the alteration of the effect of one drug by another drug d. On increase of drug excretion ANS: C Drug interactions may be characterized by an increase or decrease in the effectiveness of one or both of the drugs.
Toxicity of one drug may or may not affect the metabolism of another one. Drug interactions may result from either increased or decreased pharmacodynamics. Drug interactions may result from either increased or decreased excretion. What occurs when two drugs compete for the same receptor site, resulting in increased activity of the first drug? Synergistic effect c. Carcinogenicity d. Displacement ANS: D The displacement of the first drug from receptor sites by a second drug increases the amount of the first drug because more unbound drug is available.
An expected response of a drug is the desired action. A synergistic effect is the effect of two drugs being greater than the effect of each chemical individually or the sum of the individual effects.
Carcinogenicity is the ability of a drug to cause cells to mutate and become cancerous. What do drug blood levels indicate? They confirm if the patient is taking a generic form of a drug. They determine if the patient has sufficient body fat to metabolize the drug. They determine if the amount of drug in the body is in a therapeutic range. ANS: D The amount of drug present may vary over time and the blood level must remain in a therapeutic range in order to obtain the desired result.
Generic drugs do not necessarily produce a different drug blood level than proprietary medications. Body fat is not measured by drug blood levels. Drug blood levels only measure the amount of drug in the body; they do not determine the source of the medication. What is the process by which a drug is transported by circulating body fluids to receptor sites?
Osmosis b. Distribution c. Absorption d. Biotransformation ANS: B Distribution refers to the ways in which drugs are transported by the circulating body fluids to the sites of action receptors , metabolism, and excretion. Osmosis is the process of moving solution across a semipermeable membrane to equalize the dilution on each side. Absorption is the process by which a drug is transferred from.
Biotransformation, also called metabolism, is the process by which the body inactivates drugs. The nurse assesses which blood level to determine the amount of circulating medication in a patient? Peak b. Trough c. Drug d. Therapeutic ANS: C When a drug is circulating in the blood, a blood sample may be drawn and assayed to determine the amount of drug present; this is known as the drug blood level.
Peak levels are only those drug blood levels that are at their maximum before metabolism starts to decrease the amount of circulating drug.
Trough levels are only those drug blood levels that are at their minimum when metabolism has decreased the amount of circulating drug and before an increase caused by a subsequent dose of the medication. Therapeutic levels are only those within a prescribed range of blood levels determined to bring about effective action of the medication.
The nurse administers 50 mg of a drug at AM that has a half-life of 8 hours. What time will it be when 25 mg of the drug has been eliminated from the body? What will the nurse need to determine first in order to mix two drugs in the same syringe? Absorption rate of the drugs b. Compatibility of the drugs c.
Drug blood level of each drug d. Medication adverse effects ANS: B Knowledge of absorption is important but not in order to mix drugs. In order to mix two drugs, compatibility is determined so there is no deterioration when the drugs are mixed in the same syringe. Drug level does not indicate if it is acceptable to mix medications in the same syringe. Adverse effects are important for the nurse to know, but not in order to mix drugs.
A patient developed hives and itching after receiving a drug for the first time. Which instruction by the nurse is accurate? Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy. Explain to the patient that these are signs and symptoms of an anaphylactic reaction. Emphasize to the patient the importance to inform medical personnel that in the future a lower dosage of this drug is necessary. Instruct the patient that it would be safe to take the drug again because this instance was a mild reaction.
ANS: A This initial allergic reaction is mild, and the patient is more likely to have an anaphylactic reaction at the next exposure; a medical alert bracelet is necessary to explain the reaction. Signs and symptoms of an anaphylactic reaction are respiratory distress and cardiovascular collapse. A more severe reaction will occur at the next exposure, and the patient should not receive the drug again.
History of liver disease b. Intake of a vegetarian diet c. Sedentary lifestyle d. Teacher as an occupation. ANS: A Liver enzyme systems are the primary site for metabolism of drugs.
Intake of a vegetarian diet may affect absorption but not metabolism. Sedentary lifestyle and occupations could affect metabolism exposure to environmental pollutants , but these do not have the most significant effect on metabolism. The nurse can anticipate that the patient will receive this medication a. ANS: C The percutaneous route refers to drugs that are absorbed through the skin and mucous membranes. Methods of the percutaneous route include inhalation, sublingual under the tongue , or topical on the skin administration.
The parenteral route bypasses the gastrointestinal GI tract by using subcutaneous subcut , intramuscular IM , or intravenous IV injection. In the enteral route, the drug is administered directly into the GI tract by the oral, rectal, or nasogastric route. A nurse is preparing to administer tetracycline to a patient diagnosed with an infection. Which medication should not be administered with tetracycline? Ativan b. Tylenol c. Colace d. Mylanta ANS: D Administering tetracycline with Mylanta can provide an antagonistic effect that will result in decreased absorption of the tetracycline.
Ativan, Tylenol, and Colace are not contraindicated to administer with tetracycline. Select all that apply. A drug must be dissolved in body fluids before it can be absorbed into body tissues. A solid drug taken orally must disintegrate and dissolve in GI fluids to allow for absorption into the bloodstream for transport to the site of action.
The process of converting the drug into a soluble form can be controlled to a certain degree by the dosage form. Elixirs take longer to be liberated from the dosage form. Regardless of the route of administration, a drug must be dissolved in body fluids before it can be absorbed into body tissues.
Before a solid drug taken orally can be absorbed into the bloodstream for transport to the site of action, it must disintegrate and dissolve in the GI fluids and be transported across the stomach or intestinal lining into the blood. The process of converting a drug into a soluble form can be partially controlled by the pharmaceutical dosage form used e. Elixirs are already drugs dissolved in a liquid and do not need to be liberated from the dosage form.
Which are routes of drug excretion? GI tract; feces b. Genitourinary GU tract; urine c. Lymphatic system d. The GU and the respiratory systems do function in the excretion of drugs.
The lymphatic and circulatory systems are involved with drug distribution, not drug excretion. Which route s enable s drug absorption more rapidly than the subcut route? IV route b. IM route c. Intradermal route e. IM route of administration enables drug absorption more rapidly because of greater blood flow per unit weight of muscle. Intradermally administered drugs are absorbed more slowly because of the limited available blood supply in the dermis.
Enterally administered drugs are absorbed more slowly because of the biotransformation process. The nurse recognizes that which factor s would contribute to digoxin toxicity in a year-old patient? Clinical patient scenarios help you to develop critical thinking skills and apply your knowledge of nursing pharmacology. Medication administration handling and practice questions emphasized to reinforce safe medication administration practice.
Exercises and review questions correspond with updated content from the text. Basic Pharmacology for Nurses is a modern classic nursing pharmacology textbook known for its impeccably accurate drug content and its practical applications of the nursing process.
A consistent emphasis on health promotion through monitoring and patient education is a hallmark of the book. Introductory units ground the reader in basic principles of pharmacology and medication administration. Subsequent body-system units apply the nursing process to every major disorder, and appropriate nursing implications are discussed for every drug class to promote safe medication administration.
Provides an overview of relevant pathophysiology with an application of the nursing process in each drug chapter, followed by nursing implications for each applicable drug class.
Covers the pharmacology of all major classes of drugs, emphasizing side effects to expect, side effects to report, drug interactions, and more. Emphasizes patient education and health promotion with easy-to-recognize Patient Teaching boxes and reproducible Patient Self-Assessment forms on the Evolve site.
Provides need-to-know coverage of herbal therapies and dietary supplements with an Herbal and Dietary Supplement Therapy chapter and Complementary and Alternative Therapies boxes throughout. Increased emphasis on medication safety prepares nurses to practice more safely in a clinical environment that is both more pressured and more focused than ever on reducing drug errors.
The increased emphasis includes Chapter 7: Principles of Medication Administration, do-not-confuse icons, and an icon to signal ISMP's "high alert" drugs. Updated coverage of the most recent FDA approvals, withdrawals, and therapeutic uses provide impeccably accurate and current content to ensure safe drug therapy. Updated and streamlined coverage of nursing care with a focus on the need-to-know material helps students focus on the most current, need-to-know content.
Known for its impeccably accurate and up-to-date drug content, this best-selling text consistently underscores medication safety as it guides you in applying pharmacology information to the nursing process. Introductory units acquaint you with the basic principles of pharmacology and medication administration, while subsequent body-system units prepare you to apply the nursing process to every major disorder.
Clear guidelines cover safe drug handling, the types of drugs used for disorders or to affect body systems, injection and enteral administration, and patient education. Unit on medication administration clearly and visually outlines assessment, techniques, procedures, and documentation for safe administration of percutaneous, enteral, and parenteral drugs. Application of the nursing process offers an overview of general principles of nursing care for each disorder as well as specific nursing considerations for the drug treatment.
Lifespan Considerations boxes for children and for older adults draw attention to information that would be especially important when giving a specific drug to patients of those age groups. Drug tables clearly outline generic and brand names, availability, and dosage ranges for key medications for each disorder. Clinical Goldmine boxes focus on best practices in the clinical setting. Video clips on medication administration procedures provide a visual reference for safe medication administration.
Key terms with phonetic pronunciations and text page references are listed at the beginning of each chapter. Updated guidelines on diabetes, heart failure, asthma, COPD, and cancer ensure readers are versed in the latest treatment protocols.
Accurate and up-to-date coverage includes the most recent FDA approvals, withdrawals, therapeutic uses, and content on cultural considerations related to each drug class.
Current, accurate content ensures that the most current drugs and treatment protocols are presented. Application of the nursing process includes general principles of nursing care for each disorder, along with nursing considerations for drug treatment plans.
A focus on patient education and health promotion equips you for health teaching related to medications. A study guide corresponds to the textbook and offers review questions and clinical scenarios to reinforce your understanding of nursing pharmacology.
Available separately. UPDTED guidelines cover injection and enteral medication administration, with an emphasis on safe medication practice. Objectives and key terms are listed at the beginning of each chapter, making it easy to see chapter content at a glance. Known for its accurate, up-to-date drug content and its practical application of the nursing process to drugs and disorders, Clayton and Willihnganz's Basic Pharmacology for Nurses, 17th Edition prepares you for safe medication administration.
Emphasizing the nurse's role, clear guidelines cover safe drug handling, types of drugs used for disorders or to affect body systems, injection and enteral administration, and patient education. Pharmacology for Nurses, Second Edition teaches undergraduate nursing students the basic concepts of pharmacology. With the important part played by nurses in the administration of drugs and in recording their effects, an understanding of pharmacology and its application to patient care is an integral part of pre-registration nursing education.
This popular textbook gives an up-to-date account of the action and use of drugs in the treatment and prevention of disease, as well as exploring the principles underlying drug usage. The eighteenth edition of this highly successful textbook builds on the foundation of its predecessors by bringing the text fully up to date with developments in the world of clinical pharmacology and current trends in clinical practice.
Drug therapy is an increasingly important element in the treatment of patients, and understanding how a drug works is essential for all nurses. Illustrated Pharmacology for Nurses is a fully comprehensive and beautifully illustrated textbook covering both the basic principles and the clinical aspects of pharmacology. The book provides clear and simple explanations of the way drugs act, looking at their effects and their use in a range of situations. Combining the basic and clinical aspects of pharmacology in one concise volume, it is an invaluable learning tool for nursing, biomedical and clinical science students.
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