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Chapter 02: Application of Pharmacology in Nursing PracticeTest BankMULTIPLE CHOICE1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer “2puffs every 4 hours as needed for coughing or wheezing.”The patient reports feeling jittery sometimes when taking the medication, and she doesn’tfeel that the medication is always effective. Which action is outside the nurse’sscope of practice?a.Asking the patient to demonstrate use of the inhalerb.Assessing the patient’sexposure to tobacco smokec.Auscultating lung sounds and obtaining vital signsd.Suggesting that the patient use one puff to reduce side effectsANS: DIt is not within the nurse’sscope of practice to change the dose of a medication without an order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient’sability to administer the medication properly and is part of the nurse’sevaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the patient’sresponse to the medication.PTS: 1 DIF: Cognitive Level: Application REF: pp. 9-10TOP: Nursing Process: ImplementationMSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Lortab] for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?