Test Bank for Focus on Nursing Pharmacology 7th Edition by Amy M. Karch

TESTBANK
TestBankForFocusonNursingPharmacology
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7thEditionbyAmyM.Karch
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TESTBANK

, Test Bank For Focus on Nursing Pharmacology 7th Edition by Amy M. Karch
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Table of Contents
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Chapter ff01- ffIntroduction ffto ffDrugs
ffChapter ff02- ffDrugs ffand ffthe ffBody

ffChapter ff03- ffToxic ffEffects ffofffDrugs

Chapter ff04- ffThe ffNursing ffProcess ffin ffDrug ffTherapyffand ffPatient ffSafety
ffChapter ff05- ffDosage ffCalculations

Chapterff06- ffChallenges ffto ffEffective ffDrug ffTherapy
ffChapter ff07- ffIntroduction ffto ffCell ffPhysiology

ffChapter ff08- ffAnti-infective ffAgents

Chapter ff09- ffAntibiotics
ffChapter ff10- ffAntiviral

ffAgents ffChapterf11-

ffAntifungal ffAgents
Chapter ff12- ffAntiprotozoal

ffAgents ffChapter ff13-

ffAnthelmintic ffAgents ffChapter

ff14- ffAntineoplastic f f Agents

Chapter ff15- ffIntroduction ffto ffthe ffImmune ffResponse ffand ffInflammation
ffChapter ff16- ffAnti-inflammatory, ffAntiarthritis, ffand ffRelated ffAgents

ffChapter ff17- ffImmune ffModulators

Chapter ff18- ffVaccines ffand ff Sera
Chapter ff19- ffIntroduction ffto ffNerves ffand ffthe ffNervous ffSystem
ffChapter ff20- ffAnxiolytic ffand ffHypnotic ffAgents

Chapter ff21- ffAntidepressant ffAgents
ffChapterf22-

ffPsychotherapeutic Agents ffChapter
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ff23- ffAntiseizure ffAgents ffChapter ff24-

ffAntiparkinsonism ffAgents ffChapter

ff25- ffMuscle ffRelaxants

Chapter ff26- ffNarcotics, ffNarcoticffAntagonists, ffand ffAntimigraine ffAgents
ffChapter ff27- ffGeneral ffand ffLocal ffAnesthetic ffAgents

Chapter ff28- ffNeuromuscular ffJunction ffBlocking ffAgents
ffChapter ff29- ffIntroduction ffto ffthe ffAutonomic ffNervous ffSystem

ffChapter ff30- ffAdrenergic ffAgonists

Chapterf31- AdrenergicfAntagonists
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ffChapter ff32- ffCholinergic ffAgonists

ffChapter ff33- ffAnticholinergic ffAgents

Chapter ff34- ffIntroduction ffto ffthe ffEndocrine
ffSystem ffChapter ff35- ffHypothalamic ffand

ffPituitary ffAgents ffChapter ff36- ffAdrenocortical

ffAgents

Chapter ff37- ffThyroid ffand ffParathyroid ffAgents
ffChapter ff38- ffAgents ffto ffControl ffBlood ffGlucose

ffLevels ffChapter ff39- ffIntroduction ffto ffthe

ffReproductive ffSystem

Chapter ff40- ffDrugs ffAffecting ffthe ffFemale ffReproductive ffSystem
ffChapter ff41- ffDrugs ffAffecting ffthe ffMale ffReproductive

ffSystem ffChapter ff42- ffIntroduction ffto ffthe ffCardiovascular

ffSystem ffChapter ff43- ffDrugs ffAffecting ffBlood ffPressure

Chapterff44- ffAgents fffor ffTreating ffHeart ffFailure
ffChapter ff45- ffAntiarrhythmic ffAgents

Chapter ff46- ffAntianginal ffAgents
ffChapterf47- Lipid-LoweringfAgents
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Chapter ff48- ffDrugs ffAffecting ffBlood ffCoagulation
ffChapter ff49- ffDrugs ffUsed ffto ffTreat ffAnemias

ffChapter ff50- ffIntroduction ffto ffthe ffRenal ffSystem

ffChapter ff51- ffDiuretic ffAgents

Chapter ff52- ffDrugs ffAffecting ffthe ffUrinary ffTract ffand ffthe ffBladder
ffChapter ff53- ffIntroduction ffto ffthe ffRespiratory ffSystem

Chapter ff54- ffDrugs ffActing ffon ffthe ffUpper ffRespiratory ffTract
ffChapter ff55- ffDrugs ffActing ffon ffthe ffLower ffRespiratory ffTract

ffChapter ff56- ffIntroduction ffto ffthe ffGastrointestinal ffSystem

ffChapter ff57- ffDrugs ffAffecting ffGastrointestinal ffSecretions

ffChapter ff58- ffDrugs ffAffecting ffGastrointestinal ffMotility

ffChapter ff59- ffAntiemetic ffAgents

, Chapter 1: Introduction to Drugs ff ff ff ff




CognitiveLevel: Application f f


Difficulty: Moderate
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Integrated Process: Nursing process ff ff


1.A nurse working in radiology administers iodine to a patient who is having a
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computerized axial tomography (CAT) scan. A nurse working on an oncology unit
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administers chemotherapy to patients who have cancer. At the Public Health
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Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
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month-old child as a routine immunization. Which branch of pharmacology
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best describes the actions of all three nurses?
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A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved
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with clinical pharmacology or pharmacotherapeutics, which is a branch of
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pharmacology that deals with the uses of drugs to treat, prevent, and diagnose
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disease. The nurse working in radiology is administering a drug to help diagnose a
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disease.The nurse working on an oncologyunit is administering a drugto help treat a
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disease. Pharmacoeconomics includes any costs involved in drug therapy.
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Pharmacodynamics involveshowadrugaffects thebody, andpharmacokineticsis how f f f f f f f f ff


the body acts on the drug.
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CognitiveLevel:Comprehension
Difficulty: Easy
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Integrated Process: Nursing process ff ff


2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4
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hours as needed for pain for a motor vehicle accident victim.The nurse is aware that
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there is a high abuse potential for this drug; therefore, morphine is categorized as a:
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A) Schedule I drug ff ff


B) Schedule II drug ff ff


C) Schedule III drug ff ff


D) Schedule IV drug f ff


Ans: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high
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abuse potential with severe dependence liability. Schedule I drugs have high abuse
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potential and no accepted medical use. Schedule III drugs have a lesser abuse
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potential thanschedule IIdrugs and an accepted medical use. Schedule IVdrugs have
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low abuse potential and limited dependence liability.
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CognitiveLevel:Comprehension
Difficulty: Easy
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Integrated Process: Communication and documentation
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3.A nurse working for a drug companyis involved in phase III drug evaluation studies.
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Which of the following might the nurse be responsible for during this stage of drug
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development?
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, Chapter 1: Introduction to Drugs ff ff ff ff




A) Workingwith animals who are given experimental drugs f ff f ff ff ff


B) Monitoringdrugeffects in patients whoareselected to participatein a study, f f f ff f f ff f ff f


who have the disease that the drug is meant to treat
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C) Collectingrecords ofsymptoms that participants experience while taking a f ff f ff ff ff ff ff f


drug and determining whether they are caused by the disease or the
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drug ff


D) Informinghealthy, youngvolunteerparticipantsofpossiblerisksthatcould f ff f f f f f f f


occur from taking an experimental drug
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Ans: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are
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asked to record anysymptoms theyexperience while taking the drugs. Nurses maybe
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responsible for helping collect and analyze the information to be shared with the
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Food and Drug Administration (FDA). Use of animals in drug testing is done in
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the preclinical trials. A select group of patients who are involved in phase II
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studies participate in studies where the participants have the disease the drug is
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intended to treat. These patients are monitored closely for drug effects. Phase I
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studies involve healthy human volunteers who are usually paid for their
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participation. Nurses may observe for adverse effects and toxicity.
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CognitiveLevel:Comprehension
Difficulty: Moderate
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Integrated Process: Nursing Process ff ff


4. Which ofthe following concepts is considered when generic drugs are substituted for
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brand-name drugs?
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A) Bioavailability
B) Critical concentration ff


C) Distribution
D) Half-life
Ans: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulationff ff ff ff ff ff ff ff ff ff ff ff ff ff


and is available to act on body cells. Binders used in a generic drug may not be
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the same as those used in the brand-name drug.Therefore, the waythe bodybreaks
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down and uses the drug may differ, which may eliminate a substitution. Critical
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concentration is the amount of a drug that is needed to cause a therapeutic effect.
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Distribution is the phase of pharmacokinetics that involves the movement of a drugto the
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body's tissues. A drug's half-life is the time it takes for the amount of drug to
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decrease to one-half of the peak level.
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CognitiveLevel: Analysis f f


ffDifficulty: Difficult f f


IntegratedProcess: Teaching/learning f ff ff


5. Anurseisteachingherpatient about the use of over-the-counter (OTC) drugs. Which of
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ffthe following statements best informs the patient about their safe use?
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A) ―OTC drugs are products that are available without prescription forself-
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treatment of minor complaints.‖
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B) ―OTC drugs are considered medications and should be reported on a drugff ff ff ff ff ff ff ff ff ff ff


history.‖ ff