Test Bank – Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice, 12th Edition (Geralyn Frandsen, Sandra Pennington) – Complete Exam Questions and Answers

ABRAMS' CLINICAL DRUG THERAPY: RATIONALES FOR NURSING PRACTICE
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,ABRAMS' CLINICAL DRUG THERAPY: RATIONALES FOR NURSING PRACTICE
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, ABRAMS' CLINICAL DRUG THERAPY: RATIONALES FOR NURSING PRACTICE
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Chapter 1, The Foundation of Pharmacology: Quality and Safety
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1. A woman diagnosed with obsessive–compulsive disorder has been prescribed
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oralparoxetine hydrochloride. What is the expected effect for this prescription?
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A. Curative effect on symptoms bt bt bt



B. Systemic effect on symptoms bt bt bt



C. Local effect on symptoms bt bt bt



D. Parenteral effect on symptoms bt bt bt




ANS: B b t



Rationale: Drugs that produce systemic effects are taken into the body, circulated through
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the bloodstream to their sites of action in various body tissues, and eventually eliminated
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from the body. Curative agents are given to cure a disease process. In this case, paroxetine
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hydrochloride will control the symptoms but not cure the disorder. Drugs with local
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effects,such as sunscreen and local anesthetics, act mainly at the site of application.
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Paroxetine hydrochloride is not administered parenterally. Parenteral agents are
G R A D E S B O O S T . C O




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administered subcutaneously, intramuscularly, or intravenously.
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PTS: 1 REF: p. 3, Introduction OBJ: 1
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NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral
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TherapiesTOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand NOT: Multiple Choice
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2. A client has been prescribed an antibiotic. This medication is a naturally occurring
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substance that has been cheG
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.C is another name for this type of
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medication?
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A. Synthetic drug
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B. Semisynthetic drug bt
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C. Biotechnology drug bt
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D. Prototype drug bt
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ANS: B
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Rationale: Semisynthetic drugs (e.g., many antibiotics) are naturally occurring substances
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that have been chemically modified. Synthetic drugs are more standardized in their
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chemicalcharacteristics, more consistent in their effects, and less likely to produce allergic
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reactions. Biotechnology drugs involve manipulating DNA and RNA and recombining
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genes into hybrid molecules that can be inserted into living organisms. Prototype drugs are
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the first drug of a particular group to be developed.
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PTS: 1 REF: p. 3, Drug Sources OBJ: 1 bt bt bt



NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral
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TherapiesTOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand b t NOT: Multiple Choice bt bt b t bt




3. Which classification applies to morphine?
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A. Central nervous system depressant bt bt bt



B. Central nervous system stimulant bt bt bt




ABRAMS' CLINICAL DRUG THERAPY: RATIONALES FOR NURSING PRACTICE
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, ABRAMS' CLINICAL DRUG THERAPY: RATIONALES FOR NURSING PRACTICE
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C. Anti-inflammatory
D. Antihypertensive
ANS: A b t



Rationale: Drugs are classified according to their effects on particular body systems, their
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therapeutic uses, and their chemical characteristics. Morphine is classified as a central
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nervous system depressant and will produce this effect in the client. A central nervous
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system stimulant increases attention and raises mood. An anti-inflammatory agent
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decreasesinflammation at the site of tissue or joint inflammation. An antihypertensive
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agent reduces blood pressure.
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PTS: 1 REF: p. 3, Drug Classifications and bt bt bt bt



PrototypesOBJ:
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NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral
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TherapiesTOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Rememberb t NOT: Multiple Choice bt bt b t bt




4. A client is administered amoxicillin. The generic name of this medication belongs to
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whichdrug group?
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A. Selective serotonin reuptake inhibitors
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B. Diuretics
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C. Penicillins
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D. ACE inhibitors bt
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ANS: C
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Rationale: The generic name often indicates the drug group (e.g., drugs with generic names
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ending in ―cillin‖ are penicillins). Selective serotonin reuptake inhibitors are medications
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that have antidepressant effects; SSRI is a broad classification, not a generic name.
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Diureticsare medications that increase urine output; diuretic is a broad classification, not a
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generic name. ACE inhibitor is the broad classification for the angiotensin receptor
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blockers, not thegeneric name.
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PTS: 1 REF: p. 3, Drug Names OBJ: 2
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NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral
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TherapiesTOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand
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5. The administration of diphenhydramine is regulated by which U.S. government agency?
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A. Public Health Service bt bt



B. Federal Trade Commission bt bt



C. Occupational Safety and Health Administration bt bt bt bt



D. Food and Drug Administration bt bt bt




ANS:
D





ABRAMS' CLINICAL DRUG THERAPY: bt bt bt