Test Bank for Focus on Nursing Pharmacology 9th Edition
by Amy Karch | 9781975180409 | Chapter 1-60 | All
Chapters with Answers and Rationals
,Table of content
Chapter 1 Introduction to Drugs
Chapter 2 Drugs and the Body
Chapter 3 Toxic Effects of Drugs
Chapter 4 The Nursing Process in Drug Therapy and Patient Safety
Chapter 5 Dosage Calculations
Chapter 6 Challenges to Effective Drug Therapy
Chapter 7 Introduction to Cell Physiology
Chapter 8 Anti-infective Agents
Chapter 9 Antibiotics
Chapter 10 Antiviral Agents
Chapter 11 Antifungal Agents
Chapter 12 Antiprotozoal Agents
Chapter 13 Anthelmintic Agents
Chapter 14 Antineoplastic Agents
Chapter 15 Introduction to the Immune Response and Inflammation
Chapter 16 Antiinflammatory, Antiarthritis, and Related Agents
Chapter 17 Immune Modulators
Chapter 18 Vaccines and Sera
Chapter 19 Introduction to Nerves and the Nervous System
Chapter 20 Anxiolytic and Hypnotic Agents
,Chapter 21 Antidepressant Agents
Chapter 22 Psychotherapeutic Agents
Chapter 23 Antiseizure Agents
Chapter 24 Antiparkinsonism Agents
Chapter 25 Muscle Relaxants
Chapter 26 Opioid Agonists, Opioid Antagonists, and Antimigraine
Agents
Chapter 27 General and Local Anesthetic Agents
Chapter 28 Neuromuscular Junction Blocking Agents
Chapter 29 Introduction to the Autonomic Nervous System
Chapter 30 Adrenergic Agonists
Chapter 31 Adrenergic Antagonists
Chapter 32 Cholinergic Agonists
Chapter 33 Anticholinergic Agents
Chapter 34 Introduction to the Endocrine System
Chapter 35 Hypothalamic and Pituitary Agents
Chapter 36 Adrenocortical Agents
Chapter 37 Thyroid and Parathyroid Agents
Chapter 38 Agents to Control Blood Glucose Levels
Chapter 39 Introduction to the Reproductive System
Chapter 40 Drugs Affecting the Female Reproductive System
Chapter 41 Drugs Affecting the Male Reproductive System
,Chapter 42 Introduction to the Cardiovascular System
Chapter 43 Drugs Affecting Blood Pressure
Chapter 44 Agents for Treating Heart Failure
Chapter 45 Antiarrhythmic Agents
Chapter 46 Antianginal Agents
Chapter 47 Lipid-Lowering Agents
Chapter 48 Drugs Affecting Blood Coagulation
Chapter 49 Drugs Used to Treat Anemias
Chapter 50 Introduction to the Renal System
Chapter 51 Diuretic Agents
Chapter 52 Drugs Affecting the Urinary Tract and the Bladder
Chapter 53 Introduction to the Respiratory System
Chapter 54 Drugs Acting on the Upper Respiratory Tract
Chapter 55 Drugs Acting on the Lower Respiratory Tract
Chapter 56 Introduction to the Gastrointestinal System
Chapter 57 Drugs Affecting Gastrointestinal Secretions
Chapter 58 Drugs Affecting Gastrointestinal Motility
Chapter 59 Antiemetic Agents
Chapter 60 Vitamins, Minerals, and Complementary/Alternative
Medications
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 4
Chapter 01 - Introduction to Drugs
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heJPublicJHealthJDepartment,JaJnurseJadministersJaJmeasles-mumps-
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oldJchildJasJaJroutineJimmunization.JWhichJbranchJofJpharmacologyJbestJdescribesJtheJactionsJofJallJthJr
eeJnurses?
Pharmacoeconomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
Ans:B
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ologyJorJpharmacotherapeutics,JwhichJisJaJbranchJofJpharmacologyJthatJdealsJwithJtheJusesJofJdrugsJtoJtJre
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gJaffectsJtheJbodyJandJpharmacokineticsJisJhowJtheJbodyJactsJonJtheJbody.
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atJcategoryJwouldJmorphineJbeJclassified?
ScheduleJI
ScheduleJII
ScheduleJIII
ScheduleJIV
Ans: B
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NarcoticsJwithJaJhighJabuseJpotentialJareJclassifiedJasJScheduleJIIJdrugsJbecauseJofJsevereJdependence
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 5
liability.JScheduleJIJdrugsJhaveJhighJabuseJpotentialJandJnoJacceptedJmedicalJuse.JScheduleJIIIJdrugsJhaJv
eJaJlesserJabuseJpotentialJthanJIIJandJanJacceptedJmedicalJuse.JScheduleJIVJdrugsJhaveJlowJabuseJpotenJtia
lJandJlimitedJdependenceJliability.
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ConductingJresearchJtoJdetermineJeffectivenessJofJtheJdrug
Ans:C
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symptomsJtheyJexperienceJwhileJtakingJtheJdrugs.JNursesJmayJbeJresponsibleJforJhelpingJcollectJandJanalyz
eJtheJinformationJtoJbeJsharedJwithJtheJFoodJandJDrugJAdministrationJ(FDA)JbutJwouldJnotJconJductJresearc
hJindependentlyJbecauseJnursesJdoJnotJprescribeJmedications.JUseJofJanimalsJinJdrugJtestingJisJdoneJinJtheJpr
eclinicalJtrials.JSelectJpatientsJwhoJareJinvolvedJinJphaseJIIJstudiesJtoJparticipateJinJstudiJesJwhereJtheJpartici
pantsJhaveJtheJdiseaseJtheJdrugJisJintendedJtoJtreat.JTheseJpatientsJareJmonitoredJcloselJyJforJdrugJactionJandJ
adverseJeffects.JPhaseJIJstudiesJinvolveJhealthyJhumanJvolunteersJwhoJareJusuallyJpaiJdJforJtheirJparticipatio
n.JNursesJmayJobserveJforJadverseJeffectsJandJtoxicity.
WhatJconceptJisJconsideredJwhenJgenericJdrugsJareJsubstitutedJforJbrandJnameJdrugs?
Bioavailability
CriticalJconcentration
Distribution
Half-life
Ans: A
Feedback:
BioavailabilityJisJtheJportionJofJaJdoseJofJaJdrugJthatJreachesJtheJsystemicJcirculationJandJisJavailabl
eJtoJactJonJbodyJcells.JBindersJusedJinJaJgenericJdrugJmayJnotJbeJtheJsameJasJthoseJusedJinJtheJbrand
JnameJdrug.JT Jherefore,JtheJ wayJtheJbodyJbreaksJdownJandJusesJthe JdrugJmayJdiffer,JwhichJmayJeli
minateJaJgenericJdrugJsubstitution.JCriticalJconcentrationJisJtheJamountJofJaJdrugJthatJisJneededJtoJc
auseJaJtherapeuticJeffectJandJshouldJnotJdifferJbetweenJgenericJandJbrandJnameJmedications.JDistri
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macokinetics,JwhichJinvolvesJtheJmovementJofJaJdrugJtoJtheJbody’sJtissuesJandJisJthe
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 6
sameJinJgenericJandJbrandJnameJdrugs.JAJdrug’sJhalf-
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dications,JtheJnurseJasksJwhatJpriorityJquestion?
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AreJanyJofJtheseJmedicationsJorphanJdrugs?
AreJtheseJmedicationsJsafeJtoJtakeJduringJpregnancy?
DoJyouJtakeJanyJover-the-counterJmedications?
Ans: D
Feedback:
ItJisJimportantJforJtheJnurseJtoJspecificallyJquestionJuseJofJover-the-
counterJmedicationsJbecauseJpatientsJmayJnotJconsiderJthemJimportant.JTheJpatientJisJunlikelyJtoJknowJtJhe
JmeaningJofJorphanJdrugsJunlessJtheyJtooJareJhealthJcareJproviders.JSafetyJduringJpregnancy,JuseJofJaJgJener
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ns: C
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ectiveJmedicationJadministrationJbutJwillJneedJtoJconsultJaJdrugJguideJforJspecificJdrugJinformationJbefoJreJ
administeringJanyJmedication.JPharmacologyJisJconstantlyJchanging,JwithJnewJdrugsJenteringJtheJmarketJa
ndJnewJusesJforJexistingJdrugsJidentified.JContinuingJeducationJinJpharmacologyJisJeJssentialJtoJsafeJpractic
e.JNursesJtendJtoJbecomeJfamiliarJwithJtheJmedicationsJtheyJadministerJmoJstJoften,JbutJthereJwillJalwaysJbe
JaJneedJtoJresearchJnewJdrugsJandJalsoJthoseJtheJnurseJisJnotJfamiliarJwithJbecauseJnoJnurseJknowsJallJmedic
ations.
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 7
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egoryJBJdrug.JWhatJwouldJtheJnurseJinformJtheJpatient?
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nJpregnantJwomen.
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gnantJwomen.
ThereJisJevidenceJofJhumanJfetalJrisk,JbutJtheJpotentialJbenefitsJfromJuseJofJtheJdrugJmayJbeJacJc
eptableJdespiteJpotentialJrisks.
Ans: B
Feedback:
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tJbeenJadequateJstudiesJinJpregnantJwomenJtoJdemonstrateJriskJtoJaJfetusJduringJtheJfirstJtrimesterJofJpreJgn
ancyJandJnoJevidenceJofJriskJinJlaterJtrimesters.JCategoryJAJindicatesJthatJadequateJstudiesJinJpregnantJwo
menJhaveJnotJdemonstratedJaJriskJtoJtheJfetusJinJtheJfirstJtrimesterJorJinJlaterJtrimesters.
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sJinJhumans.JCategoryJDJrevealsJevidenceJofJhumanJfetalJrisk,JbutJtheJpotentialJbenefitsJfromJtheJuseJofJtJheJ
drugsJinJpregnantJwomenJmayJoutweighJpotentialJrisks.
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ministrationJ(FDA).
OTCJdrugsJareJdifferentJfromJanyJdrugsJavailableJbyJprescriptionJandJcostJless.
OTCJdrugsJcouldJcauseJseriousJharmJifJnotJtakenJaccordingJtoJdirections.
Ans: D
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ItJisJimportantJtoJfollowJpackageJdirectionsJbecauseJOTCsJareJmedicationsJthatJcanJcauseJseriousJharJmJifJn
otJtakenJproperly.JOTCsJareJdrugsJthatJhaveJbeenJdeterminedJtoJbeJsafeJwhenJtakenJasJdirected;JhowJever,Jal
lJdrugsJcanJproduceJadverseJeffectsJevenJwhenJtakenJproperly.JTheyJmayJhaveJoriginallyJbeenJprJescriptionJ
drugsJthatJwereJtestedJbyJtheJFDAJorJtheyJmayJhaveJbeenJgrandfatheredJinJwhenJthe
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 8
FDAJlawsJchanged.JOTCJeducationJshouldJalwaysJbeJincludedJasJaJpartJofJtheJhospitalJdischargeJinstructionsJ.
WhatJwouldJbeJtheJbestJsourceJofJdrugJinformationJforJaJnurse?
DrugJFactsJandJComparisons
AJnurse’sJdrugJguide
AJdrugJpackageJinsert
TheJPhysicians’JDrugJReferenceJ(PDR)
Ans:B
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AJnurse’sJdrugJguideJprovidesJnursingJimplicationsJandJpatientJteachingJpointsJthatJareJmostJusefulJtoJnursJe
sJinJadditionJtoJneed-to-
knowJdrugJinformationJinJaJveryJuserJfriendlyJorganizationalJstyle.Lippincott’sJNursingJDrugJGuideJ(LNDJG)Jha
sJdrugJmonographsJorganizedJalphabeticallyJandJincludesJnursingJimplicationsJandJpatientJteachin
points.JNumerousJotherJdrugJhandbooksJareJalsoJonJtheJmarketJandJreadilyJavailableJforJnursesJtoJus
AlthoughJotherJdrugJreferenceJbooksJsuchJasJDrugJFactsJandJComparisons,JPDR,JandJdrugJpackageJinsJer
tsJcanJallJprovideJessentialJdrugJinformation,JtheyJwillJnotJcontainJnursingJimplicationsJandJteachingJpoinJtsJ
andJcanJbeJmoreJdifficultJtoJuseJthanJnurse’sJdrugJguides.
TheJnurseJisJpreparingJtoJadministerJaJmedicationJfromJaJmultidoseJbottle.JTheJlabelJisJtornJandJsoiledJbu
theJnameJofJtheJmedicationJisJstillJreadable.JWhatJisJtheJnurse’sJpriorityJaction?
DiscardJtheJentireJbottleJandJcontentsJandJobtainJaJnewJbottle.
FindJtheJdrugJinformationJandJcreateJaJnewJlabelJforJtheJbottle.
AskJanotherJnurseJtoJverifyJtheJcontentsJofJtheJbottle.
AdministerJtheJmedicationJifJtheJnameJofJtheJdrugJcanJbeJclearlyJread.
Ans:A
Feedback:
WhenJtheJdrugJlabelJisJsoiledJobscuringJsomeJinformationJtheJsafestJactionJbyJtheJnurseJisJtoJdiscardJtheJboJtt
leJandJcontentsJbecauseJdrugJlabelsJcontainJaJgreatJdealJofJimportantJinformation,JfarJmoreJthanJjustJtheJnam
eJofJtheJdrug.JConcentrationJofJtheJdrug,JexpirationJdate,JadministrationJdirections,JandJprecautionsJmayJbeJ
missingJfromJtheJlabelJandJsoJputJtheJpatientJatJrisk.JLookingJupJdrugJinformationJinJaJdruJgJhandbookJorJcon
sultingJwithJanotherJnurseJwillJnotJsupplyJtheJexpirationJdateJorJconcentrationJofJmedication.JBeJsafeJandJdis
cardJtheJbottleJandJitsJcontents.
, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 9
WhatJaspectJofJpharmacologyJdoesJaJnurseJstudy?J(SelectJallJthatJapply.)
ChemicalJpharmacology
MolecularJpharmacology
ImpactJofJdrugsJonJtheJbody
TheJbody’sJresponseJtoJaJdrug
AdverseJandJanticipatedJdrugJeffects
Ans: C,D,E
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NursesJstudyJpharmacologyJfromJaJpharmacotherapeuticJlevel,JwhichJincludesJtheJeffectJofJdrugsJon t
heJbody,JtheJbody’sJresponseJtoJdrugs,JandJbothJexpectedJandJunexpectedJdrugJeffects.JChemicalJandJm
olecularJpharmacologyJ(OptionsJAJandJB)JareJnotJincludedJinJnursingJpharmacologyJcourses.
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henJdrugsJareJtakenJproperlyJtheyJcanJproduceJnegativeJorJunexpectedJeffects.JWhatJareJtheseJnegativeJorJ
unexpectedJeffectsJcalled?
TeratogenicJeffects
ToxicJeffects
AdverseJeffects
TherapeuticJeffects
Ans:C
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NegativeJorJunexpectedJeffectsJareJknownJasJadverseJorJsideJeffects.JTeratogenicJeffectsJareJadverseJeffecJt
sJonJtheJfetusJandJnotJaJlikelyJconcernJforJanJolderJadult.JToxicJeffectsJoccurJwhenJmedicationJisJtakenJinJlar
gerJthanJrecommendedJdosagesJcausedJbyJanJincreaseJinJserumJdrugJlevels.JTherapeuticJeffectsJareJtheJdesi
redJactionsJforJwhichJtheJmedicationJisJprescribed.
AfterJadministeringJaJmedication,JforJwhatJwouldJtheJnurseJassessJtheJpatient?
by Amy Karch | 9781975180409 | Chapter 1-60 | All
Chapters with Answers and Rationals
,Table of content
Chapter 1 Introduction to Drugs
Chapter 2 Drugs and the Body
Chapter 3 Toxic Effects of Drugs
Chapter 4 The Nursing Process in Drug Therapy and Patient Safety
Chapter 5 Dosage Calculations
Chapter 6 Challenges to Effective Drug Therapy
Chapter 7 Introduction to Cell Physiology
Chapter 8 Anti-infective Agents
Chapter 9 Antibiotics
Chapter 10 Antiviral Agents
Chapter 11 Antifungal Agents
Chapter 12 Antiprotozoal Agents
Chapter 13 Anthelmintic Agents
Chapter 14 Antineoplastic Agents
Chapter 15 Introduction to the Immune Response and Inflammation
Chapter 16 Antiinflammatory, Antiarthritis, and Related Agents
Chapter 17 Immune Modulators
Chapter 18 Vaccines and Sera
Chapter 19 Introduction to Nerves and the Nervous System
Chapter 20 Anxiolytic and Hypnotic Agents
,Chapter 21 Antidepressant Agents
Chapter 22 Psychotherapeutic Agents
Chapter 23 Antiseizure Agents
Chapter 24 Antiparkinsonism Agents
Chapter 25 Muscle Relaxants
Chapter 26 Opioid Agonists, Opioid Antagonists, and Antimigraine
Agents
Chapter 27 General and Local Anesthetic Agents
Chapter 28 Neuromuscular Junction Blocking Agents
Chapter 29 Introduction to the Autonomic Nervous System
Chapter 30 Adrenergic Agonists
Chapter 31 Adrenergic Antagonists
Chapter 32 Cholinergic Agonists
Chapter 33 Anticholinergic Agents
Chapter 34 Introduction to the Endocrine System
Chapter 35 Hypothalamic and Pituitary Agents
Chapter 36 Adrenocortical Agents
Chapter 37 Thyroid and Parathyroid Agents
Chapter 38 Agents to Control Blood Glucose Levels
Chapter 39 Introduction to the Reproductive System
Chapter 40 Drugs Affecting the Female Reproductive System
Chapter 41 Drugs Affecting the Male Reproductive System
,Chapter 42 Introduction to the Cardiovascular System
Chapter 43 Drugs Affecting Blood Pressure
Chapter 44 Agents for Treating Heart Failure
Chapter 45 Antiarrhythmic Agents
Chapter 46 Antianginal Agents
Chapter 47 Lipid-Lowering Agents
Chapter 48 Drugs Affecting Blood Coagulation
Chapter 49 Drugs Used to Treat Anemias
Chapter 50 Introduction to the Renal System
Chapter 51 Diuretic Agents
Chapter 52 Drugs Affecting the Urinary Tract and the Bladder
Chapter 53 Introduction to the Respiratory System
Chapter 54 Drugs Acting on the Upper Respiratory Tract
Chapter 55 Drugs Acting on the Lower Respiratory Tract
Chapter 56 Introduction to the Gastrointestinal System
Chapter 57 Drugs Affecting Gastrointestinal Secretions
Chapter 58 Drugs Affecting Gastrointestinal Motility
Chapter 59 Antiemetic Agents
Chapter 60 Vitamins, Minerals, and Complementary/Alternative
Medications
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 4
Chapter 01 - Introduction to Drugs
J J J J J
AJnurseJworkingJinJradiologyJadministersJiodineJtoJaJpatientJwhoJisJhavingJaJcomputedJtomographyJ(CJT)Jsc
an.JTheJnurseJworkingJonJtheJoncologyJunitJadministersJchemotherapyJtoJpatientsJwhoJhaveJcanceJr.JAtJt
heJPublicJHealthJDepartment,JaJnurseJadministersJaJmeasles-mumps-
rubellaJ(MMR)JvaccineJtoJaJ14-month-
oldJchildJasJaJroutineJimmunization.JWhichJbranchJofJpharmacologyJbestJdescribesJtheJactionsJofJallJthJr
eeJnurses?
Pharmacoeconomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
Ans:B
Feedback:
PharmacologyJisJtheJstudyJofJtheJbiologicJeffectsJofJchemicals.JNursesJareJinvolvedJwithJclinicalJpharmaJc
ologyJorJpharmacotherapeutics,JwhichJisJaJbranchJofJpharmacologyJthatJdealsJwithJtheJusesJofJdrugsJtoJtJre
at,Jprevent,JandJdiagnoseJdisease.JTheJradiologyJnurseJisJadministeringJaJdrugJtoJhelpJdiagnoseJaJdiseaJse.J
TheJoncologyJnurseJisJadministeringJaJdrugJtoJhelpJtreatJaJdisease.
PharmacoeconomicsJincludesJanyJcostsJinvolvedJinJdrugJtherapy.JPharmacodynamicsJinvolvesJhowJaJdruJ
gJaffectsJtheJbodyJandJpharmacokineticsJisJhowJtheJbodyJactsJonJtheJbody.
AJphysicianJhasJorderedJintramuscularJ(IM)JinjectionsJofJmorphine,JaJnarcotic,JeveryJ4JhoursJasJneededJfor
painJinJaJmotorJvehicleJaccidentJvictim.JTheJnurseJisJawareJthisJdrugJhasJaJhighJabuseJpotential.JUnderJwh
atJcategoryJwouldJmorphineJbeJclassified?
ScheduleJI
ScheduleJII
ScheduleJIII
ScheduleJIV
Ans: B
Feedback:
NarcoticsJwithJaJhighJabuseJpotentialJareJclassifiedJasJScheduleJIIJdrugsJbecauseJofJsevereJdependence
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 5
liability.JScheduleJIJdrugsJhaveJhighJabuseJpotentialJandJnoJacceptedJmedicalJuse.JScheduleJIIIJdrugsJhaJv
eJaJlesserJabuseJpotentialJthanJIIJandJanJacceptedJmedicalJuse.JScheduleJIVJdrugsJhaveJlowJabuseJpotenJtia
lJandJlimitedJdependenceJliability.
WhenJinvolvedJinJphaseJIIIJdrugJevaluationJstudies,JwhatJresponsibilitiesJwouldJtheJnurseJhave?
WorkingJwithJanimalsJwhoJareJgivenJexperimentalJdrugs
ChoosingJappropriateJpatientsJtoJbeJinvolvedJinJtheJdrugJstudy
MonitoringJandJobservingJpatientsJcloselyJforJadverseJeffects
ConductingJresearchJtoJdetermineJeffectivenessJofJtheJdrug
Ans:C
Feedback:
PhaseJIIIJstudiesJinvolveJuseJofJaJdrugJinJaJvastJclinicalJpopulationJinJwhichJpatientsJareJaskedJtoJrecordJanJyJ
symptomsJtheyJexperienceJwhileJtakingJtheJdrugs.JNursesJmayJbeJresponsibleJforJhelpingJcollectJandJanalyz
eJtheJinformationJtoJbeJsharedJwithJtheJFoodJandJDrugJAdministrationJ(FDA)JbutJwouldJnotJconJductJresearc
hJindependentlyJbecauseJnursesJdoJnotJprescribeJmedications.JUseJofJanimalsJinJdrugJtestingJisJdoneJinJtheJpr
eclinicalJtrials.JSelectJpatientsJwhoJareJinvolvedJinJphaseJIIJstudiesJtoJparticipateJinJstudiJesJwhereJtheJpartici
pantsJhaveJtheJdiseaseJtheJdrugJisJintendedJtoJtreat.JTheseJpatientsJareJmonitoredJcloselJyJforJdrugJactionJandJ
adverseJeffects.JPhaseJIJstudiesJinvolveJhealthyJhumanJvolunteersJwhoJareJusuallyJpaiJdJforJtheirJparticipatio
n.JNursesJmayJobserveJforJadverseJeffectsJandJtoxicity.
WhatJconceptJisJconsideredJwhenJgenericJdrugsJareJsubstitutedJforJbrandJnameJdrugs?
Bioavailability
CriticalJconcentration
Distribution
Half-life
Ans: A
Feedback:
BioavailabilityJisJtheJportionJofJaJdoseJofJaJdrugJthatJreachesJtheJsystemicJcirculationJandJisJavailabl
eJtoJactJonJbodyJcells.JBindersJusedJinJaJgenericJdrugJmayJnotJbeJtheJsameJasJthoseJusedJinJtheJbrand
JnameJdrug.JT Jherefore,JtheJ wayJtheJbodyJbreaksJdownJandJusesJthe JdrugJmayJdiffer,JwhichJmayJeli
minateJaJgenericJdrugJsubstitution.JCriticalJconcentrationJisJtheJamountJofJaJdrugJthatJisJneededJtoJc
auseJaJtherapeuticJeffectJandJshouldJnotJdifferJbetweenJgenericJandJbrandJnameJmedications.JDistri
butionJisJtheJphaseJofJphar
macokinetics,JwhichJinvolvesJtheJmovementJofJaJdrugJtoJtheJbody’sJtissuesJandJisJthe
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 6
sameJinJgenericJandJbrandJnameJdrugs.JAJdrug’sJhalf-
lifeJisJtheJtimeJitJtakesJforJtheJamountJofJdrugJtoJdecreaseJtoJhalfJtheJpeakJlevel,JwhichJshouldJnotJchangeJwhJe
nJsubstitutingJaJgenericJmedication.
AJnurseJisJassessingJtheJpatient’sJhomeJmedicationJuse.JAfterJlisteningJtoJtheJpatientJlistJcurrentJmJe
dications,JtheJnurseJasksJwhatJpriorityJquestion?
DoJyouJtakeJanyJgenericJmedications?
AreJanyJofJtheseJmedicationsJorphanJdrugs?
AreJtheseJmedicationsJsafeJtoJtakeJduringJpregnancy?
DoJyouJtakeJanyJover-the-counterJmedications?
Ans: D
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ItJisJimportantJforJtheJnurseJtoJspecificallyJquestionJuseJofJover-the-
counterJmedicationsJbecauseJpatientsJmayJnotJconsiderJthemJimportant.JTheJpatientJisJunlikelyJtoJknowJtJhe
JmeaningJofJorphanJdrugsJunlessJtheyJtooJareJhealthJcareJproviders.JSafetyJduringJpregnancy,JuseJofJaJgJener
icJmedication,JorJclassificationJofJorphanJdrugsJareJthingsJtheJpatientJwouldJbeJunableJtoJanswerJbutJcJouldJ
beJfoundJinJreferenceJbooksJifJtheJnurseJwishesJtoJresearchJthem.
AfterJcompletingJaJcourseJonJpharmacologyJforJnurses,JwhatJwillJtheJnurseJknow?
EverythingJnecessaryJforJsafeJandJeffectiveJmedicationJadministration
CurrentJpharmacologicJtherapy;JtheJnurseJwillJnotJrequireJongoingJeducationJforJ5Jyears.
GeneralJdrugJinformation;JtheJnurseJcanJconsultJaJdrugJguideJforJspecificJdrugJinformation.
TheJdrugJactionsJthatJareJassociatedJwithJeachJclassificationJofJmedicationJA
ns: C
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AfterJcompletingJaJpharmacologyJcourseJnursesJwillJhaveJgeneralJdrugJinformationJneededJforJsafeJandJefJf
ectiveJmedicationJadministrationJbutJwillJneedJtoJconsultJaJdrugJguideJforJspecificJdrugJinformationJbefoJreJ
administeringJanyJmedication.JPharmacologyJisJconstantlyJchanging,JwithJnewJdrugsJenteringJtheJmarketJa
ndJnewJusesJforJexistingJdrugsJidentified.JContinuingJeducationJinJpharmacologyJisJeJssentialJtoJsafeJpractic
e.JNursesJtendJtoJbecomeJfamiliarJwithJtheJmedicationsJtheyJadministerJmoJstJoften,JbutJthereJwillJalwaysJbe
JaJneedJtoJresearchJnewJdrugsJandJalsoJthoseJtheJnurseJisJnotJfamiliarJwithJbecauseJnoJnurseJknowsJallJmedic
ations.
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 7
AJnurseJisJinstructingJaJpregnantJpatientJconcerningJtheJpotentialJriskJtoJherJfetusJfromJaJPregnancyJCaJt
egoryJBJdrug.JWhatJwouldJtheJnurseJinformJtheJpatient?
AdequateJstudiesJinJpregnantJwomenJhaveJdemonstratedJthereJisJnoJriskJtoJtheJfetus.
B) AnimalJstudiesJhaveJnotJdemonstratedJaJriskJtoJtheJfetus,JbutJthereJhaveJbeenJnoJadequateJstudies i
nJpregnantJwomen.
AnimalJstudiesJhaveJshownJanJadverseJeffectJonJtheJfetus,JbutJthereJareJnoJadequateJstudiesJinJprJe
gnantJwomen.
ThereJisJevidenceJofJhumanJfetalJrisk,JbutJtheJpotentialJbenefitsJfromJuseJofJtheJdrugJmayJbeJacJc
eptableJdespiteJpotentialJrisks.
Ans: B
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CategoryJBJindicatesJthatJanimalJstudiesJhaveJnotJdemonstratedJaJriskJtoJtheJfetus.JHowever,JthereJhaveJnJo
tJbeenJadequateJstudiesJinJpregnantJwomenJtoJdemonstrateJriskJtoJaJfetusJduringJtheJfirstJtrimesterJofJpreJgn
ancyJandJnoJevidenceJofJriskJinJlaterJtrimesters.JCategoryJAJindicatesJthatJadequateJstudiesJinJpregnantJwo
menJhaveJnotJdemonstratedJaJriskJtoJtheJfetusJinJtheJfirstJtrimesterJorJinJlaterJtrimesters.
CategoryJCJindicatesJthatJanimalJstudiesJhaveJshownJanJadverseJeffectJonJtheJfetus,JbutJnoJadequateJstudiJe
sJinJhumans.JCategoryJDJrevealsJevidenceJofJhumanJfetalJrisk,JbutJtheJpotentialJbenefitsJfromJtheJuseJofJtJheJ
drugsJinJpregnantJwomenJmayJoutweighJpotentialJrisks.
DischargeJplanningJforJpatientsJleavingJtheJhospitalJshouldJincludeJinstructionsJonJtheJuseJofJover-the-
counterJ(OTC)Jdrugs.JWhichJcommentJbyJtheJpatientJwouldJdemonstrateJaJgoodJunderstandingJofJOTCJdJru
gs?
OTCJdrugsJareJsafeJandJdoJnotJcauseJadverseJeffectsJifJtakenJproperly.
OTCJdrugsJhaveJbeenJaroundJforJyearsJandJhaveJnotJbeenJtestedJbyJtheJFoodJandJDrugJAJd
ministrationJ(FDA).
OTCJdrugsJareJdifferentJfromJanyJdrugsJavailableJbyJprescriptionJandJcostJless.
OTCJdrugsJcouldJcauseJseriousJharmJifJnotJtakenJaccordingJtoJdirections.
Ans: D
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ItJisJimportantJtoJfollowJpackageJdirectionsJbecauseJOTCsJareJmedicationsJthatJcanJcauseJseriousJharJmJifJn
otJtakenJproperly.JOTCsJareJdrugsJthatJhaveJbeenJdeterminedJtoJbeJsafeJwhenJtakenJasJdirected;JhowJever,Jal
lJdrugsJcanJproduceJadverseJeffectsJevenJwhenJtakenJproperly.JTheyJmayJhaveJoriginallyJbeenJprJescriptionJ
drugsJthatJwereJtestedJbyJtheJFDAJorJtheyJmayJhaveJbeenJgrandfatheredJinJwhenJthe
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 8
FDAJlawsJchanged.JOTCJeducationJshouldJalwaysJbeJincludedJasJaJpartJofJtheJhospitalJdischargeJinstructionsJ.
WhatJwouldJbeJtheJbestJsourceJofJdrugJinformationJforJaJnurse?
DrugJFactsJandJComparisons
AJnurse’sJdrugJguide
AJdrugJpackageJinsert
TheJPhysicians’JDrugJReferenceJ(PDR)
Ans:B
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AJnurse’sJdrugJguideJprovidesJnursingJimplicationsJandJpatientJteachingJpointsJthatJareJmostJusefulJtoJnursJe
sJinJadditionJtoJneed-to-
knowJdrugJinformationJinJaJveryJuserJfriendlyJorganizationalJstyle.Lippincott’sJNursingJDrugJGuideJ(LNDJG)Jha
sJdrugJmonographsJorganizedJalphabeticallyJandJincludesJnursingJimplicationsJandJpatientJteachin
points.JNumerousJotherJdrugJhandbooksJareJalsoJonJtheJmarketJandJreadilyJavailableJforJnursesJtoJus
AlthoughJotherJdrugJreferenceJbooksJsuchJasJDrugJFactsJandJComparisons,JPDR,JandJdrugJpackageJinsJer
tsJcanJallJprovideJessentialJdrugJinformation,JtheyJwillJnotJcontainJnursingJimplicationsJandJteachingJpoinJtsJ
andJcanJbeJmoreJdifficultJtoJuseJthanJnurse’sJdrugJguides.
TheJnurseJisJpreparingJtoJadministerJaJmedicationJfromJaJmultidoseJbottle.JTheJlabelJisJtornJandJsoiledJbu
theJnameJofJtheJmedicationJisJstillJreadable.JWhatJisJtheJnurse’sJpriorityJaction?
DiscardJtheJentireJbottleJandJcontentsJandJobtainJaJnewJbottle.
FindJtheJdrugJinformationJandJcreateJaJnewJlabelJforJtheJbottle.
AskJanotherJnurseJtoJverifyJtheJcontentsJofJtheJbottle.
AdministerJtheJmedicationJifJtheJnameJofJtheJdrugJcanJbeJclearlyJread.
Ans:A
Feedback:
WhenJtheJdrugJlabelJisJsoiledJobscuringJsomeJinformationJtheJsafestJactionJbyJtheJnurseJisJtoJdiscardJtheJboJtt
leJandJcontentsJbecauseJdrugJlabelsJcontainJaJgreatJdealJofJimportantJinformation,JfarJmoreJthanJjustJtheJnam
eJofJtheJdrug.JConcentrationJofJtheJdrug,JexpirationJdate,JadministrationJdirections,JandJprecautionsJmayJbeJ
missingJfromJtheJlabelJandJsoJputJtheJpatientJatJrisk.JLookingJupJdrugJinformationJinJaJdruJgJhandbookJorJcon
sultingJwithJanotherJnurseJwillJnotJsupplyJtheJexpirationJdateJorJconcentrationJofJmedication.JBeJsafeJandJdis
cardJtheJbottleJandJitsJcontents.
, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
fi fi fi fi fi fi fi fi fi fi 9
WhatJaspectJofJpharmacologyJdoesJaJnurseJstudy?J(SelectJallJthatJapply.)
ChemicalJpharmacology
MolecularJpharmacology
ImpactJofJdrugsJonJtheJbody
TheJbody’sJresponseJtoJaJdrug
AdverseJandJanticipatedJdrugJeffects
Ans: C,D,E
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NursesJstudyJpharmacologyJfromJaJpharmacotherapeuticJlevel,JwhichJincludesJtheJeffectJofJdrugsJon t
heJbody,JtheJbody’sJresponseJtoJdrugs,JandJbothJexpectedJandJunexpectedJdrugJeffects.JChemicalJandJm
olecularJpharmacologyJ(OptionsJAJandJB)JareJnotJincludedJinJnursingJpharmacologyJcourses.
TheJnurse,JprovidingJpatientJteachingJaboutJhomeJmedicationJuseJtoJanJolderJadult,JexplainsJthatJevenJw
henJdrugsJareJtakenJproperlyJtheyJcanJproduceJnegativeJorJunexpectedJeffects.JWhatJareJtheseJnegativeJorJ
unexpectedJeffectsJcalled?
TeratogenicJeffects
ToxicJeffects
AdverseJeffects
TherapeuticJeffects
Ans:C
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NegativeJorJunexpectedJeffectsJareJknownJasJadverseJorJsideJeffects.JTeratogenicJeffectsJareJadverseJeffecJt
sJonJtheJfetusJandJnotJaJlikelyJconcernJforJanJolderJadult.JToxicJeffectsJoccurJwhenJmedicationJisJtakenJinJlar
gerJthanJrecommendedJdosagesJcausedJbyJanJincreaseJinJserumJdrugJlevels.JTherapeuticJeffectsJareJtheJdesi
redJactionsJforJwhichJtheJmedicationJisJprescribed.
AfterJadministeringJaJmedication,JforJwhatJwouldJtheJnurseJassessJtheJpatient?
