Test Bank Pharmacology and the Nursing Process 9th Edition
Test Bank - 9780323529495 All Chapters | All Chapters with
Answers and Rationals
What are the five components of the nursing process? - ANSWER: 1. Assessment
2. Nursing Diagnosis
3. Planned Goals + Outcomes
4. Implementation
5. Evaluation
What are important components of assessment related to medications? - ANSWER: 1. therapeutic
effects
2. adverse effects
3. allergies
4. contraindications
5. drug interactions
6. over the counter drugs
7. herbal medicines
What are the three main areas of concern for nursing diagnosis? - ANSWER: 1. promote therapeutic
effects
2. minimize adverse effects and toxicity
3. maximize self-care and knowledge
What are the six rights of medication administration? - ANSWER: 1. right patient
2. right drug
3. right dose
4. right time
5. right route
6. right documentation
What are the three different names of drugs? - ANSWER: 1. chemical name
2. generic name
3. trade/brand name
What type of effect results in the opposite intended effect? - ANSWER: paradoxical reaction
What type of uncommon reaction is often caused by genetic differences? - ANSWER: idiosyncratic
reactions
What type of reaction is due to the stimulation of the immune system by the drug? - ANSWER:
hypersensitivity (allergy)
What type of reaction occurs with drug overdose? - ANSWER: toxicity
What is the pathophysiology of a drug hypersensitivity reaction? - ANSWER: body recognizes the drug
as foreign invader → histamine + cellular mediators released → allergy/hypersensitivity reaction
occurs (hives, rash, swelling, anaphylaxis)
What are five common toxicities that may occur with drugs? - ANSWER: 1. cardiotoxic
2. nephrotoxic
3. hepatotoxic
4. ototoxic
5. neurotoxic
, What is polypharmacy? - ANSWER: use of a number of different drugs (often filled at different
pharamacies and/or prescribed by multiple prescribers) that have conflicting effects
What are four ways food may interact with drugs? - ANSWER: 1. impact absorption
2. impact drug metabolism
3. contribute to toxic or additive effects
4. impact drug action
What is a synergistic interaction? - ANSWER: combined effect is greater than the sum of the individual
agents (1+1>2)
What is an additive interaction? - ANSWER: combined effect equal to the sum of individual agents
(1+1=2)
What is a reducing/antagonistic interaction? - ANSWER: one drug inhibits the ability of another drug
to act (1+1<2)
What is a teratogen? - ANSWER: drug that causes birth defects in the fetus
What is a mutagen? - ANSWER: drug that induces changes in the genetic composition of a living
organism
What is a carcinogen? - ANSWER: drug causes cancer
What is the purpose of acute pharmacotherapeutics? - ANSWER: provide immediate attention
What is the purpose of maintenance pharmacotherapeutics? - ANSWER: prevent progression
What is the purpose of supplemental pharmacotherapeutics? - ANSWER: provides needed supply of
substance
What is the purpose of palliative pharamacotherapeutics? - ANSWER: improves patient comfort
What is the purpose of supportive pharmacotherapeutics? - ANSWER: maintains body integrity
What is the purpose of prophylatic pharmacotherapeutics? - ANSWER: preventative
What are important patient-centered considerations with any drug? - ANSWER: treat the individual
taking into consideration age, physiological conditions, pathologies, genetics → same illness, different
people, different treatment
What are pharmacological nursing considerations in the pregnant patient? - ANSWER: 1. physiological
changes of pregnancy alter normal pharmacological responses
2. drugs may pass thru placenta to fetus
3. FDA pregnancy ratings
What are pharmacological nursing considerations in the breastfeeding patient? - ANSWER: 1. transfer
of drugs thru breastmilk
2. Hale's Lactation Risk Categories
What contributes to transfer of drugs thru breastmilk? - ANSWER: 1. plasma drug level in mother
2. solubility of the drug
3. molecular size and protein binding
4. drug ionization
5. drug half life
Test Bank - 9780323529495 All Chapters | All Chapters with
Answers and Rationals
What are the five components of the nursing process? - ANSWER: 1. Assessment
2. Nursing Diagnosis
3. Planned Goals + Outcomes
4. Implementation
5. Evaluation
What are important components of assessment related to medications? - ANSWER: 1. therapeutic
effects
2. adverse effects
3. allergies
4. contraindications
5. drug interactions
6. over the counter drugs
7. herbal medicines
What are the three main areas of concern for nursing diagnosis? - ANSWER: 1. promote therapeutic
effects
2. minimize adverse effects and toxicity
3. maximize self-care and knowledge
What are the six rights of medication administration? - ANSWER: 1. right patient
2. right drug
3. right dose
4. right time
5. right route
6. right documentation
What are the three different names of drugs? - ANSWER: 1. chemical name
2. generic name
3. trade/brand name
What type of effect results in the opposite intended effect? - ANSWER: paradoxical reaction
What type of uncommon reaction is often caused by genetic differences? - ANSWER: idiosyncratic
reactions
What type of reaction is due to the stimulation of the immune system by the drug? - ANSWER:
hypersensitivity (allergy)
What type of reaction occurs with drug overdose? - ANSWER: toxicity
What is the pathophysiology of a drug hypersensitivity reaction? - ANSWER: body recognizes the drug
as foreign invader → histamine + cellular mediators released → allergy/hypersensitivity reaction
occurs (hives, rash, swelling, anaphylaxis)
What are five common toxicities that may occur with drugs? - ANSWER: 1. cardiotoxic
2. nephrotoxic
3. hepatotoxic
4. ototoxic
5. neurotoxic
, What is polypharmacy? - ANSWER: use of a number of different drugs (often filled at different
pharamacies and/or prescribed by multiple prescribers) that have conflicting effects
What are four ways food may interact with drugs? - ANSWER: 1. impact absorption
2. impact drug metabolism
3. contribute to toxic or additive effects
4. impact drug action
What is a synergistic interaction? - ANSWER: combined effect is greater than the sum of the individual
agents (1+1>2)
What is an additive interaction? - ANSWER: combined effect equal to the sum of individual agents
(1+1=2)
What is a reducing/antagonistic interaction? - ANSWER: one drug inhibits the ability of another drug
to act (1+1<2)
What is a teratogen? - ANSWER: drug that causes birth defects in the fetus
What is a mutagen? - ANSWER: drug that induces changes in the genetic composition of a living
organism
What is a carcinogen? - ANSWER: drug causes cancer
What is the purpose of acute pharmacotherapeutics? - ANSWER: provide immediate attention
What is the purpose of maintenance pharmacotherapeutics? - ANSWER: prevent progression
What is the purpose of supplemental pharmacotherapeutics? - ANSWER: provides needed supply of
substance
What is the purpose of palliative pharamacotherapeutics? - ANSWER: improves patient comfort
What is the purpose of supportive pharmacotherapeutics? - ANSWER: maintains body integrity
What is the purpose of prophylatic pharmacotherapeutics? - ANSWER: preventative
What are important patient-centered considerations with any drug? - ANSWER: treat the individual
taking into consideration age, physiological conditions, pathologies, genetics → same illness, different
people, different treatment
What are pharmacological nursing considerations in the pregnant patient? - ANSWER: 1. physiological
changes of pregnancy alter normal pharmacological responses
2. drugs may pass thru placenta to fetus
3. FDA pregnancy ratings
What are pharmacological nursing considerations in the breastfeeding patient? - ANSWER: 1. transfer
of drugs thru breastmilk
2. Hale's Lactation Risk Categories
What contributes to transfer of drugs thru breastmilk? - ANSWER: 1. plasma drug level in mother
2. solubility of the drug
3. molecular size and protein binding
4. drug ionization
5. drug half life
