,Test Bank - Focus on Nursing Pharmacology (9th Edition by
g g g g g g g g g 3
Karch)
g
Chapter 01 - Introduction to Drugs g g g g g
A nurse working in radiology administers iodine to a patient who is having a computed tomography
g g g g g g g g g g g g g g g
(CT)scan. The nurse working on the oncology unit administers chemotherapy to patients who
g g g g g g g g g g g g g g
have cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella
g g g g g g g g g g g g
(MMR) vaccine to a 14-month-old child as a routine immunization. Which branch of
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pharmacology best describes the actions of all three nurses?
g g g g g g g g g
Pharmacoeconomics
g Pharmacotherapeutic
sPharmacodynamics
g
g Pharmacokinetics
g Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
g g g g g g g g g g g g g g
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses
g g g g g g g g g g g g g g
ofdrugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
g g g g g g g g g g g g g g g g g
diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
g g g g g g g g g g g g g g g
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how g g g g g g g g g g
adrug affects the body and pharmacokinetics is how the body acts on the body.
g g g g g g g g g g g g g g g
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed
g g g g g g g g g g g g g g g
forpain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
g g g g g g g g g g g g g g g g g g g
Under what category would morphine be classified?
g g g g g g
Schedule I g
g Schedule II g
g Schedule III g
Schedule IV
g g
g Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
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Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
,Test Bank - Focus on Nursing Pharmacology (9th Edition by
g g g g g g g g g 4
Karch)
g
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III
g g g g g g g g g g g g g g
gdrugs have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have
g g g g g g g g g g g g g g g g
glow abusepotential and limited dependence liability.
g g g g g g
When involved in phase III drug evaluation studies, what responsibilities would the nurse
g g g g g g g g g g g g
g have?Working with animals who are given experimental drugs
g g g g g g g g
Choosing appropriate patients to be involved in the drug study
g g g g g g g g g
g Monitoring and observing patients closely for adverse effects
g g g g g g g
g Conducting research to determine effectiveness of the drug Ans: C
g g g g g g g g g
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to
g g g g g g g g g g g g g g g g g g
recordany symptoms they experience while taking the drugs. Nurses may be responsible for helping
g g g g g g g g g g g g g g g
collect and analyze the information to be shared with the Food and Drug Administration (FDA) but
g g g g g g g g g g g g g g g g
would not conduct research independently because nurses do not prescribe medications. Use of
g g g g g g g g g g g g g
animals in drug testing is done in the preclinical trials. Select patients who are involved in phase II
g g g g g g g g g g g g g g g g g g
studies to participatein studies where the participants have the disease the drug is intended to treat.
g g g g g g g g g g g g g g g g g
These patients are monitored closely for drug action and adverse effects. Phase I studies involve
g g g g g g g g g g g g g g g
healthy human volunteerswho are usually paid for their participation. Nurses may observe for adverse
g g g g g g g g g g g g g g g
effects and toxicity.
g g g
What concept is considered when generic drugs are substituted for brand name
g g g g g g g g g g g
g drugs?Bioavailability
g
Critical concentration g
Distribution
g
Half-life
g Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available
g g g g g g g g g g g g g g g g g
to act on body cells. Binders used in a generic drug may not be the same as those used in the brand
g g g g g g g g g g g g g g g g g g g g g g
name drug. Therefore, the way the body breaks down and uses the drug may differ, which may
g g g g g g g g g g g g g g g g g
eliminate a generic drug substitution. Critical concentration is the amount of a drug that is needed to
g g g g g g g g g g g g g g g g g
cause a therapeutic effect and should not differ between generic and brand name medications.
g g g g g g g g g g g g g g
Distribution is the phase of pharmacokinetics, which involves the movement of a drug to the body’s
g g g g g g g g g g g g g g g g
tissues and is the
g g g g
Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
, Test Bank - Focus on Nursing Pharmacology (9th Edition by
g g g g g g g g g 5
Karch)
g
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug
g g g g g g g g g g g g g g g g g g g
todecrease to half the peak level, which should not change when substituting a generic medication.
g g g g g g g g g g g g g g g g
A nurse is assessing the patient’s home medication use. After listening to the patient list current
g g g g g g g g g g g g g g g
medications, the nurse asks what priority question?
g g g g g g g
Do you take any generic medications?
g g g g g
Are any of these medications orphan drugs?
g g g g g g
Are these medications safe to take during
g g g g g g
g pregnancy?Do you take any over-the-counter g g g g g
medications?
g
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because
g g g g g g g g g g g g g
gpatients may not consider them important. The patient is unlikely to know the meaning of orphan
g g g g g g g g g g g g g g g
gdrugsunless they too are health care providers. Safety during pregnancy, use of a generic medication,
g g g g g g g g g g g g g g g
gor classification of orphan drugs are things the patient would be unable to answer but could be found
g g g g g g g g g g g g g g g g g
gin reference books if the nurse wishes to research them.
g g g g g g g g g
After completing a course on pharmacology for nurses, what will the nurse
g g g g g g g g g g g
g know?Everything necessary for safe and effective medication administration
g g g g g g g g
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
g g g g g g g g g g g g
g General drug information; the nurse can consult a drug guide for specific drug
g g g g g g g g g g g g
g information.The drug actions that are associated with each classification of medication
g g g g g g g g g g g
Ans:
g C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe
g g g g g g g g g g g g g
andeffective medication administration but will need to consult a drug guide for specific drug
g g g g g g g g g g g g g g g
information before administering any medication. Pharmacology is constantly changing, with new
g g g g g g g g g g g
drugs entering the market and new uses for existing drugs identified. Continuing education in
g g g g g g g g g g g g g g
pharmacology is essential to safe practice. Nurses tend to become familiar with the medications they
g g g g g g g g g g g g g g g
administer most often, but there will always be a need to research new drugs and also those the nurse
g g g g g g g g g g g g g g g g g g g
is not familiar withbecause no nurse knows all medications.
g g g g g g g g g g
Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
g g g g g g g g g 3
Karch)
g
Chapter 01 - Introduction to Drugs g g g g g
A nurse working in radiology administers iodine to a patient who is having a computed tomography
g g g g g g g g g g g g g g g
(CT)scan. The nurse working on the oncology unit administers chemotherapy to patients who
g g g g g g g g g g g g g g
have cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella
g g g g g g g g g g g g
(MMR) vaccine to a 14-month-old child as a routine immunization. Which branch of
g g g g g g g g g g g g g
pharmacology best describes the actions of all three nurses?
g g g g g g g g g
Pharmacoeconomics
g Pharmacotherapeutic
sPharmacodynamics
g
g Pharmacokinetics
g Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
g g g g g g g g g g g g g g
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses
g g g g g g g g g g g g g g
ofdrugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
g g g g g g g g g g g g g g g g g
diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
g g g g g g g g g g g g g g g
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how g g g g g g g g g g
adrug affects the body and pharmacokinetics is how the body acts on the body.
g g g g g g g g g g g g g g g
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed
g g g g g g g g g g g g g g g
forpain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
g g g g g g g g g g g g g g g g g g g
Under what category would morphine be classified?
g g g g g g
Schedule I g
g Schedule II g
g Schedule III g
Schedule IV
g g
g Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
g g g g g g g g g g g g g g g
Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
,Test Bank - Focus on Nursing Pharmacology (9th Edition by
g g g g g g g g g 4
Karch)
g
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III
g g g g g g g g g g g g g g
gdrugs have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have
g g g g g g g g g g g g g g g g
glow abusepotential and limited dependence liability.
g g g g g g
When involved in phase III drug evaluation studies, what responsibilities would the nurse
g g g g g g g g g g g g
g have?Working with animals who are given experimental drugs
g g g g g g g g
Choosing appropriate patients to be involved in the drug study
g g g g g g g g g
g Monitoring and observing patients closely for adverse effects
g g g g g g g
g Conducting research to determine effectiveness of the drug Ans: C
g g g g g g g g g
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to
g g g g g g g g g g g g g g g g g g
recordany symptoms they experience while taking the drugs. Nurses may be responsible for helping
g g g g g g g g g g g g g g g
collect and analyze the information to be shared with the Food and Drug Administration (FDA) but
g g g g g g g g g g g g g g g g
would not conduct research independently because nurses do not prescribe medications. Use of
g g g g g g g g g g g g g
animals in drug testing is done in the preclinical trials. Select patients who are involved in phase II
g g g g g g g g g g g g g g g g g g
studies to participatein studies where the participants have the disease the drug is intended to treat.
g g g g g g g g g g g g g g g g g
These patients are monitored closely for drug action and adverse effects. Phase I studies involve
g g g g g g g g g g g g g g g
healthy human volunteerswho are usually paid for their participation. Nurses may observe for adverse
g g g g g g g g g g g g g g g
effects and toxicity.
g g g
What concept is considered when generic drugs are substituted for brand name
g g g g g g g g g g g
g drugs?Bioavailability
g
Critical concentration g
Distribution
g
Half-life
g Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available
g g g g g g g g g g g g g g g g g
to act on body cells. Binders used in a generic drug may not be the same as those used in the brand
g g g g g g g g g g g g g g g g g g g g g g
name drug. Therefore, the way the body breaks down and uses the drug may differ, which may
g g g g g g g g g g g g g g g g g
eliminate a generic drug substitution. Critical concentration is the amount of a drug that is needed to
g g g g g g g g g g g g g g g g g
cause a therapeutic effect and should not differ between generic and brand name medications.
g g g g g g g g g g g g g g
Distribution is the phase of pharmacokinetics, which involves the movement of a drug to the body’s
g g g g g g g g g g g g g g g g
tissues and is the
g g g g
Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
, Test Bank - Focus on Nursing Pharmacology (9th Edition by
g g g g g g g g g 5
Karch)
g
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug
g g g g g g g g g g g g g g g g g g g
todecrease to half the peak level, which should not change when substituting a generic medication.
g g g g g g g g g g g g g g g g
A nurse is assessing the patient’s home medication use. After listening to the patient list current
g g g g g g g g g g g g g g g
medications, the nurse asks what priority question?
g g g g g g g
Do you take any generic medications?
g g g g g
Are any of these medications orphan drugs?
g g g g g g
Are these medications safe to take during
g g g g g g
g pregnancy?Do you take any over-the-counter g g g g g
medications?
g
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because
g g g g g g g g g g g g g
gpatients may not consider them important. The patient is unlikely to know the meaning of orphan
g g g g g g g g g g g g g g g
gdrugsunless they too are health care providers. Safety during pregnancy, use of a generic medication,
g g g g g g g g g g g g g g g
gor classification of orphan drugs are things the patient would be unable to answer but could be found
g g g g g g g g g g g g g g g g g
gin reference books if the nurse wishes to research them.
g g g g g g g g g
After completing a course on pharmacology for nurses, what will the nurse
g g g g g g g g g g g
g know?Everything necessary for safe and effective medication administration
g g g g g g g g
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
g g g g g g g g g g g g
g General drug information; the nurse can consult a drug guide for specific drug
g g g g g g g g g g g g
g information.The drug actions that are associated with each classification of medication
g g g g g g g g g g g
Ans:
g C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe
g g g g g g g g g g g g g
andeffective medication administration but will need to consult a drug guide for specific drug
g g g g g g g g g g g g g g g
information before administering any medication. Pharmacology is constantly changing, with new
g g g g g g g g g g g
drugs entering the market and new uses for existing drugs identified. Continuing education in
g g g g g g g g g g g g g g
pharmacology is essential to safe practice. Nurses tend to become familiar with the medications they
g g g g g g g g g g g g g g g
administer most often, but there will always be a need to research new drugs and also those the nurse
g g g g g g g g g g g g g g g g g g g
is not familiar withbecause no nurse knows all medications.
g g g g g g g g g g
Want gto gearn
g$1.236
Distribution gof gthis gdocument gis
gillegal extra gper gyear?
