Test Bank -
v v
Focus on Nursing Pharmacology 9th Editionby Amy Karc
v v v v v v v v v
h Chapter 1-59 | Complete Guide 2023
v v v v v v
,TestvBankv-vFocusvonv NursingvPharmacologyv (9thvEditionv byvKarch) 3
Chapter 01 - Introduction to Drugs
v v v v v
Avnursevworkingvinvradiologyvadministersviodinevtovavpatientvwhovisvhavingvavcomputedvtomographyv(CT)v
scan.vThevnursevworkingvonvthevoncologyvunitvadministersvchemotherapyvtovpatientsvwhovhavevcan
cer.vAtvthevPublicvHealthvDepartment,vavnursevadministersvavmeasles-mumps-
rubellav(MMR)vvaccinevtovav14-month-
oldvchildvasvavroutinevimmunization.vWhichvbranchvofvpharmacologyvbestvdescribesvthevactionsvofva
llvthreevnurses?
Pharmacoeconomicsv
Pharmacotherapeuticsv
PharmacodynamicsvP
harmacokineticsvAns:
B
Feedback:
Pharmacologyvisvthevstudyvofvthevbiologicveffectsvofvchemicals.vNursesvarevinvolvedvwithvclinicalvphar
macologyvorvpharmacotherapeutics,vwhichvisvavbranchvofvpharmacologyvthatvdealsvwithvthevusesvofvdrug
svtovtreat,vprevent,vandvdiagnosevdisease.vThevradiologyvnursevisvadministeringvavdrugvtovhelpvdiagnosev
avdisease.vThevoncologyvnursevisvadministeringvavdrugvtovhelpvtreatvavdisease.
Pharmacoeconomicsvincludesvanyvcostsvinvolvedvinvdrugvtherapy.vPharmacodynamicsvinvolvesvhowvav
drugvaffectsvthevbodyvandvpharmacokineticsvisvhowvthevbodyvactsvonvthevbody.
Avphysicianvhasvorderedvintramuscularv(IM)vinjectionsvofvmorphine,vavnarcotic,veveryv4vhoursvasvneededvforv
painvinvavmotorvvehiclevaccidentvvictim.vThevnursevisvawarevthisvdrugvhasvavhighvabusevpotential.
Undervwhatvcategoryvwouldvmorphinevbevclassified?
SchedulevIvS
chedulevIIvSc
hedulevIIIvSc
hedulevIVvA
ns: B
Feedback:
NarcoticsvwithvavhighvabusevpotentialvarevclassifiedvasvSchedulevIIvdrugsvbecausevofvseverevdependence
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liability.vSchedulevIvdrugsvhavevhighvabusevpotentialvandvnovacceptedvmedicalvuse.vSchedulevIIIvdrugsv
havevavlesservabusevpotentialvthanvIIvandvanvacceptedvmedicalvuse.vSchedulevIVvdrugsvhavevlowvabusev
potentialvandvlimitedvdependencevliability.
WhenvinvolvedvinvphasevIIIvdrugvevaluationvstudies,vwhatvresponsibilitiesvwouldvthevnursevhave?v
Workingvwithvanimalsvwhovarevgivenvexperimentalvdrugs
ChoosingvappropriatevpatientsvtovbevinvolvedvinvthevdrugvstudyvMonito
ringvandvobservingvpatientsvcloselyvforvadverseveffectsvConductingvres
earchvtovdetermineveffectivenessvofvthevdrugvAns:v C
Feedback:
PhasevIIIvstudiesvinvolvevusevofvavdrugvinvavvastvclinicalvpopulationvinvwhichvpatientsvarevaskedvtovrecordv
anyvsymptomsvtheyvexperiencevwhilevtakingvthevdrugs.vNursesvmayvbevresponsiblevforvhelpingvcollectvan
dvanalyzevthevinformationvtovbevsharedvwithvthevFoodvandvDrugvAdministrationv(FDA)vbutvwouldvnotvcon
ductvresearchvindependentlyvbecausevnursesvdovnotvprescribevmedications.vUsevofvanimalsvinvdrugvtesting
visvdonevinvthevpreclinicalvtrials.vSelectvpatientsvwhovarevinvolvedvinvphasevIIvstudiesvtovparticipatevinvstudi
esvwherevthevparticipantsvhavevthevdiseasevthevdrugvisvintendedvtovtreat.vThesevpatientsvarevmonitoredvclos
elyvforvdrugvactionvandvadverseveffects.vPhasevIvstudiesvinvolvevhealthyvhumanvvolunteersvwhovarevusuall
yvpaidvforvtheirvparticipation.vNursesvmayvobservevforvadverseveffectsvandvtoxicity.
Whatvconceptvisvconsideredvwhenvgenericvdrugsvarevsubstitutedvforvbrandvnamevdrugs?v
Bioavailability
Criticalvconcentrationv
Distribution
Half-
lifevAns: A
Feedback:
Bioavailabilityvisvthevportionvofvavdosevofvavdrugvthatvreachesvthevsystemicvcirculationvandvisvavailablevtov
actvonvbodyvcells.vBindersvusedvinvavgenericvdrugvmayvnotvbevthevsamevasvthosevusedvinvthevbrandvnamev
drug.vTherefore,vthevwayvthevbodyvbreaksvdownvandvusesvthevdrugvmayvdiffer,vwhichvmayveliminatevavge
nericvdrugvsubstitution.vCriticalvconcentrationvisvthevamountvofvavdrugvthatvisvneededvtovcausevavtherapeu
ticveffectvandvshouldvnotvdiffervbetweenvgenericvandvbrandvnamevmedications.vDistributionvisvthevphasev
ofvpharmacokinetics,vwhichvinvolvesvthevmovementvofvavdrugvtovthevbody’svtissuesvandvisvthe
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samevinvgenericvandvbrandvnamevdrugs.vAvdrug’svhalf-
lifevisvthevtimevitvtakesvforvthevamountvofvdrugvtovdecreasevtovhalfvthevpeakvlevel,vwhichvshouldvnotvchan
gevwhenvsubstitutingvavgenericvmedication.
Avnursevisvassessingvthevpatient’svhomevmedicationvuse.vAftervlisteningvtovthevpatientvlistvcurrentvmedicatio
ns,vthevnursevasksvwhatvpriorityvquestion?
Dovyouvtakevanyvgenericvmedications?
Arevanyvofvthesevmedicationsvorphanvdrugs?
Arevthesevmedicationsvsafevtovtakevduringvpregnancy?v
Dovyouvtakevanyvover-the-countervmedications?
Ans: D
Feedback:
Itvisvimportantvforvthevnursevtovspecificallyvquestionvusevofvover-the-
countervmedicationsvbecausevpatientsvmayvnotvconsidervthemvimportant.vThevpatientvisvunlikelyvtovknowv
thevmeaningvofvorphanvdrugsvunlessvtheyvtoovarevhealthvcarevproviders.vSafetyvduringvpregnancy,vusevofva
vgenericvmedication,vorvclassificationvofvorphanvdrugsvarevthingsvthevpatientvwouldvbevunablevtovanswerv
butvcouldvbevfoundvinvreferencevbooksvifvthevnursevwishesvtovresearchvthem.
Aftervcompletingvavcoursevonvpharmacologyvforvnurses,vwhatvwillvthevnursevknow?v
Everythingvnecessaryvforvsafevandveffectivevmedicationvadministration
Currentvpharmacologicvtherapy;vthevnursevwillvnotvrequirevongoingveducationvforv5vyears.vG
eneralvdrugvinformation;vthevnursevcanvconsultvavdrugvguidevforvspecificvdrugvinformation.vT
hevdrugvactionsvthatvarevassociatedvwithveachvclassificationvofvmedicationvAns: C
Feedback:
Aftervcompletingvavpharmacologyvcoursevnursesvwillvhavevgeneralvdrugvinformationvneededvforvsafevandv
effectivevmedicationvadministrationvbutvwillvneedvtovconsultvavdrugvguidevforvspecificvdrugvinformationvb
eforevadministeringvanyvmedication.vPharmacologyvisvconstantlyvchanging,vwithvnewvdrugsventeringvthev
marketvandvnewvusesvforvexistingvdrugsvidentified.vContinuingveducationvinvpharmacologyvisvessentialvtov
safevpractice.vNursesvtendvtovbecomevfamiliarvwithvthevmedicationsvtheyvadministervmostvoften,vbutvthere
vwillvalwaysvbevavneedvtovresearchvnewvdrugsvandvalsovthosevthevnursevisvnotvfamiliarvwithvbecausevnovnur
sevknowsvallvmedications.
Wantvtovearnv$1.236
Distributionvofvthisvdocumentvisvillegal extravpervyear?
v v
Focus on Nursing Pharmacology 9th Editionby Amy Karc
v v v v v v v v v
h Chapter 1-59 | Complete Guide 2023
v v v v v v
,TestvBankv-vFocusvonv NursingvPharmacologyv (9thvEditionv byvKarch) 3
Chapter 01 - Introduction to Drugs
v v v v v
Avnursevworkingvinvradiologyvadministersviodinevtovavpatientvwhovisvhavingvavcomputedvtomographyv(CT)v
scan.vThevnursevworkingvonvthevoncologyvunitvadministersvchemotherapyvtovpatientsvwhovhavevcan
cer.vAtvthevPublicvHealthvDepartment,vavnursevadministersvavmeasles-mumps-
rubellav(MMR)vvaccinevtovav14-month-
oldvchildvasvavroutinevimmunization.vWhichvbranchvofvpharmacologyvbestvdescribesvthevactionsvofva
llvthreevnurses?
Pharmacoeconomicsv
Pharmacotherapeuticsv
PharmacodynamicsvP
harmacokineticsvAns:
B
Feedback:
Pharmacologyvisvthevstudyvofvthevbiologicveffectsvofvchemicals.vNursesvarevinvolvedvwithvclinicalvphar
macologyvorvpharmacotherapeutics,vwhichvisvavbranchvofvpharmacologyvthatvdealsvwithvthevusesvofvdrug
svtovtreat,vprevent,vandvdiagnosevdisease.vThevradiologyvnursevisvadministeringvavdrugvtovhelpvdiagnosev
avdisease.vThevoncologyvnursevisvadministeringvavdrugvtovhelpvtreatvavdisease.
Pharmacoeconomicsvincludesvanyvcostsvinvolvedvinvdrugvtherapy.vPharmacodynamicsvinvolvesvhowvav
drugvaffectsvthevbodyvandvpharmacokineticsvisvhowvthevbodyvactsvonvthevbody.
Avphysicianvhasvorderedvintramuscularv(IM)vinjectionsvofvmorphine,vavnarcotic,veveryv4vhoursvasvneededvforv
painvinvavmotorvvehiclevaccidentvvictim.vThevnursevisvawarevthisvdrugvhasvavhighvabusevpotential.
Undervwhatvcategoryvwouldvmorphinevbevclassified?
SchedulevIvS
chedulevIIvSc
hedulevIIIvSc
hedulevIVvA
ns: B
Feedback:
NarcoticsvwithvavhighvabusevpotentialvarevclassifiedvasvSchedulevIIvdrugsvbecausevofvseverevdependence
Wantvtovearnv$1.236
Distributionvofvthisvdocumentvisvillegal extravpervyear?
,TestvBankv-vFocusvonv NursingvPharmacologyv (9thvEditionv byvKarch) 4
liability.vSchedulevIvdrugsvhavevhighvabusevpotentialvandvnovacceptedvmedicalvuse.vSchedulevIIIvdrugsv
havevavlesservabusevpotentialvthanvIIvandvanvacceptedvmedicalvuse.vSchedulevIVvdrugsvhavevlowvabusev
potentialvandvlimitedvdependencevliability.
WhenvinvolvedvinvphasevIIIvdrugvevaluationvstudies,vwhatvresponsibilitiesvwouldvthevnursevhave?v
Workingvwithvanimalsvwhovarevgivenvexperimentalvdrugs
ChoosingvappropriatevpatientsvtovbevinvolvedvinvthevdrugvstudyvMonito
ringvandvobservingvpatientsvcloselyvforvadverseveffectsvConductingvres
earchvtovdetermineveffectivenessvofvthevdrugvAns:v C
Feedback:
PhasevIIIvstudiesvinvolvevusevofvavdrugvinvavvastvclinicalvpopulationvinvwhichvpatientsvarevaskedvtovrecordv
anyvsymptomsvtheyvexperiencevwhilevtakingvthevdrugs.vNursesvmayvbevresponsiblevforvhelpingvcollectvan
dvanalyzevthevinformationvtovbevsharedvwithvthevFoodvandvDrugvAdministrationv(FDA)vbutvwouldvnotvcon
ductvresearchvindependentlyvbecausevnursesvdovnotvprescribevmedications.vUsevofvanimalsvinvdrugvtesting
visvdonevinvthevpreclinicalvtrials.vSelectvpatientsvwhovarevinvolvedvinvphasevIIvstudiesvtovparticipatevinvstudi
esvwherevthevparticipantsvhavevthevdiseasevthevdrugvisvintendedvtovtreat.vThesevpatientsvarevmonitoredvclos
elyvforvdrugvactionvandvadverseveffects.vPhasevIvstudiesvinvolvevhealthyvhumanvvolunteersvwhovarevusuall
yvpaidvforvtheirvparticipation.vNursesvmayvobservevforvadverseveffectsvandvtoxicity.
Whatvconceptvisvconsideredvwhenvgenericvdrugsvarevsubstitutedvforvbrandvnamevdrugs?v
Bioavailability
Criticalvconcentrationv
Distribution
Half-
lifevAns: A
Feedback:
Bioavailabilityvisvthevportionvofvavdosevofvavdrugvthatvreachesvthevsystemicvcirculationvandvisvavailablevtov
actvonvbodyvcells.vBindersvusedvinvavgenericvdrugvmayvnotvbevthevsamevasvthosevusedvinvthevbrandvnamev
drug.vTherefore,vthevwayvthevbodyvbreaksvdownvandvusesvthevdrugvmayvdiffer,vwhichvmayveliminatevavge
nericvdrugvsubstitution.vCriticalvconcentrationvisvthevamountvofvavdrugvthatvisvneededvtovcausevavtherapeu
ticveffectvandvshouldvnotvdiffervbetweenvgenericvandvbrandvnamevmedications.vDistributionvisvthevphasev
ofvpharmacokinetics,vwhichvinvolvesvthevmovementvofvavdrugvtovthevbody’svtissuesvandvisvthe
Wantvtovearnv$1.236
Distributionvofvthisvdocumentvisvillegal extravpervyear?
, TestvBankv-vFocusvonv NursingvPharmacologyv (9thvEditionv byvKarch) 5
samevinvgenericvandvbrandvnamevdrugs.vAvdrug’svhalf-
lifevisvthevtimevitvtakesvforvthevamountvofvdrugvtovdecreasevtovhalfvthevpeakvlevel,vwhichvshouldvnotvchan
gevwhenvsubstitutingvavgenericvmedication.
Avnursevisvassessingvthevpatient’svhomevmedicationvuse.vAftervlisteningvtovthevpatientvlistvcurrentvmedicatio
ns,vthevnursevasksvwhatvpriorityvquestion?
Dovyouvtakevanyvgenericvmedications?
Arevanyvofvthesevmedicationsvorphanvdrugs?
Arevthesevmedicationsvsafevtovtakevduringvpregnancy?v
Dovyouvtakevanyvover-the-countervmedications?
Ans: D
Feedback:
Itvisvimportantvforvthevnursevtovspecificallyvquestionvusevofvover-the-
countervmedicationsvbecausevpatientsvmayvnotvconsidervthemvimportant.vThevpatientvisvunlikelyvtovknowv
thevmeaningvofvorphanvdrugsvunlessvtheyvtoovarevhealthvcarevproviders.vSafetyvduringvpregnancy,vusevofva
vgenericvmedication,vorvclassificationvofvorphanvdrugsvarevthingsvthevpatientvwouldvbevunablevtovanswerv
butvcouldvbevfoundvinvreferencevbooksvifvthevnursevwishesvtovresearchvthem.
Aftervcompletingvavcoursevonvpharmacologyvforvnurses,vwhatvwillvthevnursevknow?v
Everythingvnecessaryvforvsafevandveffectivevmedicationvadministration
Currentvpharmacologicvtherapy;vthevnursevwillvnotvrequirevongoingveducationvforv5vyears.vG
eneralvdrugvinformation;vthevnursevcanvconsultvavdrugvguidevforvspecificvdrugvinformation.vT
hevdrugvactionsvthatvarevassociatedvwithveachvclassificationvofvmedicationvAns: C
Feedback:
Aftervcompletingvavpharmacologyvcoursevnursesvwillvhavevgeneralvdrugvinformationvneededvforvsafevandv
effectivevmedicationvadministrationvbutvwillvneedvtovconsultvavdrugvguidevforvspecificvdrugvinformationvb
eforevadministeringvanyvmedication.vPharmacologyvisvconstantlyvchanging,vwithvnewvdrugsventeringvthev
marketvandvnewvusesvforvexistingvdrugsvidentified.vContinuingveducationvinvpharmacologyvisvessentialvtov
safevpractice.vNursesvtendvtovbecomevfamiliarvwithvthevmedicationsvtheyvadministervmostvoften,vbutvthere
vwillvalwaysvbevavneedvtovresearchvnewvdrugsvandvalsovthosevthevnursevisvnotvfamiliarvwithvbecausevnovnur
sevknowsvallvmedications.
Wantvtovearnv$1.236
Distributionvofvthisvdocumentvisvillegal extravpervyear?
