NURSING PRACTICE 13th EDITION GERALYN FRANDSEN’S TESTBANK/COMPLETE GUIDE 2024-
2025/ALL CHAPTERS 1-61
,Chapter 1: The Foundation of Pharmacology: Quality and Safety
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1. Apatientdiagnosed withobsessive–
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compulsive disorderhasbeenprescribedoralparoxetine hydrochloride. What is the expected effect for this p
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rescription?
A. Curativeeffectons ymptoms om mo om
B. Systemiceffectons ymptoms om mo om
C. Localeffectons ymptoms om mo om
D. Parenteraleffect onsymptoms om mo mo
ACCURATE ANSWER:-B mo
REASONING:-
>>>Pharmaceutical drug that produce systemic effects are taken into the body, circulated through the bloodstream to thei mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
r sites of action in various body tissues, and eventually eliminated from the body. Curative agents are given to cure a diseas
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e process. Inthis case, paroxetine hydrochloride willcontrolthe symptoms butnotcurethedisorder.
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Pharmaceutical drug withlocaleffects, suchas sunscreenand localanesthetics, act mainlyat the siteof application. Parox mo mo om om mo mo mo om mo om mo mo mo mo mo om mo mo
etine hydrochloride is notadministered parenterally. Parenteral agentsare administered subcutaneously, intramuscula
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rly, or intravenously.
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POINTS: 1 REFERENCE: p. 3, Introduction OBJ: mo mo 1
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Understand
m o NOT: Multiple Choice mo mo m o mo
2. A hospital client has been prescribed an antibiotic. This pharmaceutical drug is a naturally occurringsubstanc
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ethat hasbeenchem
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GicRalADlyEmSoBdOifieOd.STW.ChaOt Mis anothername for this type of pharmaceutical drug?
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A. Syntheticdrug om
B. Semisyntheticdrug om
C. Biotechnologydrug om
D. Prototypedrug om
ACCURATE ANSWER:-B mo
REASONING:-
>>>Semisynthetic pharmaceutical drug (e.g., many antibiotics) are naturally occurring substances that have been chem mo mo mo mo mo mo mo mo mo mo mo mo mo
ically modified. Synthetic pharmaceutical drug are more standardized in their chemical characteristics, more consisten
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t in their effects, and less likely to produce allergic reactions. Biotechnology pharmaceutical drug involve manipulating D
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NAand RNA and recombining genes into hybrid molecules that can be inserted into living organisms. Prototype pharmace
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utical drug are the first drugofa particular group to be developed.
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POINTS: 1 REFERENCE: p. 3, Drug Sources mo mo mo OBJ: 1
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Understand
m o NOT: MultipleChoice mo mo m o om
3. Whichclassification applies tomorphine? om mo mo om
A. Centralnervoussystemdepressant om om om
B. Centralnervous systems timulant om mo om
, C. Anti-inflammatory
D. Antihypertensive
ACCURATE ANSWER:-A mo
REASONING:-
>>>Pharmaceutical drug are classified according to their effects on particular body systems, their therapeutic uses, and t mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
heir chemical characteristics. Morphine is classified as a central nervous system depressant and will produce this effect in
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the hospital client. Acentral nervous system stimulant increases attention and raises mood. An anti-
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inflammatoryagentdecreases inflammation at the siteoftissue or joint inflammation. Anantihypertensiveagent reduces bl
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ood pressure. mo
POINTS: 1 REFERENCE: p.3,DrugClassificationsandPrototypesOBJ: om om om om om om
1
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Rememberm o NOT: MultipleChoice mo mo m o om
4. A hospital client is administered amoxicillin. The generic name of this pharmaceutical drug belongs to whichdrug group?
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A. Selectiveserotoninreuptakeinhibitors om om om
B. Diuretics
C. Penicillins
D. ACEinhibitors om
ACCURATE ANSWER:-C mo
REASONING:->>>Thegeneric nameoften indicates theGRADESBOOST.CO
drug group(e.g., pharmaceutical drug om mo om mo mo om mo om mo mo
withgeneric names ending in “cillin” are penicillins). Selective serotonin reuptakeinhibitors are pharmaceutical dru
gs
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thathaveantidepressant effects;SSRIisabroad classification, notagenericname. Diureticsare pharmaceutical drugs that i
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ncrease urine output; diuretic is a broad classification, not a generic name. ACE inhibitor isthe broad classification for thean
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giotensin receptor blockers, notthegeneric name.mo mo mo om om mo
POINTS: 1 REFERENCE: p. 3, DrugNames OBJ: mo mo om 2
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Understand
m o NOT: Multiple Choice mo mo m o mo
5. Theadministrationofdiphenhydramine isregulated bywhichU.S. government agency?
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A. PublicHealthService om om
B. FederalTrade Commission om mo
C. OccupationalSafetyand Health Administration om om mo mo
D. Food and Drug Admi mo mo om
nistration
ACCURATE ANSWER:-D mo
, REASONING:->>>The Food and Drug Administration approves pharmaceutical drug for over- the- mo mo mo mo mo mo mo mo mo mo
counter availability, including the transfer of pharmaceutical drug from prescription to OTC status, and mayrequire clini
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cal trials to determine the safetyand effectiveness ofOTC use.The Public Health Service is regulated by the state to mainta
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in the health of individual citizens of the state. The Federal Trade Commission regulates imports and exports throughoutt
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he nation. TheOccupationalSafetyand Health Administrationregulatessafetywithin the workplace.
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POINTS: 1 REFERENCE: p.4,Prescriptionand Nonprescription om om om mo
Pharmaceutical drug OBJ: 4 mo mo
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
m o om mo om
BLM: Cognitive Level: Understand m o NOT: Multiple Choice mo mo m o mo
6. In the U.S., the administration ofanabolic steroids is regulated bywhich law?
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A. TheFood, Drug, and Cosmetic Act of1938 om mo mo mo mo mo om
B. TheComprehensive Drug AbusePreventionand Control Act om mo mo om om mo om
C. TheHarrisonNarcotic Act om om om
D. TheSherleyAmendment om om
ACCURATE ANSWER:-B mo
REASONING:-
>>>The Comprehensive Drug Abuse Prevention and Control Act regulates the manufacture and distribution of narcotics, st
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imulants, depressants, hallucinogens, and anabolic steroids. The Food, Drug, and Cosmetic Act of 1938 revised and broade
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ned FDApowers and responsibilities, giving theFDAcontrolo verdrugsafety. TheHarrisonNarcotic Act restricted theimport
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ation, manufacture, sale, anduse ofopium,cocaine, marijuana, and otherpharmaceuticaldrugthattheactdefi GneRd Aa Ds EnaSr cBoOtiOc sS. T.he
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CSOhMerley Amendmentof1912prohibitedfraudulent claims of drug effectiveness.
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POINTS: 1 REFERENCE: p.4,Prescriptionand Nonprescription om om om mo
Pharmaceutical drugOBJ: 3 mo om
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral TherapiesTOP:
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Chapter: 1: The Foundation ofPharmacology: Qualityand Safety mo mo mo mo mo mo mo mo
KEY: IntegratedProcess: NursingProcess
m o om mo om
BLM: Cognitive Level: Remember m o NOT: MultipleChoice mo mo m o om
7. A nursing attendant is responsible for maintaining an accurate count and record of the controlled substances on the
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nursingdivision. This nursing action is regulated bywhich mo mo mo mo mo mo mo om
U.S. lawor agency? mo om mo
A. TheFood, Drug, and Cosmetic Act of1938 om mo mo mo mo mo om
B. ThePublicHealthService om om om
C. TheDrug Enforcement Administration om mo m o
D. TheSherleyAmendmentACCURA om om om
TE ANSWER:-C
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