Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
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,Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 2
Chapter 01- Introduction to Drugsbv b v b v b v
1. A nurse working in radiology administers iodine to a patient who is having a
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computed tomography (CT) scan. The nurse working on the oncology unit administers
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chemotherapy to patients who have cancer. At the Public Health Department, a
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nurse administers a measles- mumps-rubella (MMR) vaccine to a 14-month-old child as a
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routine immunization. Which branch of pharmacology best describes the actions of all three
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nurses?
b v
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
bv b v bv bv bv bv bv b v bv bv b v bv bv bv
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with
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the uses of drugs to treat, prevent, and diagnose disease. The radiology nurse is
bv b v bv bv bv bv bv b v bv b v bv bv bv bv
administering a drug to help diagnose a disease. The oncology nurse is administering a
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drug to help treat a disease.
b v b v b v b v b v b v
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a
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drug affects the body and pharmacokinetics is how the body acts on the body.
b v b v b v b v b v b v b v b v b v b v b v b v b v b v
2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4
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hours as needed for pain in a motor vehicle accident victim. The nurse is aware this
b v bv bv bv b v bv bv b v b v bv bv b v bv bv bv bv
drug has a high abuse potential.
b v bv Under what category would morphine be classified?
bv b v bv bv bv bv bv bv bv bv
A) Schedule I b v
B) Schedule II b v
C) Schedule III b v
D) Schedule IV b v
Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of
b v b v b v b v b v b v b v b v b v b v b v b v b v
,Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 3
b v severe dependence
bv
, Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 4
liability. Schedule I drugs have high abuse potential and no accepted medical use.
b v b v b v b v b v b v b v b v b v b v b v b v
Schedule III drugs have a lesser abuse potential than II and an accepted medical
b v b v bv b v b v b v b v b v b v b v b v b v b v b v
use. Schedule IV drugs have low abuse potential and limited dependence liability.
b v b v b v b v b v bv bv bv bv bv bv bv
3. When involved in phase III drug evaluation studies, what responsibilities would the nurse
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have?
b v
A) Working with animals who are given experimental drugs
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B) Choosing appropriate patients to be involved in the drug study
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C) Monitoring and observing patients closely for adverse effects b v b v b v b v b v b v b v
D) Conducting research to determine effectiveness of the bv bv bv bv bv bv
drug Ans: C
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Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients
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are asked to record any symptoms they experience while
b v b v b v taking the drugs.
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b Nurses may be responsible for helping collect and analyze the information to
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be shared with the Food and Drug Administration (FDA) but would not conduct
b v b v b v b v b v b v b v b v bv b v b v b v b v
research independently because nurses do not prescribe medications. Use of animals in
b v b v b v b v b v b v b v b v bv b v bv b v
drug testing is done in the preclinical trials. Select patients who are involved in
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phase II studies to participate in studies where the participants have the disease the
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drug is intended to treat. These patients are monitored closely for drug action and
b v b v b v bv b v b v b v b v b v b v b v b v b v b v
adverse effects. Phase I studies involve healthy human volunteers who are usually paid for their
bv b v b v b v bv bv bv bv bv bv bv bv bv bv bv
participation. Nurses may observe for adverse effects and toxicity.
b v bv b v bv bv b v bv bv bv
4. What concept is considered when generic drugs are substituted for brand name drugs?
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A) Bioavailability
B) Critical concentration b v
C) Distribution
D) Half-life
Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and
bv bv bv bv bv bv bv bv b v bv bv b v bv b v bv
is available to act on body cells. Binders used in a generic drug may not be the same
bv bv bv bv b v bv bv b v b v bv bv b v b v bv bv b v b v b v
as those used in the brand name drug. Therefore, the way the body breaks down and
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uses the drug may differ, which may eliminate a generic drug substitution. Critical
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concentration is the amount of a drug that is needed to cause a therapeutic effect and
b v bv b v bv b v bv b v bv b v b v bv bv bv bv b v b v
b should not differ between generic and brand name
v b v medications. Distribution
b v b v b v b v b v b v b v bv
bv bv bv bv bv bv bv bv bv bv bv 1
,Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 2
Chapter 01- Introduction to Drugsbv b v b v b v
1. A nurse working in radiology administers iodine to a patient who is having a
b v b v b v b v b v b v b v b v b v b v b v b v b v
computed tomography (CT) scan. The nurse working on the oncology unit administers
b v bv bv bv bv bv bv bv bv bv bv bv
chemotherapy to patients who have cancer. At the Public Health Department, a
bv bv b v b v b v b v b v b v b v b v b v b v
nurse administers a measles- mumps-rubella (MMR) vaccine to a 14-month-old child as a
b v b v b v b v bv bv b v bv bv bv bv bv bv
routine immunization. Which branch of pharmacology best describes the actions of all three
bv bv b v bv bv bv bv bv b v bv b v bv bv
nurses?
b v
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
bv b v bv bv bv bv bv b v bv bv b v bv bv bv
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with
bv bv b v b v bv bv bv b v b v bv b v bv
the uses of drugs to treat, prevent, and diagnose disease. The radiology nurse is
bv b v bv bv bv bv bv b v bv b v bv bv bv bv
administering a drug to help diagnose a disease. The oncology nurse is administering a
bv bv b v bv bv bv b v b v b v b v b v b v b v b v
drug to help treat a disease.
b v b v b v b v b v b v
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a
bv bv bv bv bv bv bv bv bv bv bv
drug affects the body and pharmacokinetics is how the body acts on the body.
b v b v b v b v b v b v b v b v b v b v b v b v b v b v
2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4
bv bv b v bv bv bv b v bv bv b v b v bv
hours as needed for pain in a motor vehicle accident victim. The nurse is aware this
b v bv bv bv b v bv bv b v b v bv bv b v bv bv bv bv
drug has a high abuse potential.
b v bv Under what category would morphine be classified?
bv b v bv bv bv bv bv bv bv bv
A) Schedule I b v
B) Schedule II b v
C) Schedule III b v
D) Schedule IV b v
Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of
b v b v b v b v b v b v b v b v b v b v b v b v b v
,Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 3
b v severe dependence
bv
, Test Bank - Focus on Nursing Pharmacology (8th Edition by Amy Karch)
bv bv bv bv bv bv bv bv bv bv bv 4
liability. Schedule I drugs have high abuse potential and no accepted medical use.
b v b v b v b v b v b v b v b v b v b v b v b v
Schedule III drugs have a lesser abuse potential than II and an accepted medical
b v b v bv b v b v b v b v b v b v b v b v b v b v b v
use. Schedule IV drugs have low abuse potential and limited dependence liability.
b v b v b v b v b v bv bv bv bv bv bv bv
3. When involved in phase III drug evaluation studies, what responsibilities would the nurse
b v b v b v b v b v b v b v b v b v b v b v b v
have?
b v
A) Working with animals who are given experimental drugs
b v b v b v b v b v b v b v
B) Choosing appropriate patients to be involved in the drug study
b v b v b v b v b v b v b v b v b v
C) Monitoring and observing patients closely for adverse effects b v b v b v b v b v b v b v
D) Conducting research to determine effectiveness of the bv bv bv bv bv bv
drug Ans: C
bv bv bv
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients
b v b v b v b v b v b v b v b v b v b v b v b v b v b v b v
are asked to record any symptoms they experience while
b v b v b v taking the drugs.
bv b v b v b v b v b v b v b v b v
b Nurses may be responsible for helping collect and analyze the information to
v b v b v b v b v bv b v b v b v b v b v b v
be shared with the Food and Drug Administration (FDA) but would not conduct
b v b v b v b v b v b v b v b v bv b v b v b v b v
research independently because nurses do not prescribe medications. Use of animals in
b v b v b v b v b v b v b v b v bv b v bv b v
drug testing is done in the preclinical trials. Select patients who are involved in
bv bv b v b v b v b v b v b v b v b v b v b v b v b v
phase II studies to participate in studies where the participants have the disease the
bv b v b v b v b v b v bv b v b v b v b v b v b v bv
drug is intended to treat. These patients are monitored closely for drug action and
b v b v b v bv b v b v b v b v b v b v b v b v b v b v
adverse effects. Phase I studies involve healthy human volunteers who are usually paid for their
bv b v b v b v bv bv bv bv bv bv bv bv bv bv bv
participation. Nurses may observe for adverse effects and toxicity.
b v bv b v bv bv b v bv bv bv
4. What concept is considered when generic drugs are substituted for brand name drugs?
b v b v b v b v b v b v b v b v b v b v b v b v
A) Bioavailability
B) Critical concentration b v
C) Distribution
D) Half-life
Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and
bv bv bv bv bv bv bv bv b v bv bv b v bv b v bv
is available to act on body cells. Binders used in a generic drug may not be the same
bv bv bv bv b v bv bv b v b v bv bv b v b v bv bv b v b v b v
as those used in the brand name drug. Therefore, the way the body breaks down and
bv b v b v bv bv b v bv b v b v b v b v b v b v bv b v b v
uses the drug may differ, which may eliminate a generic drug substitution. Critical
b v b v b v b v b v b v b v bv b v b v b v bv b v
concentration is the amount of a drug that is needed to cause a therapeutic effect and
b v bv b v bv b v bv b v bv b v b v bv bv bv bv b v b v
b should not differ between generic and brand name
v b v medications. Distribution
b v b v b v b v b v b v b v bv
