Test Bank for Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca G. Tucker | Complete Chapters 1–60 Questions & Answers | A+ Nursing Pharmacology Exam Guide

,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
b b b b b b b b b b 3



Chapter 01 - Introduction to Drugsb b b b b




A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)
b b b b b b b b b b b b b b b b


scan. The nurse working on the oncology unit administers chemotherapy to patients who have
b b b b b b b b b b b b b b


cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella (MMR)
b b b b b b b b b b b b


vaccine to a 14-month-old child as a routine immunization. Which branch of pharmacology best
b b b b b b b b b b b b b b


describes the actions of all three nurses?
b b b b b b b




Pharmacoeconomics


bPharmacotherapeutics


bPharmacodynamics


bPharmacokinetics


b Ans: B


Feedback:


Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
b b b b b b b b b b b b b b


pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of
b b b b b b b b b b b b b b b


drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
b b b b b b b b b b b b b b b b


diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
b b b b b b b b b b b b b b b


Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a
b b b b b b b b b b b


drug affects the body and pharmacokinetics is how the body acts on the body.
b b b b b b b b b b b b b b




A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for
b b b b b b b b b b b b b b b b


pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
b b b b b b b b b b b b b b b b b b


Under what category would morphine be classified?
b b b b b b




Schedule I b




bSchedule II b




bSchedule


b III


bSchedule IV b




bAns: B


Feedback:



Want bto bearn
b$1.236
Distribution bof bthis bdocument bis
billegal extra bper byear?

,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
b b b b b b b b b b 4


Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
b b b b b b b b b b b b b b b




Want bto bearn
b$1.236
Distribution bof bthis bdocument bis
billegal extra bper byear?

, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
b b b b b b b b b b 5


liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III
b b b b b b b b b b b b b b


bdrugs have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have
b b b b b b b b b b b b b b b b


blow abuse potential and limited dependence liability.
b b b b b b




When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
b b b b b b b b b b b b b




bWorking with animals who are given experimental drugs
b b b b b b b




Choosing appropriate patients to be involved in the drug study
b b b b b b b b b




bMonitoring and observing patients closely for adverse effects
b b b b b b b




bConducting research to determine effectiveness of the drug Ans: C
b b b b b b b b b




Feedback:


Phase III studies involve use of a drug in a vast clinical population in which patients are asked to
b b b b b b b b b b b b b b b b b b


record any symptoms they experience while taking the drugs. Nurses may be responsible for helping
b b b b b b b b b b b b b b b


collect and analyze the information to be shared with the Food and Drug Administration (FDA) but
b b b b b b b b b b b b b b b b


would not conduct research independently because nurses do not prescribe medications. Use of
b b b b b b b b b b b b b


animals in drug testing is done in the preclinical trials. Select patients who are involved in phase II
b b b b b b b b b b b b b b b b b b


studies to participate in studies where the participants have the disease the drug is intended to treat.
b b b b b b b b b b b b b b b b b


These patients are monitored closely for drug action and adverse effects. Phase I studies involve
b b b b b b b b b b b b b b b


healthy human volunteers who are usually paid for their participation. Nurses may observe for
b b b b b b b b b b b b b b


adverse effects and toxicity.
b b b b




What concept is considered when generic drugs are substituted for brand name drugs?
b b b b b b b b b b b b




bBioavailability


Critical concentration b




bDistribution


Half-life


b Ans: A


Feedback:


Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available
b b b b b b b b b b b b b b b b b


to act on body cells. Binders used in a generic drug may not be the same as those used in the brand
b b b b b b b b b b b b b b b b b b b b b b


name drug. Therefore, the way the body breaks down and uses the drug may differ, which may
b b b b b b b b b b b b b b b b b


eliminate a generic drug substitution. Critical concentration is the amount of a drug that is needed to
b b b b b b b b b b b b b b b b b


cause a therapeutic effect and should not differ between generic and brand name medications.
b b b b b b b b b b b b b b


Distribution is the phase of pharmacokinetics, which involves the movement of a drug to the body’s
b b b b b b b b b b b b b b b b


tissues and is the
b b b b




Want bto bearn
b$1.236
Distribution bof bthis bdocument bis

billegal extra bper byear?