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Safety, 3rd Edition,Workman & LaCharity 100% A+ GRADED( ALL
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b b
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b b
Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rd Edit
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ion
b
MULTIPLE CHOICE B b b
b ASIC CONCEPTS b
1. Which health care professional has the major responsibility for dispensing prescribed
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bdrugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner b
.
c. Licensed nurse b
d Pharmacy technician ai
.
ANS: D b b
The physician and nurse practitioner have the major responsibility for prescribing drugs, not disp
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ensing them. The licensed nurse has the primary responsibility for administering drugs, although
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bunder some circumstances a licensed nurse may dispense prescribed drugs but this is not his or he
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r major responsibility in drug therapy. The pharmacy technician has the major responsibility of d
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ispensing prescribed drugs under the direction of a licensed pharmacist.
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DIF: b b Cognitive Level: Remembering b b b b b b REF: b b p. 3b
2. Which term describes the effect of a drug that improves body function?
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a. Side effect b
b Intended action ai
.
c. Adverse reaction b
d Idiosyncratic response b
.
ANS: B b b
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.
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This response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering b b REF: p. 3 b
3. Which type of drug name is ―owned‖ by the company that manufactures it?
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a. Generic name b
b Chemical name b
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b b
.
c. Category name b
d Trade name ai
.
ANS: D
The chemical name is a drug’s exact chemical composition. The generic name is the name assig
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bned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The category n
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bame refers to the type of drug (what it does or what it is used for) and is not an actual drug name.
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bThe trade name (brand name) is the name provided and owned by a specific drug’s manufacturer
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.
DIF: Cognitive Level: Remembering b b REF: p. 4 b
4. Which drug or drug class is a ―high alert‖ drug?
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a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS: B
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrong p
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atient, or not given to the correct patient. Drugs classified as high alert drugs include potassium, n
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arcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly aff
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ects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: Cognitive Level: Remembering b b REF: p. 4 b
5. What is the term for a drug that has the same action as a naturally occurring body
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hormone or enzyme?
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a. Agonist
b Blocking agent b
.
c. Chemical
d Duplicator
.
ANS: A
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the
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actions of naturally occurring body substances (intrinsic drugs). Ablocking agent is a drug
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b b
antagonist. Achemical would not necessarily be a drug at all. Aduplicator is not a pharmacologic t
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erm.
b
DIF: b b Cognitive Level: Remembering b b b b b b REF: b b pp. 6-7 b
6. Which term describes how the body affects drug activity? b b b b b b b ai
a. Drug potency b
b Pharmacodynamics
.
c. Therapeutic effect b
d Pharmacokinetics
.
ANS: D b b
The term pharmacokinetics refers to drug metabolism and how the body changes a drug. Pharmac
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odynamics refers to how a drug works to change body function. Drug potency refers to how strongl y
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or to what degree a drug exerts its effects. The therapeutic effect is closer to pharmacodynamics,
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meaning how a drug works to change body function.
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DIF: b b Cognitive Level: Remembering b b b b b b REF: b b p. 10 b
7. In the United States, which group is responsible for enforcing established standards for
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drug manufacturing?
b b
a. U.S. Pharmacopeia b
b National Institutes of Health b b b
.
c. Food and Drug Administration ai ai ai
d Association of Pharmaceutical Manufacturers b b b
.
ANS: C b b
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards a
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re enforced by the Food and Drug Administration. Neither the National Institutes of Health north
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e Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: b b Cognitive Level: Remembering b b b b b b REF: b b p. 5 b
8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal route.
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b Transdermal drugs must be sterile rather than clean. b b b b b b b
.
c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulation.
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