Pharmacology 9th Edition by Tucker
Chapters 1 - 59
, Chapter 1: Introduction
to Drugs
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
1.A nurse working in radiology administers iodine to a patient who is
having a computerized axial tomography (CAT) scan. A nurse working
on an oncology unit administers chemotherapy to patients who have
cancer. At the Public Health Department, a nurse administers a measles-
mumps-rubella (MMR) vaccine to a 14- month-old child as a routine
immunization. Which branch of pharmacology best describes the actions
of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are
involved with clinical pharmacology or pharmacotherapeutics, which is a
branch of pharmacology that deals with the uses of drugs to treat,
prevent, and diagnose disease. The nurse working in radiology is
administering a drug to help diagnose a disease. The nurse working on an
oncology unit is administering a drug to help treat a disease.
Pharmacoeconomics includes any costs involved in drug therapy.
Pharmacodynamics involves how a drug affects the body, and
pharmacokinetics is how the body acts on the drug.
Cognitive Level:
Comprehension Difficulty:
Easy
, Integrated Process: Nursing process
2.A physician has ordered intramuscular injections of morphine, a narcotic,
every 4 hours as needed for pain for a motor vehicle accident victim. The
nurse is aware that there is a high abuse potential for this drug; therefore,
morphine is categorized as a:
A) Schedule I drug
B) Schedule II drug
C) Schedule III drug
D) Schedule IV drug
ANSWER: B
Response:
Narcotics such as morphine are considered schedule II drugs because of
the high abuse potential with severe dependence liability. Schedule I
drugs have high abuse potential and no accepted medical use. Schedule
III drugs have a lesser abuse potential than schedule II drugs and an
accepted medical use. Schedule IV drugs have low abuse potential and
limited dependence liability.
Cognitive Level:
Comprehension Difficulty:
Easy
Integrated Process: Communication and documentation
3.A nurse working for a drug company is involved in phase III drug
evaluation studies. Which of the following might the nurse be responsible
for during this stage of drug development?
, Chapter 1: Introduction
to Drugs
A) Working with animals who are given experimental drugs
B) Monitoring drug effects in patients who are selected to
participate in a study, who have the disease that the drug is
meant to treat
C) Collecting records of symptoms that participants experience
while taking a drug and determining whether they are caused
by the disease or the drug
D) Informing healthy, young volunteer participants of possible risks
that could occur from taking an experimental drug
ANSWER: C
Response:
Phase III studies involve use of a drug in a vast clinical market where
patients are asked to record any symptoms they experience while taking
the drugs. Nurses may be responsible for helping collect and analyze the
information to be shared with the Food and Drug Administration (FDA).
Use of animals in drug testing is done in the preclinical trials. A select
group of patients who are involved in phase II studies participate in
studies where the participants have the disease the drug is intended to
treat. These patients are monitored closely for drug effects. Phase I
studies involve healthy human volunteers who are usually paid for their
participation. Nurses may observe for adverse effects and toxicity.
Cognitive Level:
Comprehension Difficulty:
Moderate
Integrated Process: Nursing Process
4.Which of the following concepts is considered when generic drugs are
substituted for brand-name drugs?