Table of Contents
Table of Contents 1
Chapter 01 - Introduction to Drugs 3
Chapter 02 - Drugs and the Body 21
Chapter 03 - Toxic Effects of Drugs 38
Chapter 04 - The Nursing Process in Drug Therapy and Patient Safety 55
Chapter 05 - Dosage Calculations 72
Chapter 06 - Challenges to Effective Drug Therapy 86
Chapter 07 - Introduction to Cell Physiology 103
Chapter 08 - Antiinfective Agents 119
Chapter 09 - Antibiotics 137
Chapter 10 - Antiviral Agents 155
Chapter 11 - Antifungal Agents 171
Chapter 12 - Antiprotozoal Agents 187
Chapter 13 - Anthelmintic Agents 203
Chapter 14 - Antineoplastic Agents 218
Chapter 15 - Introduction to the Immune Response and Inflammation
235
Chapter 16 - Antiinflammatory, Antiarthritis, and Related Agents 252
Chapter 17 - Immune Modulators 268
Chapter 18 - Vaccines and Sera 285
Chapter 19 - Introduction to Nerves and the Nervous System 302
Chapter 20 - Anxiolytic and Hypnotic Agents 318
Chapter 21 - Antidepressant Agents 335
Chapter 22 - Psychotherapeutic Agents 352
Chapter 23 - Antiseizure Agents 368
Chapter 24 - Antiparkinsonism Agents 384
Chapter 25 - Muscle Relaxants 399
Chapter 26 - Opioid Agonists, Opioid Antagonists, and Antimigraine
Agents 414
Chapter 27 - General and Local Anesthetic Agents 429
Chapter 28 - Neuromuscular Junction Blocking Agents 445
Chapter 29 - Introduction to the Autonomic Nervous System 461
Chapter 30 - Adrenergic Agonists 477
Chapter 31 - Adrenergic Antagonists 492
Chapter 32 - Cholinergic Agonists 508
Chapter 33 - Anticholinergic Agents 524
Chapter 34 - Introduction to the Endocrine System 540
Chapter 35 - Hypothalamic and Pituitary Agents 554
,Test Bank - Karch's Focus on Nursing Pharmacology (9th by Tucker) 2
Chapter 36 - Adrenocortical Agents 569
Chapter 37 - Thyroid and Parathyroid Agents 585
Chapter 38 - Agents to Control Blood Glucose Levels 601
Chapter 39 - Introduction to the Reproductive System 617
Chapter 40 - Drugs Affecting the Female Reproductive System 634
Chapter 41 - Drugs Affecting the Male Reproductive System 650
Chapter 42 - Introduction to the Cardiovascular System 666
Chapter 43 - Drugs Affecting Blood Pressure 682
Chapter 44 - Agents for Treating Heart Failure 699
Chapter 45 - Antiarrhythmic Agents 714
Chapter 46 - Antianginal Agents 730
Chapter 47 - Lipid-Lowering Agents 745
Chapter 48 - Drugs Affecting Blood Coagulation 761
Chapter 49 - Drugs Used to Treat Anemias 776
Chapter 50 - Introduction to the Renal System 791
Chapter 51 - Diuretic Agents 806
Chapter 52 - Drugs Affecting the Urinary Tract and the Bladder 821
Chapter 53 - Introduction to the Respiratory System 837
Chapter 54 - Drugs Acting on the Upper Respiratory Tract 853
Chapter 55 - Drugs Acting on the Lower Respiratory Tract 869
Chapter 56 - Introduction to the Gastrointestinal System 885
Chapter 57 - Drugs Affecting Gastrointestinal Secretions 900
Chapter 58 - Drugs Affecting Gastrointestinal Motility 914
Chapter 59 - Antiemetic Agents 929
Chapter 60 - Vitamin, Minerals, and Complementary/Alternative
Medications 943
,Test Bank - Karch's Focus on Nursing Pharmacology (9th by Tucker) 3
Chapter 01 - Introduction to Drugs
1. A nurse\ working\ in\ radiology \ administers\ iodine\ to\ a\ patient\ who\ is\ having \ a\
computed \ tomography \ (CT)\ scan.\ The\ nurse\ working \ on\ the\ 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
Ans: B
Feedback:
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\ radiology\ nurse\ is\ administering\ a\ drug\ to\ help\
diagnose\ a\ disease.\ The\ oncology\ nurse\ 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\ body.
2. A\ physician \ has\ ordered\ intramuscular\ (IM)\ injections \ of\ morphine,\ a\ narcotic,\
every\ 4\ hours\ as\ needed\ for\ pain\ in\ a\ motor\ vehicle\ accident\ victim.\ The\ nurse \
is\ aware\ this\ drug\ has\ a\ high\ abuse \ potential.\ Under\ what\ category\ would\
morphine\ be\ classified?
A) Schedule\ I
B) Schedule\ II
C) Schedule\ III
D) Schedule\ IV
Ans: B
Feedback:
, Test Bank - Karch's Focus on Nursing Pharmacology (9th by Tucker) 4
Narcotics\ with\ a\ high\ abuse\ potential\ are\ classified\ as\ Schedule\ II\ drugs\
because\ of\ severe\ dependence\ liability.\ Schedule\ I\ drugs\ have\ high\ abuse \
potential\ and\ no\ accepted\ medical\ use.\ Schedule\ III\ drugs\ have\ a\ lesser\ abuse\
potential\ than\ II\ and\ an\ accepted\ medical\ use.\ Schedule\ IV \ drugs\ have\ low\
abuse\ potential\ and\ limited\ dependence \ liability.
3. When\ involved\ in\ phase\ III\ drug\ evaluation\ studies,\ what\ responsibilities\ would\
the\ nurse\ have?
A) Working\ with\ animals\ who\ are\ given\ experimental\ drugs
B) Choosing\ appropriate\ patients\ to\ be\ involved\ in\ the\ drug\ study
C) Monitoring\ and\ observing\ patients\ closely\ for\ adverse\ effects
D) Conducting\ research\ to\ determine\ effectiveness\ of\ the\ drug\
Ans: C
Feedback:
Phase\ III\ studies\ involve\ use\ of\ a\ drug\ in\ a\ vast\ clinical\ population\ in\ which \
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)\ but\
would\ not\ conduct\ research\ independently\ because\ nurses\ do\ not\ prescribe\
medications.\ Use\ of\ animals\ in\ drug\ testing\ is\ done\ in\ the\ preclinical\ trials.
Select\ patients\ who\ are\ involved\ in\ phase\ II\ studies\ to\ participate\ in\ studies\
where\ the\ participants\ have\ the\ disease\ the\ drug\ is\ intended\ to\ treat.\ These\
patients\ are\ monitored\ closely\ for\ drug\ action\ and\ adverse\ effects.\ Phase\ I\
studies\ involve \ healthy\ human\ volunteers\ who\ are\ usually \ paid\ for\ their\
participation.\ Nurses\ may\ observe \ for\ adverse\ effects\ and\ toxicity.
4. What\ concept\ is\ considered\ when\ generic\ drugs\ are\ substituted\ for\ brand\
name\drugs?
A) Bioavailability
B) Critical\ concentration
C) Distribution
D) Half-life
Ans: A
Feedback: