Test Bank for Clayton’s Basic Pharmacology for Nurses 20th Edition by Michelle J. Willihnganz & Samuel L. Gurevitz – Complete Guide (ISBN 9780443126994)

Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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Chapter 01: Drug Definitions, Standards, and Information Sources Willihnganz:
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Clayton’s BasicPharmacology forNurses, 19th Edition
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MULTIPLE CHOICE cc




1. Which name identifies a druglisted bythe US Food and
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Drug Administration (FDA)?
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a. Brand
b. Nonproprietary
c. Official
d. Trademark

ANS: C cc




The official name is the name under which a drug is listed by
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the FDA. The brand name, or trademark, is the name given to
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a drug by its manufacturer. The nonproprietary, or generic,
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name is provided by the United States Adopted Names
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Council.
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DIF: Cognitive Level: Knowledge REF: p. 9 cc cc c c cc




OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care cc cc cc cc cc cc cc cc




Environment TOP: Nursing Process Step: Assessment
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Patient Education
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2. Which source contains information specific to nutritional supplements?
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a. USP Dictionary of USAN &International Drug Names c cc cc cc c cc cc




b. NaturalMedicines Comprehensive Database c cc c




c. UnitedStates Pharmacopoeia/National Formulary (USP NF) c cc cc cc c




d. Drug Interaction Facts cc cc




ANS: C cc




United States Pharmacopoeia/National Formulary contains information specificto nutritional
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supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug
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names, pronunciation guide, and possible future FDA approved drugs; it does not include
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nutritional supplements. Natural Medicines Comprehensive Database contains
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evidence-based information on herbal medicines and herbal combination products; it does not cc cc cc cc cc cc cc cc cc cc cc




include information specific to nutritional supplements. Drug Interaction Facts contains
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comprehensive information on drug interaction facts; it does not include nutritional
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supplements.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3 cc cc c c cc c




NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Assessment CON: Nutrition |Patient Education
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3. Which drug reference contains drug monographs that describe all drugs in a therapeutic class?
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a. Drug Facts and Comparisons c cc cc




Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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b. Drug Interaction Facts cc cc




c. Handbook on Injectable Drugs cc cc cc




d. Martindale—TheComplete Drug Reference c cc cc




ANS: A cc




Drug Facts and Comparisons contains drug monographs that describe all drugs in a
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therapeutic class. Monographs are formatted as tables to allow comparison of similar
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products, brand names, manufacturers, cost indices, and available dosage forms
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Online version is available.
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DIF: Cognitive Level: Knowledge REF: p. 4Table 1.2 cc cc c c cc c cc




OBJ: 3 c c NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Assessment CON: Safety | Patient Education |Clinical Judgment
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4. Which drug reference contains monographs about virtuallyeverysingle-entitydrug available in
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the United States and describes therapeutic uses of drugs, including approved and unapproved
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uses?
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a. Martindale: TheComplete DrugReference cc c cc c




b. AHFSDrug Information c c




c. Drug Reference cc




d. DrugFacts and Comparisons c cc cc




ANS: B cc




AHFS Drug Information contains monographs about virtually every single-entity drug
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available in the United States and describes therapeutic uses of drugs, including approved and
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unapproved uses.
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DIF: Cognitive Level: Knowledge REF: p. 4Table 1.2 cc cc c c cc c cc




OBJ: 3 c c NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Planning
c c CON: Safety | Patient Education |Clinical Judgment c cc cc c c c c cc cc c cc




5. Which online drug reference makes available to healthcare providers and the public a
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standard, comprehensive, up-to-datelook up anddownloadable resource about medicines?
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a. AmericanDrug Index c cc




b. AmericanHospital Formulary c cc




c. DailyMed
d. Drug Reference cc




ANS: C cc




DailyMed makes available to healthcare providers and the public a standard, comprehensive,
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up-to-date look up and downloadable resource about medicines. The American Drug Index is
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not appropriate for patient use. The American Hospital Formulary is not appropriate for
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patient use. The drug reference is not appropriate for patient use.
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DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 cc cc c c cc cc cc cc OBJ: 3 c




NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: NursingProcess Step: Implementation
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CON: Safety |Patient Education |Clinical Judgment
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6. Which legislation authorizes the FDA to determine the safetyof a drug before its marketing?
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a. Federal Food, Drug, and Cosmetic Act (1938) cc cc cc cc c cc




b. Durham HumphreyAmendment (1952) cc c cc




Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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c. ControlledSubstances Act (1970) c cc cc




d. KefauverHarris Drug Amendment (1962) c cc c cc




ANS: A cc




The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the safety
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of all drugs before marketing. Later amendments and acts helped tighten FDA control and
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ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that cannot
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be used safely without medical supervision and restricts their sale to prescription by a licensed
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practitioner. The Controlled Substances Act addresses onlycontrolled substances and their
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categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater drug
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safety. Drug manufacturers are required to prove to the FDA the effectiveness of their products
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before marketing them.
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DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3 cc cc c c cc c cc




OBJ: c c 5 NAT: NCLEX Client Needs Category: Physiological Integrity cc cc cc cc cc cc




TOP:
cc c c Nursing Process Step: Assessment cc cc cc




CON: c c Safety |Patient Education |Evidence | Health Care Law c c cc cc c cc cc cc cc




7. Whichclassification does meperidine (Demerol) fall under?
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a. I
b. II
c. III
d. IV
ANS: B cc




Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
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severepsychological and physical dependence. Schedule Idrugs have high potential for abuse
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and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
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lead to low to moderate physical dependence or high psychological dependence. Schedule IV
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drugs have low potential for abuse. Use may lead to limited physical or psychological
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dependence.
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DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2 cc cc c c cc cc




NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
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TOP: Nursing Process Step: Assessment CON: Patient Education |Addiction |Pain
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8. Which action would the FDA take to expedite drug development and approval for an outbreak of
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cc smallpox?
a. List smallpox as a health orphan disease.
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b. Omit the preclinical research phase. cc cc cc cc




c. Extend the clinical research phase. cc cc cc cc




d. Fast track the investigational drug. c cc cc cc




ANS: D cc




Once the Investigational New Drug Application has been approved, the drug can receive
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highest priority within the agency, which is called fast tracking. A smallpox outbreak would
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become a priority concern in the world. Orphan diseases are not researched in a priority
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manner. Preclinical research is not omitted. Extending any phase of the research would mean a
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longer time to develop avaccine. The FDA must ensure that all phases of the preclinical and
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clinical research phase have been completed in a safe manner.
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DIF: Cognitive Level: Knowledge cc cc REF: c c c c p. 7 cc OBJ: c c 5




Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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, Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
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NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
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TOP: Nursing Process Step: Assessment
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CON: Health Care Law |Health Care Policy | Infection |Care Coordination
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9. Which statement is true about over-the-counter (OTC) drugs?
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a. They are not listed in the USP NF. cc cc cc cc cc cc cc




b. A prescription from a healthcare provider is needed.
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c. Theyare sold without a prescription. c cc cc cc cc




d. They are known onlyby their brand names. cc cc cc c cc cc cc




ANS: C cc




OTC medications do not require a prescription. A variety of names, both generic and trade, can
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be used for individual drugs sold OTC. OTC drugs are listed in the USP NF. Prescription drugs
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require an order by a health professional who is licensed to prescribe, such as a physician, nurse
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practitioner, physician assistant, or dentist.
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DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 2 cc cc c c cc c




NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Planning
c CON: Patient Education
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10. Which is the most authoritative reference for medications that are injected?
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a. Martindale: The Complete c cc




b. Handbook on Injectable Drugs cc cc cc




c. DailyMed
d. Handbook of Nonprescription Drugs c cc cc




ANS: B cc




The Handbook on Injectable Drugs is the most comprehensive reference available on the topic
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of compatibilityof injectable drugs. It is a collection of monographs for more than 300 injectable
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drugs that are listed alphabetically by generic name.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3 cc cc c c cc c




NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Assessment CON: Clinical Judgment |Safety
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11. Which statement is true about Lomotil? cc cc cc cc cc




a. Abuse potential for this drug is low. cc cc cc cc c cc




b. Psychologicaldependencyis likely. c c cc




c. There is a high potential for abuse. cc cc cc cc cc cc




d. This drug is not a controlled substance. cc cc cc cc cc cc




ANS: A cc




Lomotil, a Schedule V drug, has an abuse potential of limited physical or psychological
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dependence liabilitycompared with drugs in Schedule IV. Because abuse potential is low with a
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Schedule V drug, a prescription maynot be required. Psychological dependencyis not likely with
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a Schedule V drug. Schedule V drugs are classified as controlled substances.
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DIF: Cognitive Level: Knowledge REF: p. 5 Box 1.1 OBJ: 2 cc cc c c cc cc cc c




NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Assessment CON: Clinical Judgment |Safety |Patient Education
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