g g g g
g PHARMACOLOGY 12TH EDITION BY SUSAN FORD CHAPTER
g g g g g g
1-54 | COMPLETE GUIDE
g g g g
, Chapter 01: General Principles of Pharmacology
g g g g g
Ford: Introductory Clinical Pharmacology 12th Edition
g g g g g
1. Afterteaching a group of learners aboutthebasics ofpharmacology, the learners will be able to
g g g g g g g g g g g g g g g g
choose which aspect as the most critical to remember?
g g g g g g g g g
A) Drug name g
B) Drug class g
C) Drug action g
D) Drug source g
ACCURATE CHOICE:-C g
Reasoning :->> Pharmacology is the study of drugs and its action on living organisms. Thus,
g g g g g g g g g g g g g g
an essential aspect of pharmacology is drug action. An understanding of the drug name, drug
g g g g g g g g g g g g g g g
class, and drug source is important, but the most critical aspect related to pharmacology is
g g g g g g g g g g g g g g g
how the drug acts in the body.
g g g g g g g
Question Format: Multiple g g g
Choice Chapter: 1
g g g
Learning Obj: 1 Cognitive g g g
Level: Apply
g g
Hospital client Needs: Physiological Integrity: Pharmacological Therapies
g g g g g g
Integrated Process: Teaching/Learning
g g g
Reference: p. 3, Introduction g g g
2. A nursing attendant suspects the hospital client had an adverse reaction to a prescribed
g g g g g g g g g g g g g
medication due to an interaction with an unreported over-the-counter supplement.
g g g g g g g g g g
Which action by the nursing attendant will best assist in preventing future similar
g g g g g g g g g g g g g
incidents?
g
A) File a report with MedWatch g g g g
B) File a report with the State Board of Nursing
g g g g g g g g
C) Instruct the hospital client to avoid combining medications in the future
g g g g g g g g g g
D) Document the incident and report it to the primary health care provider g g g g g g g g g g g
ACCURATE CHOICE:-A g
Reasoning :->> Professional nurses play an important role in monitoring for adverse
g g g g g g g g g g g
reactions. Therefore, it is important to submit reports, even if there is uncertainty about the
g g g g g g g g g g g g g g g
cause–effect relationship. The FDA protects the identity of those who voluntarily report
g g g g g g g g g g g g
adverse reactions.
g g
Question Format: Multiple g g g
Choice Chapter: 1
g g g
Learning Obj: 9 Cognitive g g g
Level: Apply
g g
, Hospital client Needs: Safe and Effective Care Environment: Safety and Infection Control
g g g g g g g g g g g
Integrated Process: Clinical Problem-solving Process (Nursing Process)
g g g g g g
Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events
g g g g g g g g g g
3. A nursing attendant is assessing a hospital client and notes the hospital client has developed
g g g g g g g g g g g g g g
swelling of the eyelids and lips after administration of a prescribed medication. What does
g g g g g g g g g g g g g g
the nursing attendant interpret this finding to specifically indicate?
g g g g g g g g g
A) Mild allergic reaction g g
B) Anaphylactic shock g
C) Angioedema
D) Drug idiosyncrasy g
ACCURATE CHOICE:-C g
Reasoning:->> Angioedema is a type of allergic drug reaction manifested by the collection of
g g g g g g g g g g g g g
fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips, mouth, and throat.
g g g g g g g g g g g g g g
Allergic reactions can be manifested by a wide range of signs and symptoms such as itching,
g g g g g g g g g g g g g g g g
rashes, and hives. Anaphylactic shock is a serious allergic reaction that requires immediate
g g g g g g g g g g g g g
medical attention. Drug idiosyncrasy describes any unusual or abnormal reaction to a drug, one
g g g g g g g g g g g g g g
that is different from the one normally expected.
g g g g g g g g
Question Format: Multiple g g g
Choice Chapter: 1
g g g
Learning Obj: 5 Cognitive g g g
Level: Apply
g g
Hospital client Needs: Physiological Integrity: Reduction of Risk Potential
g g g g g g g g
Integrated Process: Clinical Problem-solving Process (Nursing Process)
g g g g g g g
Reference: p. 12, Allergic Drug Reactions
g g g g g g
4. The nursing attendant is preparing to teach a hospital client about a new drug which is in the
g g g g g g g g g g g g g g g g g
fourth phase of development. Which activity will the nursing attendant explain best
g g g g g g g g g g g g
illustrates this phase?
g g g
A) Primary health care providers report adverse effects to FDA. g g g g g g g g
B) Healthy volunteers are involved in the test. g g g g g g
C) In vitro tests are performed using human cells.
g g g g g g g
D) The drug is given to hospital clients with the disease.
g g g g g g g g g
ACCURATE CHOICE:-A g
, Reasoning:->> The post marketing surveillance phase of drug development encourages g g g g g g g g g
primary health care professionals to report adverse effects of drugs to the FDA using MedWatch.
g g g g g g g g g g g g g g g
Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro testing of the drug on
g g g g g g g g g g g g g g g g g g
human or animal cells is done in the pre-FDA phase. In Phase 2 of clinical testing, the drug is
g g g g g g g g g g g g g g g g g g g
given to hospital clients with the disease for which the drug is manufactured.
g g g g g g g g g g g g g
Question Format: Multiple g g g
Choice Chapter: 1
g g g
Learning Obj: 4 Cognitive g g g
Level: Apply
g g
Hospital client Needs: Health Promotion and Maintenance
g g g g g g
Integrated Process: Teaching/Learning Reference: p. 7,
g g g g g g
Concept Mastery Alert
g g g
5. A nursing attendant is assessing an expectant hospital client who admits to having a
g g g g g g g g g g g g g
cocaine addiction. Which condition of the baby after birth should the nursing
g g g g g g g g g g g g
attendant explain and prepare the hospital client for?
g g g g g g g g
A) Diabetes
B) Hypertension
C) Addiction to drugs g g
D) CNS defects g
ACCURATE CHOICE:-C g
Reasoning:->> The nursing attendant informs the hospital client that children born tog g g g g g g g g g g
mothers using addictive drugs are often born with an addiction to the drug. Children born to
g g g g g g g g g g g g g g g g
mothers who are addicted to cocaine are not known to be born with diabetes, CNS defects,
g g g g g g g g g g g g g g g g
or hypertension.
g g
Question Format: Multiple g g g
Choice Chapter: 1
g g g
Learning Obj: 6 Cognitive g g g
Level: Apply
g g
Hospital client Needs: Health Promotion and Maintenance
g g g g g g
Integrated Process: Teaching/Learning
g g g
Reference: p. 11, Drug Use, Pregnancy, and Lactation g g g g g g g
6. A hospital client arrives at the primary health care clinic and reports taking several pills
g g g g g g g g g g g g g g
for a headache and severe cough without relief. Which adverse effect should the nursing
g g g g g g g g g g g g g g
attendant be aware may develop from this combination?
g g g g g g g g
A) Gastrointestinal bleeding g
B) Breathing difficulties g
C) Liver damage g
D) Anaphylaxis