TEST BANK- KARCH’S FOCUS ON NURSING PHARMACOLOGY
BY REBECCA TUCKER (AUTHOR)- ALL CHAPTERS INCLUDED
VERIFIED QUESTIONS AND ANSWERS
10th
,TABLE OF CONTENTS
PART 1 INTRODUCTION TO NURSING PHARMACOLOGY ........................................................... 4
CHAPTER 1: INTRODUCTION TO DRUGS ................................................................................................... 4
CHAPTER 2: PHARMACODYNAMICS AND PHARMACOKINETICS ............................................................ 27
CHAPTER 3: ADVERSE REACTIONS TO DRUGS ........................................................................................ 51
CHAPTER 4: THE NURSING PROCESS AND CLINICAL JUDGMENT MEASUREMENT MODEL (CJMM)
INFORMING DRUG THERAPY AND PATIENT SAFETY ............................................................................... 79
CHAPTER 5: DRUG ADMINISTRATION AND DOSAGE CALCULATIONS .................................................. 106
CHAPTER 6: CHALLENGES TO SAFE AND EFFECTIVE DRUG THERAPY ................................................... 130
PART 2 CHEMOTHERAPEUTIC AGENTS ................................................................................ 158
CHAPTER 7: INTRODUCTION TO CELL PHYSIOLOGY ............................................................................. 158
CHAPTER 8: ANTI-INFECTIVE AGENTS ................................................................................................... 184
CHAPTER 9: ANTIBIOTICS ...................................................................................................................... 213
CHAPTER 10: ANTIVIRAL AGENTS ......................................................................................................... 241
CHAPTER 11: ANTIFUNGAL AGENTS ..................................................................................................... 268
CHAPTER 12: ANTIPROTOZOAL AGENTS ............................................................................................... 294
CHAPTER 13: ANTHELMINTIC AGENTS.................................................................................................. 320
CHAPTER 14: ANTINEOPLASTIC AGENTS............................................................................................... 346
PART 3 DRUGS ACTING ON THE IMMUNE SYSTEM ............................................................. 373
CHAPTER 15: INTRODUCTION TO THE IMMUNE RESPONSE AND INFLAMMATION ............................. 373
CHAPTER 16: ANTIINFLAMMATORY, ANTIARTHRITIS, AND RELATED AGENTS .................................... 401
CHAPTER 17: IMMUNE MODULATORS ................................................................................................. 427
CHAPTER 18: VACCINES AND SERA ....................................................................................................... 454
PART 4 DRUGS ACTING ON THE CENTRAL AND PERIPHERAL NERVOUS SYSTEMS ................ 481
CHAPTER 19: INTRODUCTION TO NERVES AND THE NERVOUS SYSTEM.............................................. 481
CHAPTER 20: ANXIOLYTIC AND HYPNOTIC AGENTS ............................................................................. 507
CHAPTER 21: ANTIDEPRESSANT AGENTS.............................................................................................. 534
CHAPTER 22: PSYCHOTHERAPEUTIC AGENTS ....................................................................................... 562
CHAPTER 23: ANTISEIZURE AGENTS ..................................................................................................... 588
CHAPTER 24: ANTIPARKINSONISM AGENTS ......................................................................................... 615
CHAPTER 25: MUSCLE RELAXANTS ....................................................................................................... 640
CHAPTER 27: GENERAL AND LOCAL ANESTHETIC AGENTS ................................................................... 690
CHAPTER 28: NEUROMUSCULAR JUNCTION BLOCKING AGENTS ......................................................... 717
,PART 5 DRUGS ACTING ON THE AUTONOMIC NERVOUS SYSTEM ....................................... 744
CHAPTER 29: INTRODUCTION TO THE AUTONOMIC NERVOUS SYSTEM ............................................. 744
CHAPTER 30: ADRENERGIC AGONISTS .................................................................................................. 770
CHAPTER 31: ADRENERGIC ANTAGONISTS ........................................................................................... 795
CHAPTER 32: CHOLINERGIC AGONISTS ................................................................................................. 821
CHAPTER 33: ANTICHOLINERGIC AGENTS ............................................................................................ 847
PART 6 DRUGS ACTING ON THE ENDOCRINE SYSTEM ......................................................... 873
CHAPTER 34: INTRODUCTION TO THE ENDOCRINE SYSTEM ................................................................ 873
CHAPTER 35: HYPOTHALAMIC AND PITUITARY AGENTS ...................................................................... 898
CHAPTER 36: ADRENOCORTICAL AGENTS ............................................................................................ 922
CHAPTER 37: THYROID AND PARATHYROID AGENTS ........................................................................... 948
CHAPTER 38: AGENTS TO CONTROL BLOOD GLUCOSE LEVELS ............................................................ 975
PART 7 DRUGS ACTING ON THE REPRODUCTIVE SYSTEM ..................................................1002
CHAPTER 39: INTRODUCTION TO THE REPRODUCTIVE SYSTEM ........................................................ 1002
CHAPTER 40: DRUGS AFFECTING THE FEMALE REPRODUCTIVE SYSTEM ........................................... 1028
CHAPTER 41: DRUGS AFFECTING THE MALE REPRODUCTIVE SYSTEM............................................... 1054
PART 8 DRUGS ACTING ON THE CARDIOVASCULAR SYSTEM ..............................................1080
CHAPTER 42: INTRODUCTION TO THE CARDIOVASCULAR SYSTEM.................................................... 1080
CHAPTER 43: DRUGS AFFECTING BLOOD PRESSURE .......................................................................... 1106
CHAPTER 44: AGENTS FOR TREATING HEART FAILURE ...................................................................... 1134
CHAPTER 45: ANTIARRHYTHMIC AGENTS........................................................................................... 1159
CHAPTER 46: ANTIANGINAL AGENTS .................................................................................................. 1186
CHAPTER 47: LIPID-LOWERING AGENTS ............................................................................................. 1212
CHAPTER 48: DRUGS AFFECTING BLOOD COAGULATION .................................................................. 1238
CHAPTER 49: DRUGS USED TO TREAT ANEMIAS ................................................................................ 1263
PART 9 DRUGS ACTING ON THE RENAL SYSTEM ................................................................1288
CHAPTER 50: INTRODUCTION TO THE RENAL SYSTEM ....................................................................... 1288
CHAPTER 51: AGENTS AFFECTING BODY FLUID VOLUME AND COMPONENTS.................................. 1314
CHAPTER 52: DRUGS AFFECTING THE URINARY TRACT AND THE BLADDER ...................................... 1339
PART 10 DRUGS ACTING ON THE RESPIRATORY SYSTEM ...................................................1365
CHAPTER 53: INTRODUCTION TO THE RESPIRATORY SYSTEM ........................................................... 1365
CHAPTER 54: DRUGS ACTING ON THE UPPER RESPIRATORY TRACT .................................................. 1393
CHAPTER 55: DRUGS ACTING ON THE LOWER RESPIRATORY TRACT ................................................. 1420
, PART 11 DRUGS ACTING ON THE GASTROINTESTINAL SYSTEM ..........................................1447
CHAPTER 56: INTRODUCTION TO THE GASTROINTESTINAL SYSTEM ................................................. 1447
CHAPTER 57: DRUGS AFFECTING GASTROINTESTINAL SECRETIONS AND ABSORPTION.................... 1472
CHAPTER 58: DRUGS AFFECTING GASTROINTESTINAL MOTILITY ...................................................... 1497
CHAPTER 59: ANTIEMETIC AGENTS .................................................................................................... 1522
CHAPTER 60: VITAMINS, MINERALS, AND COMPLEMENTARY/ALTERNATIVE MEDICATIONS ........... 1547
PART 1 INTRODUCTION TO NURSING PHARMACOLOGY
CHAPTER 1: 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
ANSWER: B
RATIONALE:
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.
BY REBECCA TUCKER (AUTHOR)- ALL CHAPTERS INCLUDED
VERIFIED QUESTIONS AND ANSWERS
10th
,TABLE OF CONTENTS
PART 1 INTRODUCTION TO NURSING PHARMACOLOGY ........................................................... 4
CHAPTER 1: INTRODUCTION TO DRUGS ................................................................................................... 4
CHAPTER 2: PHARMACODYNAMICS AND PHARMACOKINETICS ............................................................ 27
CHAPTER 3: ADVERSE REACTIONS TO DRUGS ........................................................................................ 51
CHAPTER 4: THE NURSING PROCESS AND CLINICAL JUDGMENT MEASUREMENT MODEL (CJMM)
INFORMING DRUG THERAPY AND PATIENT SAFETY ............................................................................... 79
CHAPTER 5: DRUG ADMINISTRATION AND DOSAGE CALCULATIONS .................................................. 106
CHAPTER 6: CHALLENGES TO SAFE AND EFFECTIVE DRUG THERAPY ................................................... 130
PART 2 CHEMOTHERAPEUTIC AGENTS ................................................................................ 158
CHAPTER 7: INTRODUCTION TO CELL PHYSIOLOGY ............................................................................. 158
CHAPTER 8: ANTI-INFECTIVE AGENTS ................................................................................................... 184
CHAPTER 9: ANTIBIOTICS ...................................................................................................................... 213
CHAPTER 10: ANTIVIRAL AGENTS ......................................................................................................... 241
CHAPTER 11: ANTIFUNGAL AGENTS ..................................................................................................... 268
CHAPTER 12: ANTIPROTOZOAL AGENTS ............................................................................................... 294
CHAPTER 13: ANTHELMINTIC AGENTS.................................................................................................. 320
CHAPTER 14: ANTINEOPLASTIC AGENTS............................................................................................... 346
PART 3 DRUGS ACTING ON THE IMMUNE SYSTEM ............................................................. 373
CHAPTER 15: INTRODUCTION TO THE IMMUNE RESPONSE AND INFLAMMATION ............................. 373
CHAPTER 16: ANTIINFLAMMATORY, ANTIARTHRITIS, AND RELATED AGENTS .................................... 401
CHAPTER 17: IMMUNE MODULATORS ................................................................................................. 427
CHAPTER 18: VACCINES AND SERA ....................................................................................................... 454
PART 4 DRUGS ACTING ON THE CENTRAL AND PERIPHERAL NERVOUS SYSTEMS ................ 481
CHAPTER 19: INTRODUCTION TO NERVES AND THE NERVOUS SYSTEM.............................................. 481
CHAPTER 20: ANXIOLYTIC AND HYPNOTIC AGENTS ............................................................................. 507
CHAPTER 21: ANTIDEPRESSANT AGENTS.............................................................................................. 534
CHAPTER 22: PSYCHOTHERAPEUTIC AGENTS ....................................................................................... 562
CHAPTER 23: ANTISEIZURE AGENTS ..................................................................................................... 588
CHAPTER 24: ANTIPARKINSONISM AGENTS ......................................................................................... 615
CHAPTER 25: MUSCLE RELAXANTS ....................................................................................................... 640
CHAPTER 27: GENERAL AND LOCAL ANESTHETIC AGENTS ................................................................... 690
CHAPTER 28: NEUROMUSCULAR JUNCTION BLOCKING AGENTS ......................................................... 717
,PART 5 DRUGS ACTING ON THE AUTONOMIC NERVOUS SYSTEM ....................................... 744
CHAPTER 29: INTRODUCTION TO THE AUTONOMIC NERVOUS SYSTEM ............................................. 744
CHAPTER 30: ADRENERGIC AGONISTS .................................................................................................. 770
CHAPTER 31: ADRENERGIC ANTAGONISTS ........................................................................................... 795
CHAPTER 32: CHOLINERGIC AGONISTS ................................................................................................. 821
CHAPTER 33: ANTICHOLINERGIC AGENTS ............................................................................................ 847
PART 6 DRUGS ACTING ON THE ENDOCRINE SYSTEM ......................................................... 873
CHAPTER 34: INTRODUCTION TO THE ENDOCRINE SYSTEM ................................................................ 873
CHAPTER 35: HYPOTHALAMIC AND PITUITARY AGENTS ...................................................................... 898
CHAPTER 36: ADRENOCORTICAL AGENTS ............................................................................................ 922
CHAPTER 37: THYROID AND PARATHYROID AGENTS ........................................................................... 948
CHAPTER 38: AGENTS TO CONTROL BLOOD GLUCOSE LEVELS ............................................................ 975
PART 7 DRUGS ACTING ON THE REPRODUCTIVE SYSTEM ..................................................1002
CHAPTER 39: INTRODUCTION TO THE REPRODUCTIVE SYSTEM ........................................................ 1002
CHAPTER 40: DRUGS AFFECTING THE FEMALE REPRODUCTIVE SYSTEM ........................................... 1028
CHAPTER 41: DRUGS AFFECTING THE MALE REPRODUCTIVE SYSTEM............................................... 1054
PART 8 DRUGS ACTING ON THE CARDIOVASCULAR SYSTEM ..............................................1080
CHAPTER 42: INTRODUCTION TO THE CARDIOVASCULAR SYSTEM.................................................... 1080
CHAPTER 43: DRUGS AFFECTING BLOOD PRESSURE .......................................................................... 1106
CHAPTER 44: AGENTS FOR TREATING HEART FAILURE ...................................................................... 1134
CHAPTER 45: ANTIARRHYTHMIC AGENTS........................................................................................... 1159
CHAPTER 46: ANTIANGINAL AGENTS .................................................................................................. 1186
CHAPTER 47: LIPID-LOWERING AGENTS ............................................................................................. 1212
CHAPTER 48: DRUGS AFFECTING BLOOD COAGULATION .................................................................. 1238
CHAPTER 49: DRUGS USED TO TREAT ANEMIAS ................................................................................ 1263
PART 9 DRUGS ACTING ON THE RENAL SYSTEM ................................................................1288
CHAPTER 50: INTRODUCTION TO THE RENAL SYSTEM ....................................................................... 1288
CHAPTER 51: AGENTS AFFECTING BODY FLUID VOLUME AND COMPONENTS.................................. 1314
CHAPTER 52: DRUGS AFFECTING THE URINARY TRACT AND THE BLADDER ...................................... 1339
PART 10 DRUGS ACTING ON THE RESPIRATORY SYSTEM ...................................................1365
CHAPTER 53: INTRODUCTION TO THE RESPIRATORY SYSTEM ........................................................... 1365
CHAPTER 54: DRUGS ACTING ON THE UPPER RESPIRATORY TRACT .................................................. 1393
CHAPTER 55: DRUGS ACTING ON THE LOWER RESPIRATORY TRACT ................................................. 1420
, PART 11 DRUGS ACTING ON THE GASTROINTESTINAL SYSTEM ..........................................1447
CHAPTER 56: INTRODUCTION TO THE GASTROINTESTINAL SYSTEM ................................................. 1447
CHAPTER 57: DRUGS AFFECTING GASTROINTESTINAL SECRETIONS AND ABSORPTION.................... 1472
CHAPTER 58: DRUGS AFFECTING GASTROINTESTINAL MOTILITY ...................................................... 1497
CHAPTER 59: ANTIEMETIC AGENTS .................................................................................................... 1522
CHAPTER 60: VITAMINS, MINERALS, AND COMPLEMENTARY/ALTERNATIVE MEDICATIONS ........... 1547
PART 1 INTRODUCTION TO NURSING PHARMACOLOGY
CHAPTER 1: 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
ANSWER: B
RATIONALE:
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.
