Test Bank - Introductory Clinical Pharmacology, 12th Edition (Ford, 2022), Chapter 1-54 | All Chapters

TEST BANK FOR INTRODUCTORY CLINICAL
n7 n7 n7 n7




n7 PHARMACOLOGY 12TH EDITION BY SUSAN FORD
n7 n7 n7 n7 n7




CHAPTER 1-54 | COMPLETE GUIDE
n7 n7 n7 n7 n7

, Chapter 01: General Principles of Pharmacology
n7 n7 n7 n7 n7



Ford: Introductory Clinical Pharmacology 12th Edition
n7 n7 n7 n7 n7




1. After teaching a group of learners about the basics of pharmacology, the learners will be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


able to choose which aspect as the most critical to remember?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


A) Drug name n7




B) Drug class n7




C) Drug action n7




D) Drug source n7




ACCURATE CHOICE:-C n7




Reasoning :->> Pharmacology is the study of drugs and its action on living organisms.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


Thus, an essential aspect of pharmacology is drug action. An understanding of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


drug name, drug class, and drug source is important, but the most critical aspect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n 7 n7


related to pharmacology is how the drug acts in the body.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


Question Format: Multiple n7 n 7 n7


Choice Chapter: 1
n7 n7 n7


Learning Obj: 1 Cognitive n7 n7 n7


Level: Apply
n7 n7


Hospital client Needs: Physiological Integrity: Pharmacological Therapies
n7 n7 n7 n7 n7 n7


Integrated Process: Teaching/Learning
n7 n7 n7


Reference: p. 3, Introduction n7 n7 n7




2. A nursing attendant suspects the hospital client had an adverse reaction to a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


prescribed medication due to an interaction with an unreported over-the-counter
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


supplement. Which action by the nursing attendant will best assist in preventing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


future similar incidents?
n7 n7 n7


A) File a report with MedWatch n7 n7 n7 n7




B) File a report with the State Board of Nursing
n7 n7 n7 n7 n7 n7 n7 n7




C) Instruct the hospital client to avoid combining medications in the future
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7




D) Document the incident and report it to the primary health care provider
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7




ACCURATE CHOICE:-A n7




Reasoning :->> Professional nurses play an important role in monitoring for adverse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


reactions. Therefore, it is important to submit reports, even if there is uncertainty about
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


the cause–effect relationship. The FDA protects the identity of those who voluntarily
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


report adverse reactions.
n7 n7 n7


Question Format: Multiple n7 n 7 n7


Choice Chapter: 1
n7 n7 n7


Learning Obj: 9 Cognitive n7 n7 n7


Level: Apply
n7 n7

, Hospital client Needs: Safe and Effective Care Environment: Safety and Infection Control
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7




Integrated Process: Clinical Problem-solving Process (Nursing Process)
n7 n7 n7 n7 n7 n7


Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7




3. A nursing attendant is assessing a hospital client and notes the hospital client has
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


developed swelling of the eyelids and lips after administration of a prescribed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


medication. What does the nursing attendant interpret this finding to specifically
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


indicate?
n7


A) Mild allergic reaction n7 n7




B) Anaphylactic shock n7




C) Angioedema
D) Drug idiosyncrasy n7




ACCURATE CHOICE:-C n7




Reasoning:->> Angioedema is a type of allergic drug reaction manifested by the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


lips, mouth, and throat. Allergic reactions can be manifested by a wide range of signs
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


and symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


allergic reaction that requires immediate medical attention. Drug idiosyncrasy describes
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


any unusual or abnormal reaction to a drug, one that is different from the one normally
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


expected.
n7


Question Format: Multiple n7 n 7 n7


Choice Chapter: 1
n7 n7 n7


Learning Obj: 5 Cognitive n7 n7 n7


Level: Apply
n7 n7


Hospital client Needs: Physiological Integrity: Reduction of Risk Potential
n7 n7 n7 n7 n7 n7 n7 n7


Integrated Process: Clinical Problem-solving Process (Nursing Process)
n7 n7 n7 n7 n7 n7 n7


Reference: p. 12, Allergic Drug Reactions
n7 n7 n7 n7 n7 n7




4. The nursing attendant is preparing to teach a hospital client about a new drug which
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


is in the fourth phase of development. Which activity will the nursing attendant
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


explain best illustrates this phase?
n7 n7 n7 n7 n7


A) Primary health care providers report adverse effects to FDA.
n7 n7 n7 n7 n7 n7 n7 n7




B) Healthy volunteers are involved in the test.
n7 n7 n7 n7 n7 n7




C) In vitro tests are performed using human cells.
n7 n7 n7 n7 n7 n7 n7




D) The drug is given to hospital clients with the disease.
n7 n7 n7 n7 n7 n7 n7 n7 n7




ACCURATE CHOICE:-A n7

, Reasoning:->> The post marketing surveillance phase of drug development encourages
n7 n7 n7 n7 n7 n7 n7 n7 n7


primary health care professionals to report adverse effects of drugs to the FDA using
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


MedWatch. Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


testing of the drug on human or animal cells is done in the pre-FDA phase. In Phase 2
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


of clinical testing, the drug is given to hospital clients with the disease for which the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


drug is manufactured.
n7 n7 n7


Question Format: Multiple n7 n 7 n7


Choice Chapter: 1
n7 n7 n7


Learning Obj: 4 Cognitive n7 n7 n7


Level: Apply
n7 n7


Hospital client Needs: Health Promotion and
n7 n7 n7 n7 n7


Maintenance Integrated Process: Teaching/Learning
n7 n7 n7 n7


Reference: p. 7, Concept Mastery Alert
n7 n7 n7 n7 n7 n7




5. A nursing attendant is assessing an expectant hospital client who admits to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


having a cocaine addiction. Which condition of the baby after birth should
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


the nursing attendant explain and prepare the hospital client for?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


A) Diabetes
B) Hypertension
C) Addiction to drugs n7 n7




D) CNS defects n7




ACCURATE CHOICE:-C n7




Reasoning:->> The nursing attendant informs the hospital client that children born to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


mothers using addictive drugs are often born with an addiction to the drug.
n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


Children born to mothers who are addicted to cocaine are not known to be born
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


with diabetes, CNS defects, or hypertension.
n7 n7 n7 n7 n7 n7


Question Format: Multiple n7 n 7 n7


Choice Chapter: 1
n7 n7 n7


Learning Obj: 6 Cognitive n7 n7 n7


Level: Apply
n7 n7


Hospital client Needs: Health Promotion and
n7 n7 n7 n7 n7


Maintenance Integrated Process: Teaching/Learning
n7 n7 n7 n7


Reference: p. 11, Drug Use, Pregnancy, and Lactation
n7 n7 n7 n7 n7 n7 n7




6. A hospital client arrives at the primary health care clinic and reports taking
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


several pills for a headache and severe cough without relief. Which adverse effect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


should the nursing attendant be aware may develop from this combination?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


A) Gastrointestinal bleeding n7




B) Breathing difficulties n7




C) Liver damage n7




D) Anaphylaxis