NURS6521/NURS 6521 Advanced Pharmacology Week 2 Quiz 2 Completed A

NURS6521/NURS 6521 Advanced Pharmacology Week 2 Quiz 2 Completed A NURS6521/NURS 6521 Advanced Pharmacology Week 2 Quiz 2 Completed A NURS6521/NURS 6521 Advanced Pharmacology Week 2 Quiz 2 Completed A NURS6521/NURS 6521 Advanced Pharmacology Week 2 Quiz 2 QUESTION 1 1. Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? . QUESTION 2 1. These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug QUESTION 3 1. What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? QUESTION 4 1. A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? . QUESTION 5 1. Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this? QUESTION 6 1. A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. QUESTION 7 1. A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? . QUESTION 8 1. Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? . QUESTION 9 1. A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states QUESTION 10 1. A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess QUESTION 11 1. A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called . cs. QUESTION 12 1. The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? QUESTION 13 1. A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a QUESTION 14 1. A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will QUESTION 15 1. A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug? . QUESTION 16 1. A patient has been prescribed a Scheduled 5 drug, an example of this drug is . QUESTION 17 1. A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will QUESTION 18 1. A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by . QUESTION 19 1. A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive QUESTION 20 1. A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? . QUESTION 21 1. A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? QUESTION 22 1. Which of the following serves to protect the public by ensuring the purity of a drug and its contents? QUESTION 23 1. A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that QUESTION 24 1. A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient? QUESTION 25 1. Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug Review Test Submission: Week 2 - Quiz Time Elapsed 27 minutes out of 1 hour Instructions Please answer each question below and click Submit when you have completed the Quiz. Results Displayed Feedback • Question 1 Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? 1 out of 1 points Response Feedback: Federal legislation protects the public from drugs that are impure, toxic, ineffective, or not tested before marketing. The primary purpose of federal legislation is to ensure safety. This consideration supersedes issues of legal liability, treatment options, and efficiency of health care delivery. • Question 2 1 out of 1 points These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug • Question 3 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? • Question 4 1 out of 1 points A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? • Question 5 1 out of 1 points Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this? • Question 6 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. • Question 7 A nurse working for a drug company is involved in phase III drug 1 out of 1 points evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? Response Feedback : Phase III studies involve administering investigational drugs to patients in a vast clinical market who are voluntarily enrolled in double-blind studies. In phase I studies, a small number of healthy human volunteers are given the drug after blood urine and other appropriate samples are taken to monitor drug metabolism. Sometimes volunteers who have a certain disease are used in phase I instead of healthy volunteers if the drug is expected to have significant toxicity. In phase II, volunteers are given various dosages of the test compound and studied in great detail. Dosage guidelines are usually determined in this phase. Nurses are more likely to be responsible for administering the investigational drugs in phase III than in phases I and II. Use of animal testing is done in the preclinical trials and would not involve a nurse. • Question 8 Which of the following patients should be advised by the nurse to avoid 1 out of 1 points over-the-counter cold and allergy preparations that contain phenylephrine? Response Feedback : Phenylephrine is an alpha-1 adrenergic agonist and a drug commonly used topically for relief of nasal and nasopharyngeal mucosal congestion and to produce mydriasis for ophthalmologic procedures. Phenylephrine acts as a vasopressor causing vasoconstriction of the arterioles. The vasoconstriction from phenylephrine use can increase peripheral resistance and blood pressure. People with hypertension should not take over-the- counter cold and allergy preparations containing phenylephrine because it can further increase their already elevated blood pressure. Patients with diabetes and gout have not been identified as being at risk for adverse reactions from the use of phenylephrine. A patient with an upper respiratory infection may actually benefit from use of the drug. • Question 9 1 out of 1 points A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states • Question 10 A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess 1 out of 1 points Response Feedback: An increase of magnesium could cause hypotension; therefore, the nurse should assess the patient's blood pressure. Body temperature, skin changes, and fluid intake are not critically associated with an overdose of magnesium. • Question 11 A nurse is a member of a research team that is exploring unique 1 out of 1 points differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called Response Feedback : Pharmacogenomics is the area of study that explores the unique individual patient responses to drugs based on the mapping of the human genome. This mapping introduces the possibility of personally designed medical care and drug regimens based on a person's unique genetic make-up. Pharmacotherapeutics is the branch of pharmacology that deals with uses of drugs to treat, prevent, and diagnose disease. Pharmacodynamics involves how a drug affects the body, and pharmacoeconomics includes any costs involved in drug therapy. • Question 12 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? • Question 13 1 out of 1 points 1 out of 1 points A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Response Feedback : Narcotics such as morphine are considered C-II drugs because of the high abuse potential with severe dependence liability. C-I drugs have high abuse potential and are not accepted for medical use. C-III drugs have a lesser abuse potential than C-II drugs and an accepted medical use. C-IV drugs have a low abuse potential and limited dependence liability. • Question 14 A nurse has just completed a medication history on a newly admitted 1 out of 1 points patient. In order to complete medication reconciliation for this patient the nurse will Response Feedback : The process of comparing medications ordered by the health care provider with the medications the patient is taking at home and communicating the discrepancies is called medication reconciliation. This process is continued each time the patient is transferred within the hospital, and at discharge. At discharge when the drug regimen is set, the nurse will educate the patient and the family about the medications. This process improves patient outcomes, hopefully preventing serious effects. Determining where the patient buys his medication is not usually done by the hospital nurse. Patients do not need to know the pharmacokinetics of each drug they take unless they ask. • Question 15 A patient has been prescribed a drug that can be self-administered at 1 out of 1 points home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug? Response Feedback : The patient must be knowledgeable about all aspects of the drug regimen so it can be self-administered safely and effectively. All of the responses are important, but the patient must be able to tell if the drug is producing an effective response and must also know the adverse effects to report. Knowing where to purchase the medication and how much it costs is good information, but it is not the most important information for self-administration. Knowing the pharmacokinetics does not concern most patients. • Question 16 1 out of 1 points A patient has been prescribed a Scheduled 5 drug, an example of this drug is • Question 17 1 out of 1 points A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will Response Feedback : If an interpreter or translator is not available, the nurse should look at the patient, speak slowly, and use nonverbal communication to help the patient understand the message. Speaking loudly and using exaggerated mouth movements only serve to intimidate or belittle the patient and should not be done. • Question 18 A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by 1 out of 1 points Response Feedback : A nurse should always make sure that two or more drugs can be given at the same time before the administration process is begun. Incompatibility can affect absorption and distribution. Once the nurse is certain that the drugs are compatible, he or she should perform handwashing and prepare the medications for administration. The nurse should also identify the patient appropriately and ask about drug allergies prior to administering the medication. • Question 19 A 46-year-old white American has been prescribed a drug that binds to 1 out of 1 points acid glycoproteins. The nurse understands that white Americans usually receive Response Feedback : White Americans have been found to have more acid glycoproteins than other ethnic groups. Therefore, when they take drugs that bind to these proteins, they have lower amounts of free or active drug than when the same dose is given to someone of another ethnic group. Since the patient is a white American, he has been prescribed a higher-than-normal dose of the drug that binds to the acid glycoprotein. • Question 20 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Response Feedback: A nurse can administer narcotics in the hospital after ensuring that narcotics are dispensed only with a written prescription. JCAHO sets the standards for quality of patient care and accreditation of health care institutions, not for using narcotics. • Question 21 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Response Feedback : The nurse should ideally use the generic names of the drugs in care plans. The generic name is also known as its nonproprietary name. Usually, a drug is ordered by the generic name because numerous trade names may exist for the same drug. It is difficult to remember a drug by its chemical name, because it is usually long and complex. Therefore, drugs are generally not known by their chemical names. Drugs do not have biologic names. • Question 22 1 out of 1 points Which of the following serves to protect the public by ensuring the purity of a drug and its contents? Response Feedback : Federal legislation serves to protect the public from drugs that are impure, toxic, ineffective, or improperly tested prior to marketing. The primary purpose of federal legislation is to ensure safety. The United States Adopted Names Council was established to ensure uniform drug nomenclature. The official name of each drug is published in the United States Pharmacopeia and the National Formulary. The American Pharmaceutical Association does not ensure the safety and purity of drug content but is a professional organization for pharmacists. • Question 23 A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that 1 out of 1 points Response Feedback : Sudafed and any combination drugs that contain pseudoephedrine have been removed from the shelves of drug stores, but they have not been taken off the market. Consumers must purchase drugs containing pseudoephedrine from a pharmacy, despite the fact the drugs do not require a prescription. Identification is not required to purchase these drugs. • Question 24 1 out of 1 points A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman's nurse best exemplify cultural competence in the care of this patient? Response Feedback : Cultural competence requires maintaining awareness of one's own values and beliefs without letting them have undue influence on those of other backgrounds, demonstrating knowledge and understanding of another's culture, accepting and respecting cultural differences, and considering a patient's culture carefully. This does not mean that only Spanish-speaking staff members should provide care, that the nurse must teach the patient about American culture or that the nurse should address the children before the patient. • Question 25 Drugs have a valid medical use but a high potential for abuse, both 1 out of 1 points psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug Sunday, December 11, 2016 8:27:21 PM EST