INTRODUCTORY CLINICAL PHARMACOLOGY TWELFTH, NORTH AMERICAN EDITION BY SUSAN M FORD (ISBN: 978-1975163730)

Chapter 01, General Principles of Pharmacology 1. After teaching a group of students about the basics of pharmacology, the students will be able to choose which aspect as the most critical to remember? A) Drug name B) Drug class C) Drug action D) Drug source Answer: C Rationale: Pharmacology is the study of drugs and its action on living organisms. Thus, an essential aspect of pharmacology is drug action. An understanding of the drug name, drug class, and drug source is important, but the most critical aspect related to pharmacology is how the drug acts in the body. Question Format: Multiple Choice Chapter: 1 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 3, Introduction 2. A nurse suspects the client had an adverse reaction to a prescribed medication due to an interaction with an unreported over-the-counter supplement. Which action by the nurse will best assist in preventing future similar incidents? A) File a report with MedWatch B) File a report with the State Board of Nursing C) Instruct the client to avoid combining medications in the future D) Document the incident and report it to the health care provider Answer: A Rationale: Nurses play an important role in monitoring for adverse reactions. Therefore, it is important to submit reports, even if there is uncertainty about the cause–effect relationship. The FDA protects the identity of those who voluntarily report adverse reactions. Question Format: Multiple Choice Chapter: 1 Learning Objective: 9 Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Safety and InfectionControl Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events 3. A nurse is assessing a client and notes the client has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nurse interpret this finding to specifically indicate? A) Mild allergic reaction B) Anaphylactic shock C) Angioedema D) Drug idiosyncrasy Answer: C Rationale: Angioedema is a type of allergic drug reaction manifested by the collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips, mouth, and throat. Allergic reactions can be manifested by a wide range of signs and symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious allergic reaction that requires immediate medical attention. Drug idiosyncrasy describes any unusual or abnormal reaction to a drug, one that is different from the one normally expected. Question Format: Multiple Choice Chapter: 1 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 12, Allergic Drug Reactions 4. The nurse is preparing to teach a client about a new drug which is in the fourth phase of development. Which activity will the nurse explain best illustrates this phase? A) Health care providers report adverse effects to FDA. B) Healthy volunteers are involved in the test. C) In vitro tests are performed using human cells. D) The drug is given to clients with the disease. Answer: A