Bank
An experienced nurse has completed a pharmacology review for a new nurse who is
caring for clients in a rehabilitation center. Which statement made by the new nurse
indicates that further instruction is needed?
"Liquid medications have a slower onset than capsules."
"Taking drugs between meals increases the absorption rate."
"Maintenance dose refers to a dosage administered to keep a preferred drug
concentration in the blood."
"A drug that is more potent will produce a therapeutic effect at a lower dose,
compared to another drug in the same class." - ANSWER"Liquid medications have a
slower onset than capsules."
Any pill with _____ in its name is a delayed- or extended-release form -
ANSWERSR, LA, XL, or XR
The nurse is caring for a client with pneumonia who is receiving antibiotics. Which
factor could influence the client's physical response to the medication?
Cost of the medication
Allergy to bee stings
Drug classification
Gender - ANSWERGender
Before prescribing, the health care provider must consider: - ANSWER- How the
drug is given; the health care provider must determine if the client can easily self-
administer the drug.
- How frequently the drug has to be taken
- How the drug is metabolized in the body
- The cost of the drug
- Drug/food interactions
- Speed of the drug
- Effectiveness of the drug
- Side effects/adverse rxn
, - Metabolism/elimination of the drug
Therapeutic classification - ANSWERWhy it is being given (i.e. antihypertensives)
Pharm classification - ANSWERBased on how the drug works in the body
(mechanism of action).
Prototypes - ANSWERone of the first drugs used in that classification, or because
they provide the most benefit.
Side effects/adverse effects from prototype drugs - ANSWERusually similar to
effects produced by other drugs in the same classification. Knowing the effects of
prototypical drugs will help you monitor clients for complications related to drug
administration.
Chemical Name - ANSWERThe International Union of Pure and Applied Chemistry
(IUPAC) assigns these names according to standard nomenclature
Complex/hard to memorize
Generic Name - ANSWEREach drug has one generic name.
The United States Adopted Name Council issues these names
Lowercase letters
Cheaper than trade name drugs
The generic drug formula may differ from the brand-name version.
Trade Name - ANSWERCapitalized
Pharmacokinetics - ANSWERrefers to how the body processes a drug after it is
administered.
Pharmacodynamics - ANSWERRefers to how a drug affects the body
Agonist - ANSWERmimics or increases the response of an endogenous substance
Antagonist - ANSWERmay be used to block the response of an endogenous
substance or reverse adverse effects of a drug overdose.
4 parts to pharmacokinetics - ANSWERabsorption, metabolism, excretion, and
distribution
Movement into blood is __ - ANSWERpharmacokinetics
Digoxin as a narrow therapeutic range so - ANSWERmonitor for toxic effects and
monitor drug level