NURSINGABRAM’S CLINICAL
PRACTICE DRUGGERALYN
13th EDITION THERAPYFRANDSEN’S
RATIONALES FOR
NURSING PRACTICE
TESTBANK/COMPLETE GUIDE EDITION GERALYN
13th2024-2025/ALL FRANDSEN’S
CHAPTERS 1-61
TESTBANK/COMPLETE GUIDE 2024-2025/ALL CHAPTERS 1-61
,Chapter 1: The Foundation of Pharmacology: Quality and Safety
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1. Apatientdiagnosed withobsessive–
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compulsive disorder hasbeenprescribed oralparoxetine hydrochloride. What is the e BC BC B
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xpected effect for this prescription? BC BC BC BC
A. Curativeeffect onsymptoms B
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B. Systemiceffect onsymptoms B
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C. Localeffect onsymptoms B
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D. Parenteraleffect on symptoms B
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ACCURATE ANSWER:-B BC
REASONING:-
>>>Pharmaceutical drug that produce systemic effects are taken into the body, circulated throu BC BC BC BC BC BC BC BC BC BC BC BC
gh the bloodstream to their sites of action in various body tissues, and eventually eliminated fro
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m the body. Curative agents are given to cure a disease process. Inthis case, paroxetine hydrochl
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oride willcontrolthe symptoms but not curethe disorder.
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Pharmaceutical drug with localeffects, such as sunscreen and localanesthetics, act mainly at the BC BC BC BC BC BC BC BC BC BC BC BC BC BC BC
siteof application. Paroxetine hydrochloride is not administered parenterally. Parenteral agent
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sare administered subcutaneously, intramuscularly, or intravenously.
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POINTS: 1 REFERENCE: p. 3, Introduction OBJ: 1 BC BC
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess B C B
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BLM: Cognitive Level: Understand NOT: Multiple Choice
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2. A hospital client has been prescribed an antibiotic. This pharmaceutical drug is a natur
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ally occurringsubstance that has beencheG
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haOt Mis another name for thi B
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s type of pharmaceutical drug?
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A. Syntheticdrug B
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B. Semisynthetic drug BC
C. Biotechnologydrug BC
D. Prototypedrug B
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ACCURATE ANSWER:-B BC
REASONING:-
>>>Semisynthetic pharmaceutical drug (e.g., many antibiotics) are naturally occurring substa BC BC BC BC BC BC BC BC BC
nces that have been chemically modified. Synthetic pharmaceutical drug are more standardize
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d in their chemical characteristics, more consistent in their effects, and less likely to produce all
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ergic reactions. Biotechnology pharmaceutical drug involve manipulating DNAand RNA and
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recombining genes into hybrid molecules that can be inserted into living organisms. Prototype BC BC BC BC BC BC BC BC BC BC BC BC BC
pharmaceutical drug are the first drugofa particular group to be developed. BC BC BC BC BC B
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POINTS: 1 REFERENCE: p. 3, Drug Sources OBJ: 1 BC BC BC
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess B C B
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BLM: Cognitive Level: Understand NOT: Multiple Choice
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3. Whichclassification applies to morphine? B
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A. Centralnervous systemdepressant B
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B. Centralnervous systemstimulant B
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, C. Anti-inflammatory
D. Antihypertensive
ACCURATE ANSWER:-A BC
REASONING:-
>>>Pharmaceutical drug are classified according to their effects on particular body systems, the BC BC BC BC BC BC BC BC BC BC BC BC
ir therapeutic uses, and their chemical characteristics. Morphine is classified as a central nervous
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system depressant and will produce this effect in the hospital client. Acentral nervous system sti
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mulant increases attention and raises mood. An anti-
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inflammatoryagent decreases inflammation at the site oftissue or joint inflammation. Anantihyp B
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ertensiveagent reduces blood pressure. B
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POINTS: 1 REFERENCE:
p. 3, DrugClassificationsandPrototypesOBJ: 1 B
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NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Remember B NOT: Multiple Choice
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4. A hospital client is administered amoxicillin. The generic name of this pharmaceutical drug bel
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ongs to whichdrug group?BC BC B
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A. Selectiveserotoninreuptake inhibitors B
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B. Diuretics
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D. ACE inhibitors BC
ACCURATE ANSWER:-C BC
REASONING:->>>The generic name often indicates the drug group (e.g., pharmaceutical drug
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withgeneric names ending in “cillin” are penicillins). Selective serotonin reuptakeinhibito
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rs are pharmaceutical drugs
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that have antidepressant effects;SSRI is a broad classification, not a generic name. Diureticsare ph
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armaceutical drugs that increase urine output; diuretic is a broad classification, not a generic nam
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e. ACE inhibitor is the broad classification for the angiotensin receptor blockers, notthegeneric na
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me.
POINTS: 1 REFERENCE: p. 3, Drug Names OBJ: 2 BC BC BC
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess
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BLM: Cognitive Level: Understand B NOT: Multiple Choice
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5. The administrationofdiphenhydramine is regulated bywhichU.S. government agency?
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A. PublicHealthService B
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B. FederalTrade Commission B
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C. OccupationalSafetyand Health Administration BC B
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D. Food and Drug BC BC B
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Administration
ACCURATE ANSWER:-D BC
, REASONING:-
>>>The Food and Drug Administration approves pharmaceutical drug for over- the-
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counter availability, including the transfer of pharmaceutical drug from prescription to OTC st
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atus, and mayrequire clinical trials to determine the safetyand effectiveness ofOTC use.The Pu
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blic Health Service is regulated by the state to maintain the health of individual citizens of the st
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ate. The Federal Trade Commission regulates imports and exports throughout the nation. TheO
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ccupationalSafetyand Health Administrationregulates safetywithin the workplace. BC B
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POINTS: 1 REFERENCE: p. 4,Prescriptionand Nonprescription BC B
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Pharmaceutical drug OBJ: 4 BC BC
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess B C B
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BLM: Cognitive Level: Understand BNOT: Multiple Choice
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6. In the U.S., the administration ofanabolic steroids is regulated bywhich law?
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A. TheFood, Drug, and Cosmetic Act of1938 B
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B. TheComprehensive Drug Abuse Prevention and ControlAct B
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C. TheHarrisonNarcotic Act B
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D. TheSherleyAmendment B
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ACCURATE ANSWER:-B BC
REASONING:-
>>>The Comprehensive Drug Abuse Prevention and Control Act regulates the manufacture an
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d distribution of narcotics, stimulants, depressants, hallucinogens, and anabolic steroids. The F
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ood, Drug, and Cosmetic Act of 1938 revised and broadened FDA powers and responsibilities, g
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iving the FDAcontrolover drug safety. The HarrisonNarcotic Act restricted the importation, man
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ufacture, sale, and use ofopium,cocaine, marijuana, and other pharmaceuticaldrugthat the act defiGne
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.T erley Amendment of1912prohibitedfraudulent claims of drug effective
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ness.
POINTS: 1 REFERENCE: p. 4,Prescriptionand Nonprescription BC B
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Pharmaceutical drug OBJ: 3 BC BC
NAT: Hospital client Needs: Physiological Integrity: Pharmacological and Parenteral Ther
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apiesTOP: Chapter: 1: The Foundation of Pharmacology: Qualityand Safety
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KEY: IntegratedProcess: NursingProcess B C B
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BLM: Cognitive Level: Remember BNOT: Multiple Choice
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7. A nursing attendant is responsible for maintaining an accurate count and record of the contr
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olled substances on the nursing division. This nursing action is regulated bywhich
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U.S. law or agency? BC BC BC
A. TheFood, Drug, and Cosmetic Act of1938 B
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B. ThePublic HealthService B
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C. TheDrug Enforcement Administration B
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D. TheSherleyAmendment B
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ACCURATE ANSWER:-C BC