Test Bank - Karch Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Chapters 1 - 59

Test Bank - Karch Focus on Nursing Pharmacology
9th Edition by Rebecca Tucker
Chapters 1 - 59

, Table of Contents
s s

Chapters01-
sIntroductionstosDrugssChapters02-
sDrugssandsthesBodysChapters03-
sToxicsEffectssofsDrugs
Chapters04-
sThesNursingsProcesssinsDrugsTherapysandsPatientsSafetysChapters05
-sDosagesCalculations
Chapters06-
sChallengesstosEffectivesDrugsTherapysChapters07-
sIntroductionstosCellsPhysiologysChapters08-
sAnti-infectivesAgents
Chapters09-
sAntibioticssChapters10-
sAntiviralsAgentssChapters11-
sAntifungalsAgents
Chapters12-
sAntiprotozoalsAgentssChapters13
-
sAnthelminticsAgentssChapters14-
sAntineoplasticsAgents
Chapters15-
sIntroductionstosthesImmunesResponsesandsInflammationsChapters16
-sAnti-inflammatory,sAntiarthritis,sandsRelatedsAgentssChapters17-
sImmunesModulators
Chapters18-sVaccinessandsSera
Chapters19-
sIntroductionstosNervessandsthesNervoussSystemsChapters20-
sAnxiolyticsandsHypnoticsAgents
Chapters21-
sAntidepressantsAgentssChapters22-
sPsychotherapeuticsAgentssChapters23-
sAntiseizuresAgentssChapters24-
sAntiparkinsonismsAgentssChapters25-
sMusclesRelaxants
Chapters26-
sNarcotics,sNarcoticsAntagonists,sandsAntimigrainesAgentssChapters27-
sGeneralsandsLocalsAnestheticsAgents
Chapters28-
sNeuromuscularsJunctionsBlockingsAgentssChapters29-
sIntroductionstosthesAutonomicsNervoussSystemsChapters30-
sAdrenergicsAgonists
Chapters31-
sAdrenergicsAntagonistssChapters32-
sCholinergicsAgonistssChapters33-
sAnticholinergicsAgents
Chapters34-
sIntroductionstosthesEndocrinesSystemsChapters35-
sHypothalamicsandsPituitarysAgentssChapters36-
sAdrenocorticalsAgents
Chapters 37-
s Thyroids ands Parathyroids AgentssChapters38-
sAgentsstosControlsBloodsGlucosesLevelssChapters39
-sIntroductionstosthesReproductivesSystem
Chapters40-
sDrugssAffectingsthesFemalesReproductivesSystemsChapters41
-sDrugssAffectingsthesMalesReproductivesSystemsChapters42-
sIntroductionstosthesCardiovascularsSystemsChapters43-
sDrugssAffectingsBloodsPressure
Chapters44-
sAgentssforsTreatingsHeartsFailuresChapters45-
sAntiarrhythmicsAgents
Chapters46-
sAntianginalsAgentssChapters47-
sLipid-LoweringsAgents

,Chapters48-
sDrugssAffectingsBloodsCoagulationsChapters49-
sDrugssUsedstosTreatsAnemiassChapters50-
sIntroductionstosthesRenalsSystemsChapters51-
sDiureticsAgents
Chapters52-
sDrugssAffectingsthesUrinarysTractsandsthesBladdersChapters53-
sIntroductionstosthesRespiratorysSystem
Chapters54-
sDrugssActingsonsthesUppersRespiratorysTractsChapters55-
sDrugssActingsonsthesLowersRespiratorysTractsChapters56
-sIntroductionstosthesGastrointestinalsSystemsChapters57-
sDrugssAffectingsGastrointestinalsSecretionssChapters58-
sDrugssAffectingsGastrointestinalsMotilitysChapters59-
sAntiemeticsAgents

, Chapters1:sIntroductionstosDrugs




CognitivesLevel:s ApplicationsDiff
iculty:sModerate
IntegratedsProcess:s Nursingsprocess
1.Asnursesworkingsinsradiologysadministerssiodinestosaspatientswhosisshavingsascomput
erizedsaxialstomographys(CAT)sscan.sAsnursesworkingsonsansoncologysunitsadminist
ersschemotherapystospatientsswhoshavescancer.sAtsthesPublicsHealthsDepartment,sasn
ursesadministerssasmeasles-mumps-rubellas(MMR)svaccinestosas14-smonth-
oldschildsassasroutinesimmunization.sWhichsbranchsofspharmacologysbestsdescribesst
hesactionssofsallsthreesnurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Response:
Pharmacologysissthesstudysofsthesbiologicseffectssofschemicals.sNursessaresinvolvedswit
hsclinicalspharmacologysorspharmacotherapeutics,swhichsissasbranchsofspharmacologyst
hatsdealsswithsthesusessofsdrugsstostreat,sprevent,sandsdiagnosesdisease.sThesnurseswork
ingsinsradiologysissadministeringsasdrugstoshelpsdiagnosesasdisease.sThesnursesworkings
onsansoncologysunitsissadministeringsasdrugstoshelpstreatsasdisease.sPharmacoeconomicss
includessanyscostssinvolvedsinsdrugstherapy.
Pharmacodynamicssinvolvesshowsasdrugsaffectssthesbody,sandspharmacokineticssissho
wsthesbodysactssonsthesdrug.




CognitivesLevel:sComprehensions
Difficulty:sEasy
IntegratedsProcess:s Nursingsprocess


2.Asphysicianshassorderedsintramuscularsinjectionssofsmorphine,sasnarcotic,severys4shour
ssassneededsforspainsforsasmotorsvehiclesaccidentsvictim.sThesnursesissawaresthatstheresiss
ashighsabusespotentialsforsthissdrug;stherefore,smorphinesisscategorizedsassa:
A) SchedulesIsdrug
B) SchedulesIIsdrug
C) SchedulesIIIsdrug
D) SchedulesIVsdrug

,ANSWER: B
Response:
NarcoticsssuchsassmorphinesaresconsideredsschedulesIIsdrugssbecausesofstheshighsabuse
potentialswithsseveresdependencesliability.sSchedulesIsdrugsshaveshighsabusespotentials
s


andsnosacceptedsmedicalsuse.sSchedulesIIIsdrugsshavesaslessersabusespotentialsthanssche
dulesIIsdrugssandsansacceptedsmedicalsuse.sSchedulesIVsdrugsshaveslowsabusespotentials
andslimitedsdependencesliability.




CognitivesLevel:sComprehensions
Difficulty:sEasy
IntegratedsProcess:s Communicationsandsdocumentation
3.AsnursesworkingsforsasdrugscompanysissinvolvedsinsphasesIIIsdrugsevaluationsstudies.sW
hichsofsthesfollowingsmightsthesnursesbesresponsiblesforsduringsthissstagesofsdrugsdevel
opment?

, Chapters1:sIntroductionstosDrugs




A) Workingswithsanimalsswhosaresgivensexperimentalsdrugs
B) Monitoringsdrugseffectssinspatientsswhosaresselectedstosparticipatesinsasstudy,sw
hoshavesthesdiseasesthatsthesdrugsissmeantstostreat
C) Collectingsrecordssofssymptomssthatsparticipantssexperienceswhilestakingsasd
rugsandsdeterminingswhetherstheysarescausedsbysthesdiseasesorsthesdrug
D) Informingshealthy,syoungsvolunteersparticipantssofspossiblesriskssthatscouldso
ccursfromstakingsansexperimentalsdrug
ANSWER: C
Response:
PhasesIIIsstudiessinvolvesusesofsasdrugsinsasvastsclinicalsmarketswherespatientssaresasked
stosrecordsanyssymptomsstheysexperienceswhilestakingsthesdrugs.sNursessmaysbesrespon
siblesforshelpingscollects andsanalyzesthesinformationstosbessharedswithsthesFoodsandsDr
ugsAdministrations(FDA).sUsesofsanimalssinsdrugstestingsissdonesinsthespreclinicalstrials
.sAsselectsgroupsofspatientsswhosaresinvolvedsinsphasesIIsstudiessparticipatesinsstudiessw
heresthesparticipantsshavesthesdiseasesthesdrugsissintendedstostreat.sThesespatientssaresm
onitoredscloselysforsdrugseffects.sPhasesIsstudiessinvolveshealthyshumansvolunteersswh
osaresusuallyspaidsforstheirsparticipation.sNursessmaysobservesforsadverseseffectssandsto
xicity.




CognitivesLevel:sComprehensions
Difficulty:sModerate
IntegratedsProcess:s NursingsProcess


4.Whichsofsthesfollowingsconceptssissconsideredswhensgenericsdrugssaressubstitutedsforsb
rand-namesdrugs?
A) Bioavailability
B) Criticalsconcentration
C) Distribution
D) Half-life
ANSWER: A
Response:
Bioavailabilitysissthesportionsofsasdosesofsasdrugsthatsreachessthessystemicscirculationsan
dsissavailablestosactsonsbodyscells.sBinderssusedsinsasgenericsdrugsmaysnotsbesthessamesa
ssthosesusedsinsthesbrand-
namesdrug.sTherefore,stheswaysthesbodysbreakssdownsandsusessthesdrugsmaysdiffer,swhic

, hsmayseliminatesassubstitution.sCriticalsconcentrationsissthesamountsofsasdrugsthatsissnee
dedstoscausesastherapeuticseffect.
Distributionsissthesphasesofspharmacokineticssthatsinvolvessthesmovementsofsasdrugstosth
esbody'sstissues.sAsdrug'sshalf-
lifesissthestimesitstakessforsthesamountsofsdrugstosdecreasestosone-halfsofsthespeakslevel.




CognitivesLevel:s AnalysissDifficu
lty:s Difficult
IntegratedsProcess:s Teaching/learning
5.Asnursesissteachingsherspatientsaboutsthesusesofsover-the-
counters(OTC)sdrugs.sWhichsofsthesfollowingsstatementssbestsinformssthespatientsabouts
theirssafesuse?
A) “OTCsdrugssaresproductssthatsaresavailableswithoutsprescriptionsforsself-
treatmentsofsminorscomplaints.”
s


B) “OTCsdrugssaresconsideredsmedicationssandsshouldsbesreportedsonsasdrugsh
istory.”

, Chapters1:sIntroductionstosDrugs




C) “OTCsdrugssweresapprovedsassprescriptionsdrugssbutslatersweresfoundstosbess
afeswithoutsthesneedsforsasprescription.”
D) “OTCsdrugssneedstosbestakenswithscaution.sTheyscansmasksthessignssandss
ymptomssofsansunderlyingsdiseasesandsinterfereswithsprescriptionsdrugsth
erapy.”
ANSWER: D
Response:
OTCsdrugssaresconsideredsmedicationssandsshouldsbesreported.sOTCsdrugssaresavailabl
eswithoutsasprescription,salthoughssomesweresfirstsapprovedsassprescriptionsdrugs.sThes
mostsimportantsteachingsshouldsrelatestostheirssafesusesandsthatsOTCsdrugsscansmaskssy
mptomssofsdiseasesandsinterfereswithsprescribedsdrugs.




CognitivesLevel:sKnowledges
Difficulty:sEasy
IntegratedsProcess:s NursingsProcess
6.WhichsofsthesfollowingslegislativesactssallowedsthesFoodsandsDrugsAdministrations(F
DA)stostightenscontrolsoversthesqualitysofsdrugssandsrequiredsthatssafetysandsefficacys
standardssbesestablished?
A) PuresFoodsandsDrugsActsofs1906
B) FederalsFood,sDrug,sandsCosmeticsActsofs1938
C) DurhamsHumphreysAmendmentsofs1951
D) Kefauver-HarrissActsofs1962
ANSWER: D
Response:
ThesKefauver-
HarrissActswassthesresultsofsthesusesofsthes1960ssdrugsthalidomides(Thalomid).sThespub
licsconcernsledstostheslegislationsthatsgavesthesFDAsregulatoryscontrolsoverstestingsands
evaluatingsofsdrugssandsallowedsitstossetsstandardssforsefficacysandssafety.sThesPuresFoo
dsandsDrugsActsrequiredslabelingstoseliminatesfalsesclaims.sThesFederalsFood,sDrug,san
dsCosmeticsActsgavesthesFDAsthespowerstosenforcesstandardssforstestingsdrugstoxicitysa
ndsmonitoringslabeling.sThesDurham-
sHumphreysAmendmentsenforcedsprescriptionssforsdistribution.




CognitivesLevel:s ApplicationsDiff

, iculty:sModerate
IntegratedsProcess:s Teaching/learning
7.Asnursesissinstructingsaspregnantspatientsconcerningsthespotentialsriskstoshersfetussfrom
a pregnancyscategorysBsdrug.sThesnurseswouldsinformsthespatientsthat:
s s


A) “Adequatesstudiessinspregnantswomenshavesdemonstratedstheresissnosriskstosthesf
etus.”
B) “Animalsstudiesshavesnotsdemonstratedsasriskstosthesfetussbutsthereshavesbeensn
osadequatesstudiessinspregnantswomen.”
C) “Animalsstudiesshavesshownsansadverseseffectsonsthesfetussbutstheresaresnosa
dequatesstudiessinspregnantswomen.”
D) “Theresissevidencesofshumansfetalsrisksbutsthespotentialsbenefitssfromsusesofsthesdr
ugsmaysbesacceptablesdespitespotentialsrisks.”
ANSWER: B
Response:
CategorysBsindicatessthatsanimalsstudiesshavesnotsdemonstratedsasriskstosthesfetussbut

, Chapters1:sIntroductionstosDrugs




thereshavesbeensnosadequatesstudiessinspregnantswomen.sHowever,sthereshavesnotsbeens
adequatesstudiessinspregnantswomenstosdemonstratesriskstosasfetussduringsthesfirststrime
stersofspregnancysandsnosevidencesofsrisksinslaterstrimesters.sCategorysAsindicatessthatsa
dequatesstudiessinspregnantswomenshavesnotsdemonstratedsasriskstosthesfetussinsthesfirstst
rimestersorsinslaterstrimesters.sCategorysCsindicatessthatsanimalsstudiesshavesshownsansa
dverseseffectsonsthesfetussbutsthereshavesbeensnosadequatesstudiessinshumans.sCategorys
Dsrevealssevidencesofshumansfetalsrisk,sbutsthespotentialsbenefitssfromsthesusesofsthesdru
gssinspregnantswomensmaysoutweighsthesrisks.




CognitivesLevel:s AnalysissDifficu
lty:s Difficult
IntegratedsProcess:s Teaching/learning
8. Dischargesplanningsforspatientssleavingstheshospitalsshouldsincludesinstructionssonst
hesusesofsover-the-
counters(OTC)sdrugs.sWhichscommentsbysthespatientswouldsdemonstratesasgoodsun
derstandingsofsOTCsdrugs?
A) “OTCsdrugssaresalwaysssafesandswillsnotscausesbadseffects.”
B) “OTCsdrugsshavesbeensaroundsforsyearssandshavesnotsbeenstestedsbysthesFoodsa
ndsDrugsAdministrations(FDA).”
C) “OTCsdrugssaresdifferentsfromsanysdrugssavailablesbysprescriptionsandscostsl
ess.”
D) “OTCsdrugssaresthoughtstosbessafeswhenstakensassdirected.”s
ANSWER: D
Response:
OTCsdrugssaresdrugssthatshavesbeensdeterminedstosbessafeswhenstakensassdirected.sTh
eysmayshavesoriginallysbeensprescriptionsdrugssthatswerestestedsbysthesFDAsorstheys
mayshavesbeensgrandfatheredsinswhensthesFDAslawsschanged.sOTCseducationsshoulds
alwayssbesincludedsassaspartsofstheshospitalsdischargesinstructions.




CognitivesLevel:sComprehensions
Difficulty:sModerate
IntegratedsProcess:s Teaching/Learning
9. Whichsofsthesfollowingswouldsbesthesbestssourcesofsdrugsinformationsforsasnurse?
A) DrugsFactssandsComparisonssbook