Basic and Clinical Pharmacology 14th Edition
Katzung Trevor TESTBANK
,Chapter 1. Introduction: The Nature of Drugs & Drug Development & Regulation
1. Discharge planning for patients leaving the hospital should include
instructions on the use of over-the-counter (OTC) drugs. Which comment by
the patient would demonstrate a good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by the
Food and Drug Administration (FDA).
C) OTC drugs are different from any drugs available by prescription and
cost less.
D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications
that can cause serious harm if not taken properly. OTCs are drugs that have
been determined to be safe when taken as directed; however, all drugs can
produce adverse effects even when taken properly. They may have originally
been prescription drugs that were tested by the FDA or they may have been
grandfathered in when the FDA laws changed. OTC education should
always be included as a part of the hospital discharge instructions.
2. What would be the best source of drug information for a nurse?
A) Drug Facts and Comparisons
B) A nurses drug guide
,C) A drug package insert
D) The Physicians Drug Reference (PDR)
Ans: B
Feedback:
A nurses drug guide provides nursing implications and patient teaching
points that are most useful to nurses in addition to need-to-know drug
information in a very user friendly organizational style.Lippincotts Nursing
Drug Guide (LNDG) has drug monographs organized alphabetically and
includes nursing implications and patient teaching points. Numerous other
drug handbooks are also on the market and readily available for nurses to
use. Although other drug reference books such as Drug Facts and
Comparisons, PDR, and drug package inserts can all provide essential drug
information, they will not contain nursing implications and teaching points
and can be more difficult to use than nurses drug guides.
3 The nurse is preparing to administer a medication from a multidose bottle.
. The label is torn and soiled but the name of the medication is still readable.
What is the nurses priority action?
A) Discard the entire bottle and contents and obtain a new bottle.
B) Find the drug information and create a new label for the bottle.
C) Ask another nurse to verify the contents of the bottle.
D) Administer the medication if the name of the drug can be clearly read.
Ans: A
Feedback:
When the drug label is soiled obscuring some information the safest action
by the nurse is to discard the bottle and contents because drug labels contain
a great deal of important information, far more than just the name of the
drug. Concentration of the drug, expiration date, administration directions,
and precautions may be missing from the label and so put the patient at risk.
Looking up drug information in a drug handbook or consulting with another
nurse will not supply the expiration date or concentration of medication. Be
safe and discard the bottle and its contents.
, 4 What aspect of pharmacology does a nurse study? (Select all that apply.)
.
A) Chemical pharmacology
B) Molecular pharmacology
C) Impact of drugs on the body
D) The bodys response to a drug
E) Adverse and anticipated drug effects
Ans: C, D, E
Feedback:
Nurses study pharmacology from a pharmacotherapeutic level, which
includes the effect of drugs on the body, the bodys response to drugs, and
both expected and unexpected drug effects. Chemical and molecular
pharmacology (Options A and B) are not included in nursing pharmacology
courses.
5 The nurse, providing patient teaching about home medication use to an older
. adult, explains that even when drugs are taken properly they can produce
negative or unexpected effects. What are these negative or unexpected
effects called?
A) Teratogenic effects
B) Toxic effects
C) Adverse effects
D) Therapeutic effects
Ans: C
Feedback:
Negative or unexpected effects are known as adverse or side effects.
Teratogenic effects are adverse effects on the fetus and not a likely concern
for an older adult. Toxic effects occur when medication is taken in larger
than recommended dosages caused by an increase in serum drug levels.
Therapeutic effects are the desired actions for which the medication is
prescribed.
Katzung Trevor TESTBANK
,Chapter 1. Introduction: The Nature of Drugs & Drug Development & Regulation
1. Discharge planning for patients leaving the hospital should include
instructions on the use of over-the-counter (OTC) drugs. Which comment by
the patient would demonstrate a good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by the
Food and Drug Administration (FDA).
C) OTC drugs are different from any drugs available by prescription and
cost less.
D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications
that can cause serious harm if not taken properly. OTCs are drugs that have
been determined to be safe when taken as directed; however, all drugs can
produce adverse effects even when taken properly. They may have originally
been prescription drugs that were tested by the FDA or they may have been
grandfathered in when the FDA laws changed. OTC education should
always be included as a part of the hospital discharge instructions.
2. What would be the best source of drug information for a nurse?
A) Drug Facts and Comparisons
B) A nurses drug guide
,C) A drug package insert
D) The Physicians Drug Reference (PDR)
Ans: B
Feedback:
A nurses drug guide provides nursing implications and patient teaching
points that are most useful to nurses in addition to need-to-know drug
information in a very user friendly organizational style.Lippincotts Nursing
Drug Guide (LNDG) has drug monographs organized alphabetically and
includes nursing implications and patient teaching points. Numerous other
drug handbooks are also on the market and readily available for nurses to
use. Although other drug reference books such as Drug Facts and
Comparisons, PDR, and drug package inserts can all provide essential drug
information, they will not contain nursing implications and teaching points
and can be more difficult to use than nurses drug guides.
3 The nurse is preparing to administer a medication from a multidose bottle.
. The label is torn and soiled but the name of the medication is still readable.
What is the nurses priority action?
A) Discard the entire bottle and contents and obtain a new bottle.
B) Find the drug information and create a new label for the bottle.
C) Ask another nurse to verify the contents of the bottle.
D) Administer the medication if the name of the drug can be clearly read.
Ans: A
Feedback:
When the drug label is soiled obscuring some information the safest action
by the nurse is to discard the bottle and contents because drug labels contain
a great deal of important information, far more than just the name of the
drug. Concentration of the drug, expiration date, administration directions,
and precautions may be missing from the label and so put the patient at risk.
Looking up drug information in a drug handbook or consulting with another
nurse will not supply the expiration date or concentration of medication. Be
safe and discard the bottle and its contents.
, 4 What aspect of pharmacology does a nurse study? (Select all that apply.)
.
A) Chemical pharmacology
B) Molecular pharmacology
C) Impact of drugs on the body
D) The bodys response to a drug
E) Adverse and anticipated drug effects
Ans: C, D, E
Feedback:
Nurses study pharmacology from a pharmacotherapeutic level, which
includes the effect of drugs on the body, the bodys response to drugs, and
both expected and unexpected drug effects. Chemical and molecular
pharmacology (Options A and B) are not included in nursing pharmacology
courses.
5 The nurse, providing patient teaching about home medication use to an older
. adult, explains that even when drugs are taken properly they can produce
negative or unexpected effects. What are these negative or unexpected
effects called?
A) Teratogenic effects
B) Toxic effects
C) Adverse effects
D) Therapeutic effects
Ans: C
Feedback:
Negative or unexpected effects are known as adverse or side effects.
Teratogenic effects are adverse effects on the fetus and not a likely concern
for an older adult. Toxic effects occur when medication is taken in larger
than recommended dosages caused by an increase in serum drug levels.
Therapeutic effects are the desired actions for which the medication is
prescribed.
