Clinical Pharmacology
Introduction To Clinical Pharmacology, 11th Edition
Chapters 1-23 Accurate And Organized Questions
With Answers.
*************************************************************************************
You are caring for an elderly patient who was just admitted the rehabilitation unit following a
hospitalization for a fractured hip.
You suspect that in the transfer from the hospital to the rehabilitation unit an error in the patient's?
Call the pharmacy.
Clarify anything that is unreadable
Clarify vague orders with the healthcare provider.
Check the original written order with the healthcare provider.
Which levels of regulation must you adhere to when giving drugs to a patient? (Select all that
apply.)
- State Regulations
- Federal Regulations
- Institutional Regulations
A narcotic control system is used in any hospital or agency. Which of the following are special
regulations applied for control of narcotics that you must follow? List the special regulations
applied for the control of narcotics that the nurse must follow. (Select all that apply.)
Narcotics are stored in a special locked cabinet
An inventory of the narcotics on a unit must be kept and verified by two nurses.
You are responsible for signing out every narcotic drug used for a patien
A discrepancy in the narcotics inventory for morphine 5 mg/mL vials is discovered when the
narcotics count is performed. The count is short by one vial. Which of the following steps should
you take to reconcile the count? (Select all that apply.)
Notify the nursing supervisor and the pharmacy of the discrepancy.
Identify if any nurse forgot to record any of the narcotics removed.
Check drug records to reconcile if narcotics given and not signed for.
Notify the security department of the institution if drug diversion is suspected.
Chapter 03: Principles of Pharmacology Visovsky: Introduction to Clinical
Pharmacology, 10th Edition
, Which is always true regarding the generic name for a drug?
The generic name is the same in any country.
What is the difference between the generic and the trade names of drugs?
The trade name is one that is registered to a specific drug manufacturer.
You are giving the drug antagonist naloxone (Narcan) to a patient who has experienced an
opioid overdose. What response would you expect in this patient from a drug antagonist?
An opioid antagonist would result in no activation of cell receptors.
You have just given a patient a drug that is a known agonist. The patient asks how this drug is
expected to work. What is your best response?
This drug works by attaching to the receptor site to activate it.
You are giving an oral drug to a patient who asks you to explain the reason for taking water
with an oral tablet. What is your best response?
"Water helps to dissolve the drug."
You are about to give an IV antibiotic to a patient hospitalized with severe cellulitis of the right
leg. The patient asks why the drug is being given by the intravenous route instead of by mouth.
What is your best response?
"This antibiotic can act faster if given by IV than if given by mouth."
What is the process by which drug molecules move from a region of higher concentration to
one of lower concentration?
Diffusion
In diffusion, molecules move from a region of higher concentration to one of lower
concentration.
A 62-year-old male patient with liver disease asks you why he is receiving a drug intravenously
rather than by mouth. What is your best response?
"Your liver disease impairs the transformation of a drug into its active form."
A patient who is beginning a new cholesterol-lowering drug tells you he plans to take this drug in the
evening with his usual glass of grapefruit juice. What is your best response?
"Taking grapefruit juice can reduce the effectiveness of the drug."
You give a patient 400 mg of an oral drug at noon. This drug has a half-life of 2 hours. At
what time will 100 mg remain?
4:00 p.m.
Introduction To Clinical Pharmacology, 11th Edition
Chapters 1-23 Accurate And Organized Questions
With Answers.
*************************************************************************************
You are caring for an elderly patient who was just admitted the rehabilitation unit following a
hospitalization for a fractured hip.
You suspect that in the transfer from the hospital to the rehabilitation unit an error in the patient's?
Call the pharmacy.
Clarify anything that is unreadable
Clarify vague orders with the healthcare provider.
Check the original written order with the healthcare provider.
Which levels of regulation must you adhere to when giving drugs to a patient? (Select all that
apply.)
- State Regulations
- Federal Regulations
- Institutional Regulations
A narcotic control system is used in any hospital or agency. Which of the following are special
regulations applied for control of narcotics that you must follow? List the special regulations
applied for the control of narcotics that the nurse must follow. (Select all that apply.)
Narcotics are stored in a special locked cabinet
An inventory of the narcotics on a unit must be kept and verified by two nurses.
You are responsible for signing out every narcotic drug used for a patien
A discrepancy in the narcotics inventory for morphine 5 mg/mL vials is discovered when the
narcotics count is performed. The count is short by one vial. Which of the following steps should
you take to reconcile the count? (Select all that apply.)
Notify the nursing supervisor and the pharmacy of the discrepancy.
Identify if any nurse forgot to record any of the narcotics removed.
Check drug records to reconcile if narcotics given and not signed for.
Notify the security department of the institution if drug diversion is suspected.
Chapter 03: Principles of Pharmacology Visovsky: Introduction to Clinical
Pharmacology, 10th Edition
, Which is always true regarding the generic name for a drug?
The generic name is the same in any country.
What is the difference between the generic and the trade names of drugs?
The trade name is one that is registered to a specific drug manufacturer.
You are giving the drug antagonist naloxone (Narcan) to a patient who has experienced an
opioid overdose. What response would you expect in this patient from a drug antagonist?
An opioid antagonist would result in no activation of cell receptors.
You have just given a patient a drug that is a known agonist. The patient asks how this drug is
expected to work. What is your best response?
This drug works by attaching to the receptor site to activate it.
You are giving an oral drug to a patient who asks you to explain the reason for taking water
with an oral tablet. What is your best response?
"Water helps to dissolve the drug."
You are about to give an IV antibiotic to a patient hospitalized with severe cellulitis of the right
leg. The patient asks why the drug is being given by the intravenous route instead of by mouth.
What is your best response?
"This antibiotic can act faster if given by IV than if given by mouth."
What is the process by which drug molecules move from a region of higher concentration to
one of lower concentration?
Diffusion
In diffusion, molecules move from a region of higher concentration to one of lower
concentration.
A 62-year-old male patient with liver disease asks you why he is receiving a drug intravenously
rather than by mouth. What is your best response?
"Your liver disease impairs the transformation of a drug into its active form."
A patient who is beginning a new cholesterol-lowering drug tells you he plans to take this drug in the
evening with his usual glass of grapefruit juice. What is your best response?
"Taking grapefruit juice can reduce the effectiveness of the drug."
You give a patient 400 mg of an oral drug at noon. This drug has a half-life of 2 hours. At
what time will 100 mg remain?
4:00 p.m.
