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TEST BANK FOR: Focus On Nursing Pharmacology 6th Edition By Amy M. Karch Latest Update.

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TEST BANK FOR: Focus On Nursing Pharmacology 6th Edition By Amy M. Karch Latest Update.

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TEST BANK FOR:
Focus On Nursing Pharmacology 6th Edition
By Amy M. Karch Latest Update.

,Chapter 01 - Introduction To Drugs



A Nurse Working In Radiology Administers Iodine To A Patient Who Is Having A Computed
Tomography(Ct) Scan. The Nurse Working On The Oncology Unit Administers Chemotherapy To
Patients Who Have Cancer. At The Public Health Department, A Nurse Administers A Measles-
Mumps-Rubella (Mmr) Vaccine To A 14-Month-Old Child As A Routine Immunization. Which
Branch Of Pharmacology Best Describes The Actions Of All Three Nurses?


Pharmacoeconomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
Ans: B


Feedback:


Pharmacology Is The Study Of The Biologic Effects Of Chemicals. Nurses Are Involved With Clinical
Pharmacology Or Pharmacotherapeutics, Which Is A Branch Of Pharmacology That Deals With The
Uses Of Drugs To Treat, Prevent, And Diagnose Disease. The Radiology Nurse Is Administering A
Drug To Help Diagnose A Disease. The Oncology Nurse Is Administering A Drug To Help Treat A
Disease.
Pharmacoeconomics Includes Any Costs Involved In Drug Therapy. Pharmacodynamics Involves How
A Drug Affects The Body And Pharmacokinetics Is How The Body Acts On The Body.


A Physician Has Ordered Intramuscular (Im) Injections Of Morphine, A Narcotic, Every 4 Hours As
Neededfor Pain In A Motor Vehicle Accident Victim. The Nurse Is Aware This Drug Has A High
Abuse Potential.
Under What Category Would Morphine Be Classified?


Schedule I
Schedule Ii
Schedule Iii
Schedule Iv
Ans: B


Feedback:


Narcotics With A High Abuse Potential Are Classified As Schedule Ii Drugs Because Of Severe Dependence

, Liability. Schedule I Drugs Have High Abuse Potential And No Accepted Medical Use. Schedule Iii
Drugs Have A Lesser Abuse Potential Than Ii And An Accepted Medical Use. Schedule Iv Drugs Have
Low Abuse Potential And Limited Dependence Liability.


When Involved In Phase Iii Drug Evaluation Studies, What Responsibilities Would The Nurse
Have? Working With Animals Who Are Given Experimental Drugs
Choosing Appropriate Patients To Be Involved In The Drug
Study Monitoring And Observing Patients Closely For Adverse
Effects Conducting Research To Determine Effectiveness Of The
Drug
Ans: C


Feedback:


Phase Iii Studies Involve Use Of A Drug In A Vast Clinical Population In Which Patients Are Asked To
Record Any Symptoms They Experience While Taking The Drugs. Nurses May Be Responsible For
Helping Collect And Analyze The Information To Be Shared With The Food And Drug Administration
(Fda) But Would Not Conduct Research Independently Because Nurses Do Not Prescribe Medications.
Use Of Animals In Drug Testing Is Done In The Preclinical Trials. Select Patients Who Are Involved In
Phase Ii Studies To Participate In Studies Where The Participants Have The Disease The Drug Is
Intended To Treat. These Patients Are Monitored Closely For Drug Action And Adverse Effects. Phase I
Studies Involve Healthy Human Volunteers Who Are Usually Paid For Their Participation. Nurses May
Observe For Adverse Effects And Toxicity.


What Concept Is Considered When Generic Drugs Are Substituted For Brand Name Drugs?
Bioavailability
Critical Concentration
Distribution
Half-Life


Ans: A


Feedback:


Bioavailability Is The Portion Of A Dose Of A Drug That Reaches The Systemic Circulation And Is
Available To Act On Body Cells. Binders Used In A Generic Drug May Not Be The Same As Those
Used In The Brand Name Drug. Therefore, The Way The Body Breaks Down And Uses The Drug May
Differ, Which May Eliminate A Generic Drug Substitution. Critical Concentration Is The Amount Of A
Drug That Is Needed To Cause A Therapeutic Effect And Should Not Differ Between Generic And
Brand Name Medications. Distribution Is The Phase Of Pharmacokinetics, Which Involves The
Movement Of A Drug To The Body’s Tissues And Is The

, Same In Generic And Brand Name Drugs. A Drug’s Half-Life Is The Time It Takes For The Amount Of
Drug To Decrease To Half The Peak Level, Which Should Not Change When Substituting A Generic
Medication.


A Nurse Is Assessing The Patient’s Home Medication Use. After Listening To The Patient List Current
Medications, The Nurse Asks What Priority Question?


Do You Take Any Generic Medications?


Are Any Of These Medications Orphan Drugs?


Are These Medications Safe To Take During
Pregnancy? Do You Take Any Over-The-Counter
Medications?
Ans: D


Feedback:


It Is Important For The Nurse To Specifically Question Use Of Over-The-Counter Medications
Because Patients May Not Consider Them Important. The Patient Is Unlikely To Know The Meaning Of
Orphan Drugs Unless They Too Are Health Care Providers. Safety During Pregnancy, Use Of A Generic
Medication, Or Classification Of Orphan Drugs Are Things The Patient Would Be Unable To Answer
But Could Be Found In Reference Books If The Nurse Wishes To Research Them.


After Completing A Course On Pharmacology For Nurses, What Will The Nurse Know?
Everything Necessary For Safe And Effective Medication Administration
Current Pharmacologic Therapy; The Nurse Will Not Require Ongoing Education For 5
Years. General Drug Information; The Nurse Can Consult A Drug Guide For Specific Drug
Information. The Drug Actions That Are Associated With Each Classification Of
Medication
Ans:C


Feedback:


After Completing A Pharmacology Course Nurses Will Have General Drug Information Needed For
Safe And Effective Medication Administration But Will Need To Consult A Drug Guide For Specific
Drug Information Before Administering Any Medication. Pharmacology Is Constantly Changing, With
New Drugs Entering The Market And New Uses For Existing Drugs Identified. Continuing Education
In Pharmacology Is Essential To Safe Practice. Nurses Tend To Become Familiar With The Medications
They Administer Most Often, But There Will Always Be A Need To Research New Drugs And Also
Those The Nurse Is Not Familiar With Because No Nurse Knows All Medications.

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