Test Bank for Understanding Pharmacology Essentials for Medication Safety, 3rd Edition by M. Linda Workman & LaCharity, All Chapters Covered/Latest Edition

,Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rdEditi
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on

MULTIPLE CHOICE B x x




ASIC CONCEPTS x




1. Which health care professional has the major responsibility for dispensing prescribeddr
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ugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner x


.
c. Licensed nurse x


d Pharmacy technician x


.


ANS: D x


The physician and nurse practitioner have the major responsibility for prescribing drugs, not dispen
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sing them. The licensed nurse has the primary responsibility for administering drugs, although und
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er some circumstances a licensed nurse may dispense prescribed drugs but this isnot his or her majo
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r responsibility in drug therapy. The pharmacy technician has the major responsibility of dispensin
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g prescribed drugs under the direction of a licensed pharmacist.
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DIF: Cognitive Level: Remembering x x REF: p. 3 x




2. Which term describes the effect of a drug that improves body function?
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a. Side effect
x


b Intended action x


.
c. Adverse reaction x


d Idiosyncratic response x


.


ANS: B x


The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.Thi
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s response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering x x REF: p. 3 x




3. Which type of drug name is ―owned‖ by the company that manufactures it?
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a. Generic name x


b Chemical name x

, .
c. Category name x


d Trade name x


.


ANS: D x


The chemical name is a drug’s exact chemical composition. The generic name is the name assigned
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to the drug by the U.S. Adopted Names Council and is not owned by anyone. The category name re
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fers to the type of drug (what it does or what it is used for) and is not an actualdrug name. The trade n
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ame (brand name) is the name provided and owned by a specific drug’s manufacturer.
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DIF: Cognitive Level: Remembering x x REF: p. 4 x




4. Which drug or drug class is a ―high alert‖ drug? x x x x x x x x x


a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


ANS: B x


A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrongpatie
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nt, or not given to the correct patient. Drugs classified as high alert drugs include potassium,narcotic
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s (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly affects blood
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clotting). Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: Cognitive Level: Remembering x x REF: p. 4 x




5. What is the term for a drug that has the same action as a naturally occurring bodyhor
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mone or enzyme? x x


a. Agonist
b Blocking agent x


.
c. Chemical
d Duplicator
.


ANS: A x


A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics theacti
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ons of naturally occurring body substances (intrinsic drugs). A blocking agent is a drug
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, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologicter
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m.

DIF: Cognitive Level: Remembering x x REF: pp. 6-7 x




6. Which term describes how the body affects drug activity?
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a. Drug potency x


b Pharmacodynamics
.
c. Therapeutic effect x




d Pharmacokinetics
.


ANS: D x


The term pharmacokinetics refers to drug metabolism and how the body changes a drug. Pharmacody
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namics refers to how a drug works to change body function. Drug potency refers tohow strongly or to
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what degree a drug exerts its effects. The therapeutic effect is closer to pharmacodynamics, meaning
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how a drug works to change body function.
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DIF: Cognitive Level: Remembering x x REF: p. 10 x




7. In the United States, which group is responsible for enforcing established standards fordr
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ug manufacturing?
x


a. U.S. Pharmacopeia x


b National Institutes of Health x x x


.
c. Food and Drug Administration x x x


d Association of Pharmaceutical Manufacturers x x x


.


ANS: C x


The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards are
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enforced by the Food and Drug Administration. Neither the National Institutes of Health northe Ass
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ociation of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: Cognitive Level: Remembering x x REF: p. 5 x




8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal route.
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b Transdermal drugs must be sterile rather than clean. x x x x x x x


.
c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulation.
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