INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford Chapter 01, General Principles of Pharmacology 1. After teaching a group of students about the basics of pharmacology, the students will be able to choose which aspect as the most critical to remember? A) Drug name B) Drug class C) Drug action D) Drug source Answer: C Rationale: Pharmacology is the study of drugs and its action on living organisms. Thus, an essential aspect of pharmacology is drug action. An understanding of the drug name, drug class, and drug source is important, but the most critical aspect related to pharmacology is how the drug acts in the body. Question Format: Multiple Choice Chapter: 1 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 3, Introduction 2. A nurse suspects the client had an adverse reaction to a prescribed medication due to an interaction with an unreported over -the-counter supplement. Which action by the nurse will best assist in preventing future similar incidents? A) File a report with MedWatch B) File a report with the State Board of Nursing C) Instruct the client to avoid combining medications in the future D) Document the incident and report it to the health care provider Answer: A Rationale: Nurses play an important role in monitoring for adverse reactions. Therefore, it is important to submit reports, even if there is uncertainty about the cause –effect relationship. The FDA protects the identity of those who voluntarily report adverse reactions. Question Format: Multiple Choice Chapter: 1 Learning Objective: 9 Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Safety and Infection Control Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events 3. A nurse is assessing a client and notes the client has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nurse interpret this finding to specifically indicate? A) Mild allergic reaction B) Anaphylactic shock C) Angioedema D) Drug idiosyncrasy Answer: C Rationale: Angioedema is a type of allergic drug reaction manifested by the collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips, mouth, and throat. Allergic reactions can be manifested by a wide range of signs and symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious al lergic reaction that requires immediate medical attention. Drug idiosyncrasy describes any unusual or abnormal reaction to a drug, one that is different from the one normally expected. Question Format: Multiple Choice Chapter: 1 Learning Objective: 5 Cogni tive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 12, Allergic Drug Reactions 4. The nurse is preparing to teach a client about a new drug which is in the fourth phase of development. Which activity will the nurse explain best illustrates this phase? A) Health care providers report adverse effects to FDA. B) Healthy volunteers are involved in the test. C) In vitro tests are performed using human cells. D) The drug is given to clients with the disease. Answer: A Rationale: The postmarketing surveillance phase of drug development encourages health care professionals to report adverse effects of drugs to the FDA using MedWatch. Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro testing of the drug on human or animal cells is done in the pre-FDA phase. In Phase 2 of clinical testing, the drug is given to clients with the disease for which the drug is manufactured. Question Format: Multiple Choice Chapter: 1 Learning Objective: 4 Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 7, Concept Mastery Alert 5. A nurse is assessing a pregnant client who admits to having a cocaine addiction. Which condition of the baby after birth should the nurse explain and prepare the client for? A) Diabetes B) Hypertension C) Addiction to drugs D) CNS defects Answer: C Rationale: The nurse informs the client that children born to mothers using addictive drugs are often born with an addiction to the drug. Children born to mothers who are addicted to cocaine are not known to be born with diabetes, CNS defects, or hypertension. Question Format: Multiple Choice Chapter: 1 Learning Objective: 6 Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 11, Drug Use, Pregnancy, and Lactation 6. A client arrives at the health care clinic and reports taking several pills for a headache and severe cough without relief. Which adverse effect should the nurse be aware may develop from this combination? A) Gastrointestinal bleeding B) Breathing difficulties C) Liver damage D) Anaphylaxis