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NUR 465 Final Exam 1 Questions With All Solved Solutions.

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Pharmacologic Class - Answer How the drug works @ molecular, tissue or body system level ex = "vasodilator" makes blood vessels wider -- "vaso-" refers to blood vessels which are tissues Med Administration TL - Answer 1) 1906 Pure Food & Drug Act: Prohibits drugs which are misbranded or adulterated 2) 1912: Cannot make false claims 3) 1938: Drugs have to be tested 4) 1975: One standardized publication so everyone is working with the same information 5) 1994: Clear labeling of dietary supplements 6) 2002: Working on safety and efficacy for pediatric drugs Preclinical Testing - Answer Performed @ cellular level of animals to look for risks in humans Toxicities Pharmacokinetic properties Potentially useful biologic effects Takes 1-5 yrs then can trial drug on humans Stage 2 of Testing (clinical phase) - Answer *Phase 1:* Testing on volunteers to determine dosing *Phase 2:* Identify large groups of people to receive the drug *Phase 3:* Investigators address concerns - Was the drug effective?

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NUR 465 Final Exam 1 Questions With
All Solved Solutions.
Pharmacologic Class - Answer How the drug works @ molecular, tissue or body system level



ex = "vasodilator" makes blood vessels wider -- "vaso-" refers to blood vessels which are tissues



Med Administration TL - Answer 1) 1906 Pure Food & Drug Act: Prohibits drugs which are
misbranded or adulterated



2) 1912: Cannot make false claims



3) 1938: Drugs have to be tested



4) 1975: One standardized publication so everyone is working with the same information



5) 1994: Clear labeling of dietary supplements



6) 2002: Working on safety and efficacy for pediatric drugs



Preclinical Testing - Answer Performed @ cellular level of animals to look for risks in humans



Toxicities



Pharmacokinetic properties



Potentially useful biologic effects



Takes 1-5 yrs then can trial drug on humans



Stage 2 of Testing (clinical phase) - Answer *Phase 1:* Testing on volunteers to determine

, - Does the drug make other medical conditions worse?

- Does the drug interact with other medications?

- Does the drug effect all of the people in the same way or are there differences, such as men
vs. women?



Stage 3 of testing- New drug application review - Answer Trade name finalized & trials
continue on animals/people



Stage 4 of testing - Post-marketing surveillance - Answer clinical trials/nda is completed



Goal = give drug to reg. pop.



Clinical Testing w/o human or animal subjects? - Answer by using a silicon chip that holds
blood/tissue & new drug --> mimics response of a live subject



Drug Schedules - Answer



RN Responsibilities - Answer - Know when a drug is indicated

- Know when a drug is appropriate

- Know when an adverse event has occurred

- Know what to do when something goes wrong

- Utilize the available resources to ensure safe nursing practice



Core Pt Variables/Core Drug Knowledge - Answer - Factors that are unique to each person

- Factors that are unique to a drug

- Not everyone responds the same way

- Not all responses can be anticipated

- CPV's (i.e liver disease, genetic diseases, environment, lifestyle/diet, culture, etc.)



Allergic reaction - Answer Acquired hyper response of body



Signs = rash, edema, runny nose, red eyes, anaphylaxis
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