Test Bank for Clayton’s Basic Pharmacology for Nurses 19th Edition by Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete

Test Bank for Clayton’s Basic Pharmacology for Nurses 19th Edition by Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete Chapter 01: Drug Definitions, Standards, and Information Sources Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition MULTIPLE CHOICE 1. Which name identifies av drug listed bythe US Food and Drug Administration (FDA)? a. Brand b. Nonproprietary c. Official d. Trademark CORRECT ANS: C The official name is the name under whichv a drug is listed by the FDA. The brand name, or trademark, is the namev given t o a drug by its manufacturer. The nonproprietary, or generic, name is provided by the United States Adopted Names Coun cil. DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care Environment TOP: Nursing Process Step: Assessment CON: Patient Education 2. Which source contains information specific to nutritional supplements? a. USPDictionary of USAN &International Drug Names b. Natural Medicines Comprehensive Database c. United States Pharmacopoeia/National Formulary(USPNF) d. Drug Interaction Facts CORRECT ANS: C United States Pharmacopoeia/National Formulary contains information specific to nutritional s upplements. USP Dictionaryv of USAN & International Drug Names is a compilation of drug na mes, pronunciation guide, and possible future FDA approved drugs; it does not include nutritio nal supplements. Natural Medicines Comprehensive Database contains evidence- based information on herbal medicines and herbal combination products; it does not include inf ormation specific to nutritional supplements. Drug Interaction Facts contains comprehensive i nformation on drug interaction facts; it does not includev nutritional supplements. 3. Which drug reference contains drug monographs that describe all drugs in a therapeutic class? a. Drug Facts and Comparisons b. Drug Interaction Facts c. Handbook on Injectable Drugs d. Martindale—The Complete Drug Reference CORRECT ANS: A rsionv Drug Facts and Comparisons contain drug monographs that describev all drugs in a th erapeutic class. Monographs are formatted as tables to allow comparison of similar pro ducts, brand names, manufacturers, cost indices, and available dosage forms Onlinev ve is available. 4. Which drug reference contains monographs aboutv virtually everysingle- entitydrug available in thev United States and describes therapeutic uses of drugs, including ap proved and unapproved uses? a. Martindale: The Complete Drug Reference b. AHFS Drug Information c. Drug Reference d. Drug Facts andv Comparisons CORRECT ANS: B AHFS Drug Information contains monographs about virtually every single- entity drug available in the United States and describes therapeutic uses of drugs, including appr oved and unapproved uses. 5. Which online drug reference makes available to healthcare providers and the public a stand ard, comprehensive, up-to-date look up and downloadable resource about medicines? a. American Drug Index b. American Hospital Formulary c. DailyMed d. Drug Reference CORRECT ANS: C DailyMed makes available to healthcare providers and the public a standard, comprehensive, up-to- date look up and downloadable resource about medicines. The American Drug Index is not app ropriate for patient use. The American Hospital Formulary is not appropriate for patient use. The drug reference is not appropriate for patient use. 6. Which legislation authorizes the FDA to determine the safetyof a drug before its marketing? a. Federal Food, Drug, and Cosmetic Act (1938) b. Durham Humphrey Amendment (1952) c. Controlled Substances Act (1970) d. Kefauver Harris Drug Amendment (1962) y of all drugsv CORRECT ANS: A The Federal Food, Drug, and Cosmetic Actv of 1938 authorized the FDA to determinev the safet before marketing. Later amendments and acts helped tighten FDA control and en surev drug safety. The Durham Humphrey Amendment defines the kinds of drugs that cannot be used safely without medical supervision and restricts their sale to prescription by a licensed pr actitioner. The Controlled Substances Act addresses only controlled substances and their catego rization. The Kefauver Harris Drug Amendment ensures drugv efficacy and greater drug safety. Drug manufacturers are required to provev to thev FDA the effectiveness of their products before marketing them. 7. Which classification does meperidine (Demerol) fall under? a. I b. II c. III d. IV CORRECT ANS: B Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to se vere psychological and physical dependence. Schedule I drugs have high potential for abuse and no recognized medical use. Schedule III drugs havev some potential for abuse. Use may lead to low to moderate physical dependence or high psychological dependence. Schedulev IV drugs ha ve low potential for abuse. Use may lead to limited physical or psychological dependence. 8. Which action would the FDA take tov expedite drugv development and approval for an outbreak o f smallpox? a. List smallpox as a health orphan disease. b. Omit the preclinical research phase. c. Extendv the clinical research phase. d. Fast track the investigational drug. CORRECT ANS: D rch phasev Once the Investigational New Drug Application has been approved, the drug can receive high est priority within thev agency, which is called fast tracking. A smallpox outbreak would beco me a priority concern in the world. Orphan diseases are not researched in a priority manner. Pr eclinical research is not omitted. Extendingv any phase of the research would mean a longer tim e to develop a vaccine. The FDA must ensure that all phases of the preclinical and clinical resea have been completed in a safe manner. 9. Which statement is true about over-the-counter (OTC) drugs? a. They arev not listed in the USP NF. b. A prescription from a healthcare provider is needed. c. Theyare sold without a prescription. d. They are known only by their brand names. CORRECT ANS: C OTC medications do not require av prescription. A variety of names, both generic and trade, can be used for individual drugs sold OTC. OTC drugs are listed in the USP NF. Prescription drugs require an order by a health professional whov is licensed to prescribe, such as a physician, nurs e practitioner, physician assistant, or dentist. 10. Which is the most authoritative reference for medications that arev injected? a. Martindale: Thev Complete b. Handbookv on Injectable Drugs c. DailyMed d. Handbookv of Nonprescription Drugs CORRECT ANS: B e drugs thatv The Handbook on Injectable Drugs is the most comprehensive reference available on the topic of compatibility of injectable drugs. It is a collection of monographs for more than 300 injectabl listed alphabetically by generic name. arev 11. Which statement is true about Lomotil? a. Abuse potential for this drug is low. b. Psychological dependency is likely. c. There is a high potential for abuse. d. This drug is not a controlled substance. CORRECT ANS: A Lomotil, a Schedulev V drug, has an abuse potential of limited physical or psychological depend ence liability compared with drugs in Schedulev IV. Becausev abuse potential is low with a Sched ule V drug, a prescription may not be required. Psychological dependency is not likely with a Sc hedule V drug. Schedulev V drugs are classified as controlled substances. 12. Which medication ordered for a patient with a substance abuse historyhas the greatest risk for a buse? a. Lomotil b. Diazepam c. Phenobarbital d. Lortab CORRECT ANS: D Lortab is a Schedule III drug with a high potential for abusev but less so than drugs in Schedules I and II. Lomotil is a Schedule V drug with av low potential for abuse compared with those in S chedule V. Diazepam is a Schedule IV drugv with a low potential for abuse compared with thos e in schedule III. Phenobarbital is a Schedule IV drug with a low potential for abuse compared with those in Schedule III. ilev 13. An older adult experiencing shortness of breath is brought to the hospital by her daughter. Wh obtaining the medication history from the patient and her daughter, the nurse discovers that neither has a list of the patient‘s current medications or prescriptions. The patient has is a week lypill dispenser that contains four different pills. Thev prescriptions are filled through the local pharmacy. Which resourcev would be appropriate to use in determining the medication names and doses? a. Martindale—The Complete Drug Reference b. Drugsand Facts Comparisons c. Senior citizens‘ center d. Patient‘s home pharmacy CORRECT ANS: D The patient‘s pharmacy would havev an accurate account of all the medications the client is curr ently taking. Martindale— The Complete Drug Reference has written information on medications and would not be an app ropriate resource. Drugs and Facts Comparisons contains drug monographs thatv describe all dr ugs in a therapeutic class but would not help identify medications by photograph. The senior ci tizens‘ center is not likely to have specific patient medication information. MULTIPLE RESPONSE 1. Which statement(s) will be included when planning patient teaching regarding drug names? ( Select all that apply.) a. Most drugv companies place their products on the market under generic names. b. The official name is the name under which the drug is listed bythe US Food and Drug Administration (FDA). c. Brand names are easier to pronounce, spell, and remember. d. The first letter of the generic name is not capitalized.