n
, TestBankForUnderstandingPharmacology,Essentialsfor
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Medication Safety, 3rd Edition,Workman & LaCharity
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Chapter01: Drug Regulation, Actions, and Responses
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MULTIPLECHOICE n
n BASICCONCEPTS n
1. Which health care professional has the majorresponsibilityfordispensing prescribed
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drugs under the direction of a pharmacist?
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a. Physician
b Nursepractitioner n
.
c. Licensednurse n
d Pharmacytechnician n
.
ANS: D n
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering drugs,
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although under some circumstances a licensed nurse maydispense prescribed drugs but this is not his
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or her major responsibility in drug therapy. The pharmacy technician has the major responsibility
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of dispensing prescribed drugs under the direction of a licensed pharmacist.
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DIF: Cognitive Level: Remembering n n REF: p. 3 n
2. Which term describes the effect of a drug that improves bodyfunction?
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a. Side effect n
b Intended action n
.
c. Adversereaction n
d Idiosyncraticresponse n
.
ANS: B n
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem. This
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response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering n n REF: p. 3 n
3. Which type of drug name is “owned” bythe companythat manufactures it?
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a. Genericname n
b Chemical name n
, .
c. Categoryname n
d Tradename n
.
ANS: D n
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
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refers to the type of drug (what it does or what it is used for) and is not an actual drug name. The trade
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name (brand name) is the name provided and owned by a specific drug’s manufacturer.
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DIF: Cognitive Level: Remembering n n REF: p. 4 n
4. Which drug or drug class is a “high alert” drug? n n n n n n n n n
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS: B n
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrong patient,
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or not given to the correct patient. Drugs classified as high alert drugs include potassium, narcotics
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(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 n n REF: p. 4 n
5. What is the term for a drug that has the same action as a naturally occurring body
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hormone or enzyme?
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a. Agonist
b Blocking agent n
.
c. Chemical
d Duplicator
.
ANS: A n
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the actions of
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naturallyoccurring bodysubstances (intrinsic drugs). Ablocking agent is a drug
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, antagonist. Achemical would not necessarilybe a drug at all. Aduplicator is not a pharmacologic term.
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DIF: Cognitive Level: Remembering n n REF: pp. 6-7 n
6. Which term describes how the bodyaffects drug activity? n n n n n n n n
a. Drug potency n
b Pharmacodynamics
.
c. Therapeutic effect n
d Pharmacokinetics
.
ANS: D n
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how adrug works to change body function. Drug potency refers to how
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strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering n n REF: p. 10 n
7. In the United States, which group is responsible for enforcing established standards for drug
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manufacturing?
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a. U.S. Pharmacopeia n
b National Institutes of Health n n n
.
c. Food and DrugAdministration n n n
d Association of Pharmaceutical Manufacturers n n n
.
ANS: C n
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 nor the
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Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: n n Cognitive Level: Remembering n n n n n REF: n n p. 5 n
8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Onlya prescriber can administer drugs bythe transdermal route.
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b Transdermal drugs must be sterile rather than clean. n n n n n n n
.
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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