12TH EDITION BY SUSAN FORD CHAPTER 1-54 | COMPLETE
GUIDE
, Chapter 01: General Principles of Pharmacology
Ford: Introductory Clinical Pharmacology 12th Edition
1. After teaching a group of learners about the basics of pharmacology, the learners 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
ACCURATE CHOICE:-C
Reasoning :->> 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 Obj: 1 Cognitive
Level: Apply
Hospital client Needs: Physiological Integrity: Pharmacological
Therapies Integrated Process: Teaching/Learning
Reference: p. 3, Introduction
2. A nursing attendant suspects the hospital client had an adverse reaction to a
prescribed medication due to an interaction with an unreported over-the-counter
supplement. Which action by the nursing attendant 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 hospital client to avoid combining medications in the future
D) Document the incident and report it to the primary health care provider
ACCURATE CHOICE:-A
Reasoning :->> Professional 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 Obj: 9 Cognitive
Level: Apply
, Hospital 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 nursing attendant is assessing a hospital client and notes the hospital client has
developed swelling of the eyelids and lips after administration of a prescribed
medication. What does the nursing attendant interpret this finding to specifically
indicate?
A) Mild allergic reaction
B) Anaphylactic shock
C) Angioedema
D) Drug idiosyncrasy
ACCURATE CHOICE:-C
Reasoning:->> 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
allergic 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 Obj: 5 Cognitive
Level: Apply
Hospital client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 12, Allergic Drug Reactions
4. The nursing attendant is preparing to teach a hospital client about a new drug which
is in the fourth phase of development. Which activity will the nursing attendant
explain best illustrates this phase?
A) Primary 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 hospital clients with the disease.
ACCURATE CHOICE:-A
, Reasoning:->> The post marketing surveillance phase of drug development encourages
primary 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 hospital clients with the disease for which the drug
is manufactured.
Question Format: Multiple
Choice Chapter: 1
Learning Obj: 4 Cognitive
Level: Apply
Hospital client Needs: Health Promotion and
Maintenance Integrated Process: Teaching/Learning
Reference: p. 7, Concept Mastery Alert
5. A nursing attendant is assessing an expectant hospital client who admits to
having a cocaine addiction. Which condition of the baby after birth should the
nursing attendant explain and prepare the hospital client for?
A) Diabetes
B) Hypertension
C) Addiction to drugs
D) CNS defects
ACCURATE CHOICE:-C
Reasoning:->> The nursing attendant informs the hospital 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 Obj: 6 Cognitive
Level: Apply
Hospital client Needs: Health Promotion and
Maintenance Integrated Process: Teaching/Learning
Reference: p. 11, Drug Use, Pregnancy, and Lactation
6. A hospital client arrives at the primary health care clinic and reports taking
several pills for a headache and severe cough without relief. Which adverse effect
should the nursing attendant be aware may develop from this combination?
A) Gastrointestinal bleeding
B) Breathing difficulties
C) Liver damage
D) Anaphylaxis