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NCLEX Abrams' Clinical Drug Therapy A+ 2023

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NCLEX Abrams' Clinical Drug Therapy With Correct Answers And It’s Rationale 1.1 The nurse is caring for a woman who has strong beliefs about not putting anything unnatural into her body. It is most accurate to say that most modern medications are A. natural products derived from plants B. natural products derived from minerals C. synthetic products manufactured in laboratories D. synthetic modifications of natural products C. Rationale: Although most older drugs originated as plants, minerals, or other natural products, newer drugs are mainly synthetic. Synthetic drugs are standardized and therefore more consistent in their characteristics and effects than natural products. 1.2 The nurse is taking care of a man who is confused about the different medications he is prescribed. He notes that some of the drug names have changed over the course of time he has been taking them. When counseling him, it is most important to keep the following statement in mind: A. A drug can belong to only one group or classification. B. A prototype drug is the standard by which similar drugs are compared. C. Drug groups and prototypes change frequently, and knowledge about a prototype cannot guide knowledge about other drugs in the same class. D. The generic name of a drug changes among manufacturers. B. Rationale: The first drug to be developed in a group is usually considered the prototype or main example of the group, and similar drugs that are developed later are compared to the prototype. Knowledge of the prototype drug can help the nurse understand the actions of other drugs in the class. Most drugs can belong to multiple groups (e.g., a therapeutic group, a chemical group), depending on various characteristics. Drug groups and prototypes are usually quite stable, and most new drugs fit into a known classification. The trade or brand name changes among manufacturers, but the generic name stays the same. 1.3 In understanding the use of controlled substances for patients, it is important that the nurse knows that controlled drugs are A. categorized according to prescription or nonprescription status B. regulated by state and local laws more than federal laws C. those that must demonstrate high standards of safety D. scheduled according to medical use and potential for abuse D. Rationale: Controlled or scheduled drugs are categorized by federal law according to use and abuse potential. These drugs have regulations that govern prescribing, dispensing, administering, and record-


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