PHARMACOLOGY MIDTERM TEST BANK 1, LATEST UPDATE

PHARMACOLOGY MIDTERM TEST BANK 1, LATEST UPDATE What is the name under which a drug is listed by the U.S. Food and Drug Administration (FDA)? -CORRECT ANSWER-Official Which source contains information specific to nutritional supplements? -CORRECT ANSWER-United States Pharmacopoeia/National Formulary (USP NF) is the most comprehensive reference available to research a drug interaction? -CORRECT ANSWER-Drug Interaction Facts The physician has written an order for a drug with which the nurse is unfamiliar. Which section of the Physicians' Desk Reference (PDR) is most helpful to get information about this drug? -CORRECT ANSWER-Brand and Generic Name section Which online drug reference makes available to health care providers and the public a standard, comprehensive, up-to-date look up and downloadable resource about medicines? -CORRECT ANSWER-DailyMed Which legislation authorizes the FDA to determine the safety of a drug before its marketing? -CORRECT ANSWER-Federal Food, Drug, and Cosmetic Act (1938) Meperidine (Demerol) is a narcotic with a high potential for physical and psychological dependency. Under which classification does this drug fall? -CORRECT ANSWER-II What would the FDA do to expedite drug development and approval for an outbreak of smallpox, for which there is no known treatment? -CORRECT ANSWER-Fast track the investigational drug. Which statement is true about over-the-counter (OTC) drugs? -CORRECT ANSWER-They are sold without a prescription. Which is the most authoritative reference for medications that are injected? -CORRECT ANSWER-Handbook on Injectable Drugs The nurse is administering Lomotil, a Schedule V drug. Which statement is true about this drug's classification? -CORRECT ANSWER-Abuse potential for this drug is low. The nurse is transcribing new orders written for a patient with a substance abuse history. Choose the medication ordered that has the greatest risk for abuse. -CORRECT ANSWER-Lortab An older adult experiencing shortness of breath is brought to the hospital by her daughter. While 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. All the patient has is a weekly pill dispenser that contains four different pills. The prescriptions are filled through the local pharmacy. Which resource(s) would be appropriate to use in determining the medication names and doses? -CORRECT ANSWER-Physicians' Desk Reference, Section 4 Senior citizens' center Patient's home pharmacy The nurse planning patient teaching regarding drug names would include which statement(s)? -CORRECT ANSWER-The official name is the name under which the drug is listed by the U.S. Food and Drug Administration (FDA). Brand names are easier to pronounce, spell, and remember. The first letter of the generic name is not capitalized. When categorizing, the nurse is aware that which drug(s) would be considered Schedule II? -CORRECT ANSWER-Percodan Amphetamines The nurse assesses hives in a patient started on a new medication. What is the nurse's priority action? -CORRECT ANSWER-Notify physician of allergic reaction. The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes after administration, the nurse finds the patient agitated and stating that "everyone is out to get me." What is the term for this unusual reaction? -CORRECT ANSWER-Idiosyncratic reaction Which is the best description of when drug interactions occur? -CORRECT ANSWER-On the alteration of the effect of one drug by another drug What occurs when two drugs compete for the same receptor site, resulting in increased activity of the first drug? -CORRECT ANSWER-Displacement What do drug blood levels indicate? -CORRECT ANSWER-They determine if the amount of drug in the body is in a therapeutic range. What is the process by which a drug is transported by circulating body fluids to receptor sites? -CORRECT ANSWER-Distribution The nurse assesses which blood level to determine the amount of circulating medication in a patient? -CORRECT ANSWER-Drug The nurse administers 50 mg of a drug at 6:00 AM that has a half-life of 8 hours. What time will it be when 25 mg of the drug has been eliminated from the body? -CORRECT ANSWER-2:00 PM What will the nurse need to determine first in order to mix two drugs in the same syringe? -CORRECT ANSWER-Compatibility of the drugs A patient developed hives and itching after receiving a drug for the first time. Which instruction by the nurse is accurate? -CORRECT ANSWER-Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy. When obtaining a patient's health history, which assessment data would the nurse identify as having the most effect on drug metabolism? -CORRECT ANSWER-History of liver disease A physician's order indicates to administer a medication to the patient via the percutaneous route. The nurse can anticipate that the patient will receive this medication -CORRECT ANSWER-topically. A nurse is preparing to administer tetracycline to a patient diagnosed with an infection. Which medication should not be administered with tetracycline? -CORRECT ANSWER-Mylanta Which statement(s) about liberation of drugs is/are true? -CORRECT ANSWER-A drug must be dissolved in body fluids before it can be absorbed into body tissues. A solid drug taken orally must disintegrate and dissolve in GI fluids to allow for absorption into the bloodstream for transport to the site of action. The process of converting the drug into a soluble form can be controlled to a certain degree by the dosage form. Converting the drug to a soluble form can be influenced by administering the drug with or without food in the patient's stomach. Which are routes of drug excretion? -CORRECT ANSWER-GI tract; feces Genitourinary (GU) tract; urine Respiratory system; exhalation Which route(s) enable(s) drug absorption more rapidly than the subcut route? -CORRECT ANSWER-IV route IM route Inhalation/sublingual The nurse recognizes that which factor(s) would contribute to digoxin toxicity in a 92-year-old patient? -CORRECT ANSWER-Prolonged half-life of the drug digoxin Impaired renal function Which statement(s) about variables that influence drug action is/are true? -CORRECT ANSWER-Body weight can affect the therapeutic response of a medication. Chronic smokers may metabolize drugs more rapidly than nonsmokers. A patient's attitude and expectations affect the response to medication. Which factor(s) affect(s) drug actions? -CORRECT ANSWER-Age Body weight Metabolic rate Illness