Test Bank for Understanding Pharmacology Essentials for Medication Safety, 3rd Edition by M. Linda Workman & LaCharity

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Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 2ndEdi
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tion

MULTIPLE CHOICE B ni ni




ASIC CONCEPTS ni




1. Which health care professional has the major responsibility for dispensing prescribed
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drugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner ni


.
c. Licensed nurse ni


d Pharmacy technician ni


.


ANS: D n i


The physician and nurse practitioner have the major responsibility for prescribing drugs, not dis
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pensing them. The licensed nurse has the primary responsibility for administering drugs, althou
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gh under some circumstances a licensed nurse may dispense prescribed drugs but this isnot his o
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r 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 ni ni REF: p. 3 ni




2. Which term describes the effect of a drug that improves body function?
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a. Side effect ni


b Intended action ni


.
c. Adverse reaction ni


d Idiosyncratic response ni


.


ANS: B n i


The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem
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.This response is any drug’s intended action also known as a therapeutic response.
i
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DIF: Cognitive Level: Remembering ni ni REF: p. 3 ni




3. Which type of drug name is ―owned‖ by the company that manufactures it?
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a. Generic name ni


b Chemical name ni

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.
c. Category name ni


d Trade name ni


.


ANS: D n i


The chemical name is a drug’s exact chemical composition. The generic name is the name assig
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ned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The category
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name refers to the type of drug (what it does or what it is used for) and is not an actualdrug nam
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e. The trade name (brand name) is the name provided and owned by a specific drug’s manufact
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urer.

DIF: Cognitive Level: Remembering ni ni REF: p. 4 ni




4. Which drug or drug class is a ―high alert‖ drug?
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a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


ANS: B n i


A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrong
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patient, or not given to the correct patient. Drugs classified as high alert drugs include potassium
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,narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly a
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ffects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: Cognitive Level: Remembering ni ni REF: p. 4 ni




5. What is the term for a drug that has the same action as a naturally occurring bod
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yhormone or enzyme?
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a. Agonist
b Blocking agent ni


.
c. Chemical
d Duplicator
.


ANS: A n i


A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics th
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eactions of naturally occurring body substances (intrinsic drugs). A blocking agent is a dru
i
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g

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antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologict
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erm.

DIF: Cognitive Level: Remembering ni ni REF: pp. 6-7 ni




6. Which term describes how the body affects drug activity? ni ni ni ni ni ni ni ni


a. Drug potency ni


b Pharmacodynamics
.
c. Therapeutic effect ni




d Pharmacokinetics
.


ANS: D n i


The term pharmacokinetics refers to drug metabolism and how the body changes a drug. Pharmac
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odynamics refers to how a drug works to change body function. Drug potency refers tohow strongl
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y or to what degree a drug exerts its effects. The therapeutic effect is closer to pharmacodynamics
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, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering ni ni REF: p. 10 ni




7. In the United States, which group is responsible for enforcing established standards for
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drug manufacturing? ni


a. U.S. Pharmacopeia ni


b National Institutes of Health ni ni ni


.
c. Food and Drug Administration ni ni ni


d Association of Pharmaceutical Manufacturers ni ni ni


.


ANS: C n i


The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards
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are enforced by the Food and Drug Administration. Neither the National Institutes of Health nort
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he Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: Cognitive Level: Remembering ni ni REF: p. 5 ni




8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal route.
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b Transdermal drugs must be sterile rather than clean. ni ni ni ni ni ni ni


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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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