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Exam (elaborations)

ABRAMS' CLINICAL DRUG THERAPY RATIONALES FOR NURSING PRACTICE

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Abrams clinical drug therapy rationales for nursing practice 12th edition geralyn frandsen sample Chapterd1,dThedFoundationdofdPharmacology:dQualitydanddSafety 1. Adwomanddiagnoseddwithdobsessive– compulsiveddisorderdhasdbeendprescribeddorald paroxetinedhydrochloride.dWhatdisdth edexpecteddeffectdfordthisdprescription? A. Curativedeffectdondsymptoms B. Systemicdeffectdondsymptoms C. Localdeffectdondsymptoms D. Parenteraldeffectdondsymptoms ANS:ddB Rationale:dDrugsdthatdproducedsystemicdeffectsdaredtakendintodthedbody,dcirculateddthroughd the dbloodstreamdtodtheirdsitesdofdactiondindvariousdbodydtissues,danddeventuallydeliminatedd fromdth edbody.dCurativedagentsdaredgivendtodcuredaddiseasedprocess.dIndthisdcase,dparoxetined hydrochl oridedwilldcontroldthedsymptomsdbutdnotdcuredtheddisorder.dDrugsdwithdlocaldeffects,d suchdasdsunsc reendanddlocaldanesthetics,dactdmainlydatdthedsitedofdapplication.d Paroxetined hydrochloridedisdn otdadministereddparenterally.dParenteraldagentsdaredadministeredd subcutaneously,dintramuscul arly,dordintravenously. PTS: 1 REF: p.d3,dIntroduction OBJ: 1 NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T OP: Chapter:d1:dThedFoundationdofdPharmacology:dQualitydanddSafety KEY:d IntegrateddProcess:dNursingdProcess BLM:ddCognitivedLevel:dUnderstand NOT:d MultipledChoice 2. Adclientdhasdbeendprescribeddandantibiotic.dThisdmedicationdisdadnaturallydoccurring substancedthatdhasdbeendcheGmRicAalDlyEmSoBdOifOieSd.TW.ChaOtdMisdanotherdnamedfordthisdtypedofdmedication? A. Syntheticddrug B. Semisyntheticddrug C. Biotechnologyddrug D. Prototypeddrug ANS:ddB Rationale:dSemisyntheticddrugsd(e.g.,dmanydantibiotics)darednaturallydoccurringdsubstancesd thatd havedbeendchemicallydmodified.dSyntheticddrugsdaredmoredstandardizeddindtheirdchemicald chara cteristics,dmoredconsistentdindtheirdeffects,danddlessdlikelydtodproducedallergicdreactions.d Biotechn ologyddrugsdinvolvedmanipulatingdDNAdanddRNAdanddrecombiningdgenesdintod hybriddmolecules dthatdcandbedinserteddintodlivingdorganisms.dPrototypeddrugsdaredthedfirstd drugdofdadparticulardg roupdtodbeddeveloped. PTS: 1 REF: p.d3,dDrugdSources OBJ: 1 NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T OP: Chapter:d1:dThedFoundationdofdPharmacology:dQualitydanddSafety KEY:d IntegrateddProcess:dNursingdProcess BLM:ddCognitivedLevel:dUnderstand NOT:d MultipledChoice 3. Whichdclassificationdappliesdtodmorphine? A. Centraldnervousdsystemddepressant B. Centraldnervousdsystemdstimulant ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE C. Anti-inflammatory D. Antihypertensive ANS:ddA Rationale:dDrugsdaredclassifieddaccordingdtodtheirdeffectsdondparticulardbodydsystems,dtheird ther apeuticduses,danddtheirdchemicaldcharacteristics.dMorphinedisdclassifieddasdadcentrald nervousdsyst emddepressantdanddwilldproducedthisdeffectdindthedclient.dAdcentraldnervousd systemdstimulantdincr easesdattentiondanddraisesdmood.dAndantiinflammatorydagentddecreasesd inflammationdatdthedsitedofdtissuedordjointdinflammation.dAndantih ypertensivedagentdreducesd blooddpressure. PTS: 1 REF: p.d3,dDrugdClassificationsdanddPrototypesd OBJ: 1 NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T OP: Chapter:d1:dThedFoundationdofdPharmacology:dQualitydanddSafety KEY:d IntegrateddProcess:dNursingdProcess BLM:ddCognitivedLevel:dRemember NOT:d MultipledChoice 4. Adclientdisdadministereddamoxicillin.dThedgenericdnamedofdthisdmedicationdbelongsdtodwhichd dru gdgroup? A. Selectivedserotonindreuptakedinhibitors B. Diuretics C. Penicillins D. ACEdinhibitors ANS:ddC Rationale:dThedgenericdnamGeR oA fteD nE iS ndB icOaOteS sdT th . eC drOugdgroupd(e.g.,ddrugsdwithdgenericdnames endingdind“cillin”daredpenicillins).dSelectivedserotonindreuptakedinhibitorsdaredmedications thatdhavedantidepressantdeffects;dSSRIdisdadbroaddclassification,dnotdadgenericdname.dDiureticsd a redmedicationsdthatdincreasedurinedoutput;ddiureticdisdadbroaddclassification,dnotdadgenericd name .dACEdinhibitordisdthedbroaddclassificationdfordthedangiotensindreceptordblockers,dnotdthed genericd name. PTS: 1 REF: p.d3,dDrugdNames OBJ: 2 NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T OP: Chapter:d1:dThedFoundationdofdPharmacology:dQualitydanddSafety KEY:d IntegrateddProcess:dNursingdProcess BLM:ddCognitivedLevel:dUnderstand NOT:d MultipledChoice

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ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE

,ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE

,ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE

, ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE


Chapter 1, The Foundation of Pharmacology: Quality and Safety
d d d d d d d d




1. Adwomanddiagnoseddwithdobsessive–
compulsiveddisorderdhasdbeendprescribeddorald paroxetinedhydrochloride.dWhatd isdth
edexpecteddeffectd fordthisdprescription?
A. Curativedeffectdondsymptoms
B. Systemicdeffectdondsymptoms
C. Localdeffectdondsymptoms
D. Parenteraldeffectdondsymptoms
ANS:ddB
Rationale:dDrugsdthatdproducedsystemicdeffectsdaredtakendintodthedbody,dcirculateddthroughd the
dbloodstreamdtodtheirdsitesdofdactiondindvariousd bodydtissues,d anddeventuallydeliminatedd fromdth

edbody.dCurativedagentsdaredgivendtodcuredaddiseasedprocess.dIndthisdcase,dparoxetined hydrochl
oridedwilldcontroldthedsymptomsdbutd notdcuredtheddisorder.dDrugsdwithdlocaldeffects,d suchdasdsunsc
reendanddlocaldanesthetics,dactdmainlydatdthedsitedofdapplication.d Paroxetined hydrochloridedisdn
otdadministereddparenterally.dParenteraldagentsdaredadministeredd subcutaneously,d intramuscul
arly,dordintravenously.

PTS: 1 REF: p.d3,dIntroduction OBJ: 1
NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T
OP: Chapter:d1:dThedFoundationdofdPharmacology:d QualitydanddSafety
KEY:d IntegrateddProcess:dNursingdProcess
BLM:dd CognitivedLevel:dUnderstand NOT:d MultipledChoice

2. Adclientdhasdbeendprescribeddandantibiotic.dThisdmedicationdisdadnaturallydoccurring
substancedthatdhasdbeendcheGmRicA
alDlyEm
SoBdOifOieSd.TWhaOtdM
.C isdanotherdnamedfordthisdtypedofdmedication?
A. Syntheticddrug
B. Semisyntheticddrug
C. Biotechnologyddrug
D. Prototypeddrug
ANS:ddB
Rationale:dSemisyntheticddrugsd(e.g.,dmanydantibiotics)dared naturallydoccurringdsubstancesd thatd
havedbeendchemicallydmodified.dSyntheticddrugsdaredmoredstandardizeddindtheirdchemicald chara
cteristics,d moredconsistentdindtheirdeffects,danddlessdlikelydtodproducedallergicdreactions.d Biotechn
ologyddrugsdinvolvedmanipulatingdDNAdanddRNAdanddrecombiningdgenesdintod hybriddmolecules
dthatd candbed inserteddintodlivingdorganisms.d Prototypeddrugsdaredthedfirstd drugdofdadparticulard g

roupdtodbeddeveloped.

PTS: 1 REF: p.d3,dDrugdSources OBJ: 1
NAT:d ClientdNeeds:dPhysiologicaldIntegrity:dPharmacologicaldanddParenteraldTherapiesd T
OP: Chapter:d1:dThedFoundationdofdPharmacology:dQualitydanddSafety
KEY:d IntegrateddProcess:dNursingdProcess
BLM:dd CognitivedLevel:dUnderstand NOT:d MultipledChoice

3. Whichdclassificationdappliesdtodmorphine?
A. Centraldnervousdsystemddepressant
B. Centraldnervousdsystemdstimulant




ABRAMS'dCLINICALdDRUGdTHERAPY:dRATIONALESdFORdNURSINGdPRACTICE

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