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TEST BANK - INTRODUCTION TO CLINICAL PHARMACOLOGY 9TH EDITION (VISOVSKY, 2019) EXAM 2025 LATEST NEWEST UPDATE WITH ACTUAL QUESTIONS AND DETAILED VERIFIED ANSWERS WITH RATIONALES (100% CORRECT) //BRAND NEW!! /ALREADY GRADED A+ WITH GUARANTEED SUCCESS AFTER

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TEST BANK - INTRODUCTION TO CLINICAL PHARMACOLOGY 9TH EDITION (VISOVSKY, 2019) EXAM 2025 LATEST NEWEST UPDATE WITH ACTUAL QUESTIONS AND DETAILED VERIFIED ANSWERS WITH RATIONALES (100% CORRECT) //BRAND NEW!! /ALREADY GRADED A+ WITH GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS Which factor or symptom is used to determine the most effective drug class to manage a patient’s cardiac dysrhythmia? The cause of the dysrhythmia The age of the patient Whether the patient has a pacemaker Which other drugs the patient takes daily ANS: A The cause of the dysrhythmia determines which drug class will be most effective for treatment. Whatever the abnormal rhythm, the goal is to restore the rhythm to normal and maintain adequate cardiac output. DIF: Cognitive Level: Remembering REF: p. 150 What is the most important action to take or assessment to make before giving any drug for dysrhythmia to a patient? Taking the blood pressure in both arms Listening to the apical pulse for a full minute Assessing the legs and feet for peripheral edema Checking the results of the most recent ECG ANS: B Most, if not all, drugs for dysrhythmia can cause cardiac dysrhythmias as well as help them. Peripheral pulses are not reliable for checking the dysrhythmias. It is important to listen to the apical pulse with a stethoscope for a full minute to determine the accurate rate and rhythm. DIF: Cognitive Level: Applying REF: p. 151 What specific effect on the heart does a drug with a positive inotropic action have? a. Increased heart rate Decreased heart rate Increased pumping action Decreased pumping action ANS: C The term inotrope is used to describe contractility of the heart. An inotropic drug affects contractility of the myocardium (heart muscle). A drug that is a positive inotrope increases contractility; a negative inotropic drug decreases contractility of the myocardium. In heart failure, positive inotropic drugs increase contractility of the heart (in other words, increases the ability of the heart to pump). Drugs that are inotropic may either increase or decrease heart rate. The heart rate is not the target of an inotropic agent. DIF: Cognitive Level: Understanding REF: p. 153 What is the most common adult dosage of digoxin? 125 mg 12.5 mg 1.25 mg 0.125 mg ANS: D Digoxin is a powerful drug with a narrow therapeutic range. Normal dosages are much lower than that of other drugs. The most common usual adult dose is 0.125 mg. DIF: Cognitive Level: Knowing REF: p. 153 MULTIPLE RESPONSE A 70-year-old has been prescribed a “loop” diuretic to manage hypertension. Which side effects are most important to assess for in this patient? (Select all that apply.) High blood glucose levels Low blood glucose levels High blood potassium levels Low blood potassium levels High blood sodium levels Low blood sodium levels ANS: A, D, F Loop diuretics increase the loss of both sodium and potassium in the urine. In addition, these drugs can increase blood glucose levels, especially in older adults. DIF: Cognitive Level: Understanding REF: p. 129 A woman taking tolterodine for overactive bladder tells you that she now has all the following changes noted below. Which ones will you report to the healthcare provider? (Select all that apply.) Blurred vision Chest pain Drowsiness Dry mouth Irregular heart rate Swollen ankles ANS: B, E, F The drug can cause cardiac adverse reactions and heart failure. Chest pain, irregular heart rate, and swollen ankles are symptoms of serious cardiac problems and must be reported to the healthcare provider for immediate investigation. Tolterodine has anticholinergic side effects that are expected and are not indications of adverse events. These include blurred vision, drowsiness, and dry mouth. DIF: Cognitive Level: Applying REF: p. 132

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TEST BANK - INTRODUCTION TO
CLINICAL PHARMACOLOGY 9TH
EDITION (VISOVSKY, 2019) EXAM
2025 LATEST NEWEST UPDATE
WITH ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 9th Edition


MULTIPLE CHOICE


study of poisonous substances and their effects upon the body
Why should a dental hygienist be familiar with pharmacology?
A majority of the older adult population takes several drugs... meaning your patients could be taking
them.
What term refers to a patient taking multiple medications?
Polypharmacy
Assessment in pharmacology

, assess all medication taken by your pt and consider drugs that could be prescribed during tx, med
history and med list should be reviewed at each appt, disease risk assessment will include side effects
of the meds
Planning in pharmacology
the names, dosages, mechanisms of action, and interactions with other drugs and herbal supplements
are all critical
Implementation in pharmacology
educational and therapeutic services require knowledge of the prescription or OTC therapies available
to the dental hygienist
Which is a better source of drug info, Wikipedia or Medline.com?
Medline.com

Only reputable websites should be used
What started addiction to home remedies in the late 19th century?
Codeine
FDA
Food and Drug Administration
What does the FDA do?
regulates the safety of foods, drugs, and cosmetics
Who's in charge of the drug facts on the labels of OTC items?
FDA
T/F: all new drugs must undergo rigid studies in animals and humans before gaining approval for use
by the public
True
What are the 4 stages of approval for drugs?
1. Preclinical investigation
2. Clinical investigation
3. NDA review (new drug application)
4. Post marketing surveillance
Preclinical Investigation
• before clinical studies are done on humans
• must be done on 2 species
• results must be submitted to the FDA before phase 1 of clinical trials
Clinical Investigation
4 Phases

I) first time a drug is administered in a human - determines a proper and safe dose of the drug

II) after safety is determined, another group with a specific disease are given the drug - determines the
common short term effects and risks

III) review of new drug application (NDA) takes about 17-24 months - FDA will not approve an NDA
unless its proven safe and effective

IV) postmarketing surveillance - monitors for harmful or adverse drug effects in a larger population

, What are drug recalls?
Actions taken by the manufacturer to remove a drug or products from the market
Can the FDA initiate a recall?
Yes - manufacturer or the FDA
Classes of drug recalls:
Class I: serious adverse health consequences.
Class II: temporary/reversible.
Class III: unlikely to cause.
How many names does a drug have?
three - chemical, generic, brand
chemical name of drug
Describes the drug's chemical composition and molecular structure - long and complicated

The 1st name given
generic name of drug
The drug's official name - same therapeutically active chemical ingredients as the brand name and
same dosage amounts
(lower case)

Ex: ibuprofen
brand name or trade name
A registered trademark that belong to a particular drug manufacturer and is used to designate a drug
product marketed by that manufacturer
(capitalized)

Ex: Advil or Motrin
T/F: Generic drugs are normally more expensive than brand name drugs
False
T/F: selection of a drug of choice depends on the characteristics of the patient and the clinical
condition
True

How are most drugs made today?
Synthetically (in a lab)
Pharmacology
the biomedical study of interaction of chemical substances with living systems, including cells,
tissues, and organs
(study of drugs)
Drugs
• substances or chemical agents that affect biologic or living systems
• alter normal processes either by stimulating or depressing the function of the cell
Synthetic
man-made
Biologics
agents naturally produced in animal cells, by microorganisms, or by the body itself

, examples: vaccines, blood and blood components, antibodies, and interferon
Alternative Drug Therapy
includes herbs, vitamins, minerals, dietary supplements and natural extracts
What are the five major subgroups of pharmacology?
• pharmacokinetics
• pharmacodynamics
• pharmacotherapeutics
• pharmacogenetics
• toxicology
Pharmacokinetics
the way the body affects the drug
(ADME)
What does ADME mean?
absorption, distribution, metabolism, excretion
Pharmacodynamics
the action a drug has on a specific target of action in the body
Posology
study of dosages of medicines and drugs
Therapeutics
the branch of medicine that deals with the treatment of disease
• prevent
• diagnose
• treat
Pharmacotherapeutics
study of the use of drugs in treating disease
Pharmacogenetics
the study of the interrelation of hereditary constitution and response to drugs
Toxicology
Can an RDH sign a prescription?
No - An RDH may write an Rx but the dentist has to sign it in INK
What are the parts of a prescription?
Heading
Body
Closing
What does the heading of a prescription include?
• prescriber and patient information: prescriber's name, address, and phone number and the patient's
name, address, and age
• date the prescription was written
• may include the DEA #
T/F: a dentist can write a prescription for something unrelated to dental
False - a prescriber is required by law to write for drugs that pertain only to his or her profession
What does the body of a prescription include?
Contains the Rx symbol
• drug name (generic or brand)

Connected book
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Adrianne Dill Linton, Mary Ann Matteson Medical-Surgical Nursing
Publisher: 2019 ISBN: 9780323554596 Edition: 7

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