Safety, 3rd Edition by M. Linda Workman & LaCharity
,Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rd Editi
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on
MULTIPLE CHOICE BASIC C t6 t6 t6
ONCEPTS
1. Which health care professional has the major responsibility for dispensing prescri
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bed drugs under the direction of a pharmacist?
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a. Physician
b Nursepractitioner t6
.
c. Licensed nurse t6
d Pharmacytechnicia t6
. n
ANS: D t6t 6
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering drugs, a
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lthough under some circumstances a licensed nurse may dispense prescribed drugs but this is no
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t his or her major responsibility in drug therapy. The pharmacy technician has the major res
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ponsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
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DIF: Cognitive Level: Remembering t6 t6 REF: p. 3 t6
2. Which term describes the effect of a drug that improves body function?
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a. Side effect t6
b Intended actio t6
. n
c. Adverse reaction t6
d Idiosyncratic response t6
.
ANS: B t6t 6
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem. This
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response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering t6 t6 REF: p. 3 t6
3. Which type of drug name is “owned” by the company that manufactures it?
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a. Generic name t6
b Chemical name t6
, .
c. Category name t6
d Trade nam t6
. e
ANS: D t6t 6
The chemical name is a drug’s exact chemical composition. The generic name is the name assign
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ed to the drug by the U.S. Adopted Names Council and is not owned by anyone. The category n
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ame refers to the type of drug (what it does or what it is used for) and is not an actual drug 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 t6 t6 REF: p. 4 t6
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 t6t 6
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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t 6patient, or not given to the correct patient. Drugs classified as high alert drugs include potassiu
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m, narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that stro
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ngly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert drug
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s.
DIF: Cognitive Level: Remembering t6 t6 REF: p. 4 t6
5. What is the term for a drug that has the same action as a naturally occurring b
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ody hormone or enzyme?
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a. Agonis
b tBlocking agent t6
.
c. Chemical
d Duplicator
.
ANS: A t6t 6
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the actions
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of naturally occurring body substances (intrinsic drugs). Ablocking agent is a drug
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, antagonist. Achemical would not necessarily be a drug at all. Aduplicator is not a pharmacologic t
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erm. DIF: t 6 Cognitive Level: Remembering t6 t6 REF: pp. 6-
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7
6. Which term describes how the body affects drug activity? t6 t6 t6 t6 t6 t6 t6 t6
a. Drug potency t6
b Pharmacodynamics
.
c. Therapeutic effect t6
d Pharmacokineti
. cs
ANS: D t6t 6
The term pharmacokinetics refers to drug metabolism and how the body changes a drug. Phar
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macodynamics refers to how a drug works to change body function. Drug potency refers to how
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6strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to pharmac
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odynamics, meaning how a drug works to change body function.t6 t6 t6 t6 t6 t6 t6 t6 t6
DIF: Cognitive Level: Remembering t6 t6 REF: p. 10 t6
7. In the United States, which group is responsible for enforcing established standard
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s for drug manufacturing?
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a. U.S. Pharmacopeia t6
b National Institutes of Health t6 t6 t6
.
c. Food and Drug Administrati t6 t6 t6
d Association
on of Pharmaceutical Manufacturers t6 t6 t6
.
ANS: C t6t 6
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standar
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ds are enforced by the Food and Drug Administration. Neither the National Institutes of
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Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce dr
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ug standards.
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DIF: t6t6t6t 6 Cognitive Level: Remembering t6 t6 t6t6t6t6t6t6t6t6t 6 REF: p. 5 t6t6t 6 t6
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. t6 t6 t6 t6 t6 t6 t6
.
c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulati
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on.