ADVANCED PHARMACOLOGY
TEST BANK
The57nurse57is57teaching57a57patient57how57a57medication57works57to57treat57an57illness.57To57do57this
,57the57nurse57will57rely57on57knowledge57of:
a. clinical57pharmacology.
b. drug57efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.57-57CORRECT5 7 ANSWER57-ANS:57D
Pharmacotherapeutics57is57the57study57of57the57use57of57drugs57to57diagnose,57treat,57and57prevent5
7conditions.57Clinical57pharmacology57is57concerned57with57all57aspects57of57drug-
human57interactions.57Drug57efficacy57measures57the57extent57to57which57a57given57drug57causes57an
57intended57effect.57Pharmacokinetics57is57the57study57of57the57impact57of57the57body57on57a57drug.
What57does57it57mean57when57a57drug57is57described57as57easy57to57administer?
a. It57can57be57stored57indefinitely57without57need57for57refrigeration.
b. It57does57not57interact57significantly57with57other57medications.
c. It57enhances57patient57adherence57to57the57drug57regimen.
d. It57is57usually57relatively57inexpensive57to57produce.57-57CORRECT5 7 ANSWER57-ANS:57C
A57major57benefit57of57drugs57that57are57easy57to57administer57is57that57patients57taking57them57are5
7more57likely57to57comply57with57the57drug57regimen.57Drugs57that57are57easy57to57give57may57have57
the57other57attributes57listed,57but57those57properties57are57independent57of57ease57of57administrati
on.
,A57patient57tells57the57nurse57that57he57was57told57by57the57prescriber57that57the57analgesic57he57is57
taking57is57very57effective.57Which57statement57by57the57patient57demonstrates57an57understanding57
of57the57drug's57effectiveness?
a. "I57don't57have57to57worry57about57toxicity,57since57it57takes57a57large57amount57of57this57drug57to57caus
e57an57overdose."
b. "It57has57no57side57effects57and57doesn't57interact57with57other57drugs."
c. "I57only57have57to57take57it57every571257hours."
d. "It57might57make57me57sleepy,57and57it57lessens57pain57for57several57hours57at57a57time."57-
57CORRECT5 7 ANSWER57-ANS:57D
A57drug57is57effective57if57it57produces57the57intended57effects,57even57if57it57also57produces57side57ef
fects.57Because57no57drug57is57completely57safe,57the57level57of57toxicity57does57not57determine57effec
tiveness.57All57drugs57have57side57effects57and57many57react57with57other57substances;57these57do57n
ot57affect57the57drug's57effectiveness.57Ease57of57administration57is57independent57of57a57drug's57effe
ctiveness.
What57are57the57properties57of57an57ideal57drug?57(Select57all57that57apply.)
a. Irreversible57action
b. Predictability
c. Ease57of57administration
d. Chemical57stability
e. A57simple57trade57name57-57CORRECT5 7 ANSWER57-ANS:57B,57C,57D
In57addition57to57predictability,57ease57of57administration,57and57chemical57stability,57other57properties
57include57a57reversible57action57so57that57any57harm57the57drug57may57cause57can57be57undone57and
57a57simple57generic57name,57because57generic57names57are57usually57complex57and57difficult57to57re
member57and57pronounce.
Before57administering57a57medication,57what57does57the57nurse57need57to57know57to57evaluate57how5
7individual57patient57variability57might57affect57the57patient's57response57to57the57medication?57(Sele
,ct57all57that57apply.)
, a. Chemical57stability57of57the57medication
b. Ease57of57administration
c. Family57medical57history
d. Patient's57age
e. Patient's57diagnosis57-57CORRECT5 7 ANSWER57-ANS:57C,57D,57E
The57family57medical57history57can57indicate57genetic57factors57that57may57affect57a57patient's57respo
nse57to57a57medication.57Patients57of57different57ages57can57respond57differently57to57medications.57T
he57patient's57illness57can57affect57how57drugs57are57metabolized.57The57chemical57stability57of57the5
7medication57and57the57ease57of57administration57are57properties57of57drugs.
A57patient57is57using57a57metered-
dose57inhaler57containing57albuterol57for57asthma.57The57medication57label57instructs57the57patient57t
o57administer57"257puffs57every57457hours57as57needed57for57coughing57or57wheezing."57The57patient5
7reports57feeling57jittery57sometimes57when57taking57the57medication,57and57she57doesn't57feel57that5
7the57medication57is57always57effective.57Which57is57not57an57appropriate57nursing57intervention57for5
7this57patient?
a. Asking57the57patient57to57demonstrate57use57of57the57inhaler
b. Assessing57the57patient's57exposure57to57tobacco57smoke
c. Auscultating57lung57sounds57and57obtaining57vital57signs
d. Suggesting57that57the57patient57use57one57puff57to57reduce57side57effects57-57CORRECT5 7 ANSWER57-
ANS:57D
It57is57not57within57the57nurse's57scope57of57practice57to57change57the57dose57of57a57medication57with
out57an57order57from57a57prescriber.57Asking57the57patient57to57demonstrate57inhaler57use57helps57th
e57nurse57to57evaluate57the57patient's5 7 ability57to57administer57the57medication57properly57and57is57
part57of57the57nurse's57evaluation.57Assessing57tobacco57smoke57exposure57helps57the57nurse57determ
ine57whether57nondrug57therapies,57such57a57smoke57avoidance,57can57be57used57as57an57adjunct57to5
7drug57therapy.57Performing57a57physical57assessment57helps57the57nurse57evaluate57the57patient's57r
esponse57to57the57medication.
TEST BANK
The57nurse57is57teaching57a57patient57how57a57medication57works57to57treat57an57illness.57To57do57this
,57the57nurse57will57rely57on57knowledge57of:
a. clinical57pharmacology.
b. drug57efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.57-57CORRECT5 7 ANSWER57-ANS:57D
Pharmacotherapeutics57is57the57study57of57the57use57of57drugs57to57diagnose,57treat,57and57prevent5
7conditions.57Clinical57pharmacology57is57concerned57with57all57aspects57of57drug-
human57interactions.57Drug57efficacy57measures57the57extent57to57which57a57given57drug57causes57an
57intended57effect.57Pharmacokinetics57is57the57study57of57the57impact57of57the57body57on57a57drug.
What57does57it57mean57when57a57drug57is57described57as57easy57to57administer?
a. It57can57be57stored57indefinitely57without57need57for57refrigeration.
b. It57does57not57interact57significantly57with57other57medications.
c. It57enhances57patient57adherence57to57the57drug57regimen.
d. It57is57usually57relatively57inexpensive57to57produce.57-57CORRECT5 7 ANSWER57-ANS:57C
A57major57benefit57of57drugs57that57are57easy57to57administer57is57that57patients57taking57them57are5
7more57likely57to57comply57with57the57drug57regimen.57Drugs57that57are57easy57to57give57may57have57
the57other57attributes57listed,57but57those57properties57are57independent57of57ease57of57administrati
on.
,A57patient57tells57the57nurse57that57he57was57told57by57the57prescriber57that57the57analgesic57he57is57
taking57is57very57effective.57Which57statement57by57the57patient57demonstrates57an57understanding57
of57the57drug's57effectiveness?
a. "I57don't57have57to57worry57about57toxicity,57since57it57takes57a57large57amount57of57this57drug57to57caus
e57an57overdose."
b. "It57has57no57side57effects57and57doesn't57interact57with57other57drugs."
c. "I57only57have57to57take57it57every571257hours."
d. "It57might57make57me57sleepy,57and57it57lessens57pain57for57several57hours57at57a57time."57-
57CORRECT5 7 ANSWER57-ANS:57D
A57drug57is57effective57if57it57produces57the57intended57effects,57even57if57it57also57produces57side57ef
fects.57Because57no57drug57is57completely57safe,57the57level57of57toxicity57does57not57determine57effec
tiveness.57All57drugs57have57side57effects57and57many57react57with57other57substances;57these57do57n
ot57affect57the57drug's57effectiveness.57Ease57of57administration57is57independent57of57a57drug's57effe
ctiveness.
What57are57the57properties57of57an57ideal57drug?57(Select57all57that57apply.)
a. Irreversible57action
b. Predictability
c. Ease57of57administration
d. Chemical57stability
e. A57simple57trade57name57-57CORRECT5 7 ANSWER57-ANS:57B,57C,57D
In57addition57to57predictability,57ease57of57administration,57and57chemical57stability,57other57properties
57include57a57reversible57action57so57that57any57harm57the57drug57may57cause57can57be57undone57and
57a57simple57generic57name,57because57generic57names57are57usually57complex57and57difficult57to57re
member57and57pronounce.
Before57administering57a57medication,57what57does57the57nurse57need57to57know57to57evaluate57how5
7individual57patient57variability57might57affect57the57patient's57response57to57the57medication?57(Sele
,ct57all57that57apply.)
, a. Chemical57stability57of57the57medication
b. Ease57of57administration
c. Family57medical57history
d. Patient's57age
e. Patient's57diagnosis57-57CORRECT5 7 ANSWER57-ANS:57C,57D,57E
The57family57medical57history57can57indicate57genetic57factors57that57may57affect57a57patient's57respo
nse57to57a57medication.57Patients57of57different57ages57can57respond57differently57to57medications.57T
he57patient's57illness57can57affect57how57drugs57are57metabolized.57The57chemical57stability57of57the5
7medication57and57the57ease57of57administration57are57properties57of57drugs.
A57patient57is57using57a57metered-
dose57inhaler57containing57albuterol57for57asthma.57The57medication57label57instructs57the57patient57t
o57administer57"257puffs57every57457hours57as57needed57for57coughing57or57wheezing."57The57patient5
7reports57feeling57jittery57sometimes57when57taking57the57medication,57and57she57doesn't57feel57that5
7the57medication57is57always57effective.57Which57is57not57an57appropriate57nursing57intervention57for5
7this57patient?
a. Asking57the57patient57to57demonstrate57use57of57the57inhaler
b. Assessing57the57patient's57exposure57to57tobacco57smoke
c. Auscultating57lung57sounds57and57obtaining57vital57signs
d. Suggesting57that57the57patient57use57one57puff57to57reduce57side57effects57-57CORRECT5 7 ANSWER57-
ANS:57D
It57is57not57within57the57nurse's57scope57of57practice57to57change57the57dose57of57a57medication57with
out57an57order57from57a57prescriber.57Asking57the57patient57to57demonstrate57inhaler57use57helps57th
e57nurse57to57evaluate57the57patient's5 7 ability57to57administer57the57medication57properly57and57is57
part57of57the57nurse's57evaluation.57Assessing57tobacco57smoke57exposure57helps57the57nurse57determ
ine57whether57nondrug57therapies,57such57a57smoke57avoidance,57can57be57used57as57an57adjunct57to5
7drug57therapy.57Performing57a57physical57assessment57helps57the57nurse57evaluate57the57patient's57r
esponse57to57the57medication.
