Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch) 3
TEST BANK FOR KARCH'S FOCUS ON NURSING
PHARMACOLOGY, 9TH EDITION BY REBECCA TUCKER/ALL
CHAPTERS 1-59/COMPLETE GUIDE 2024-2025
Chapter 01 - Introduction to drugs
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Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch) 3
A medical attendant working in radiology administers iodine to a hospital client who is having
a computed tomography (CT)scan. The medical attendant working on the oncology unit
administers chemotherapy to hospital clients who have cancer. At the Public Health
Department, a medical attendant administers a measles-mumps-rubella (MMR) vaccine
to a 14-month-old child as a routine immunization. Which branch of pharmacology best
describes the actions of all three medical attendants?
Pharmacoeconomi
cs
Pharmacotherapeut
ics
Pharmacodynamics
Pharmacokinetics
ACCURATE ANS:-
B
Reasoning:->>>
Pharmacology is the study of the biologic effects of chemicals. Medical attendants are
involved with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose sickness. The
radiology medical attendant is administering a drug to help diagnose a sickness. The
oncology medical attendant is administering a drug to help treat a sickness.
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics
involves how a drug affects the body and pharmacokinetics is how the body acts on the body.
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as
needed for pain in a motor vehicle accident victim. The medical attendant is aware this drug
has a high abuse potential.
Under what category would morphine be classified?
Schedule I
Schedule II
Schedule
IIISchedule
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Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch) 3
IV
CORRECT
CHOICE:- B
Reasoning:->>>
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe
dependence liability. Schedule I drugs have high abuse potential and no accepted medical use.
Schedule
III drugs have a lesser abuse potential than II and an accepted medical use. Schedule
IV drugs have low abusepotential and limited dependence liability.
When involved in phase III drug evaluation studies, what responsibilities would the
medical attendant have?Working with animals who are given experimental drugs
Choosing appropriate hospital clients to be involved in the
drug studyMonitoring and observing hospital clients closely
for adverse effects Conducting research to determine
effectiveness of the drug ACCURATE ANS:- C
Reasoning:->>>
Phase III studies involve use of a drug in a vast clinical population in which hospital clients
are asked to recordany symptoms they experience while taking the drugs. Medical
attendants may be responsible for helping collect and analyze the information to be shared
with the Food and drug Administration (FDA) but would not conduct research independently
because medical attendants do not prescribe drugs. Use of animals in drug testing is done in
the preclinical trials. Select hospital clients who are involved in phase II studies to
participatein studies where the participants have the sickness the drug is intended to treat.
These hospital clients are monitored closely for drug action and adverse effects. Phase I
studies involve healthy human volunteers who are usually paid for their participation. Medical
attendants may observe for adverse effects and toxicity.
What concept is considered when generic drugs are substituted for brand name
drugs?Bioavailability
Critical
concentration
Distribution
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Half-life
ACCURAT
E ANS:- A
Reasoning:->>>
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is
available to act on body cells. Binders used in a generic drug may not be the same as those
used in the brand name drug. Therefore, the way the body breaks down and uses the drug
may differ, which may eliminate a generic drug substitution. Critical concentration is the
amount of a drug that is needed to cause a therapeutic effect and should not differ between
generic and brand name drugs. Distribution is the phase of pharmacokinetics, which involves
the movement of a drug to the body’s tissues and is the
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount
of drug todecrease to half the peak level, which should not change when substituting a
generic drug.
A medical attendant is assessing the hospital client’s home drug use. After listening
to the hospital client list present drugs, the medical attendant asks what priority
question?
Do you take any generic drugs?
Are any of these drugs orphan drugs? Are
these drugs safe to take during expectancy? Do
you take any over-the-counter drugs?
ACCURATE ANS:-D
Reasoning:->>>
It is important for the medical attendant to specifically question use of over-the-counter drugs
because hospital clients may not consider them important. The hospital client is unlikely to
know the meaning of orphan drugsunless they too are primary care providers. Safety during
expectancy, use of a generic drug, or classification of orphan drugs are things the hospital
client would be unable to answer but could be found in reference books if the medical
attendant wishes to research them.
After completing a course on pharmacology for medical attendants, what
will the medical attendant know?Everything necessary for safe and
effective drug administration
Present pharmacologic therapy; the medical attendant will not require ongoing