,Table of content
Chapter 1 Introduction to Drugs
Chapter 2 Drugs and the Body
Chapter 3 Toxic Effects of Drugs
Chapter 4 The Nursing Process in Drug Therapy and Patient Safety
Chapter 5 Dosage Calculations
Chapter 6 Challenges to Effective Drug Therapy
PART 2 Chemotherapeutic Agents
Chapter 7 Introduction to Cell Physiology
Chapter 8 Antiinfective Agents
Chapter 9 Antibiotics
Chapter 10 Antiviral Agents
Chapter 11 Antifungal Agents
Chapter 12 Antiprotozoal Agents
Chapter 13 Anthelmintic Agents
Chapter 14 Antineoplastic Agents
PART 3 Drugs Acting on the Immune System
Chapter 15 Introduction to the Immune Response and Inflammation
Chapter 16 Antiinflammatory, Antiarthritis, and Related Agents
Chapter 17 Immune Modulators
Chapter 18 Vaccines and Sera
PART 4 Drugs Acting on the Central and Peripheral Nervous Systems
Chapter 19 Introduction to Nerves and the Nervous System
Chapter 20 Anxiolytic and Hypnotic Agents
Chapter 21 Antidepressant Agents
Chapter 22 Psychotherapeutic Agents
Chapter 23 Antiseizure Agents
Chapter 24 Antiparkinsonism Agents
Chapter 25 Muscle Relaxants
Chapter 26 Opioid Agonists, Opioid Antagonists, and Antimigraine Agents
Chapter 27 General and Local Anesthetic Agents
Chapter 28 Neuromuscular Junction Blocking Agents
PART 5 Drugs Acting on the Autonomic Nervous System
Chapter 29 Introduction to the Autonomic Nervous System
Chapter 30 Adrenergic Agonists
Chapter 31 Adrenergic Antagonists
Chapter 32 Cholinergic Agonists
Chapter 33 Anticholinergic Agents
PART 6 Drugs Acting on the Endocrine System
Chapter 34 Introduction to the Endocrine System
Chapter 35 Hypothalamic and Pituitary Agents
Chapter 36 Adrenocortical Agents
Chapter 37 Thyroid and Parathyroid Agents
Chapter 38 Agents to Control Blood Glucose Levels
PART 7 Drugs Acting on the Reproductive System
Chapter 39 Introduction to the Reproductive System
Chapter 40 Drugs Affecting the Female Reproductive System
Chapter 41 Drugs Affecting the Male Reproductive System
PART 8 Drugs Acting on the Cardiovascular System
Chapter 42 Introduction to the Cardiovascular System
Chapter 43 Drugs Affecting Blood Pressure
Chapter 44 Agents for Treating Heart Failure
Chapter 45 Antiarrhythmic Agents
Chapter 46 Antianginal Agents
Chapter 47 Lipid-Lowering Agents
Chapter 48 Drugs Affecting Blood Coagulation
,Chapter 49 Drugs Used to Treat Anemias
PART 9 Drugs Acting on the Renal System
Chapter 50 Introduction to the Renal System
Chapter 51 Diuretic Agents
Chapter 52 Drugs Affecting the Urinary Tract and the Bladder
PART 10 Drugs Acting on the Respiratory System
Chapter 53 Introduction to the Respiratory System
Chapter 54 Drugs Acting on the Upper Respiratory Tract
Chapter 55 Drugs Acting on the Lower Respiratory Tract
PART 11 Drugs Acting on the Gastrointestinal System
Chapter 56 Introduction to the Gastrointestinal System
Chapter 57 Drugs Affecting Gastrointestinal Secretions
Chapter 58 Drugs Affecting Gastrointestinal Motility
Chapter 59 Antiemetic Agents
Chapter 60 Vitamin, Minerals, and Complementary/Alternative Medications
Chapter 01 - Introduction to Drugs
A nurse working in radiology administers iodine to a patient who is having a computed tomography
(CT) scan. The nurse working on the oncology unit administers chemotherapy to patients who
have cancer. At the Public Health Department, a nurse 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 nurses?
Pharmacoeconomics
Pharmacotherapeuti
cs
Pharmacodynamics
Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses 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 disease. The radiology nurse is administering a drug
to help diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
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 nurse is aware this drug has a high
abuse potential.
Under what category would morphine be classified?
Schedule I
, Schedule II
Schedule III
Schedule IV
Ans: B
Response:
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 abuse potential and limited dependence liability.
When involved in phase III drug evaluation studies, what responsibilities would the nurse
have? Working with animals who are given experimental drugs
Choosing appropriate patients to be involved in the drug study
Monitoring and observing patients closely for adverse effects
Conducting research to determine effectiveness of the drug Ans:
C
Response:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to
record any symptoms they experience while taking the drugs. Nurses 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 nurses do not prescribe
medications. Use of animals in drug testing is done in the preclinical trials. Select patients who
are involved in phase II studies to participate in studies where the participants have the disease
the drug is intended to treat. These patients are monitored closely for drug action and adverse
effects. Phase I studies involve healthy human volunteers who are usually paid for their
participation. Nurses may observe for adverse effects and toxicity.
What concept is considered when generic drugs are substituted for brand name drugs?
Bioavailability
Critical
concentration
Distribution
Chapter 1 Introduction to Drugs
Chapter 2 Drugs and the Body
Chapter 3 Toxic Effects of Drugs
Chapter 4 The Nursing Process in Drug Therapy and Patient Safety
Chapter 5 Dosage Calculations
Chapter 6 Challenges to Effective Drug Therapy
PART 2 Chemotherapeutic Agents
Chapter 7 Introduction to Cell Physiology
Chapter 8 Antiinfective Agents
Chapter 9 Antibiotics
Chapter 10 Antiviral Agents
Chapter 11 Antifungal Agents
Chapter 12 Antiprotozoal Agents
Chapter 13 Anthelmintic Agents
Chapter 14 Antineoplastic Agents
PART 3 Drugs Acting on the Immune System
Chapter 15 Introduction to the Immune Response and Inflammation
Chapter 16 Antiinflammatory, Antiarthritis, and Related Agents
Chapter 17 Immune Modulators
Chapter 18 Vaccines and Sera
PART 4 Drugs Acting on the Central and Peripheral Nervous Systems
Chapter 19 Introduction to Nerves and the Nervous System
Chapter 20 Anxiolytic and Hypnotic Agents
Chapter 21 Antidepressant Agents
Chapter 22 Psychotherapeutic Agents
Chapter 23 Antiseizure Agents
Chapter 24 Antiparkinsonism Agents
Chapter 25 Muscle Relaxants
Chapter 26 Opioid Agonists, Opioid Antagonists, and Antimigraine Agents
Chapter 27 General and Local Anesthetic Agents
Chapter 28 Neuromuscular Junction Blocking Agents
PART 5 Drugs Acting on the Autonomic Nervous System
Chapter 29 Introduction to the Autonomic Nervous System
Chapter 30 Adrenergic Agonists
Chapter 31 Adrenergic Antagonists
Chapter 32 Cholinergic Agonists
Chapter 33 Anticholinergic Agents
PART 6 Drugs Acting on the Endocrine System
Chapter 34 Introduction to the Endocrine System
Chapter 35 Hypothalamic and Pituitary Agents
Chapter 36 Adrenocortical Agents
Chapter 37 Thyroid and Parathyroid Agents
Chapter 38 Agents to Control Blood Glucose Levels
PART 7 Drugs Acting on the Reproductive System
Chapter 39 Introduction to the Reproductive System
Chapter 40 Drugs Affecting the Female Reproductive System
Chapter 41 Drugs Affecting the Male Reproductive System
PART 8 Drugs Acting on the Cardiovascular System
Chapter 42 Introduction to the Cardiovascular System
Chapter 43 Drugs Affecting Blood Pressure
Chapter 44 Agents for Treating Heart Failure
Chapter 45 Antiarrhythmic Agents
Chapter 46 Antianginal Agents
Chapter 47 Lipid-Lowering Agents
Chapter 48 Drugs Affecting Blood Coagulation
,Chapter 49 Drugs Used to Treat Anemias
PART 9 Drugs Acting on the Renal System
Chapter 50 Introduction to the Renal System
Chapter 51 Diuretic Agents
Chapter 52 Drugs Affecting the Urinary Tract and the Bladder
PART 10 Drugs Acting on the Respiratory System
Chapter 53 Introduction to the Respiratory System
Chapter 54 Drugs Acting on the Upper Respiratory Tract
Chapter 55 Drugs Acting on the Lower Respiratory Tract
PART 11 Drugs Acting on the Gastrointestinal System
Chapter 56 Introduction to the Gastrointestinal System
Chapter 57 Drugs Affecting Gastrointestinal Secretions
Chapter 58 Drugs Affecting Gastrointestinal Motility
Chapter 59 Antiemetic Agents
Chapter 60 Vitamin, Minerals, and Complementary/Alternative Medications
Chapter 01 - Introduction to Drugs
A nurse working in radiology administers iodine to a patient who is having a computed tomography
(CT) scan. The nurse working on the oncology unit administers chemotherapy to patients who
have cancer. At the Public Health Department, a nurse 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 nurses?
Pharmacoeconomics
Pharmacotherapeuti
cs
Pharmacodynamics
Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses 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 disease. The radiology nurse is administering a drug
to help diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
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 nurse is aware this drug has a high
abuse potential.
Under what category would morphine be classified?
Schedule I
, Schedule II
Schedule III
Schedule IV
Ans: B
Response:
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 abuse potential and limited dependence liability.
When involved in phase III drug evaluation studies, what responsibilities would the nurse
have? Working with animals who are given experimental drugs
Choosing appropriate patients to be involved in the drug study
Monitoring and observing patients closely for adverse effects
Conducting research to determine effectiveness of the drug Ans:
C
Response:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to
record any symptoms they experience while taking the drugs. Nurses 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 nurses do not prescribe
medications. Use of animals in drug testing is done in the preclinical trials. Select patients who
are involved in phase II studies to participate in studies where the participants have the disease
the drug is intended to treat. These patients are monitored closely for drug action and adverse
effects. Phase I studies involve healthy human volunteers who are usually paid for their
participation. Nurses may observe for adverse effects and toxicity.
What concept is considered when generic drugs are substituted for brand name drugs?
Bioavailability
Critical
concentration
Distribution
