16TH EDITION KATZUNG’S TESTBANK /ALL CHS 1-
66/COMPLETE GUIDE .
,CH 1. Introduction: The Nature of Drugs & Drug Development & Regulation
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1. A nurse working in radiology administers iodine to a hospital client who
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is having a computed tomography (CT) scan. The nursing attendant
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working on the oncology unit administers chemotherapy to hospital
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clients who have cancer. At the Public Health Department, a nursing
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attendant administers a measles-mumps-rubella (MMR) vaccine to a 14-
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month-old child as a routine immunization. Which branch of
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pharmacology best describes the actions of all three
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nursing attendants? E
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ACCURATE CHOICE:- E B
Reasoning :->>>>>> E
Pharmacology is the study of the biologic effects of chemicals. Nursing
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attendants are involved with clinical pharmacology or
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pharmacotherapeutics, which is a branch of pharmacology that deals with
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the uses of drugs to treat,prevent, and diagnose disease. The radiology
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nursing attendant is administering a drug to help diagnose a disease. The
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oncology nursing attendant is administering a drug to help treat a disease.
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Pharmacoeconomics includes any costs involved in drug therapy.
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Pharmacodynamics involves how a drug affects the body and E E E E E E E E
pharmacokinetics is how the body acts on the body. E E E E E E E E
2. When involved in phase III drug evaluation studies,
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whatresponsibilities would the nursing attendant have?
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A) Working with animals who are given experimental drugs
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B) Choosing appropriate hospital clients to be involved in the drug study
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C) Monitoring and observing hospital clients closely for adverse effects
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D) Conducting research to determine effectiveness of the drug
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,ACCURATE CHOICE:- E C
Reasoning:->>>>>>
Phase III studies involve use of a drug in a vast clinical population in
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whichhospital clients are asked to record any symptoms they experience
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while taking the drugs. Nursing attendants may be responsible for helping
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collect and analyzethe information to be shared with the Food and Drug
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Administration (FDA)but would not conduct research independently
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because nursing attendants donot prescribe medications. Use of animals
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in drug testing is done in the preclinical trials. Select hospital clients who
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are involved in phase II studies to participate in studies where the
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participants have the disease the drug is intended to treat. These hospital
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clients are monitored closely for drug action and adverse effects. Phase I
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studies involve healthy human volunteers who are usually paid for their
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participation. Nursing attendants may observe for
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adverse effects and toxicity. E E E
3. A physician has ordered intramuscular (IM) injections of morphine, a
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narcotic, every 4 hours as needed for pain in a motor vehicle accident
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victim.The nursing attendant is aware this drug has a high abuse potential.
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Under what category would morphine be classified?
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A) Schedule I E
B) Schedule II E
C) Schedule III E
D) Schedule IV E
ACCURATE CHOICE:- E B
Reasoning:->>>>>>
Narcotics with a high abuse potential are classified as Schedule II drugs
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because of severe dependence liability. Schedule I drugs have high abuse
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potential and no accepted medical use. Schedule III drugs have a lesser
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abuse potential than II and an accepted medical use. Schedule IV drugs
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havelow abuse potential and limited dependence liability.
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4. What concept is considered when generic drugs are substituted for
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brandname drugs?
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A) Bioavailability
, Page 5 of 822 E E E
B) Critical concentration E
C) Distribution
D) Half-life
ACCURATE CHOICE:-AE
Reasoning:->>>>>>
Bioavailability is the portion of a dose of a drug that reaches the systemic
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circulation and is available to act on body cells. Binders used in a generic
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drug may not be the same as those used in the brand name drug.
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Therefore, the way the body breaks down and uses the drug may differ,
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which may eliminate a generic drug substitution. Critical concentration is
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the amount ofa drug that is needed to cause a therapeutic effect and
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should not differ between generic and brand name medications.
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Distribution is the phase of pharmacokinetics, which involves the
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movement of a drug to the bodys tissues and is the same in generic and
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brand name drugs. A drugs half-life isthe time it takes for the amount of
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drug to decrease to half the peak level, which should not change when
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substituting a generic medication.
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5. A nursing attendant is assessing the hospital clients home medication use. After
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listening to the hospital client list current medications, the nursing
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Eattendant askswhat priority question? E E E E
A) Do you take any generic medications?
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B) Are any of these medications orphan drugs?
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C) Are these medications safe to take during pregnancy?
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D) Do you take any over-the-counter medications?
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ACCURATE CHOICE:-
E D
Reasoning:->>>>>>
It is important for the nursing attendant to specifically question use of
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Eover- the-counter medications because hospital clients may not consider
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Ethem important. The hospital client is unlikely to know the meaning of
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Eorphan drugs unless they too are primary health care providers. Safety
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Eduring pregnancy, use of a genericmedication, or classification of orphan
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Edrugs are things the hospital client would be unable to answer but could
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Ebe found in reference books if the nursing attendant wishes to research
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Ethem.