b b b b b b b
A Guide to Drug Classifications and Dosage Calculations,
b b b b b b b b
4th Edition by Cynthia J. Watkins
b b b b b b
Chapters 1 - 21
b b b b
,
,Chapter1.History of Pharmacology
b b b b
PharmacologyClearandSimple-AGuidetoDrugClassificationsandDosageCalculations
b b b b b b b b b b b
4thEditionWatkins Test Bank
b b b b
1. A nurse working in radiology administers iodine to a patient who is having a
b b b b b b b b b b b b b
computedtomography(CT) scan. The nurse workingon the oncologyunitadministers
b b b b b b b b b b b b
chemotherapyto patientswho have cancer. At the Public HealthDepartment, a nurse
b b b b b b b b b b b b b
administers a measles-mumps-rubella (MMR) vaccineto a 14-month-oldchild as a
b b b b b b b b b b b
routine immunization. Whichbranch ofpharmacologybest describesthe actionsofall
b b b b b b b b b b
threenurses?
b b
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Feedback:
Pharmacologyis the studyof the biologic effects of chemicals. Nurses areinvolvedwithb b b b b b b b b b b b b
clinical pharmacologyor pharmacotherapeutics, which isabranchofpharmacologythat
b b b b b b b b b b b
dealswiththeusesofdrugstotreat, prevent,anddiagnose disease.The radiologynurse is
b b b b b b b b b b b b b b b
administering a drug to helpdiagnose a disease. The oncologynurse is administering a drug
b b b b b b b b b b b b b
to help treata disease. Pharmacoeconomics includes anycosts involved in drug therapy.
b b b b b b b b b b b b b
Pharmacodynamics involves how a drugaffects thebodyandpharmacokinetics is how the
b b b b b b b b b b b b
body actson the body.
b b b b
2. A physician has ordered intramuscular (IM) injections of morphine, a
b b b b b b b b b
narcotic,every4 hoursasneededfor paininamotorvehicleaccidentvictim. The
b b b b b b b b b b b b b b b
nurseisaware thisdrughasa highabuse potential.Under whatcategory would
b b b b b b b b b b b b b b
morphine be classified?
b b b
A) Schedule I b
B) Schedule II b
C) Schedule III b
D) Schedule IV b
ANSWER: B
, Feedback:
NarcoticswithahighabusepotentialareclassifiedasScheduleIIdrugsbecause of
b b b b b b b b b b b b b
severe dependence liability. Schedule Idrugshave high abusepotential and no
b b b b b b b b b b b b
accepted medical use. Schedule III drugs have a lesserabuse potential than II and
b b b b b b b b b b b b b b
an accepted medical use. Schedule IV drugs havelowabuse potential and limited
b b b b b b b b b b b b
dependence liability.
b b
3. When involved in phase III drugevaluation studies, what
b b b b b b b b
responsibilitieswouldthenurse have?
b b b
A) Workingwith animals who are given experimental drugs b b b b b b b
B) Choosingappropriate patients tobe involved in the drugstudy b b b b b b b b b
C) Monitoringand observingpatients closelyfor adverse effects b b b b b b b
D) Conducting research to determine effectiveness of the drug b b b b b b b
ANSWER: C
Feedback:
Phase III studies involve use of a drugin a vast clinical population in
b b b b b b b b b b b b b
whichpatients are asked to record anysymptoms theyexperience while taking
b b b b b b b b b b b b
thedrugs. Nurses maybe responsible for helping collect and analyze the
b b b b b b b b b b
information to be shared with the Food and Drug Administration (FDA)
b b b b b b b b b b b
butwould not conduct research independentlybecause nursesdo not prescribe
b b b b b b b b b b
medications. Use of animals in drug testing is done in the preclinical trials.
b b b b b b b b b b b b b
SelectpatientswhoareinvolvedinphaseIIstudiestoparticipateinstudies where
b b b b b b b b b b b b b
the participants have the disease the drugisintendedto treat. These patientsare
b b b b b b b b b b b b b b
monitored closely for drugaction and adverse effects. Phase I studies involve
b b b b b b b b b b b b
healthy human volunteers who are usuallypaid for their participation. Nurses
b b b b b b b b b b b
mayobserve for adverse effects and toxicity.
b b b b b b b
4. What concept isconsidered when generic drugsare substituted for
b b b b b b b b b
brandnamedrugs?
b b b
A) Bioavailability
B) Critical concentration b
C) Distribution
D) Half-life
ANSWER: A
Feedback: