Karch’s Focus on Nursing Pharmacology Test Bank 9th Edition | Rebecca Tucker

TEST BANK
Karch’s Focus on Nursing Pharmacology
REBECCA TUCKER
Ninth, North American Edition

,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
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Chapter 01 - Introduction to Drugs fi fi fi fi fi




1. A nurse working in radiology administers iodine to a patient who is having a computed tomography (C
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T) scan. The nurse working on the oncology unit administers chemotherapy to patients who have cance
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r. At the Public Health Department, a nurse administers a measles-mumps-
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rubella (MMR) vaccine to a 14-month-
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old child as a routine immunization. Which branch of pharmacology best describes the actions of all th
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ree nurses? fi




A) Pharmacoeconomics


B) Pharmacotherapeutics


C) Pharmacodynamics


D) Pharmacokinetics


Ans: B


Feedback:


Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical pharma
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cology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of drugs to t
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reat, prevent, and diagnose disease. The radiology nurse is administering a drug to help diagnose a disea
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se. The oncology nurse is administering a drug to help treat a disease.
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Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a dru fi fi fi fi fi fi fi fi fi fi fi fi


g affects the body and pharmacokinetics is how the body acts on the body.
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2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for
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pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential. Under
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what category would morphine be classified?
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A) Schedule I fi




B) Schedule II fi




C) Schedule III fi




D) Schedule IV fi




Ans: B


Feedback:


Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
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,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
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liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs ha
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ve a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse poten
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tial and limited dependence liability.
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3. When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
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A) Working with animals who are given experimental drugs
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B) Choosing appropriate patients to be involved in the drug study
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C) Monitoring and observing patients closely for adverse effects fi fi fi fi fi fi fi




D) Conducting research to determine effectiveness of the drug fi fi fi fi fi fi fi fi




Ans: C


Feedback:


Phase III studies involve use of a drug in a vast clinical population in which patients are asked to record an
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y symptoms they experience while taking the drugs. Nurses may be responsible for helping collect
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and analyze the information to be shared with the Food and Drug Administration (FDA) but would not con
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duct research independently because nurses do not prescribe medications. Use of animals in drug testing is
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done in the preclinical trials. Select patients who are involved in phase II studies to participate in studi
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es where the participants have the disease the drug is intended to treat. These patients are monitored closel
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y for drug action and adverse effects. Phase I studies involve healthy human volunteers who are usually pai
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d for their participation. Nurses may observe for adverse effects and toxicity.
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4. What concept is considered when generic drugs are substituted for brand name drugs?
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A) Bioavailability


B) Critical concentration fi




C) Distribution


D) Half-life


Ans: A


Feedback:


Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available to act
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on body cells. Binders used in a generic drug may not be the same as those used in the brand name drug. T
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herefore, the way the body breaks down and uses the drug may differ, which may eliminate a generic drug
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substitution. Critical concentration is the amount of a drug that is needed to cause a therapeutic effect and
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fishould not differ between generic and brand name medications. Distribution is the phase of phar
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macokinetics, which involves the movement of a drug to the body’s tissues and is the
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, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
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same in generic and brand name drugs. A drug’s half-
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life is the time it takes for the amount of drug to decrease to half the peak level, which should not change wh
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en substituting a generic medication.
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5. A nurse is assessing the patient’s home medication use. After listening to the patient list current m
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edications, the nurse asks what priority question? fi fi fi fi fi fi




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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Ans: D


Feedback:


It is important for the nurse to specifically question use of over-the-
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counter medications because patients may not consider them important. The patient is unlikely to know t
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he meaning of orphan drugs unless they too are health care providers. Safety during pregnancy, use of a g
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eneric medication, or classification of orphan drugs are things the patient would be unable to answer but c
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ould be found in reference books if the nurse wishes to research them.
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6. After completing a course on pharmacology for nurses, what will the nurse know?
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A) Everything necessary for safe and effective medication administration
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B) Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
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C) General drug information; the nurse can consult a drug guide for specific drug information.
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D) The drug actions that are associated with each classification of medication A
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ns: C


Feedback:


After completing a pharmacology course nurses will have general drug information needed for safe and ef
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fective medication administration but will need to consult a drug guide for specific drug information befo
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re administering any medication. Pharmacology is constantly changing, with new drugs entering
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the market and new uses for existing drugs identified. Continuing education in pharmacology is e
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ssential to safe practice. Nurses tend to become familiar with the medications they administer mo
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st often, but there will always be a need to research new drugs and also those the nurse is not familiar with
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because no nurse knows all medications.
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