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Test Bank - Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice, 13th Edition (Frandsen, 2025), 9781975222321, Chapter 1-61 All Chapters

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Test Bank - Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice, 13th Edition (Frandsen, 2025), 9781975222321, Chapter 1-61 All Chapters

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,Chapter 1, The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1




1. A woman diagnosed with obsessive–
$@1 $@1 $@1 $@1


compulsive disorder has been prescribed oral paroxetine hydrochloride. W
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


hat is the expected effect for this prescription?
$@1 $@1 $@1 $@1 $@1 $@1 $@1


A. Curative effect on symptoms $@1 $@1 $@1


B. Systemic effect on symptoms $@1 $@1 $@1


C. Local effect on symptoms $@1 $@1 $@1


D. Parenteral effect on symptoms $@1 $@1 $@1




ANS: B $ @ 1


Rationale: Drugs that produce systemic effects are taken into the body, circulated
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


through the bloodstream to their sites of action in various body tissues, and ev
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


entually eliminated from the body. Curative agents are given to cure a disease p
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


rocess. In this case, paroxetine hydrochloride will control the symptoms but not c
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ure the disorder. Drugs with local effects, such as sunscreen and local anesthetics
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


, act mainly at the site of application. Paroxetine hydrochloride is not administer
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ed parenterally. Parenteral agents are administered subcutaneously, intramuscularly,
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@


1or intravenously.
$@1




PTS: 1 REF: p. 3, Introduction OBJ: 1 $@1 $@1


NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Understand
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1




2. A client has been prescribed an antibiotic. This medication is a naturally occurring
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


substance that has been cheG
mRicA
alDlyEm
SoBdOifOieSd.TW
$@1 haOt Mi s another name for this
.C$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


type of medication?
$@1 $@1


A. Synthetic drug $@1


B. Semisynthetic drug $@1


C. Biotechnology drug $@1


D. Prototype drug $@1




ANS: B $ @ 1


Rationale: Semisynthetic drugs (e.g., many antibiotics) are naturally occurring subs
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


tances that have been chemically modified. Synthetic drugs are more standardized i
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


n their chemical characteristics, more consistent in their effects, and less likely t
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


o produce allergic reactions. Biotechnology drugs involve manipulating DNA and
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@


1RNA and recombining genes into hybrid molecules that can be inserted into livi
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ng organisms. Prototype drugs are the first drug of a particular group to be dev
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


eloped.

PTS: 1 REF: p. 3, Drug Sources OBJ: 1 $@1 $@1 $@1


NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Understand
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1




3. Which classification applies to morphine?
$@1 $@1 $@1 $@1


A. Central nervous system depressant $@1 $@1 $@1


B. Central nervous system stimulant $@1 $@1 $@1

, C. Anti-inflammatory
D. Antihypertensive
ANS: A $ @ 1


Rationale: Drugs are classified according to their effects on particular body syste
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ms, their therapeutic uses, and their chemical characteristics. Morphine is classifie
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


d as a central nervous system depressant and will produce this effect in the cli
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ent. A central nervous system stimulant increases attention and raises mood. An a
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


nti-
inflammatory agent decreases inflammation at the site of tissue or joint inflammat
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ion. An antihypertensive agent reduces blood pressure.
$@1 $@1 $@1 $@1 $@1 $@1




PTS: 1 REF:
p. 3, Drug Classifications and Prototypes OBJ: 1
$@1 $@1 $@1 $@1 $@1 $@1


NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Remember
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1
G R A D E S B O O S T . C O M




4. A client is administered amoxicillin. The generic name of this medication belongs
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




to which drug group?
$@1 $@1 $@1 $@1
$@1




A. Selective serotonin reuptake inhibitors $@1 $@1 $@1
$@1




B. Diuretics
$@1




C. Penicillins
D. ACE inhibitors
$@1




$@1
$@1




ANS: C $ @ 1
$@1




Rationale: The generic name often indicates the drug group (e.g., drugs with gen
GRADESBOOST.COM
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




eric names ending in ―cillin‖ are penicillins). Selective serotonin reuptake inhibito
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




rs are medications that have antidepressant effects; SSRI is a broad classification,
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


not a generic name. Diuretics are medications that increase urine output; diuretic
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


is a broad classification, not a generic name. ACE inhibitor is the broad classific
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ation for the angiotensin receptor blockers, not the generic name.
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




PTS: 1 REF: p. 3, Drug Names OBJ: 2 $@1 $@1 $@1
$@1




NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Understand
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1




5. The administration of diphenhydramine is regulated by which U.S. government agency?
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


A. Public Health Service $@1 $@1


B. Federal Trade Commission $@1 $@1


C. Occupational Safety and Health Administration $@1 $@1 $@1 $@1


D. Food and Drug Administrati $@1 $@1 $@1




on ANS:$@1 $ @ 1 D

, Rationale: The Food and Drug Administration approves drugs for over-the-
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


counter availability, including the transfer of drugs from prescription to OTC sta
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


tus, and may require clinical trials to determine the safety and effectiveness of
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


OTC use. The Public Health Service is regulated by the state to maintain the
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


health of individual citizens of the state. The Federal Trade Commission regulate
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


s imports and exports throughout the nation. The Occupational Safety and Health
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@


1Administration regulates safety within the workplace.
$@1 $@1 $@1 $@1 $@1




PTS: 1 REF:
p. 4, Prescription and Nonprescription Drugs OBJ:
$@1 $@1 4 $@1 $@1 $@1 $@1


NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Understand
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1




6. In $@1 the U.S., the administration of anabolic steroids is regulated by which law?
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


A. The Food, Drug, and Cosmetic Act of 1938
$@1 $@1 $@1 $@1 $@1 $@1 $@1


B. The Comprehensive Drug Abuse Prevention and Control Act
$@1 $@1 $@1 $@1 $@1 $@1 $@1


C. The Harrison Narcotic Act
$@1 $@1 $@1
G R A D E S B O O S T . C O M




D. The Sherley Amendment
$@1




$@1 $@1
$@1




ANS: B $ @ 1
$@1




Rationale: The Comprehensive Drug Abuse Prevention and Control Act regulates
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




the manufacture and distribution of narcotics, stimulants, depressants, hallucinogens
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


, and anabolic steroids. The Food, Drug, and Cosmetic Act of 1938 revised and
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $


broadened FDA powers and responsibilities, giving the FDA control over drug sa
$@1




@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


fety. The Harrison Narcotic Act restricted the importation, manufacture, sale, and
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


use of opium, cocaine, marijuana, and other drugs that the act d e f i Gn eRd Aa Ds E
naSrcB
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


oO
tiO
csS Th.eCSOhM
. T erley Amendment of 1912 prohibited fraudulent claims of drug effectiv
$@1




$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


eness.
$@1
$@1




PTS: 1 REF:
$@1




p. 4, Prescription and Nonprescription Drugs OBJ:
$@1 $@1 3 $@1 $@1 $@1 $@1
$@1




NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Th
$ @ 1 $@1 $@1 $@1 $@1 $@1 $@1 $@1
$@1




erapies TOP: Chapter: 1: The Foundation of Pharmacology: Quality and Safety
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


KEY: Integrated Process: Nursing Process
$ @ 1 $@1 $@1 $@1


BLM: Cognitive Level: Remember
$ @ 1 NOT: Multiple Choice $@1 $@1 $ @ 1 $@1




7. A nurse is responsible for maintaining an accurate count and record of the c
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


ontrolled substances on the nursing division. This nursing action is regulated b
$@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1 $@1


y which U.S. law or agency?
$@1 $@1 $@1 $@1 $@1


A. The Food, Drug, and Cosmetic Act of 1938
$@1 $@1 $@1 $@1 $@1 $@1 $@1


B. The Public Health Service
$@1 $@1 $@1


C. The Drug Enforcement Administration
$@1 $@1 $@1


D. The Sherley Amendme $@1 $@1




nt ANS:
$@1 $ @ 1 C
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