Edition
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ByMichelleJ.Willihnganz,SamuelL.Gurevitz,BruceClayton
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,Chapter01:DrugDefinitions,Standards,andInformationSourcesWillihnganz:
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Clayton’sBasicPharmacology forNurses,19thEdition
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MULTIPLECHOICE l
1. WhichnameidentifiesavdruglistedbytheUSFoodand l l l l l l l l
Drug Administration (FDA)?
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a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS:C l
The official name is the name under whichva drug is listed by the
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FDA. The brand name, or trademark, is the namevgiven t o a drug
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by its manufacturer. The nonproprietary, or generic, name is
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providedbytheUnitedStatesAdoptedNamesCoun cil.
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DIF: CognitiveLevel:Knowledge REF: p.9 l l l l
OBJ:1NAT:NCLEXClientNeedsCategory:Safe,EffectiveCare Environment l l l l l l l l l
TOP: Nursing Process Step: Assessment
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CON:
PatientEducation l
2. Whichsourcecontains informationspecifictonutritionalsupplements?
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a. USPDictionaryofUSAN &InternationalDrugNames l l l l l
b. NaturalMedicinesComprehensiveDatabase l l l
c. UnitedStatesPharmacopoeia/National Formulary(USPNF) l l l
d. DrugInteractionFacts l l
ANS:C l
United States Pharmacopoeia/National Formulary contains information specific to nutritional s
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upplements. USP Dictionaryvof USAN & International Drug Names is a compilation of drug na mes,
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pronunciation guide, and possible future FDA approved drugs; it does not include nutritio nal
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supplements. Natural Medicines Comprehensive Database contains
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evidence-
based information on herbal medicines and herbal combination products; it does not include inf
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ormation specific to nutritional supplements. Drug Interaction Facts contains comprehensive i
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nformation on drug interaction facts; it does not includevnutritional supplements.
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DIF: CognitiveLevel:Knowledge REF: p.4 l l l l
OBJ:3NAT: NCLEXClientNeedsCategory:PhysiologicalInteg
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rity
TOP: NursingProcessStep:Assessment
l l l l CON: Nutrition|PatientEducation l l l l
3. Whichdrugreferencecontainsdrugmonographsthatdescribealldrugsinatherapeuticclass?
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a. DrugFactsandComparisons l l l
,TestBankForvClayton’sBasicPharmacologyvforvNurses19thEdition
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b. DrugInteractionFacts l l
c. HandbookonInjectable Drugs l l l
d. Martindale—TheCompleteDrugReference l l l
ANS: A l
DrugFactsandComparisonscontainsdrugmonographsthatdescribevalldrugsinath erapeutic
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class.Monographsareformattedastablestoallowcomparisonofsimilarpro ducts,brand
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names,manufacturers,costindices,andavailabledosageformsOnlinevve rsionvis available.
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DIF: CognitiveLevel:Knowledge REF: p.4vTable1.2 l l l l l
OBJ: 3 NAT: NCLEXClientNeedsCategory:PhysiologicalIntegrity
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TOP: NursingProcessStep:Assessment
l CON: Safety|PatientEducation|ClinicalJudgment l l l l l l l l l l
4. Whichdrugreferencecontainsmonographsaboutvvirtuallyeverysingle-
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entitydrugavailableinthevUnitedStatesanddescribestherapeuticusesofdrugs,includingap proved l l l l l l l l l l l l l
and unapproved uses?
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a. Martindale:TheCompleteDrugReference l l l l
b. AHFSDrugInformation l l
c. DrugReference l
d. DrugFactsandvComparisons l l
ANS: B l
AHFSDrugInformationcontainsmonographsaboutvirtuallyeverysingle-
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entitydrugavailableintheUnitedStatesanddescribestherapeuticusesofdrugs,includingappr oved
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and unapproved uses.
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DIF: CognitiveLevel:Knowledge REF: p.4vTable1.2 l l l l l
OBJ: 3 NAT: NCLEXClientNeedsCategory:PhysiologicalIntegrity
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TOP: NursingProcessStep:Planningl CON: Safety|PatientEducation|ClinicalJudgment l l l l l l l l l l
5. Whichonlinedrugreferencemakesavailabletohealthcareprovidersandthepublicastand ard,
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comprehensive, up-to-datelookupanddownloadableresource aboutmedicines?
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a. AmericanDrugIndex l l
b. AmericanHospitalFormulary l l
c. DailyMed
d. DrugReference l
ANS:C l
DailyMedmakesavailabletohealthcareprovidersandthepublicastandard,comprehensive, up- l l l l l l l l l l l l
to-
datelookupanddownloadableresourceaboutmedicines.TheAmericanDrugIndexisnotapp
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ropriateforpatient use. TheAmericanHospitalFormularyis not appropriate forpatient use. The drug
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reference is not appropriate for patient use.
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DIF: CognitiveLevel:Knowledge REF: p.3|p.4 l l l l l l l
OBJ:3NAT: NCLEXClientNeedsCategory:PhysiologicalInteg l l l l l l l l
rity
TOP:NursingProcessStep:Implementation
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CON: Safety|PatientEducation|ClinicalJudgment
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6. WhichlegislationauthorizestheFDAtodeterminethesafetyofadrugbeforeitsmarketing?
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a. FederalFood,Drug,andCosmeticAct(1938) l l l l l l
b. DurhamHumphreyAmendment(1952) l l l
, TestBankForvClayton’sBasicPharmacologyvforvNurses19thEdition
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c. ControlledSubstancesAct(1970) l l l
d. KefauverHarrisDrugAmendment(1962) l l l l
ANS: A l
TheFederal Food,Drug, andCosmeticActvof1938authorizedtheFDAtodeterminevthesafet yofall
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drugsvbeforemarketing.LateramendmentsandactshelpedtightenFDAcontrolanden surevdrug
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safety.TheDurhamHumphreyAmendmentdefinesthekindsofdrugsthatcannotbe usedsafely
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without medicalsupervisionandrestrictstheirsaletoprescriptionbyalicensedpr actitioner.The
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ControlledSubstancesActaddressesonlycontrolledsubstancesandtheircatego rization.The
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KefauverHarrisDrugAmendmentensuresdrugvefficacyandgreaterdrugsafety. Drug
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manufacturersarerequiredtoprovevtothevFDAtheeffectivenessoftheirproductsbefore marketing
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them.
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DIF: Cognitive Level: Knowledge REF: p.5Tablel.3 l l l l l l
OBJ: 5
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NAT:NCLEXClientNeedsCategory:PhysiologicalIntegrity l l l l l l
TOP: Nursing Process Step: Assessment
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CON: Safety|PatientEducation|Evidence|HealthCareLaw
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7. Whichclassificationdoes meperidine(Demerol) fallunder?
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a. I
b. II
c. III
d. IV
ANS: B l
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to se vere
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psychological and physical dependence. Schedule I drugs have high potential for abuse and no
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recognized medical use. Schedule III drugs havevsome potential for abuse. Use may lead to low to
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moderate physical dependence or high psychological dependence. SchedulevIV drugs ha ve low
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potential forabuse. Usemay lead to limitedphysical or psychological dependence.
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DIF: CognitiveLevel:Knowledge
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OBJ:2NAT: NCLEXClientNeedsCategory:Safe,EffectiveCar e l l l l l l l l l l
Environment
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TOP: NursingProcessStep:Assessment
l CON: PatientvEducation|Addiction|Pain l l l l l l l l l l
8. WhichactionwouldtheFDAtaketovexpeditedrugvdevelopmentandapprovalforanoutbreako f
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smallpox?
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a. Listsmallpoxasahealthorphandisease. l l l l l l
b. Omitthepreclinicalresearchphase. l l l l
c. Extendvtheclinicalresearchphase. l l l
d. Fasttracktheinvestigationaldrug. l l l l
ANS:D l
OncetheInvestigationalNewDrugApplicationhasbeenapproved,thedrugcanreceivehigh est
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prioritywithin thevagency,whichis called fast tracking. Asmallpox outbreakwouldbeco mea
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priorityconcernintheworld.Orphandiseasesarenotresearchedinaprioritymanner.Pr eclinical
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researchisnotomitted.Extendingvanyphaseoftheresearchwouldmeanalongertim etodevelopa
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vaccine.TheFDAmustensurethatallphasesofthepreclinicalandclinicalresea rch phasevhave been
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completed in a safe manner.
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DIF: CognitiveLevel:Knowledge l l REF: p.7 l l OBJ: 5 l