Edition
n
ByMichelleJ.Willihnganz,SamuelL.Gurevitz,BruceClayton
n Complete
,Chapter01:DrugDefinitions,Standards,andInformationSourcesWillihnganz:
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Clayton’sBasicPharmacology forNurses,19thEdition
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MULTIPLECHOICE n
1. WhichnameidentifiesavdruglistedbytheUSFoodand
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nDrug Administration (FDA)?
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a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C n
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 adrug
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by its manufacturer. The nonproprietary, or generic, name is
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providedbytheUnitedStatesAdoptedNamesCoun cil.
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DIF: Cognitive Level: Knowledge REF: p. 9 n n n n
OBJ:1NAT:NCLEXClientNeedsCategory:Safe,EffectiveCare Environment n n n n n n n n n
TOP: Nursing Process Step: Assessment
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CON:
PatientEducation n
2. Whichsourcecontains informationspecific to nutritionalsupplements?
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a. USPDictionaryofUSAN &InternationalDrugNames n n n n n
b. NaturalMedicinesComprehensiveDatabase n n n
c. UnitedStatesPharmacopoeia/National Formulary(USPNF) n n n
d. DrugInteractionFacts n n
ANS: C n
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 n n n n
OBJ:3NAT: NCLEXClientNeedsCategory:PhysiologicalInteg
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rity
TOP: NursingProcessStep:Assessmentn n n n CON: Nutrition|PatientEducation n n n n
3. Whichdrugreferencecontainsdrugmonographsthatdescribealldrugsinatherapeuticclass?
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a. DrugFactsandComparisons n n n
,TestBank ForvClayton’sBasicPharmacologyvforvNurses19thEdition
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b. DrugInteractionFacts n n
c. Handbookon Injectable Drugs n n n
d. Martindale—TheCompleteDrugReference n n n
ANS: A n
DrugFactsandComparisonscontainsdrugmonographsthatdescribevalldrugsinath erapeutic
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class.Monographsareformattedastablestoallowcomparisonofsimilar pro ducts,brand
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names,manufacturers,costindices,andavailabledosageformsOnlinevve rsionvis available.
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DIF: CognitiveLevel: Knowledge REF: p.4vTable1.2 n n n n n
OBJ: 3 NAT: NCLEXClient NeedsCategory:PhysiologicalIntegrity
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TOP: NursingProcessStep:Assessment
n CON: Safety|PatientEducation|ClinicalJudgment n n n n n n n n n n
4. Whichdrugreferencecontainsmonographsaboutvvirtuallyeverysingle-
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entitydrugavailableinthevUnitedStatesanddescribestherapeuticusesofdrugs,includingap proved
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and unapproved uses?
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a. Martindale:TheCompleteDrugReference n n n n
b. AHFSDrugInformation n n
c. DrugReference n
d. DrugFactsandvComparisons n n
ANS: B n
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 n n n n n
OBJ: 3 NAT: NCLEXClientNeedsCategory:PhysiologicalIntegrity
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TOP: NursingProcessStep:Planningn CON: Safety|PatientEducation|ClinicalJudgment n n n n n n n n n n
5. Whichonlinedrugreferencemakesavailabletohealthcareprovidersandthepublicastand ard,
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comprehensive, up-to-datelookupanddownloadableresource about medicines?
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a. AmericanDrugIndex n n
b. AmericanHospitalFormulary n n
c. DailyMed
d. DrugReference n
ANS: C n
DailyMedmakesavailabletohealthcareprovidersandthepublicastandard,comprehensive, up-
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to-
datelookupanddownloadableresourceaboutmedicines.TheAmericanDrugIndexisnotapp
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ropriate forpatient use. The AmericanHospitalFormularyis not appropriate forpatient use. The
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drug reference is not appropriate for patient use.
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DIF: CognitiveLevel:Knowledge REF: p.3 |p.4 n n n n n n n
OBJ:3NAT: NCLEXClientNeedsCategory:PhysiologicalInteg
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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,and CosmeticAct (1938) n n n n n n
b. DurhamHumphreyAmendment(1952) n n n
, TestBank ForvClayton’sBasicPharmacologyvforvNurses19thEdition
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c. ControlledSubstancesAct (1970) n n n
d. KefauverHarrisDrugAmendment (1962) n n n n
ANS: A n
TheFederal Food,Drug, andCosmeticActvof1938 authorized theFDAtodeterminevthesafet yofall
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drugsvbeforemarketing.LateramendmentsandactshelpedtightenFDAcontrolanden surevdrug
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safety.TheDurhamHumphreyAmendmentdefinesthekindsofdrugsthatcannotbe used safely
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without medical supervision and restrictstheirsale to prescription by alicensedpr actitioner.The
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ControlledSubstancesActaddressesonlycontrolledsubstancesandtheircatego rization.The
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KefauverHarrisDrugAmendment ensuresdrugvefficacyandgreater drug safety. Drug
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manufacturersarerequiredtoprovevtothevFDAtheeffectivenessoftheirproductsbefore marketing
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them.
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DIF: Cognitive Level: Knowledge REF: p.5Tablel.3 n n n n n n
OBJ: 5
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NAT:NCLEXClientNeedsCategory:PhysiologicalIntegrity n n n n n n
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 n
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to se vere n n n n n n n n n n n n n n n n n n n
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 for abuse. Use may lead to limited physical or psychological dependence.
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DIF: CognitiveLevel:Knowledge
n REF: p.10
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OBJ:2NAT: NCLEXClientNeedsCategory:Safe,EffectiveCar e n n n n n n n n n n
Environment
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TOP: NursingProcessStep:Assessment
n CON: PatientvEducation|Addiction|Pain n n n n n n n n n n
8. WhichactionwouldtheFDAtaketovexpeditedrugvdevelopmentandapprovalforanoutbreako f
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smallpox?
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a. Listsmallpox asahealthorphandisease. n n n n n n
b. Omitthepreclinicalresearchphase. n n n n
c. Extendvtheclinicalresearchphase. n n n
d. Fasttracktheinvestigationaldrug. n n n n
ANS: D n
OncetheInvestigationalNewDrugApplicationhasbeenapproved,thedrugcanreceivehigh est
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prioritywithin thevagency, which is called fast tracking. A smallpox outbreak would beco 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 n n REF: n p.7 n OBJ: 5 n