BASIC AND CLINICAL PHARMACOLOGY 14thE
a
a a
a
a
a
Basic and Clinical Pharmacology 14th Edition Katzung Trevor Test Bank
a a a a
a
a a
a
DITION KATZUNG TREVOR Test Bank
a a a a
Chaptera1.aIntroduction:aTheaNatureaofaDrugsa&aDrugaDevelopmenta&aRegulation
1.
Aanurseaworkingainaradiologyaadministersaiodineatoaaapatientawhoaisahavingaa
acomputedatomographya(CT)ascan.aTheanurseaworkingaonatheaoncologyaunitaad
ministersachemotherapyatoapatientsawhoahaveacancer.aAtatheaPublicaHealthaDep
artment,aaanurseaadministersaaameasles-mumps-rubellaa(MMR)avaccineatoaaa14-
month-
oldachildaasaaaroutineaimmunization.aWhichabranchaofapharmacologyabestadescr
ibesatheaactionsaofaallathreea nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Feedback:
Pharmacologyaisatheastudyaofatheabiologicaeffectsaofachemicals.aNursesaareainvo
lvedawithaclinicalapharmacologyaorapharmacotherapeutics,awhichaisaaabranchaof
apharmacologyathatadealsawithatheausesaofadrugsatoatreat,aprevent,aandadiagnosea
disease.aThearadiologyanurseaisaadministeringaaadrugatoahelpadiagnoseaaadisease
.aTheaoncologyanurseaisaadministeringaaadrugatoahelpatreataaadisease.aPharmacoe
conomicsaincludesaanyacostsainvolvedainadruga therapy.
Pharmacodynamicsainvolvesahowaaadrugaaffectsatheabodyaandap
harmacokineticsaisahowatheabodyaactsaonatheabody.
2.
Aaphysicianahasaorderedaintramusculara(IM)ainjectionsaofamorphine,aaanarco
tic,aeverya4ahoursaasaneededaforapainainaaamotoravehicleaaccidentavictim.aTheanu
rseaisaawareathisadrugahasaaahighaabuseapotential.aUnderawhatacategoryawouldam
orphineabeaclassified?
A) ScheduleaI
WWW.THENURSINGMASTERY.COM
WWW.NURSYLAB.COM
, Pagea2aofa822
B) ScheduleaII
WWW.THENURSINGMASTERY.COM
WWW.NURSYLAB.COM
, Pagea3aofa822
C) ScheduleaIII
D) ScheduleaIV
Ans: B
Feedback:
NarcoticsawithaaahighaabuseapotentialaareaclassifiedaasaScheduleaIIadrugsabecau
seaofasevereadependencealiability.aScheduleaIadrugsahaveahighaabuseapotentiala
andanoaacceptedamedicalause.aScheduleaIIIadrugsahaveaaalesseraabuseapotentiala
thanaIIaandaanaacceptedamedicalause.aScheduleaIVadrugsahavealowaabuseapotent
ialaandalimitedadependencea liability.
3.
WhenainvolvedainaphaseaIIIadrugaevaluationastudies,awhataresponsibilitie
sawouldatheanurseahave?
A) Workingawithaanimalsawhoaareagivenaexperimentala drugs
B) Choosingaappropriateapatientsatoabeainvolvedainatheadruga study
C) Monitoringaandaobservingapatientsacloselyaforaadversea effects
D) Conductingaresearchatoadetermineaeffectivenessaofathea drug
Ans: C
Feedback:
PhaseaIIIastudiesainvolveauseaofaaadrugainaaavastaclinicalapopulationainawhichap
atientsaareaaskedatoarecordaanyasymptomsatheyaexperienceawhileatakingatheadr
ugs.aNursesamayabearesponsibleaforahelpingacollectaandaanalyzeatheainformati
onatoabeasharedawithatheaFoodaandaDrugaAdministrationa(FDA)abutawouldanota
conductaresearchaindependentlyabecauseanursesadoanotaprescribeamedications
.aUseaofaanimalsainadrugatestingaisadoneainatheapreclinicalatrials.aSelectapatients
awhoaareainvolvedainaphaseaIIastudiesatoaparticipateainastudiesawhereatheapartic
ipantsahaveatheadiseaseatheadrugaisaintendedatoatreat.aTheseapatientsaareamonit
oredacloselyaforadrugaactionaandaadverseaeffects.aPhaseaIastudiesainvolveahealt
hyahumanavolunteersawhoaareausuallyapaidaforatheiraparticipation.aNursesamay
aobserveaforaadverseaeffectsaandatoxicity.
4.
Whataconceptaisaconsideredawhenagenericadrugsaareasubstitutedaforabran
danameadrugs?
A) Bioavailability
WWW.THENURSINGMASTERY.COM
WWW.NURSYLAB.COM
, Pagea4aofa822
B) Criticalaconcentration
C) Distribution
D) Half-life
Ans: A
Feedback:
Bioavailabilityaisatheaportionaofaaadoseaofaaadrugathatareachesatheasystemicacirc
ulationaandaisaavailableatoaactaonabodyacells.aBindersausedainaaagenericadrugama
yanotabeatheasameaasathoseausedainatheabrandanameadrug.aTherefore,atheawayath
eabodyabreaksadownaandausesatheadrugamayadiffer,awhichamayaeliminateaaagen
ericadrugasubstitution.aCriticalaconcentrationaisatheaamountaofaaadrugathataisanee
dedatoacauseaaatherapeuticaeffectaandashouldanotadifferabetweenagenericaandabr
andanameamedications.aDistributionaisatheaphaseaofapharmacokinetics,awhichai
nvolvesatheamovementaofaaadrugatoatheabodysatissuesaandaisatheasameainageneri
caandabrandanameadrugs.aAadrugsahalf-
lifeaisatheatimeaitatakesaforatheaamountaofadrugatoadecreaseatoahalfatheapeakalevel,
awhichashouldanotachangeawhenasubstitutingaaagenerica medication.
5.
Aanurseaisaassessingatheapatientsahomeamedicationause.aAfteralisteningatoath
eapatientalistacurrentamedications,atheanurseaasksawhataprioritya question?
A) Doayouatakeaanyagenerica medications?
B) Areaanyaofatheseamedicationsaorphana drugs?
C) Areatheseamedicationsasafeatoatakeaduringa pregnancy?
D) Doayouatakeaanyaover-the-countera medications?
Ans: D
Feedback:
Itaisaimportantaforatheanurseatoaspecificallyaquestionauseaofaover-the-
counteramedicationsabecauseapatientsamayanotaconsiderathemaimportant.aTheap
atientaisaunlikelyatoaknowatheameaningaofaorphanadrugsaunlessatheyatooaareahea
lthacareaproviders.aSafetyaduringapregnancy,auseaofaaagenericamedication,aoracl
assificationaofaorphanadrugsaareathingsatheapatientawouldabeaunableatoaanswera
butacouldabeafoundainareferenceabooksaifatheanurseawishesatoaresearchathem.
WWW.THENURSINGMASTERY.COM
WWW.NURSYLAB.COM