TEST BANK FOR BASIC AND CLINICAL PHARMACOLOGY
15TH EDITION KATZUNG TREVOR
,1. A nurse is instructing a pregnant patient concerning the potential risk to her
fetus from a Pregnancy Category B drug. What would the nurse inform the
patient?
A) Adequate studies in pregnant women have demonstrated there is no risk
to the fetus.
B) Animal studies have not demonstrated a risk to the fetus, but there
have been no adequate studies in pregnant women.
C) Animal studies have shown an adverse effect on the fetus, but there are
no adequate studies in pregnant women.
D) There is evidence of human fetal risk, but the potential benefits from
use of the drug may be acceptable despite potential risks.
Ans: B
Feedback:
Category B indicates that animal studies have not demonstrated a risk to the
fetus. However, there have not been adequate studies in pregnant women to
demonstrate risk to a fetus during the first trimester of pregnancy and no
evidence of risk in later trimesters. Category A indicates that adequate
studies in pregnant women have not demonstrated a risk to the fetus in the
first trimester or in later trimesters. Category C indicates that animal studies
have shown an adverse effect on the fetus, but no adequate studies in
humans. Category D reveals evidence of human fetal risk, but the potential
benefits from the use of the drugs in pregnant women may outweigh
potential risks.
2. Discharge planning for patients leaving the hospital should include
instructions on the use of over-the-counter (OTC) drugs. Which comment
by the patient would demonstrate a good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by
the Food and Drug Administration (FDA).
C) OTC drugs are different from any drugs available by prescription
and cost less.
,D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications
that can cause serious harm if not taken properly. OTCs are drugs that have
been determined to be safe when taken as directed; however, all drugs can
produce adverse effects even when taken properly. They may have originally
been prescription drugs that were tested by the FDA or they may have been
grandfathered in when the FDA laws changed. OTC education should
always be included as a part of the hospital discharge instructions.
3. What would be the best source of drug information for a nurse?
A) Drug Facts and Comparisons
B) A nurses drug guide
C) A drug package insert
D) The Physicians Drug Reference (PDR)
Ans: B
Feedback:
A nurses drug guide provides nursing implications and patient teaching
points that are most useful to nurses in addition to need-to-know drug
information in a very user friendly organizational style.Lippincotts Nursing
Drug Guide (LNDG) has drug monographs organized alphabetically and
includes nursing implications and patient teaching points. Numerous other
drug handbooks are also on the market and readily available for nurses to
use. Although other drug reference books such as Drug Facts and
Comparisons, PDR, and drug package inserts can all provide essential drug
information, they will not contain nursing implications and teaching points
and can be more difficult to use than nurses drug guides.
4 The nurse is preparing to administer a medication from a multidose bottle.
. The label is torn and soiled but the name of the medication is still readable.
What is the nurses priority action?
A) Discard the entire bottle and contents and obtain a new bottle.
, B) Find the drug information and create a new label for the bottle.
C) Ask another nurse to verify the contents of the bottle.
D) Administer the medication if the name of the drug can be clearly read.
Ans: A
Feedback:
When the drug label is soiled obscuring some information the safest action
by the nurse is to discard the bottle and contents because drug labels contain
a great deal of important information, far more than just the name of the
drug. Concentration of the drug, expiration date, administration directions,
and precautions may be missing from the label and so put the patient at risk.
Looking up drug information in a drug handbook or consulting with another
nurse will not supply the expiration date or concentration of medication. Be
safe and discard the bottle and its contents.
15TH EDITION KATZUNG TREVOR
,1. A nurse is instructing a pregnant patient concerning the potential risk to her
fetus from a Pregnancy Category B drug. What would the nurse inform the
patient?
A) Adequate studies in pregnant women have demonstrated there is no risk
to the fetus.
B) Animal studies have not demonstrated a risk to the fetus, but there
have been no adequate studies in pregnant women.
C) Animal studies have shown an adverse effect on the fetus, but there are
no adequate studies in pregnant women.
D) There is evidence of human fetal risk, but the potential benefits from
use of the drug may be acceptable despite potential risks.
Ans: B
Feedback:
Category B indicates that animal studies have not demonstrated a risk to the
fetus. However, there have not been adequate studies in pregnant women to
demonstrate risk to a fetus during the first trimester of pregnancy and no
evidence of risk in later trimesters. Category A indicates that adequate
studies in pregnant women have not demonstrated a risk to the fetus in the
first trimester or in later trimesters. Category C indicates that animal studies
have shown an adverse effect on the fetus, but no adequate studies in
humans. Category D reveals evidence of human fetal risk, but the potential
benefits from the use of the drugs in pregnant women may outweigh
potential risks.
2. Discharge planning for patients leaving the hospital should include
instructions on the use of over-the-counter (OTC) drugs. Which comment
by the patient would demonstrate a good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by
the Food and Drug Administration (FDA).
C) OTC drugs are different from any drugs available by prescription
and cost less.
,D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications
that can cause serious harm if not taken properly. OTCs are drugs that have
been determined to be safe when taken as directed; however, all drugs can
produce adverse effects even when taken properly. They may have originally
been prescription drugs that were tested by the FDA or they may have been
grandfathered in when the FDA laws changed. OTC education should
always be included as a part of the hospital discharge instructions.
3. What would be the best source of drug information for a nurse?
A) Drug Facts and Comparisons
B) A nurses drug guide
C) A drug package insert
D) The Physicians Drug Reference (PDR)
Ans: B
Feedback:
A nurses drug guide provides nursing implications and patient teaching
points that are most useful to nurses in addition to need-to-know drug
information in a very user friendly organizational style.Lippincotts Nursing
Drug Guide (LNDG) has drug monographs organized alphabetically and
includes nursing implications and patient teaching points. Numerous other
drug handbooks are also on the market and readily available for nurses to
use. Although other drug reference books such as Drug Facts and
Comparisons, PDR, and drug package inserts can all provide essential drug
information, they will not contain nursing implications and teaching points
and can be more difficult to use than nurses drug guides.
4 The nurse is preparing to administer a medication from a multidose bottle.
. The label is torn and soiled but the name of the medication is still readable.
What is the nurses priority action?
A) Discard the entire bottle and contents and obtain a new bottle.
, B) Find the drug information and create a new label for the bottle.
C) Ask another nurse to verify the contents of the bottle.
D) Administer the medication if the name of the drug can be clearly read.
Ans: A
Feedback:
When the drug label is soiled obscuring some information the safest action
by the nurse is to discard the bottle and contents because drug labels contain
a great deal of important information, far more than just the name of the
drug. Concentration of the drug, expiration date, administration directions,
and precautions may be missing from the label and so put the patient at risk.
Looking up drug information in a drug handbook or consulting with another
nurse will not supply the expiration date or concentration of medication. Be
safe and discard the bottle and its contents.
