Test Bank For Focus on Nursing Pharmacology
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7th Edition by Amy M. Karch
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TEST BANK n
, Test Bank For Focus on Nursing Pharmacology 7th Edition by Amy M. Karch
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Table of Contents
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Chapter n01- nIntroduction nto nDrugs
nChapter n02- nDrugs nand nthe nBody
nChapter n03- nToxic nEffects nof nDrugs
Chapter n04- nThe nNursing nProcess nin nDrug nTherapy nand nPatient nSafety
nChapter n05- nDosage nCalculations
Chapter n06- nChallenges nto nEffective nDrug nTherapy
nChapter n07- nIntroduction nto nCell nPhysiology
nChapter n08- nAnti-infective nAgents
Chapter n09- nAntibiotics
nChapter n10- nAntiviral nAgents
nChapter n11- nAntifungal
nAgents
Chapter n12- nAntiprotozoal nAgents
nChapter n13- nAnthelmintic nAgents
nChapter n14- nAntineoplastic
nAgents
Chapter n15- nIntroduction nto nthe nImmune nResponse nand nInflammation
nChapter n16- nAnti-inflammatory, nAntiarthritis, nand nRelated nAgents
nChapter n17- nImmune nModulators
Chapter n18- nVaccines nand nSera
Chapter n19- nIntroduction nto nNerves nand nthe nNervous nSystem
nChapter n20- nAnxiolytic nand nHypnotic nAgents
Chapter n21- nAntidepressant nAgents
nChapter n22- nPsychotherapeutic nAgents
nChapter n23- nAntiseizure nAgents
nChapter n24- nAntiparkinsonism nAgents
nChapter n25- nMuscle nRelaxants
Chapter n26- nNarcotics, nNarcotic nAntagonists, nand nAntimigraine nAgents
nChapter n27- nGeneral nand nLocal nAnesthetic nAgents
Chapter n28- nNeuromuscular nJunction nBlocking nAgents
nChapter n29- nIntroduction nto nthe nAutonomic nNervous nSystem
nChapter n30- nAdrenergic nAgonists
Chapter n31- nAdrenergic nAntagonists
nChapter n32- nCholinergic nAgonists
nChapter n33- nAnticholinergic nAgents
Chapter n34- nIntroduction nto nthe nEndocrine nSystem
nChapter n35- nHypothalamic nand nPituitary nAgents
nChapter n36- nAdrenocortical nAgents
Chapter n37- nThyroid nand nParathyroid nAgents
n Chapter n38- nAgents nto nControl nBlood nGlucose
nLevels nChapter n39- nIntroduction nto nthe
nReproductive nSystem
Chapter n40- nDrugs nAffecting nthe nFemale nReproductive
nSystem nChapter n41- nDrugs nAffecting nthe nMale nReproductive
nSystem nChapter n42- nIntroduction nto nthe nCardiovascular
nSystem nChapter n43- nDrugs nAffecting nBlood nPressure
Chapter n44- nAgents nfor nTreating nHeart nFailure
nChapter n45- nAntiarrhythmic nAgents
Chapter n46- nAntianginal nAgents
nChapter n47- nLipid-Lowering nAgents
Chapter n48- nDrugs nAffecting nBlood nCoagulation
nChapter n49- nDrugs nUsed nto nTreat nAnemias
nChapter n50- nIntroduction nto nthe nRenal nSystem
nChapter n51- nDiuretic nAgents
Chapter n52- nDrugs nAffecting nthe nUrinary nTract nand nthe nBladder
nChapter n53- nIntroduction nto nthe nRespiratory nSystem
Chapter n54- nDrugs nActing non nthe nUpper nRespiratory nTract
nChapter n55- nDrugs nActing non nthe nLower nRespiratory nTract
nChapter n56- nIntroduction nto nthe nGastrointestinal nSystem
nChapter n57- nDrugs nAffecting nGastrointestinal nSecretions
nChapter n58- nDrugs nAffecting nGastrointestinal nMotility
nChapter n59- nAntiemetic nAgents
, Chapter 1: Introduction to Drugs n n n n
Cognitive Level: Application n n
Difficulty: Moderate
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Integrated Process: Nursing process n n n
1.A nurse working in radiology administers iodine to a patient who is having a
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computerized axial tomography (CAT) scan. A nurse working on an oncology unit
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administers chemotherapy to patients who have cancer. At the Public Health
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Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
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month-old child as a routine immunization. Which branch of pharmacology best
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describes the actions of all three nurses?
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A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved
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with clinical pharmacology or pharmacotherapeutics, which is a branch of
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pharmacology that deals with the uses of drugs to treat, prevent, and diagnose
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disease. The nurse working in radiology is administering a drug to help diagnose a
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disease. The nurse working on an oncology unit is administering a drug to help treat a
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disease. Pharmacoeconomics includes any costs involved in drug therapy.
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Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is n n n n n n n n n n
how the body acts on the drug.
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Cognitive Level: Comprehension n n
Difficulty: Easy
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Integrated Process: Nursing process n n n
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4
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hours as needed for pain for a motor vehicle accident victim. The nurse is aware that
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there is a high abuse potential for this drug; therefore, morphine is categorized as a:
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A) Schedule I drug n n
B) Schedule II drug n n
C) Schedule III drug n n
D) Schedule IV drug n n
Ans: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high
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abuse potential with severe dependence liability. Schedule I drugs have high abuse
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potential and no accepted medical use. Schedule III drugs have a lesser abuse
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potential than schedule II drugs and an accepted medical use. Schedule IV drugs have
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low abuse potential and limited dependence liability.
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Cognitive Level: Comprehension n n
nDifficulty: Easy n
Integrated Process: Communication and documentation
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3.A nurse working for a drug company is involved in phase III drug evaluation studies.
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nWhich of the following might the nurse be responsible for during this stage of drug
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ndevelopment?
, Chapter 1: Introduction to Drugs n n n n
A) Working with animals who are given experimental drugs n n n n n n n
B) Monitoring drug effects in patients who are selected to participate in a study, n n n n n n n n n n n n
who have the disease that the drug is meant to treat
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C) Collecting records of symptoms that participants experience while taking a n n n n n n n n n
drug and determining whether they are caused by the disease or the drug
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D) Informing healthy, young volunteer participants of possible risks that could n n n n n n n n n
occur from taking an experimental drug
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Ans: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are
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asked to record any symptoms they experience while taking the drugs. Nurses may be
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responsible for helping collect and analyze the information to be shared with the
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nFood and Drug Administration (FDA). Use of animals in drug testing is done in the
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preclinical trials. A select group of patients who are involved in phase II studies
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participate in studies where the participants have the disease the drug is intended to
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treat. These patients are monitored closely for drug effects. Phase I studies involve
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healthy human volunteers who are usually paid for their participation. Nurses may
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observe for adverse effects and toxicity.
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Cognitive Level: Comprehension n n
nDifficulty: Moderate n
Integrated Process: Nursing Process n n n
4. Which of the following concepts is considered when generic drugs are substituted for
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nbrand-name drugs? n
A) Bioavailability
B) Critical concentration n
C) Distribution
D) Half-life
Ans: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation
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nand is available to act on body cells. Binders used in a generic drug may not be the
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nsame as those used in the brand-name drug. Therefore, the way the body breaks down
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nand uses the drug may differ, which may eliminate a substitution. Critical
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nconcentration is the amount of a drug that is needed to cause a therapeutic effect.
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Distribution is the phase of pharmacokinetics that involves the movement of a drug to
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nthe body's tissues. A drug's half-life is the time it takes for the amount of drug to
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ndecrease to one-half of the peak level.n n n n n n
Cognitive Level: Analysis n n
n Difficulty: Difficult n
Integrated Process: Teaching/learning n n
5. A nurse is teaching her patient about the use of over-the-counter (OTC) drugs. Which
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n of the following statements best informs the patient about their safe use?
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A) ―OTC drugs are products that are available without prescription for self-
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treatment of minor complaints.‖
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B) ―OTC drugs are considered medications and should be reported on a drug
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history.‖ n