Test Bank for Understanding Pharmacology Essentials for Medication Safety, 3rd Edition

Testbank
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, TestBankForUnderstandingPharmacology,Essentialsfor
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Medication Safety, 3rd Edition,Workman & LaCharity
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Chapter01:Drug Regulation,Actions,andResponses
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MULTIPLECHOICE BASIC s s




CONCEPTS
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1. Whichhealthcareprofessionalhasthemajorresponsibilityfordispensingprescribed s s s s s s s s s s




drugs under the direction of a pharmacist?
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a. Physician
b Nursepractitioner s




.
c. Licensednurse s




d Pharmacytechnician s




.


ANS: D s




The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering drugs, although
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undersomecircumstancesalicensednursemaydispenseprescribeddrugsbutthisis not his or her major
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responsibility in drug therapy. The pharmacy technician has the major responsibility of dispensing
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prescribed drugs under the direction of a licensed pharmacist.
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DIF: CognitiveLevel:Remembering s s REF: p. 3 s




2. Whichterm describes the effect of adrugthat improves bodyfunction? s s s s s s s s s s s




a. Sideeffect s




b Intendedaction s




.
c. Adversereaction s




d Idiosyncraticresponse s




.


ANS: B s




Thepurposeofdrugtherapyistotakeadrugtoprevent, reduce,orcorrect ahealth problem. This
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response is any drug’s intended action also known as a therapeutic response.
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DIF: CognitiveLevel:Remembering s s REF: p. 3 s




3. Whichtypeofdrugname is “owned”bythe companythat manufactures it? s s s s s s s s s s s s




a. Genericname s




b Chemicalname s

, .
c. Categoryname s




d Tradename s




.


ANS: D s




The chemical name is a drug’s exact chemical composition. The generic name is the name assigned to
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the drug by the U.S. Adopted Names Council and is not owned by anyone. The categorynamerefersto
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thetypeofdrug(whatit doesorwhat it isusedfor)andisnot anactual drugname. Thetrade name (brand
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name) is thename provided and owned bya specificdrug’s manufacturer.
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DIF: CognitiveLevel:Remembering s s REF: p. 4 s




4. Whichdrugordrugclass is a“high alert” drug? s s s s s s s s s




a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


ANS: B s




A high alert drugis onein which harm is likelyto result if given at the wrongdose, to thewrong patient,ornot
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giventothecorrectpatient.Drugsclassifiedashighalertdrugsincludepotassium, narcotics (opioids),
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insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly affects blood clotting).
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Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: CognitiveLevel:Remembering s s REF: p. 4 s




5. Whatistheterm foradrugthathasthesameaction asanaturallyoccurringbody s s s s s s s s s s s s s s s s




hormone or enzyme?
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a. Agonist
b Blockingagent s




.
c. Chemical
d Duplicator
.


ANS: A s




Adrugagonist is anextrinsicdrugthat activatesthereceptorsitesofacell and mimicsthe actions of
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naturallyoccurring bodysubstances (intrinsicdrugs).Ablocking agent is adrug
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, antagonist.Achemicalwouldnotnecessarilybeadrugatall.Aduplicatorisnotapharmacologic term.
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DIF: CognitiveLevel:Remembering s s REF: pp.6-7 s




6. Whichterm describes howthebodyaffects drug activity? s s s s s s s s




a. Drugpotency s




b Pharmacodynamics
.
c. Therapeutic effect s




d Pharmacokinetics
.


ANS: D s




The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers tohowadrugworkstochangebodyfunction.Drugpotencyrefersto how
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strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: CognitiveLevel:Remembering s s REF: p. 10 s




7. IntheUnitedStates,whichgroupisresponsibleforenforcingestablishedstandardsfor drug
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manufacturing?
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a. U.S.Pharmacopeia s




b NationalInstitutesofHealth s s s




.
c. Foodand DrugAdministration s s s




d AssociationofPharmaceuticalManufacturers s s s




.


ANS: C s




The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards are
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enforced by the Food and Drug Administration. Neither the National Institutes of Health nor the
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Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: s s Cognitive Level: Remembering s s s s s REF: p. 5 s s s




8. Whichfactor is amajor disadvantageofthetransdermal drugdeliveryroute? s s s s s s s s s s s




a. Onlyaprescriber can administer drugsbythe transdermal route.
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b Transdermaldrugsmust besterileratherthan clean. s s s s s s s




.
c. First pass drugloss bythis routeis themost extensive.
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d Drugabsorption isdependent onadequate circulation.
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