ASSESSED PHARMACOLOGY
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely
on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions.
Clinical pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy measures
the extent to which a given drug causes an intended effect. Pharmacokinetics is the study of the impact
of the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but
those properties are independent of ease of administration.
,A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
effective. Which statement by the patient demonstrates an understanding of the drug's effectiveness?
a. "I don't have to worry about toxicity, since it takes a large amount of this drug to cause an overdose."
b. "It has no side effects and doesn't interact with other drugs."
c. "I only have to take it every 12 hours."
d. "It might make me sleepy, and it lessens pain for several hours at a time." - CORRECT ANSWER -ANS:
D
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no
drug is completely safe, the level of toxicity does not determine effectiveness. All drugs have side effects
and many react with other substances; these do not affect the drug's effectiveness. Ease of
administration is independent of a drug's effectiveness.
What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name - CORRECT ANSWER -ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties include a
reversible action so that any harm the drug may cause can be undone and a simple generic name,
because generic names are usually complex and difficult to remember and pronounce.
Before administering a medication, what does the nurse need to know to evaluate how individual
patient variability might affect the patient's response to the medication? (Select all that apply.)
,a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient's age
e. Patient's diagnosis - CORRECT ANSWER -ANS: C, D, E
The zfamily zmedical zhistory zcan zindicate zgenetic zfactors zthat zmay zaffect za zpatient's zresponse zto
za zmedication. zPatients zof zdifferent zages zcan zrespond zdifferently zto zmedications. zThe zpatient's
zillness zcanzaffect zhow zdrugs zare zmetabolized. zThe zchemical zstability zof zthe zmedication zand zthe
zease zof zadministration zare zproperties zof zdrugs.
A zpatient zis zusing za zmetered-dose zinhaler zcontaining zalbuterol zfor zasthma. zThe zmedication zlabel
zinstructszthe zpatient zto zadminister z"2 zpuffs zevery z4 zhours zas zneeded zfor zcoughing zor zwheezing."
zThe zpatient zreports zfeeling zjittery zsometimes zwhen ztaking zthe zmedication, zand zshe zdoesn't zfeel
zthat zthe zmedication zis zalways zeffective. zWhich zis znot zan zappropriate znursing zintervention zfor zthis
zpatient?
a. Asking zthe zpatient zto zdemonstrate zuse zof zthe zinhaler
b. Assessing zthe zpatient's zexposure zto ztobacco zsmoke
c. Auscultating zlung zsounds zand zobtaining zvital zsigns
d. Suggesting zthat zthe zpatient zuse zone zpuff zto zreduce zside zeffects z- zCORRECT z ANSWER z-ANS: zD
It zis znot zwithin zthe znurse's zscope zof zpractice zto zchange zthe zdose zof za zmedication zwithout zan
zorder zfrom za zprescriber. zAsking zthe zpatient zto zdemonstrate zinhaler zuse zhelps zthe znurse zto
zevaluate zthe zpatient's zability zto zadminister zthe zmedication zproperly zand zis zpart zof zthe znurse's
zevaluation. zAssessing ztobacco zsmoke zexposure zhelps zthe znurse zdetermine zwhether znondrug
ztherapies, zsuch za zsmoke zavoidance, zcan zbezused zas zan zadjunct zto zdrug ztherapy. zPerforming za
zphysical zassessment zhelps zthe znurse zevaluate zthe zpatient's zresponse zto zthe zmedication.
, A zpostoperative zpatient zis zbeing zdischarged zhome zwith zacetaminophen/hydrocodone z(Lortab) zfor
zpain.zThe zpatient zasks zthe znurse zabout zusing zTylenol zfor zfever. zWhich zstatement zby zthe znurse
zis zcorrect?
a. "It zis znot zsafe zto ztake zover-the-counter zdrugs zwith zprescription zmedications."
b. "Taking zthe ztwo zmedications ztogether zposes za zrisk zof zdrug ztoxicity."
c. "There zare zno zknown zdrug zinteractions, zso zthis zwill zbe zsafe."
d. "Tylenol zand zLortab zare zdifferent zdrugs, zso zthere zis zno zrisk zof zoverdose." z- zCORRECT zANSWER z-
ANS: zB
Tylenol zis zthe ztrade zname zand zacetaminophen zis zthe zgeneric zname zfor zthe zsame zmedication. zIt
zis zimportant zto zteach zpatients zto zbe zaware zof zthe zdifferent znames zfor zthe zsame zdrug zto
zminimize zthe zrisk zofzoverdose. zOver-the-counter z(OTC) zmedications zand zprescription zmedications
zmay zbe ztaken ztogether zunless zsignificant zharmful zdrug zinteractions zare zpossible. zEven zthough zno
zdrug zinteractions zare zat zplay zin zthis zcase, zboth zdrugs zcontain zacetaminophen, zwhich zcould zlead
zto ztoxicity.
The znurse zis zpreparing zto zcare zfor za zpatient zwho zwill zbe ztaking zan zantihypertensive
zmedication. zWhichzaction zby zthe znurse zis zpart zof zthe zassessment zstep zof zthe znursing zprocess?
a. Asking zthe zprescriber zfor zan zorder zto zmonitor zserum zdrug zlevels
b. Monitoring zthe zpatient zfor zdrug zinteractions zafter zgiving zthe zmedication
c. Questioning zthe zpatient zabout zover-the-counter zmedications
d. Taking zthe zpatient's zblood zpressure zthroughout zthe zcourse zof ztreatment z- zCORRECT z ANSWER z-
ANS: zC
The zassessment zpart zof zthe znursing zprocess zinvolves zgathering zinformation zbefore zbeginning
ztreatment,zand zthis zincludes zasking zabout zother zmedications zthe zpatient zmay zbe ztaking.
zMonitoring zserum zdrug zlevels, zwatching zfor zdrug zinteractions, zand zchecking zvital zsigns zafter
zgiving zthe zmedication zare zall zpart zofzthe zevaluation zphase.
A zpostoperative zpatient zreports zpain, zwhich zthe zpatient zrates zas zan z8 zon za zscale zfrom z1 zto z10
z(10 zbeing zthe zmost zextreme zpain). zThe zprescriber zhas zordered zacetaminophen z(Tylenol) z650 zmg
zPO zevery z6 zhourszPRN zpain. zWhat zwill zthe znurse zdo?
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely
on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions.
Clinical pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy measures
the extent to which a given drug causes an intended effect. Pharmacokinetics is the study of the impact
of the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but
those properties are independent of ease of administration.
,A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
effective. Which statement by the patient demonstrates an understanding of the drug's effectiveness?
a. "I don't have to worry about toxicity, since it takes a large amount of this drug to cause an overdose."
b. "It has no side effects and doesn't interact with other drugs."
c. "I only have to take it every 12 hours."
d. "It might make me sleepy, and it lessens pain for several hours at a time." - CORRECT ANSWER -ANS:
D
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no
drug is completely safe, the level of toxicity does not determine effectiveness. All drugs have side effects
and many react with other substances; these do not affect the drug's effectiveness. Ease of
administration is independent of a drug's effectiveness.
What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name - CORRECT ANSWER -ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties include a
reversible action so that any harm the drug may cause can be undone and a simple generic name,
because generic names are usually complex and difficult to remember and pronounce.
Before administering a medication, what does the nurse need to know to evaluate how individual
patient variability might affect the patient's response to the medication? (Select all that apply.)
,a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient's age
e. Patient's diagnosis - CORRECT ANSWER -ANS: C, D, E
The zfamily zmedical zhistory zcan zindicate zgenetic zfactors zthat zmay zaffect za zpatient's zresponse zto
za zmedication. zPatients zof zdifferent zages zcan zrespond zdifferently zto zmedications. zThe zpatient's
zillness zcanzaffect zhow zdrugs zare zmetabolized. zThe zchemical zstability zof zthe zmedication zand zthe
zease zof zadministration zare zproperties zof zdrugs.
A zpatient zis zusing za zmetered-dose zinhaler zcontaining zalbuterol zfor zasthma. zThe zmedication zlabel
zinstructszthe zpatient zto zadminister z"2 zpuffs zevery z4 zhours zas zneeded zfor zcoughing zor zwheezing."
zThe zpatient zreports zfeeling zjittery zsometimes zwhen ztaking zthe zmedication, zand zshe zdoesn't zfeel
zthat zthe zmedication zis zalways zeffective. zWhich zis znot zan zappropriate znursing zintervention zfor zthis
zpatient?
a. Asking zthe zpatient zto zdemonstrate zuse zof zthe zinhaler
b. Assessing zthe zpatient's zexposure zto ztobacco zsmoke
c. Auscultating zlung zsounds zand zobtaining zvital zsigns
d. Suggesting zthat zthe zpatient zuse zone zpuff zto zreduce zside zeffects z- zCORRECT z ANSWER z-ANS: zD
It zis znot zwithin zthe znurse's zscope zof zpractice zto zchange zthe zdose zof za zmedication zwithout zan
zorder zfrom za zprescriber. zAsking zthe zpatient zto zdemonstrate zinhaler zuse zhelps zthe znurse zto
zevaluate zthe zpatient's zability zto zadminister zthe zmedication zproperly zand zis zpart zof zthe znurse's
zevaluation. zAssessing ztobacco zsmoke zexposure zhelps zthe znurse zdetermine zwhether znondrug
ztherapies, zsuch za zsmoke zavoidance, zcan zbezused zas zan zadjunct zto zdrug ztherapy. zPerforming za
zphysical zassessment zhelps zthe znurse zevaluate zthe zpatient's zresponse zto zthe zmedication.
, A zpostoperative zpatient zis zbeing zdischarged zhome zwith zacetaminophen/hydrocodone z(Lortab) zfor
zpain.zThe zpatient zasks zthe znurse zabout zusing zTylenol zfor zfever. zWhich zstatement zby zthe znurse
zis zcorrect?
a. "It zis znot zsafe zto ztake zover-the-counter zdrugs zwith zprescription zmedications."
b. "Taking zthe ztwo zmedications ztogether zposes za zrisk zof zdrug ztoxicity."
c. "There zare zno zknown zdrug zinteractions, zso zthis zwill zbe zsafe."
d. "Tylenol zand zLortab zare zdifferent zdrugs, zso zthere zis zno zrisk zof zoverdose." z- zCORRECT zANSWER z-
ANS: zB
Tylenol zis zthe ztrade zname zand zacetaminophen zis zthe zgeneric zname zfor zthe zsame zmedication. zIt
zis zimportant zto zteach zpatients zto zbe zaware zof zthe zdifferent znames zfor zthe zsame zdrug zto
zminimize zthe zrisk zofzoverdose. zOver-the-counter z(OTC) zmedications zand zprescription zmedications
zmay zbe ztaken ztogether zunless zsignificant zharmful zdrug zinteractions zare zpossible. zEven zthough zno
zdrug zinteractions zare zat zplay zin zthis zcase, zboth zdrugs zcontain zacetaminophen, zwhich zcould zlead
zto ztoxicity.
The znurse zis zpreparing zto zcare zfor za zpatient zwho zwill zbe ztaking zan zantihypertensive
zmedication. zWhichzaction zby zthe znurse zis zpart zof zthe zassessment zstep zof zthe znursing zprocess?
a. Asking zthe zprescriber zfor zan zorder zto zmonitor zserum zdrug zlevels
b. Monitoring zthe zpatient zfor zdrug zinteractions zafter zgiving zthe zmedication
c. Questioning zthe zpatient zabout zover-the-counter zmedications
d. Taking zthe zpatient's zblood zpressure zthroughout zthe zcourse zof ztreatment z- zCORRECT z ANSWER z-
ANS: zC
The zassessment zpart zof zthe znursing zprocess zinvolves zgathering zinformation zbefore zbeginning
ztreatment,zand zthis zincludes zasking zabout zother zmedications zthe zpatient zmay zbe ztaking.
zMonitoring zserum zdrug zlevels, zwatching zfor zdrug zinteractions, zand zchecking zvital zsigns zafter
zgiving zthe zmedication zare zall zpart zofzthe zevaluation zphase.
A zpostoperative zpatient zreports zpain, zwhich zthe zpatient zrates zas zan z8 zon za zscale zfrom z1 zto z10
z(10 zbeing zthe zmost zextreme zpain). zThe zprescriber zhas zordered zacetaminophen z(Tylenol) z650 zmg
zPO zevery z6 zhourszPRN zpain. zWhat zwill zthe znurse zdo?
