Adams4e Tif Ch01

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 1
Question 1 Type: MCMA The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key events in the history of pharmacology? Note: Credit will e given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. "nitial drugs included morphine# cocaine# and penicillin. 2. $arly researchers used themselves as test su %ects. 3. The initial intention of pharmacology was to relieve human suffering. 4. Modern pharmacology egan in the early &'((s. 5. )harmacologists synthesi*ed drugs in the la oratory in the twentieth century. Corre t Ans!er: +#,#"ationa#e 1: The early roots of pharmacology included the application of products to relieve human suffering# and early researchers used themselves as test su %ects. "nitial drugs included morphine# colchicines# curare# and cocaine# ut not penicillin. Modern pharmacology egan in the early &.((s# not the &'((s. /y the twentieth century# pharmacologists could synthesi*e drugs in the la oratory. "ationa#e 2: The early roots of pharmacology included the application of products to relieve human suffering# and early researchers used themselves as test su %ects. "nitial drugs included morphine# colchicines# curare# and cocaine# ut not penicillin. Modern pharmacology egan in the early &.((s# not the &'((s. /y the twentieth century# pharmacologists could synthesi*e drugs in the la oratory. "ationa#e 3: The early roots of pharmacology included the application of products to relieve human suffering# and early researchers used themselves as test su %ects. "nitial drugs included morphine# colchicines# curare# and cocaine# ut not penicillin. Modern pharmacology egan in the early &.((s# not the &'((s. /y the twentieth century# pharmacologists could synthesi*e drugs in the la oratory. "ationa#e 4: The early roots of pharmacology included the application of products to relieve human suffering# and early researchers used themselves as test su %ects. "nitial drugs included morphine# colchicines# curare# and cocaine# ut not penicillin. Modern pharmacology egan in the early &.((s# not the &'((s. /y the twentieth century# pharmacologists could synthesi*e drugs in the la oratory. "ationa#e 5: The early roots of pharmacology included the application of products to relieve human suffering# and early researchers used themselves as test su %ects. "nitial drugs included morphine# colchicines# curare# and
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 01$ Copyright +(&0 y )earson $ducation# "nc.
cocaine# ut not penicillin. Modern pharmacology egan in the early &.((s# not the &'((s. /y the twentieth century# pharmacologists could synthesi*e drugs in the la oratory. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2& Question 2 Type: MC!A The student nurse asks the nursing instructor why he needs to take anatomy and physiology# as well as micro iology# when he only wants to learn a out pharmacology. What is the est response y the instructor? 1. 3/ecause pharmacology is an outgrowth of those su %ects.3 2. 34ou must learn all# since those su %ects# as well as pharmacology# are part of the curriculum.3 3. 35nowledge of all those su %ects will prepare you to provide the est patient care# including the administration of medications.3 4. 3/ecause an understanding of those su %ects is essential to understanding pharmacology.3 Corre t Ans!er: 0 "ationa#e 1: "t is essential for the nurse to have a road knowledge ase of many sciences in order to learn pharmacology. The nurse must learn anatomy# physiology# and micro iology to understand pharmacology# not ecause they are part of the curriculum. )harmacology is an outgrowth of anatomy# physiology# and micro iology# ut this is not the reason for the nurse to learn them. 5nowledge of anatomy# physiology# and micro iology prepares the nurse to understand pharmacology# not to provide care such as administration of medications. "ationa#e 2: "t is essential for the nurse to have a road knowledge ase of many sciences in order to learn pharmacology. The nurse must learn anatomy# physiology# and micro iology to understand pharmacology# not ecause they are part of the curriculum. )harmacology is an outgrowth of anatomy# physiology# and micro iology# ut this is not the reason for the nurse to learn them. 5nowledge of anatomy# physiology# and micro iology prepares the nurse to understand pharmacology# not to provide care such as administration of medications. "ationa#e 3: "t is essential for the nurse to have a road knowledge ase of many sciences in order to learn pharmacology. The nurse must learn anatomy# physiology# and micro iology to understand pharmacology# not ecause they are part of the curriculum. )harmacology is an outgrowth of anatomy# physiology# and micro iology# ut this is not the reason for the nurse to learn them. 5nowledge of anatomy# physiology# and micro iology prepares the nurse to understand pharmacology# not to provide care such as administration of medications.
"ationa#e 4: "t is essential for the nurse to have a road knowledge ase of many sciences in order to learn pharmacology. The nurse must learn anatomy# physiology# and micro iology to understand pharmacology# not ecause they are part of the curriculum. )harmacology is an outgrowth of anatomy# physiology# and micro iology# ut this is not the reason for the nurse to learn them. 5nowledge of anatomy# physiology# and micro iology prepares the nurse to understand pharmacology# not to provide care such as administration of medications. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2+ Question 3 Type: MCMA The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make which comments? Note: Credit will e given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. 3)harmacology is the use of drugs to relieve suffering.3 2. 3)harmacology is the study of medicines.3 3. 3Therapeutics is the study of the therapeutic use of drugs.3 4. 3Therapeutics is the study of drug interactions.3 5. 3)harmacology is the study of drugs to prevent disease.3 Corre t Ans!er: &#+ "ationa#e 1: )harmacology is the study of medicines and the use of drugs to relieve suffering. Therapeutics is the study of disease prevention and treatment of suffering. )harmacotherapy is the application of drugs for the purpose of disease prevention. "ationa#e 2: )harmacology is the study of medicines and the use of drugs to relieve suffering. Therapeutics is the study of disease prevention and treatment of suffering. )harmacotherapy is the application of drugs for the purpose of disease prevention.
"ationa#e 3: )harmacology is the study of medicines and the use of drugs to relieve suffering. Therapeutics is the study of disease prevention and treatment of suffering. )harmacotherapy is the application of drugs for the purpose of disease prevention. "ationa#e 4: )harmacology is the study of medicines and the use of drugs to relieve suffering. Therapeutics is the study of disease prevention and treatment of suffering. )harmacotherapy is the application of drugs for the purpose of disease prevention. "ationa#e 5: )harmacology is the study of medicines and the use of drugs to relieve suffering. Therapeutics is the study of disease prevention and treatment of suffering. )harmacotherapy is the application of drugs for the purpose of disease prevention. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: $valuation (earnin& +ut ome: &2, Question 4 Type: MC!A The nurse administers a vaccine to a child. What is the est understanding of the nurse as it relates to the manufacture of this vaccine? 1. The vaccine is produced y natural plant e6tracts in the la oratory. 2. The vaccine is naturally produced in animal cells or microorganisms. 3. The vaccine is produced y a com ination of animal and plant products. 4. The vaccine is most commonly synthesi*ed in a la oratory. Corre t Ans!er: + "ationa#e 1: 7accines are naturally produced in animal cells# microorganisms# or y the ody itself. 7accines are not synthesi*ed in a la oratory. 7accines are not produced y natural plant e6tracts. 7accines are not produced y a com ination of animal and plant products. "ationa#e 2: 7accines are naturally produced in animal cells# microorganisms# or y the ody itself. 7accines are not synthesi*ed in a la oratory. 7accines are not produced y natural plant e6tracts. 7accines are not produced y a com ination of animal and plant products. "ationa#e 3: 7accines are naturally produced in animal cells# microorganisms# or y the ody itself. 7accines are not synthesi*ed in a la oratory. 7accines are not produced y natural plant e6tracts. 7accines are not produced y a com ination of animal and plant products.
"ationa#e 4: 7accines are naturally produced in animal cells# microorganisms# or y the ody itself. 7accines are not synthesi*ed in a la oratory. 7accines are not produced y natural plant e6tracts. 7accines are not produced y a com ination of animal and plant products. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: $valuation (earnin& +ut ome: &20 Question 5 Type: MC!A The elderly client has gastrointestinal leeding. The client says to the nurse 3" don8t understand this. All " did was take i uprofen 9Advil: for my arthritis.3 Which plan would e est as it relates to the nurse8s education of this client? 1. A plan to teach the client to use drugs that ypass the gastrointestinal system# like topical drugs 2. A plan to teach the client to su stitute safer drugs like acetaminophen 9Tylenol: 3. A plan to teach the client to o tain physician approval prior to the use of over2the2counter 9;TC: medications 4. A plan to teach the advantages and disadvantages of i uprofen 9Advil: Corre t Ans!er: 0 "ationa#e 1: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. "ationa#e 2: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. "ationa#e 3: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication.
"ationa#e 4: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: )lanning (earnin& +ut ome: &2Question , Type: MC!A The elderly client has gastrointestinal leeding. The client says to the nurse 3" don8t understand this. All " did was take i uprofen 9Advil: for my arthritis.3 Which plan would e est as it relates to the nurse8s education of this client? 1. A plan to teach the client to use drugs that ypass the gastrointestinal system# like topical drugs. 2. A plan to teach the client to su stitute safer drugs like acetaminophen 9Tylenol:. 3. A plan to teach the client to o tain physician approval prior to the use of over2the2counter 9;TC: medications. 4. A plan to teach the advantages and disadvantages of i uprofen 9Advil:. Corre t Ans!er: 0 "ationa#e 1: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. "ationa#e 2: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. "ationa#e 3: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs
may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. "ationa#e 4: !ince elderly clients account for the use of a out 0(< of all over2the2counter 9;TC: medications# it is essential for the nurse to teach clients a out the advantages# and the disadvantages# of these medications. !u stitution of other drugs may e eneficial# ut this cannot e done in all situations. The use of topical drugs may e an option# ut the drug a client needs may not e availa le in this form. "t is not a realistic plan to e6pect clients to contact their physician prior to taking any over2the2counter 9;TC: medication. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: )lanning (earnin& +ut ome: &2Question Type: MC!A The pharmaceutical representative comes to the physician8s office and says his company8s pharmaceutical la oratory is marketing a drug that does not need approval y the =ood and >rug Administration 9=>A:. What is the est response y the nurse? 1. 3Any pharmaceutical la oratory in America must have approval from the =ood and >rug Administration 9=>A: efore marketing a drug.3 2. 3"s this an over2the2counter 9;TC: drug? They do not need approval y the =ood and >rug Administration 9=>A:.3 3. 3"s your pharmaceutical la oratory private? ;nly pu lic pharmaceutical la oratories need approval from the =ood and >rug Administration 9=>A:.3 4. 34our pharmaceutical la oratory must e involved in academic research ecause they are e6empt from approval y the =ood and >rug Administration 9=>A:.3 Corre t Ans!er: & "ationa#e 1: Any pharmaceutical la oratory# whether private# pu lic# or academic# must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )rivate pharmaceutical la oratories must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories involved in academic research must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories that manufacture over2the2counter 9;TC: drugs must o tain approval from the =ood and >rug Administration 9=>A: efore marketing these drugs. "ationa#e 2: Any pharmaceutical la oratory# whether private# pu lic# or academic# must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )rivate pharmaceutical la oratories must o tain
approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories involved in academic research must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories that manufacture over2the2counter 9;TC: drugs must o tain approval from the =ood and >rug Administration 9=>A: efore marketing these drugs. "ationa#e 3: Any pharmaceutical la oratory# whether private# pu lic# or academic# must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )rivate pharmaceutical la oratories must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories involved in academic research must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories that manufacture over2the2counter 9;TC: drugs must o tain approval from the =ood and >rug Administration 9=>A: efore marketing these drugs. "ationa#e 4: Any pharmaceutical la oratory# whether private# pu lic# or academic# must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )rivate pharmaceutical la oratories must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories involved in academic research must o tain approval from the =ood and >rug Administration 9=>A: efore marketing a drug. )harmaceutical la oratories that manufacture over2the2counter 9;TC: drugs must o tain approval from the =ood and >rug Administration 9=>A: efore marketing these drugs. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2? Question . Type: MC!A The nurse is employed y the =ood and >rug Administration 9=>A:# and is involved in clinical investigation. What is the primary role of the nurse in this phase of the review and approval process y the =>A? 1. To perform tests on the population2at2large 2. To perform tests on various species of animals 3. To perform tests on human cells cultured in the la oratory 4. To perform tests on human clients Corre t Ans!er: 0 "ationa#e 1: Clinical investigation includes performing tests on healthy volunteers# and later# on selected clients with a particular disease. )erforming tests on human cells cultured in the la oratory is the preclinical investigation stage. )erforming tests on the population2at2large is the stage of post2marketing surveillance. )erforming tests on various species of animals is the preclinical investigation stage.
"ationa#e 2: Clinical investigation includes performing tests on healthy volunteers# and later# on selected clients with a particular disease. )erforming tests on human cells cultured in the la oratory is the preclinical investigation stage. )erforming tests on the population2at2large is the stage of post2marketing surveillance. )erforming tests on various species of animals is the preclinical investigation stage. "ationa#e 3: Clinical investigation includes performing tests on healthy volunteers# and later# on selected clients with a particular disease. )erforming tests on human cells cultured in the la oratory is the preclinical investigation stage. )erforming tests on the population2at2large is the stage of post2marketing surveillance. )erforming tests on various species of animals is the preclinical investigation stage. "ationa#e 4: Clinical investigation includes performing tests on healthy volunteers# and later# on selected clients with a particular disease. )erforming tests on human cells cultured in the la oratory is the preclinical investigation stage. )erforming tests on the population2at2large is the stage of post2marketing surveillance. )erforming tests on various species of animals is the preclinical investigation stage. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2. Question / Type: MC!A The student nurse is taking a pharmacology course and studying a out the =ood and >rug Administration 9=>A:. What has the student learned a out how the =>A has decreased the amount of time involved in ringing a new drug to the market? 1. The =ood and >rug Administration 9=>A: is not as strict as it once was with regard to drug approval. 2. !ince consumers have demanded more drugs# the =ood and >rug Administration 9=>A: has streamlined the review1approval process. 3. >rug manufacturers are re@uired to pay yearly user fees# which allow the =ood and >rug Administration 9=>A: to hire more employees to increase its efficiency. 4. >rug manufacturers are re@uired y the =ood and >rug Administration 9=>A: to test more drugs on an annual asis. Corre t Ans!er: , "ationa#e 1: "n &AA+# the )rescription >rug Bser =ee Act was passed. This re@uired drug manufacturers to provide yearly product user fees so the =ood and >rug Administration 9=>A: could restructure# hire more employees# and operate more efficiently. The =ood and >rug Administration 9=>A: is %ust as strict now as it always was with regard to drug approval. The =ood and >rug Administration 9=>A: has not streamlined the
review1approval process. The =ood and >rug Administration 9=>A: does not re@uire drug manufacturers to test more drugs on an annual asis. "ationa#e 2: "n &AA+# the )rescription >rug Bser =ee Act was passed. This re@uired drug manufacturers to provide yearly product user fees so the =ood and >rug Administration 9=>A: could restructure# hire more employees# and operate more efficiently. The =ood and >rug Administration 9=>A: is %ust as strict now as it always was with regard to drug approval. The =ood and >rug Administration 9=>A: has not streamlined the review1approval process. The =ood and >rug Administration 9=>A: does not re@uire drug manufacturers to test more drugs on an annual asis. "ationa#e 3: "n &AA+# the )rescription >rug Bser =ee Act was passed. This re@uired drug manufacturers to provide yearly product user fees so the =ood and >rug Administration 9=>A: could restructure# hire more employees# and operate more efficiently. The =ood and >rug Administration 9=>A: is %ust as strict now as it always was with regard to drug approval. The =ood and >rug Administration 9=>A: has not streamlined the review1approval process. The =ood and >rug Administration 9=>A: does not re@uire drug manufacturers to test more drugs on an annual asis. "ationa#e 4: "n &AA+# the )rescription >rug Bser =ee Act was passed. This re@uired drug manufacturers to provide yearly product user fees so the =ood and >rug Administration 9=>A: could restructure# hire more employees# and operate more efficiently. The =ood and >rug Administration 9=>A: is %ust as strict now as it always was with regard to drug approval. The =ood and >rug Administration 9=>A: has not streamlined the review1approval process. The =ood and >rug Administration 9=>A: does not re@uire drug manufacturers to test more drugs on an annual asis. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: !afe $ffective Care $nvironment C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: $valuation (earnin& +ut ome: &2A Question 10 Type: MC!A The student nurse has completed an initial pharmacology course and tells the nursing instructor that it was difficult and she is glad it is over. What is the est response y the nursing instructor? 1. 3"t may e over# ut now you must apply what you have learned to patient care.3 2. 3Cearning is gradual and continuousD we never completely master all areas of pharmacology.3 3. 3Cearning is always painful# ut we must continue anyway.3 4. 3"t really isn8t overD you should take a graduate course ne6t.3 Corre t Ans!er: +
"ationa#e 1: Cearning pharmacology is a gradual# continuous process that does not end with graduation. Never does one completely master every facet of drug action and application. There is no reason for the student nurse to take a graduate level pharmacology course at this time. "t is true that the student must apply what has een learned to patient care# ut this response implies that learning is over. Cearning is not always painful. "ationa#e 2: Cearning pharmacology is a gradual# continuous process that does not end with graduation. Never does one completely master every facet of drug action and application. There is no reason for the student nurse to take a graduate level pharmacology course at this time. "t is true that the student must apply what has een learned to patient care# ut this response implies that learning is over. Cearning is not always painful. "ationa#e 3: Cearning pharmacology is a gradual# continuous process that does not end with graduation. Never does one completely master every facet of drug action and application. There is no reason for the student nurse to take a graduate level pharmacology course at this time. "t is true that the student must apply what has een learned to patient care# ut this response implies that learning is over. Cearning is not always painful. "ationa#e 4: Cearning pharmacology is a gradual# continuous process that does not end with graduation. Never does one completely master every facet of drug action and application. There is no reason for the student nurse to take a graduate level pharmacology course at this time. "t is true that the student must apply what has een learned to patient care# ut this response implies that learning is over. Cearning is not always painful. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2+ Question 11 Type: MC!A The client says to the nurse# 3My wife and " take the same drug# ut we have different side effects. Are we doing something wrong?3 What is the est response y the nurse? 1. 3No. >ifferences such as your se6 can result in different side effects.3 2. 3"8ll have to check. What is the name of the drug you were using?3 3. 3)ossi ly. This could happen if one uses generic or rand name drugs.3 4. 3"8m not sure. May e the drug is not the sameD you should check it.3 Corre t Ans!er: & "ationa#e 1: >rugs may elicit different responses depending on individual client factors such as age# se6# ody mass# health status# and genetics. Asking he client to check a medication is fine# ut this does not answer the client8s @uestion. There are differences etween some generic and rand name drugs# ut this is not the est
answer. The nurse should not have to check the drugD asic knowledge should include knowing that the se6 of clients can result in different side effects. "ationa#e 2: >rugs may elicit different responses depending on individual client factors such as age# se6# ody mass# health status# and genetics. Asking the client to check a medication is fine# ut this does not answer the client8s @uestion. There are differences etween some generic and rand name drugs# ut this is not the est answer. The nurse should not have to check the drugD asic knowledge should include knowing that the se6 of clients can result in different side effects. "ationa#e 3: >rugs may elicit different responses depending on individual client factors such as age# se6# ody mass# health status# and genetics. Asking the client to check a medication is fine# ut this does not answer the client8s @uestion. There are differences etween some generic and rand name drugs# ut this is not the est answer. The nurse should not have to check the drugD asic knowledge should include knowing that the se6 of clients can result in different side effects. "ationa#e 4: >rugs may elicit different responses depending on individual client factors such as age# se6# ody mass# health status# and genetics. Asking the client to check a medication is fine# ut this does not answer the client8s @uestion. There are differences etween some generic and rand name drugs# ut this is not the est answer. The nurse should not have to check the drugD asic knowledge should include knowing that the se6 of clients can result in different side effects. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &20 Question 12 Type: MC!A The client comes to the emergency department with a myocardial infarction. The client8s hus and tells the nurse that his wife has een taking calcium car onate 9Tums: for years for what she thought was indigestion. What is the est response y the nurse? 1. 34our wife should not have self2diagnosed herself. " hope she will e okay.3 2. 3Why did you let her do that? !he should have seen a doctor.3 3. 3Well# " am glad she is here# as it certainly wasn8t indigestion.3 4. 34our wife was self2diagnosing# which is generally not a good idea.3 Corre t Ans!er: 0
"ationa#e 1: Clients take over2the2counter 9;TC: drugs for many reasons. !elf2treatment is sometimes ineffective# and the potential for harm may increase if the disease is allowed to progress. Asking the hus and why he let his wife take Tums is non2therapeutic and too accusatoryD do not ask 3why3 @uestions. Telling the hus and that 3it certainly wasn8t indigestion3 is %udgmental and will alienate the client and hus and. Telling the hus and 3" hope she will e okay3 is a very frightening response that implies she might die# and this is non2therapeutic. "ationa#e 2: Clients take over2the2counter 9;TC: drugs for many reasons. !elf2treatment is sometimes ineffective# and the potential for harm may increase if the disease is allowed to progress. Asking the hus and why he let his wife take Tums is non2therapeutic and too accusatoryD do not ask 3why3 @uestions. Telling the hus and that 3it certainly wasn8t indigestion3 is %udgmental and will alienate the client and hus and. Telling the hus and 3" hope she will e okay3 is a very frightening response that implies she might die# and this is non2therapeutic. "ationa#e 3: Clients take over2the2counter 9;TC: drugs for many reasons. !elf2treatment is sometimes ineffective# and the potential for harm may increase if the disease is allowed to progress. Asking the hus and why he let his wife take Tums is non2therapeutic and too accusatoryD do not ask 3why3 @uestions. Telling the hus and that 3it certainly wasn8t indigestion3 is %udgmental and will alienate the client and hus and. Telling the hus and 3" hope she will e okay3 is a very frightening response that implies she might die# and this is non2therapeutic. "ationa#e 4: Clients take over2the2counter 9;TC: drugs for many reasons. !elf2treatment is sometimes ineffective# and the potential for harm may increase if the disease is allowed to progress. Asking the hus and why he let his wife take Tums is non2therapeutic and too accusatoryD do not ask 3why3 @uestions. Telling the hus and that 3it certainly wasn8t indigestion3 is %udgmental and will alienate the client and hus and. Telling the hus and 3" hope she will e okay3 is a very frightening response that implies she might die# and this is non2therapeutic. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2Question 13 Type: MC!A The nurse is teaching a class for clients a out over2the2counter 9;TC: medications. The nurse determines that education has een effective when the clients make which statement? 1. 3We should not take any over2the2counter 9;TC: medicine without first calling and checking with the doctor8s office.3 2. 3We should always ask the pharmacist a out how to take the over2the2counter 9;TC: medicine.3 3. 3We must read all the directions on the la el and call the doctor8s office if they are not clear.3 4. 3Medicines that are availa le over2the2counter 9;TC: are really safe# or they would e prescription medicines.3 Corre t Ans!er: ,
"ationa#e 1: "n most cases# clients may treat themselves safely if they carefully follow instructions included with the medication. "t is not realistic to e6pect clients to call the doctor8s office efore taking any over2the2counter 9;TC: medicine. Most ;TC medicines have a high margin of safety# ut none is considered completely safe. Asking the pharmacist is a good idea# ut does not replace reading the la el directions. Also# the pharmacist might not always e in the store when the medicine is purchased. "ationa#e 2: "n most cases# clients may treat themselves safely if they carefully follow instructions included with the medication. "t is not realistic to e6pect clients to call the doctor8s office efore taking any over2the2counter 9;TC: medicine. Most ;TC medicines have a high margin of safety# ut none is considered completely safe. Asking the pharmacist is a good idea# ut does not replace reading the la el directions. Also# the pharmacist might not always e in the store when the medicine is purchased. "ationa#e 3: "n most cases# clients may treat themselves safely if they carefully follow instructions included with the medication. "t is not realistic to e6pect clients to call the doctor8s office efore taking any over2the2counter 9;TC: medicine. Most ;TC medicines have a high margin of safety# ut none is considered completely safe. Asking the pharmacist is a good idea# ut does not replace reading the la el directions. Also# the pharmacist might not always e in the store when the medicine is purchased. "ationa#e 4: "n most cases# clients may treat themselves safely if they carefully follow instructions included with the medication. "t is not realistic to e6pect clients to call the doctor8s office efore taking any over2the2counter 9;TC: medicine. Most ;TC medicines have a high margin of safety# ut none is considered completely safe. Asking the pharmacist is a good idea# ut does not replace reading the la el directions. Also# the pharmacist might not always e in the store when the medicine is purchased. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: $valuation (earnin& +ut ome: &2Question 14 Type: MC!A The client has skin lesions that have not responded to prescription drugs. Ee tells the nurse he has heard a out some research going on with a new drug and @uestions why he can8t take it. What is the est response y the nurse? 1. 3" know it is frustrating# ut the =ood and >rug Administration 9=>A: approval process is in place to ensure that drugs are safe.3 2. 3The =ood and >rug Administration 9=>A: has very strict rules a out new drugsD it is important to e patient regarding the review1approval process.3 3. 34our skin lesions really aren8t that ad# ut may e the new drug will e availa le soon.3 4. 3May e you could contact the drug company a out ecoming involved in a clinical trial.3
Corre t Ans!er: & "ationa#e 1: Although the pu lic is an6ious to receive new drugs# the fundamental priority of the =ood and >rug Administration 9=>A: is to ensure that drugs are safe. Also# telling the client that the nurse knows he is frustrated is therapeutic ecause it communicates that the nurse recogni*es what he is feeling. The client could contact the drug company# ut this response fosters false hope as he may not e a via le candidate for this drug. Telling the client his skin lesions 3aren8t that ad3 is a non2therapeutic responseD the client8s perception is his reality. Telling the client to e patient is a condescending responseD the client wants relief from the skin condition. "ationa#e 2: Although the pu lic is an6ious to receive new drugs# the fundamental priority of the =ood and >rug Administration 9=>A: is to ensure that drugs are safe. Also# telling the client that the nurse knows he is frustrated is therapeutic ecause it communicates that the nurse recogni*es what he is feeling. The client could contact the drug company# ut this response fosters false hope as he may not e a via le candidate for this drug. Telling the client his skin lesions 3aren8t that ad3 is a non2therapeutic responseD the client8s perception is his reality. Telling the client to e patient is a condescending responseD the client wants relief from the skin condition. "ationa#e 3: Although the pu lic is an6ious to receive new drugs# the fundamental priority of the =ood and >rug Administration 9=>A: is to ensure that drugs are safe. Also# telling the client that the nurse knows he is frustrated is therapeutic ecause it communicates that the nurse recogni*es what he is feeling. The client could contact the drug company# ut this response fosters false hope as he may not e a via le candidate for this drug. Telling the client his skin lesions 3aren8t that ad3 is a non2therapeutic responseD the client8s perception is his reality. Telling the client to e patient is a condescending responseD the client wants relief from the skin condition. "ationa#e 4: Although the pu lic is an6ious to receive new drugs# the fundamental priority of the =ood and >rug Administration 9=>A: is to ensure that drugs are safe. Also# telling the client that the nurse knows he is frustrated is therapeutic ecause it communicates that the nurse recogni*es what he is feeling. The client could contact the drug company# ut this response fosters false hope as he may not e a via le candidate for this drug. Telling the client his skin lesions 3aren8t that ad3 is a non2therapeutic responseD the client8s perception is his reality. Telling the client to e patient is a condescending responseD the client wants relief from the skin condition. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2? Question 15 Type: MC!A What percentage of Americans takes at least one prescription drug per year? 1. -(< 2. &(< 3. 0(<
4. +-< Corre t Ans!er: & "ationa#e 1: A out half of Americans take prescription drugs while a out &?< takes at least three prescription drugs. "ationa#e 2: A out half of Americans take prescription drugs while a out &?< takes at least three prescription drugs. "ationa#e 3: A out half of Americans take prescription drugs while a out &?< takes at least three prescription drugs. "ationa#e 4: A out half of Americans take prescription drugs while a out &?< takes at least three prescription drugs. $#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: Eealth )romotion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &2& Question 1, Type: MC!A Modern pharmacology was introduced to the Bnited !tates y the opening of the first department of pharmacology at the Bniversity of Michigan in the year 1. &.(-. 2. &.A(. 3. &.0?. 4. &A(.. Corre t Ans!er: + "ationa#e 1: "ationa#e 2: "ationa#e 3: "ationa#e 4:
$#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: Eealth )romotion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &2& Question 1Type: MC!A The application of drugs for the purpose of disease prevention and treatment of suffering is known as 1. iologics. 2. pharmacotherapeutics. 3. alternative therapies. 4. therapeutics. Corre t Ans!er: + "ationa#e 1: )harmacotherapeutics is the application of drugs for the purpose of disease prevention and the treatment of suffering. "ationa#e 2: )harmacotherapeutics is the application of drugs for the purpose of disease prevention and the treatment of suffering. "ationa#e 3: )harmacotherapeutics is the application of drugs for the purpose of disease prevention and the treatment of suffering. "ationa#e 4: )harmacotherapeutics is the application of drugs for the purpose of disease prevention and the treatment of suffering. $#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: Eealth )romotion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &2, Question 1. Type: MC!A
A patient with chronic ack pain informs the nurse he has een receiving therapeutic touch in addition to his medications. This type of therapy is est classified as 1. pharmacotherapy. 2. drug2a sence therapy. 3. complementary therapy. 4. iologic therapy. Corre t Ans!er: , "ationa#e 1: The patient is using a non2conventional type of treatment 9therapeutic touch: that is classified as complimentary to his conventional pharmacotherapy. /iologic therapy involves the use of naturally produced su stances y microorganisms or within the ody. The patient is using medications as well as an alternative therapy which is why complementary therapy is the est choice. "ationa#e 2: The patient is using a non2conventional type of treatment 9therapeutic touch: that is classified as complimentary to his conventional pharmacotherapy. /iologic therapy involves the use of naturally produced su stances y microorganisms or within the ody. The patient is using medications as well as an alternative therapy which is why complementary therapy is the est choice. "ationa#e 3: The patient is using a non2conventional type of treatment 9therapeutic touch: that is classified as complimentary to his conventional pharmacotherapy. /iologic therapy involves the use of naturally produced su stances y microorganisms or within the ody. The patient is using medications as well as an alternative therapy which is why complementary therapy is the est choice. "ationa#e 4: The patient is using a non2conventional type of treatment 9therapeutic touch: that is classified as complimentary to his conventional pharmacotherapy. /iologic therapy involves the use of naturally produced su stances y microorganisms or within the ody. The patient is using medications as well as an alternative therapy which is why complementary therapy is the est choice. $#o%a# "ationa#e: Co&niti'e (e'e#: Bnderstanding C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: $valuation (earnin& +ut ome: &20 Question 1/ Type: MC!A Eow many years does it generally take to research and develop a drug efore it is su mitted to the =>A for review?
1. ' years 2. - years 3. && years 4. A years Corre t Ans!er: , "ationa#e 1: )harm=acts 9p..: "ationa#e 2: )harm=acts 9p..: "ationa#e 3: )harm=acts 9p..: "ationa#e 4: )harm=acts 9p..: $#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: !afe $ffective Care $nvironment C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &2? and &2 . Question 20 Type: MC!A A drug manufacturer that is performing the effects of a drug on la oratory animals would e in which phase of the new drug development timeline? 1. Clinical "nvestigation 2. )reclinical "nvestigation 3. New >rug Application Feview 4. )ostmarketing !tudies Corre t Ans!er: + "ationa#e 1: )reclinical investigation involves la oratory research on nonhuman su %ects. "ationa#e 2: )reclinical investigation involves la oratory research on nonhuman su %ects. "ationa#e 3: )reclinical investigation involves la oratory research on nonhuman su %ects.
"ationa#e 4: )reclinical investigation involves la oratory research on nonhuman su %ects. $#o%a# "ationa#e: Co&niti'e (e'e#: Bnderstanding C#ient )eed: Eealth )romotion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &2. Question 21 Type: MCMA The nurse is categori*ing a clientGs list of medications completing a health history. Which agents would e categori*ed as complementary and alternative medicine? Note: Credit will e given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. Harlic 2. 7itamin C 3. Iinc 4. Aspirin 5. /enadryl Corre t Ans!er: &#+#, "ationa#e 1: Harlic is considered an her # which is considered complementary and alternative medicine therapy. "ationa#e 2: 7itamins are considered complementary and alternative medicine therapy. "ationa#e 3: Iinc is a mineral and is considered complementary and alternative medicine therapy. "ationa#e 4: Aspirin is an over2the2counter medication. "ationa#e 5: /enadryl is an over2the2counter medication. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: Eealth )romotion and Maintenance C#ient )eed Su%:
)ursin&/*nte&rated Con epts: Nursing )rocess: Assessment (earnin& +ut ome: &20 Question 22 Type: MCMA While reading a medication package inserts the nurse notes the information contained within the J lack o6.K What is the significance of this information to the nurse? Note: Credit will e given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. The drug can cause Jspecial pro lems.K 2. "t identifies e6treme adverse drug reactions. 3. "t differentiates a prescri ed medication from an over2the2counter medication. 4. "t highlights the cost of the medication. 5. "t signifies the medication is generic. Corre t Ans!er: &#+ "ationa#e 1: The =>A created o6ed warnings in order to regulate drugs with Jspecial pro lems.K "ationa#e 2: The lack o6 warning is a primary alert for identifying e6treme adverse drug reactions. "ationa#e 3: A lack o6 warning is a primary alert for identifying e6treme adverse drug reactions. "t is not a mechanism to differentiate a prescri ed medication from an over2the2counter medication. "ationa#e 4: A lack o6 warning is a primary alert for identifying e6treme adverse drug reactions. "t does not highlight the cost of the medication. "ationa#e 5: A lack o6 warning is a primary alert for identifying e6treme adverse drug reactions. "t does not signify the medication as eing generic. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy*ing C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )harmacological and )arenteral Therapies )ursin&/*nte&rated Con epts: Nursing )rocess: )lanning (earnin& +ut ome: &2? Question 23
Type: MCMA The nurse is participating in the New >rug Feview step for a new therapeutic agent. Which activities will the nurse most likely perform during this phase of the drug approval process? Note: Credit will e given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. Attend meetings to finali*e the rand name for the drug. 2. Check on the results of animal testing. 3. !urvey for harmful effects in a larger population. 4. $valuate the results of the drug on cultured cells. 5. )rovide the medication to large groups of people with a particular disease. Corre t Ans!er: &#+ "ationa#e 1: >uring the N>A or the third stage of the drug approval process the drugGs rand name is finali*ed. "ationa#e 2: >uring the N>A stage of the drug approval process animal testing may continue. "ationa#e 3: !urveying for harmful effects in a larger population occurs during the postmarketing surveillance step of the drug approval process. "ationa#e 4: $valuation of the results of the drug on cultured cells occurs during the preclinical investigation step of the drug approval process. "ationa#e 5: )roviding the medication to large groups of people with a particular disease occurs during the clinical phase trials which is in the second stage of the drug approval process. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )harmacological and )arenteral Therapies )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: &2. Question 24 Type: MCMA Which statements regarding the role of the B.!. =ood and >rug Administration 9=>A: are true?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. The =>A is responsi le for ensuring the security of human drugs. 2. The =>A pu lishes a summary of the standards of drug purity and strength. 3. The =>A ensures the availa ility of effective drugs. 4. The =>A takes action against any supplement that is deemed to e unsafe. 5. The =>A facilitates the availa ility of safe drugs. Corre t Ans!er: &#,#0#"ationa#e 1: The =>A mission is to protect pu lic health y ensuring the safety# efficacy# and security of human and veterinary drugs# iologic products# medical devices# the nationGs food supply# cosmetics# and products that emit radiation. "ationa#e 2: "t is the role of the B.!. )harmacopeia 9B!): to pu lish a summary of drug standards 9purity and strength:. "ationa#e 3: $nsuring the availa ility of effective drugs is one of the =>AGs roles. "ationa#e 4: "t is the =>AGs role to take action against any supplement that is deemed to e unsafe. "ationa#e 5: "t is the role of the =>A to facilitate the availa ility of safe drugs. $#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )harmacological and )arenteral Therapies )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: +20 Question 25 Type: MCMA Which statements regarding the preclinical research stage of drug development are true? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. Most drugs do not proceed past the preclinical stage ecause they are found to e too to6ic or %ust ineffective.
2. At the end of the preclinical research stage# client varia ility is determined and potential drug2to2drug interactions are e6amined. 3. The preclinical stage of research involves e6tensive testing on animals in the la oratory to determine if the drug will cause harm to humans. 4. )reclinical research results are always inconclusive. 5. The =ood and >rug Administration 9=>A: is responsi le for e6tensive testing for safety efore the pharmaceutical company can egin the preclinical research stage of development. Corre t Ans!er: &#,#0 "ationa#e 1: Most drugs do not proceed past the preclinical research stage of development ecause they are found to e either too to6ic or %ust ineffective. "ationa#e 2: Client varia ility and potential drug2to2drug interactions are e6amined in )hase , of the clinical investigation process after =ood and >rug Administration 9=>A: approval. "ationa#e 3: The preclinical stage involves e6tensive testing on human# micro ial cells# and animals to determine drug action and to predict whether the drug will cause harm to humans. "ationa#e 4: /ecause la tests cannot accurately predict human response to a drug# these results are always inconclusive. "ationa#e 5: This e6tensive testing is done y the pharmaceutical company in the preclinical research stage of drug development# not the =>A. $#o%a# "ationa#e: Co&niti'e (e'e#: Femem ering C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )harmacological and )arenteral Therapies )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: +2Question 2, Type: MCMA A client says to the admitting nurse# JWhy do you need to know the names of all the over2the2counter supplements " take? They arenGt drugs.K Which of the nurseGs responses are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: !elect all that apply. 1. JThe admitting physician needs to know everything you are taking.K
2. J4ouGre right. "Gm not sure why the admitting paperwork asks for this information. Would you mind listing them anyway?K 3. JThe law re@uires us to keep a list of over2the2counter drugs and supplements that you are taking.K 4. J"t is true that supplements are not considered drugsD however# some of these products can cause adverse effects with prescri ed drugs.K 5. JWe need to know if you are having an allergic reaction to one of them.K Corre t Ans!er: &#0 "ationa#e 1: The health care providers involved in this clientGs care will need to know everything she is takingL oth prescription and over2the2counter 9;TC:. "ationa#e 2: While it is true that supplements are not considered drugs# there is a specific reason why the health care team needs to know this information# which is the reason for the re@uested list on the paperwork. The nurseGs answer did not address the clientGs @uestion appropriately. "ationa#e 3: No law re@uires hospitals to keep records of ;TC drugs and supplements that clients take. This information is needed# however# for other reasons. "ationa#e 4: !upplements are not su %ect to the same regulatory process as drugs# and some of these products can cause adverse effects and interact with medications. "ationa#e 5: "t is possi le that this client could e having an allergic reaction# ut there is not enough information to determine this# and this is not the main reason why the health care team needs to know what ;TC medications she is taking. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: )hysiological "ntegrity C#ient )eed Su%: )harmacological and )arenteral Therapies )ursin&/*nte&rated Con epts: Nursing )rocess: "mplementation (earnin& +ut ome: +2.

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Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 1

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