Test Bank for Basic Pharmacology for Nurses 14th edition by Clayton, Stock and Harroun

Transcription

1 Test Bank for Basic Pharmacology for Nurses 14th edition by Clayton, Stock and Harroun Link download full: Chapter 01: Definitions, Names, Standards, and Information Sources MULTIPLE CHOICE 1.The name is the name under which the drug is listed by the United States Food and Drug Administration, who by federal law names the drug for human use in the United States. 1. brand 3. official 2. nonproprietary 4. trademark ANS: 3 3. The official name is the name under which a drug is listed by the FDA. 1. The brand name, or trademark, is the name given to a drug by its manufacturer. 2. The nonproprietary, or generic, name is provided by the USAN Council. 4. The trademark, or brand name, is the name given to a drug by its manufacturer. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 2

2 MSC:NCLEX Client Needs Category: Safe, Effective Care Environment 2.The contains information specific to nutritional supplements. 1. USP Dictionary of USAN & International Drug Names 2. Natural Medicines Comprehensive Database 3. United States Pharmacopoeia/National Formulary 4. Drug Interaction Facts ANS: 3 3. The United States Pharmacopoeia/National Formulary contains information specific to nutritional supplements. 1. USP Dictionary of USAN & International Drug Names is a compilation of drug names, pronunciation guide and possible future FDA-approved drugs; it does not include nutritional supplements. 2. Natural Medicines Comprehensive Database contains evidence-based information on herbal medicines and herbal combination products; it does not include information specific to nutritional supplements. 4. Drug Interaction Facts contains comprehensive information on drug interaction facts; it does not include nutritional supplements. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 3 3.Drugs may be classified according to which of the following? 1. Effect on the body system 3. Generic or trade 2. Cost 4. Chemical constitution ANS: 1

3 1. Classification is according to effect on body system, therapeutic use or clinical indications, physiological or chemical action, prescription or nonprescription, and/or recreational drugs. 2. Drugs are not classified by cost. 3. Drugs are not classified by generic or trade names. 4. Drugs are not classified by chemical constitution. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 2 4.The most comprehensive reference available to research a drug interaction is: 1. Drug Facts and Comparisons. 2. Drug Interaction Facts. 3. Handbook on Injectable Drugs. 4. Martindale The Complete Drug Reference. ANS: 2 2. First published in 1983, this reference is currently the most comprehensive book available on drug interactions. In addition to monographs listing various aspects of drug interactions, this information is reviewed and updated by an internationally renowned group of physicians and pharmacists with clinical and scientific expertise. 1. This is not the most comprehensive source. 3. This is not the most comprehensive source. 4. This is not the most comprehensive source. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 4

4 5.The physician has written an order for a drug with which the nurse is unfamiliar. Which section of the Physician s Desk Reference would be most helpful to get information about this drug? 1. Manufacturer s section 3. Product Category section 2. Brand and Generic Name section 4. Product Information section ANS: 2 2. A physician s order would include the brand and/or generic name of the drug. The alphabetic index in the PDR would make this section the most user-friendly. Based on a physician s order, manufacturer s information and classification information would not be known. 1. This is a roster of manufacturers. 3. This lists products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and antibiotics. 4. This section contains reprints of the package inserts for the major products of manufacturers. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 6 TOP:Nursing Process Step: Planning 6.A patient who lives in Atlanta states she s concerned she is taking an inferior antibiotic because her insurance company pays only for generic equivalents. A reference source to refer her to is: 1. Advice for the Patient (USPDI). 2. Therapeutic Choices. 3. Approved Drug Products and Legal Requirements (USPDI).

5 4. Drug Interaction Facts. ANS: 3 3. The United States Pharmacopoeia Dispensing Information is an excellent nontechnical source for patients. The Approved Drug Product and Legal Requirement section lists the therapeutic equivalent drugs when a drug is made by more than one manufacturer. Therefore, patients are able to verify therapeutic equivalence of the medication of lower cost. 1. This section features easy-to-understand, in-depth materials to help educate patients about medications and their proper use. 2. This is a Canadian publication. 4. This contains only information on drug interactions. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 9 TOP:Nursing Process Step: Implementation 7.The Federal Drug Administration of the Department of Health and Human Services was given the authority to determine the safety of a drug before its marketing as a result of the: 1. Federal Food, Drug & Cosmetic Act (1938). 2. Durham-Humphrey Amendment (1952). 3. Controlled Substances Act (1970). 4. Kefauver-Harris Drug Amendment (1962). ANS: 1 1. The Federal Food, Drug & Cosmetic Act in 1938 authorized the FDA to determine the safety of all drugs before marketing. Later amendments and acts helped tighten FDA control and ensure drug safety. 2. This amendment defines the kinds of drugs that cannot be used safely without medical supervision and restricts their sale to prescription by a licensed practitioner.

6 3. This act addresses only controlled substances and their categorization. 4. The Kefauver-Harris Drug Amendments ensure drug efficacy and greater drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their products before marketing them. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 9 8.A patient is receiving IM Demerol postoperatively. The nurse recognizes that this drug is a narcotic with a high potential for physical and psychological dependency. This drug will be locked up on the unit because it is a Schedule drug. 1. I 3. III 2. II 4. IV ANS: 2 2. Demerol (meperidine) is a Schedule II drug; it has a high potential for abuse and may lead to severe psychological and physical dependence. 1. Schedule I drugs have high potential for abuse and no recognized medical use. 3. Schedule II drugs have some potential for abuse. Use may lead to low-tomoderate physical dependence or high psychological dependence. 4. Schedule IV drugs have low potential for abuse. Use may lead to limited physical or psychological dependence. PTS: 1 DIF: Cognitive Level: Application REF: PAGE: 10 MSC:NCLEX Client Needs Category: Safe, Effective Care Environment

7 9.To expedite drug development and approval for an outbreak of smallpox, a disease for which there is no known treatment, the FDA would: 1. list smallpox as a health orphan disease. 2. omit the preclinical research phase. 3. extend the clinical research phase. 4. fast-track the investigational drug. ANS: 4 4. The FDA must ensure that all phases of the preclinical and clinical research phase have been completed in a safe manner. Once the Investigational New Drug Application has been approved, the drug can receive highest priority within the agency which is called fast tracking. A smallpox outbreak would become a priority concern in the world. 1. Orphan diseases are not researched in a priority manner. 2. Preclinical research is not omitted. 3. Extending any phase of the research would mean a longer time to develop a vaccine. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 13 MSC:NCLEX Client Needs Category: Safe, Effective Care Environment 10.Over-the-counter (OTC) drugs may be purchased with: 1. a prescription from a physician. 2. a prescription from a health care provider licensed to prescribe medications. 3. no prescription. 4. a limited prescription specifying no refills. ANS: 3 3. Over-the-counter medications do not require a prescription.

8 1. Over-the-counter medications do not require a prescription. 2. Prescription drugs require an order by a health professional who is licensed to prescribe, such as a physician, nurse practitioner, physician assistant, or dentist. 4. Over-the-counter medications do not require a prescription. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 2 TOP:Nursing Process Step: Planning 11.The most authoritative reference for medications that are injected is the: 1. Parenteral Drug Handbook. 3. Drugs and Injections Quarterly. 2. Handbook on Injectable Drugs. 4. Handbook of Nonprescription Drugs. ANS: 2 2. The Handbook on Injectable Drugs is the most comprehensive reference available on the topic of compatibility of injectable drugs. It is a collection of monographs for over 300 injectable drugs that are listed alphabetically by generic name. 1. Not all parenteral drugs are injected. 3. There is no reference by this name. 4. This has information about medications that do not require a prescription. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 5 COMPLETION

9 1.Pharmacology deals with the study of drugs and their actions on. (Your response should appear as two words, lowercase, separated by a space.) ANS: living organisms Correct: Per definition. Incorrect: This is not the correct response. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 1 TOP:Nursing Process Step: Evaluation MULTIPLE RESPONSE 1.The nurse is caring for a 5-year-old girl newly diagnosed with juvenile-onset diabetes mellitus. Which of the following approaches to therapeutic methods should be considered in treating this child and her illness? (Select all that apply.) 1. Therapeutic drugs 4. Regular daily exercise and activity 2. Concentrated carbohydrate diet 5. Daily baths 3. Family-centered care ANS: 1, 2, 4 1. Therapeutic methods include drug therapy. 2. Therapeutic methods include diet therapy. 4. Therapeutic methods include physiotherapy and psychological therapy. 3. Therapeutic methods do not include family-centered care.

10 5. Therapeutic methods do not include daily baths. PTS: 1 DIF: Cognitive Level: Application REF: PAGE: 1 TOP:Nursing Process Step: Planning 2.An 83-year-old woman experiencing shortness of breath is brought to the hospital by her daughter. The nurse is obtaining the medication history from the patient and her daughter. Unfortunately, neither have a list of her current medications, only a weekly pill dispenser that contains four different pills. They did not bring the prescription bottles with them, but they fill her prescriptions through the local pharmacy. Which of the following resources would be appropriate to use in determining the medication names and doses? (Select all that apply.) 1. Martindale The Complete Drug Reference 2. Physician s Desk Reference, grey section 3. Senior Citizens Center 4. Patient s home pharmacy 5. Drug Identification Guide ANS: 2, 4, 5 2. The Physician s Desk Reference, grey section, has full color images of commonly dispensed tablets and capsules. 4. The patient s pharmacy would have an accurate account of all the medications the client is currently on. 5. A Drug Identification Guide has full color images of commonly dispensed tablets and capsules. 1. Martindale The Complete Drug Reference has written information on medication and would not be an appropriate resource. 3. The Senior Citizens Center is not likely to have specific patient medication information.

11 PTS: 1 DIF: Cognitive Level: Analysis REF: PAGE: 6