Karch's Focus on Nursing Pharmacology, Ninth Edition Rebecca
Tucker Test Bank
Chapter 1:Introduction to Drugs
Format: Multiple Choice Chapter:
... [Show More] 1
Client Needs: Physiological Integrity: Pharmacological and
Parenteral Therapies Cognitive Level: Analyze Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Page and Header: 3, Introduction 1. A nurse working in radiology administers iodine to a client who is having a computed
tomography (CT) scan. The nurse working on the oncology unit administers chemotherapy to clients who have cancer. At the Public Health Department, a nurse administers a measles–mumps–rubella (MMR) vaccine to a 14-month-old child as a
routine immunization. Which branch of pharmacology best describes the actions of all
three nurses?
A) pharmacoeconomics B) pharmacotherapeutics C) pharmacodynamics D) pharmacokinetics
Ans: B
Feedback: Pharmacology is the study of the biologic effects of chemicals. Nurses are
involved with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help diagnose a disease. The oncology nurse is administering a drug to help treat a disease. Pharmacoeconomics includes any
costs involved in drug therapy. Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is how the body acts on the body.
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Format: Multiple Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies Cognitive Level: Understand
Difficulty: Easy
Integrated Process: Nursing Process Objective: 3
Page and Header: Legal Regulation of Drugs, 19, Box 1.2
2. The care provider has prescribed intravenous hydromorphone, an opioid, for a client using a client-controlled analgesia (PCA) pump. The nurse is aware that this drug has a high abuse potential. Under what category would hydromorphone be classified?
A) schedule I
B) schedule II
C) schedule III
D) shedule IV
Ans: B
Feedback: Opioids with a high abuse potential are classified as schedule II drugs because of severe dependence liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs have a lesser abuse potential than schedule
II drugs and an accepted medical use. Schedule IV drugs have low abuse potential and
limited dependence liability.
Format: Multiple Choice Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 2
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Page and Header: 14, Drug Evaluation 3. When involved in phase III drug evaluation studies, what action should the nurse perform?
A) Work with animals which are given experimental drugs. B) Select appropriate clients to be involved in the drug study. C) Monitor and observe clients closely for adverse effects. D) Make decisions that will determine effectiveness of the drug.
Ans: C
Feedback: Phase III studies involve use of a drug in a larger sample of the population. The purpose is to determine the treatment benefit and to monitor side effects that may not have been apparent in the earlier studies. Phase I studies involve healthy human
volunteers who are usually paid for their participation. Nurses may observe for adverse
effects and toxicity. Nurses may be responsible for helping collect and analyze the
information to be shared with the Food and Drug Administration (FDA) but would not conduct research independently because nurses do not prescribe medications. Use of animals in drug testing is done in the preclinical trials. Select clients who are involved in
phase II studies have the disease the drug is intended to treat. These clients are monitored closely for drug action and adverse effects.
Format: Multiple Choice Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies Cognitive Level: Analyze Difficulty: Moderate
Integrated Process: Nursing Process Objective: 4
Page and Header: 22, Legal Regulation of Drugs 4. What concept is prioritized when a provider is considering the substitution of brand name drug with a generic drug?
A) bioequivalency
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