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Pharmacology Exam 1 (Evolve) 2024/2025 Questions With Completed & Verified Solutions.
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Pharmacology Exam 1 (Evolve) 2024/2025 Questions With Completed & Verified Solutions.
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Pharmacology Exam 1 (Evolve)The nurse is caring for a patient who has been ordered a schedule I drug. The nurse
understands that this designation indicates...
Chpt. 1 - ANS A: drugs that have a high potential for abuse and no current medical use.
Rationale: Schedule I includes drugs that have a high potential for abuse and no current
medical use.
The patient is prescribed the drug acetaminophen. The nurse would recognize that the name
acetaminophen represents which of the drug's accepted names?
Chpt. 1 - ANS A: generic
Rationale: Acetaminophen represents the drug's generic name. Trade and proprietary names
could include Tylenol. The chemical name would represent the drug's chemical structure.
The nurse is leading a community support group for recovering drug addicts. One individual
abused heroin. The nurse recognizes that the medication is classified in which schedule?
Chpt. 1 - ANS A: Schedule I
Rationale: Heroin is classified as a schedule I drug.
The patient who is ordered to receive a schedule II drug by the health care provider expresses
concern to the nurse that he must arrange for another appointment with the health care provider
before he can receive another prescription for the medication. What is the most appropriate
response by the nurse?
Chpt. 1 - ANS A: The drug has the potential for severe psychological or physical dependence.
Rationale: Substances in this schedule have a high potential for abuse, which may lead to
severe psychological or physical dependence.
The nurse is teaching a class on ethics as it relates to drug research. The nurse identifies the
importance of protecting the patient from harm. Which principle is the nurse discussing?
Chpt. 1 - ANS A:Beneficence
Rationale: The act of beneficence is to protect patients from harm. Justice requires selection of
patients to be fair. Risk vs. benefit is the decision to participate knowing there is risk. Autonomy
allows patients to make their own decisions.
The nurse is caring for a patient who is ordered a schedule III drug. The nurse recognizes that
this designation indicates drugs...
Chpt. 1 - ANS A: whose abuse may lead to moderate or low physical dependence.
Rationale: Schedule III drugs are approved for medical use. The potential for abuse is less than
that for schedules I and II. Schedule III drugs may cause moderate or low physical dependence.
, A patient is ordered a schedule III drug. The patient asks the nurse what the schedule
designation means. The nurse explains to the patient that schedule drugs are classified
according to the...
Chpt. 1 - ANS A: potential for abuse.
Rationale: Schedule designation occurs based on the drug's potential for abuse. The schedule
designation progresses as potential for abuse accelerates.
The nurse is administering a schedule III controlled substance. What is an essential nursing
action?
Chpt. 1 - ANS A: Count the available doses of medication before administering and record
them.
Document the time and date of administration.
Countersign all discarded or wasted medication.
Rationale: Nursing interventions for controlled substances include accounting for all controlled
drugs, keeping a controlled substance record for required information, and countersigning all
discarded or wasted medications. In addition, the drugs should be in a locked storage area, with
narcotics under double lock. Only authorized persons should have access to keys. The
medication should not be kept in the patient's drawer. A second nurse does not have to sign the
administration record.
Which statement describes Phase II of clinical experimentation in drug research?
Chpt. 1 - ANS A: The drug is given to a larger group of people to see if it is effective and to
further evaluate its safety.
Rationale: In phase II, confirmation of findings from stage one occurs with a larger group of
people and the drug is further evaluated for safety and effectiveness. In phase I, a very small
group of people, typically well people, are given the drug and the drug is evaluated for
effectiveness and side effects. In phase III, the drug is given to large groups of people and
additional testing is done, including comparison of the drug to other commonly used treatments.
In phase IV, the drug continues to be studied, but it has to be marketed.
Which statement best describes the term autonomy?
Chpt. 1 - ANS A: The patient's right to self-determination
Rationale: Autonomy refers to the patients' right to make their own decisions. Showing respect
is an important concept for nurses as they interact with patients, but autonomy allows patients to
be in charge of their decision making. Speaking for the patient is advocacy. Making decisions for
the patient is not part of the nursing ethics.
The nurse would question the inclusion of which patient in investigational studies of drugs?
Chpt. 1 - ANS A: A 40-year-old male with a red blood cell count (RB) of 2.5
Rationale: The 49-year-old who has anemia would not be considered an appropriate patient for
a new drug study. A 40-year-old male who weighs 60 kg is included in the criteria as an
appropriate candidate as well as the 42-year-old on stable drug therapy and the patient with a
no-salt diet.
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