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ADVANCED PHARMACOLOGY TEST BANK 2024

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ADVANCED 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 Pharmacotherapeuti...

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  • November 10, 2024
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  • 2024/2025
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  • Advanced pharmacology
  • Advanced pharmacology

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ADVANCED 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 family medical history can indicate genetic factors that may affect a patient's response to a
medication. Patients of different ages can respond differently to medications. The patient's illness can
affect how drugs are metabolized. The chemical stability of the medication and the ease of
administration are properties of drugs.



A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs
the patient to administer "2 puffs every 4 hours as needed for coughing or wheezing." The patient
reports feeling jittery sometimes when taking the medication, and she doesn't feel that the medication
is always effective. Which is not an appropriate nursing intervention for this patient?



a. Asking the patient to demonstrate use of the inhaler

b. Assessing the patient's exposure to tobacco smoke

c. Auscultating lung sounds and obtaining vital signs

d. Suggesting that the patient use one puff to reduce side effects - CORRECT ANSWER -ANS: D



It is not within the nurse's scope of practice to change the dose of a medication without an order from a
prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient's
ability to administer the medication properly and is part of the nurse's evaluation. Assessing tobacco
smoke exposure helps the nurse determine whether nondrug therapies, such a smoke avoidance, can be
used as an adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the
patient's response to the medication.

, A ipostoperative ipatient iis ibeing idischarged ihome iwith iacetaminophen/hydrocodone i(Lortab) ifor
ipain. iThe ipatient iasks ithe inurse iabout iusing iTylenol ifor ifever. iWhich istatement iby ithe inurse iis
icorrect?




a. "It iis inot isafe ito itake iover-the-counter idrugs iwith iprescription imedications."

b. "Taking ithe itwo imedications itogether iposes ia irisk iof idrug itoxicity."

c. "There iare ino iknown idrug iinteractions, iso ithis iwill ibe isafe."

d. "Tylenol iand iLortab iare idifferent idrugs, iso ithere iis ino irisk iof ioverdose." i- iCORRECT i ANSWER i-ANS:
iB




Tylenol iis ithe itrade iname iand iacetaminophen iis ithe igeneric iname ifor ithe isame imedication. iIt iis
iimportant ito iteach ipatients ito ibe iaware iof ithe idifferent inames ifor ithe isame idrug ito iminimize ithe
irisk iof ioverdose. iOver-the-counter i(OTC) imedications iand iprescription imedications imay ibe itaken
itogether iunless isignificant iharmful idrug iinteractions iare ipossible. iEven ithough ino idrug iinteractions
iare iat iplay iin ithis icase, iboth idrugs icontain iacetaminophen, iwhich icould ilead ito itoxicity.




The inurse iis ipreparing ito icare ifor ia ipatient iwho iwill ibe itaking ian iantihypertensive imedication. iWhich
iaction iby ithe inurse iis ipart iof ithe iassessment istep iof ithe inursing iprocess?




a. Asking ithe iprescriber ifor ian iorder ito imonitor iserum idrug ilevels

b. Monitoring ithe ipatient ifor idrug iinteractions iafter igiving ithe imedication

c. Questioning ithe ipatient iabout iover-the-counter imedications

d. Taking ithe ipatient's iblood ipressure ithroughout ithe icourse iof itreatment i- iCORRECT i ANSWER i-ANS:
iC




The iassessment ipart iof ithe inursing iprocess iinvolves igathering iinformation ibefore ibeginning
itreatment, iand ithis iincludes iasking iabout iother imedications ithe ipatient imay ibe itaking. iMonitoring
iserum idrug ilevels, iwatching ifor idrug iinteractions, iand ichecking ivital isigns iafter igiving ithe
imedication iare iall ipart iof ithe ievaluation iphase.




A ipostoperative ipatient ireports ipain, iwhich ithe ipatient irates ias ian i8 ion ia iscale ifrom i1 ito i10 i(10
ibeing ithe imost iextreme ipain). iThe iprescriber ihas iordered iacetaminophen i(Tylenol) i650 img iPO
ievery i6 ihours iPRN ipain. iWhat iwill ithe inurse ido?

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