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Test Bank Focus on Nursing Pharmacology 8th Edition Karch
Test Bank Focus on Nursing Pharmacology 8th Edition KarchCONTENTS
Chapter 01 - Introduction to Drugs ................................ ........................ 2 Chapter 02 - Drugs and the Body ................................ ......................... 20 Chapter 03 - Toxic Effects of Drugs ..........
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1 | P a g e CONTENTS Chapter01-Introduction toDrugs ................................ ........................ 2 Chapter02-DrugsandtheBody ................................ ......................... 20 Chapter03-ToxicEffectsofDrugs ................................ ....................... 37 Chapter04-TheNursingProcessinDrugTherapy andPatientSafety .......................... 55 Chapter05-DosageCalculations ................................ ......................... 72 Chapter06-Challenges toEffective DrugTherapy ................................ .......... 87 Chapter07-Introduction toCellPhysiology ................................ .............. 104 Chapter08-Antiinfective Agents ................................ ........................ 121 Chapter09-Antibiotics ................................ ................................ 139 Chapter10-Antiviral Agents ................................ ........................... 156 Chapter11-Antifungal Agents ................................ .......................... 173 Chapter12-Antiprotozoal Agents ................................ ....................... 189 Chapter13-Anthelmintic Agents ................................ ........................ 205 Chapter14-Antineoplastic Agents ................................ ...................... 221 Chapter15-Introduction totheImmune Response andInflammation ........................ 238 Chapter16-Antiinflammatory, Antiarthritis, andRelatedAgents ............................. 256 Chapter17-Immune Modulators ................................ ........................ 272 Chapter18-Vaccines andSera ................................ .......................... 289 Chapter19-Introduction toNervesandtheNervous System ................................ 306 Chapter20-Anxiolytic andHypnotic Agents ................................ .............. 322 Chapter21-Antidepressant Agents ................................ ...................... 339 Chapter22-Psychotherapeutic Agents ................................ ................... 355 Chapter23-Antiseizure Agents ................................ ......................... 372 Chapter24-Antiparkinsonism Agents ................................ ................... 389 Chapter25-MuscleRelaxants ................................ .......................... 405 Chapter26-Narcotics, Narcotic Antagonists, andAntimigraine Agents ........................ 420 Chapter27-GeneralandLocalAnesthetic Agents ................................ .......... 437 Chapter28-Neuromuscular Junction Blocking Agents ................................ ...... 454 Chapter29-Introduction totheAutonomic Nervous System ................................ . 471 Chapter30-Adrenergic Agonists ................................ ........................ 488 Chapter31-Adrenergic Antagonists ................................ ..................... 503 Chapter32-Cholinergic Agonists ................................ ....................... 521 Chapter33-Anticholinergic Agents ................................ ...................... 537 Chapter34-Introduction totheEndocrine System ................................ ......... 553 Chapter35-Hypothalamic andPituitary Agents ................................ ........... 569 Chapter36-Adrenocortical Agents ................................ ...................... 585 Chapter37-ThyroidandParathyroid Agents ................................ .............. 601 Chapter38-AgentstoControlBloodGlucoseLevels ................................ ....... 618 Chapter39-Introduction totheReproductive System ................................ ...... 635 Chapter40-DrugsAffecting theFemaleReproductive System ............................... 652 Chapter41-DrugsAffecting theMaleReproductive System ................................ . 668 Chapter42-Introduction totheCardiovascular System ................................ ..... 683 Chapter43-DrugsAffecting BloodPressure ................................ .............. 700 Chapter44-AgentsforTreating HeartFailure ................................ ............. 717 Chapter45-Antiarrhythmic Agents ................................ ...................... 733 Chapter46-Antianginal Agents ................................ ......................... 750 Chapter47-Lipid-Lowering Agents ................................ ...................... 765 Chapter48-DrugsAffecting BloodCoagulation ................................ ............ 783 Chapter49-DrugsUsedtoTreatAnemias ................................ ................ 799 Chapter50-Introduction totheRenalSystem ................................ ............. 814 Chapter51-DiureticAgents ................................ ............................ 830 Chapter52-DrugsAffecting theUrinaryTractandtheBladder .............................. 846 Chapter53-Introduction totheRespiratory System ................................ ........ 863 Chapter54-DrugsActingontheUpperRespiratory Tract ................................ ... 880 Chapter55-DrugsActingontheLowerRespiratory Tract ................................ .. 897 Chapter56-Introduction totheGastrointestinal System ................................ .... 914 Chapter57-DrugsAffecting Gastrointestinal Secretions ................................ .... 929 Chapter58-DrugsAffecting Gastrointestinal Motility ................................ ...... 945 Chapter59-Antiemetic Agents ................................ ......................... 961 Chapter 01-Introduction toDrugs Anurseworking inradiology administers iodinetoapatientwhoishavingacomputed
tomography(CT) scan.Thenurseworking ontheoncology unitadministers chemotherapy
topatients whohavecancer.AtthePublicHealthDepartment, anurseadministers a
measles-mumps-rubella(MMR)vaccinetoa14-month-oldchildasaroutineimmunization.
Whichbranchofpharmacology bestdescribes theactionsofallthreenurses? Pharmacoeconomics Pharmacotherapeutics Pharmacodynamics Pharmacokinetics 3 | P a g e Ans: B Feedback: Pharmacology isthestudyofthebiologiceffectsofchemicals. Nursesareinvolved withclinical
pharmacology orpharmacotherapeutics, whichisabranchofpharmacology thatdealswiththe
usesofdrugstotreat,prevent, anddiagnose disease.Theradiology nurseisadministering a
drugtohelpdiagnose adisease.Theoncology nurseisadministering adrugtohelptreata
disease. Pharmacoeconomics includes anycostsinvolved indrugtherapy. Pharmacodynamics involves
howadrugaffectsthebodyandpharmacokinetics ishowthebodyactsonthebody. Aphysician hasordered intramuscular (IM)injections ofmorphine, anarcotic, every4hoursas
neededfor paininamotorvehicleaccident victim.Thenurseisawarethisdrughasahigh
abusepotential. Underwhatcategory wouldmorphine beclassified? Schedule I Schedule II Schedule III Schedule IV Ans: B Feedback: Narcotics withahighabusepotential areclassified asSchedule IIdrugsbecauseofsevere
dependence liability.Schedule Idrugshavehighabusepotential andnoaccepted medicaluse.
Schedule IIIdrugshavealesserabusepotential thanIIandanaccepted medicaluse.Schedule IV
drugshavelowabusepotential andlimiteddependence liability. Wheninvolved inphaseIIIdrugevaluation studies,whatresponsibilities wouldthenursehave? Working withanimalswhoaregivenexperimental drugs Choosing appropriate patientstobeinvolved inthedrugstudy Monitoring andobserving patientscloselyforadverseeffects Conducting research todetermine effectiveness ofthedrugAns: C Feedback: PhaseIIIstudiesinvolveuseofadruginavastclinicalpopulation inwhichpatients areasked
torecordanysymptoms theyexperience whiletakingthedrugs.Nursesmayberesponsible for
helpingcollectandanalyzetheinformation tobesharedwiththeFoodandDrugAdministration
(FDA)butwouldnotconduct research independently because nursesdonotprescribe
medications. Useofanimalsindrugtestingisdoneinthepreclinical trials.Selectpatients who
areinvolved inphaseIIstudiestoparticipateinstudieswheretheparticipants havethedisease
thedrugisintended totreat.Thesepatients aremonitored closelyfordrugactionandadverse
effects.PhaseIstudiesinvolvehealthyhumanvolunteers whoareusuallypaidfortheir
participation. Nursesmayobserveforadverseeffectsandtoxicity. Whatconceptisconsidered whengenericdrugsaresubstituted forbrandnamedrugs? Bioavailability Criticalconcentration Distribution Half-life Ans: A Feedback: Bioavailability istheportionofadoseofadrugthatreachesthesystemic circulation andis
available toactonbodycells.Bindersusedinagenericdrugmaynotbethesameasthoseused
inthebrandnamedrug.Therefore, thewaythebodybreaksdownandusesthedrugmaydiffer,
whichmayeliminate agenericdrugsubstitution. Criticalconcentration istheamountofadrug
thatisneededtocauseatherapeutic effectandshouldnotdifferbetween genericandbrand
namemedications. Distribution isthephaseofpharmacokinetics, whichinvolvesthemovement
ofadrugtothebody’stissuesandisthe sameingenericandbrandnamedrugs.Adrug’shalf-lifeisthetimeittakesfortheamountof
drugtodecrease tohalfthepeaklevel,whichshouldnotchangewhensubstituting ageneric
medication. Anurseisassessing thepatient’shomemedication use.Afterlistening tothepatientlistcurrent
medications, thenurseaskswhatpriorityquestion? Doyoutakeanygenericmedications? Areanyofthesemedications orphandrugs? Arethesemedications safetotakeduringpregnancy? Doyoutakeanyover-the-countermedications?