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Safety,2ndEdition,Workman&LaCharity100%A+GRADED(ALLCHA
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Chapter01: Drug Regulation,Actions,iand Responses
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Workman& LaCharity: Understanding Pharmacology: EssentialsforMedication Safety,
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2ndEdition
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MULTIPLE
CHOICEBASICCONCEPTS
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1. Whichhealthcareprofessionalhasthemajorresponsibilityfordispensingprescribeddru
gsiunder the direction of aipharmacist?
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a. Physician
b Nurseipractitioner
.
c. Licensednurse
d Pharmacyitechnician
.
ANS: D oo
Theiphysician and nurse practitioner have the major responsibilityfor prescribingidrugs, not dispensi
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ngthem. Theilicensed nurseihas the primaryresponsibilityfor administering drugs, although unders
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omeicircumstances ailicensed nurseimaydispenseprescribed drugs but this isnot hisior her major resp
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onsibilityin drugitherapy.
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The pharmacytechnician hasitheimajor responsibilityof dispensingiprescr
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ibed drugsiunder theidirection of alicensed pharmacist.
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DIF: Cognitive Level: Remembering
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2. Which term describes the effect of adrugthatiimproves bodyfunction?
a. Sideeffect
b Intendediaction
.
c. Adversereaction
d Idiosyncraticresponse
.
ANS: B oo
Theipurpose of drugitherapyisito take a drugtoiprevent, reduce, or correct a health problem.Thisir
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esponse is anydrug’s intended action also known as a therapeuticiresponse.
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DIF: Cognitive Level: Remembering
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3. Which type ofdruginame is ―owned‖ bytheicompanythat manufactures it?
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a. Genericiname
b Chemicalname
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.
c. Categoryname
d Tradeiname
.
ANS: D oo
Theichemical nameiis a drug’s exactichemical composition. The genericiname isithe name assignedito
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the drugibythe U.S. Adopted Names Council and isinot owned byanyone. The categoryname refers t
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o thetype ofdrugi(what it doesior whatiit is used for) and is notian actualdrugname. Theitrade name (br
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and name)iis the nameiprovided and owned bya specificidrug’s manufacturer.
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DIF: o o o o Cognitive Level:Rememberingo o REF: o o p. 4 oo
4. Whichidrugioridrugiclassiisiai―highialert‖idrug?
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS: B oo
A high alert drugiis oneiiniwhich harm isilikelyto result if given at the wrongdose, to the wrongpatient,
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or not given toitheicorrect patient.
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Drugs classified as high alert drugs include potassium,narcoticsi(op ioids), insulin,
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cancer chemotherapydrugs, and heparin (or anydrug that stronglyaffectsiblood clotti ng).
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Penicillin, NSAIDs, and calcium are not considered highialert drugs.
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DIF: Cognitive Level: Remembering
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5. What isitheiterm for a drugithat has the same action as a naturallyoccurringibodyhorm oo o
oneorenzyme?
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a. Agonist
b Blockingagent
.
c. Chemical
d Duplicator
.
ANS: A oo
A drug agonist isian extrinsic drugithat activates the receptor sitesiof a cell and mimics theactio
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nsiof naturallyoccurring bodysubstances (intrinsic drugs).Ablocking agent isiaidrug
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,TESTBANK FORUnderstandingPharmacology,EssentialsforMedication
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antagonist.Achemical wouldinotinecessarilybeia drug atiall.Aduplicator is notia pharmacologicterm. o o
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6. Whichtermdescribeshowthebodyaffectsdrugactivity?
a. Drugipotency
b Pharmacodynamics
.
c. Therapeuticeffect
d Pharmacokinetics
.
ANS: D oo
Theiterm pharmacokinetics refers toidrug metabolism and how the bodychanges a drug. Pharmacodyn
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amics refersito how adrug works toichangeibodyfunction. Drug potencyrefers tohow stronglyor to wh
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atidegree aidrug exerts its effects. The therapeutic effectiis closer to pharmacodynamics, meaningihow
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a drugiworks to change bodyfunction.
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DIF: Cognitive Level: Remembering
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7. In the United States, whichigroupiis responsible for enforcingiestablishedistandards fordru
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gmanufacturing?
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a. U.S. Pharmacopeia
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b National Institutes ofiHealth
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.
c. FoodiandiDrugiAdministration
d Associationiof PharmaceuticalManufacturers
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.
ANS: C oo
Theistandards for drug manufactureiareiestablished bythe U.S. Pharmacopeia. These standardsiareie
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nforced bytheiFood and DrugAdministration. Neither the NationaliInstitutes of Health northeAssoci
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ation of Pharmaceutical Manufacturers has anyauthorityto enforcedrugistandards.
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DIF: Cognitive Level: Remembering
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8. Whichifactoriisiaimajoridisadvantageiofitheitransdermalidrugideliveryiroute?
a. Onlya prescriber caniadminister drugsibytheitransdermal route. oo
b Transdermaldrugs must beisterile ratherthanclean. o o
.
c. First pass drug loss bythis route is theimost extensive.
d Drugiabsorptioniisidependentioniadequateicirculation.
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.
ANS: D oo
Oncea transdermal drug moves through theiskin, it must enter the bloodstream to reach its targettissue o
. If circulation isipoor to theiarea whereitheitransdermal drug isiapplied, verylittle, if any,iof the drugiw
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ill reachits target tissue.
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DIF: o o o o Cognitive Level:Remembering
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9. How areintrinsic drugsidifferent from extrinsic drugs?
a. Intrinsicidrugsiareimadeibyitheibody,iwhereasiextrinsicidrugsiareimadeioutsideitheibody.
b Intrinsic drugsiareiadministered bythe parenteral route, whereas extrinsicdrugsiare oo oo
. administeredbytheoralroute.
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c. Extrinsic drugs can onlybe applied to the skinior mucous membranes, whereas intrinsicdru
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gs areitaken internally. o o
d Extrinsicdrugs require a prescriptioniforadministration, whereas intrinsic drugs are oo
. availableover-the-counter.
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ANS: A oo
Intrinsic drugs are the hormones, enzymes, and other chemicals madeibythe bodythat change cell act
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ivity.
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orplantsources and musthave aimean siof entering the bodyin order to changeicell activity.
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DIF: o o o o Cognitive Level:Understanding
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10. Aipatientiasksiwhyihisidrugitoicontrolihighibloodipressureihasionlyioneigenericinameianditwoid
ifferentitradeinames.iWhatiisiyouribestiresponse?
a. ―Mostdrugsihaveidifferent trade names thatiindicatedifferent dosages.‖
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b ―The two differentitrade names indicate thatione is amorepureiand safer drug than theiother.‖
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c. ―The genericnameiis the actual official drugnameiand theitradeiname is abrand owned by
aspecificimanufacturer.‖
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d ―If you haveiinsurance, you can get the trade nameidrug, whichiis usuallymoreiexpensivethan the
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. genericnameddrug.‖
ANS: C oo
Theigeneric nameiis the nameiassigned to the drugbythe U.S. AdoptediNames Council and isinotiown o oo o oo
ed byanyone. Theitrade namei(brand name)iis the nameiprovidediand ownedibyaispecificdrug’s man
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ufacturer. Moreithan one manufacturer can makeandisellitheisameidrugiatitheisame time under a differe
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nt tradeiname. Regardless of trade name, all drugsithat have the same genericname must be alikeiin the
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ir chemicalcompositionandstrength.
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DIF: oo oo oo o o Cognitive Level:Applyingior Higher
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