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ASSESSED PHARMACOLOGY TEST BANK

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ASSESSED 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 Pharmacotherapeutic...

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  • November 11, 2024
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ASSESSED 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 fpostoperative fpatient fis fbeing fdischarged fhome fwith facetaminophen/hydrocodone f(Lortab) ffor
fpain.fThe fpatient fasks fthe fnurse fabout fusing fTylenol ffor ffever. fWhich fstatement fby fthe fnurse fis
fcorrect?




a. "It fis fnot fsafe fto ftake fover-the-counter fdrugs fwith fprescription fmedications."

b. "Taking fthe ftwo fmedications ftogether fposes fa frisk fof fdrug ftoxicity."

c. "There fare fno fknown fdrug finteractions, fso fthis fwill fbe fsafe."

d. "Tylenol fand fLortab fare fdifferent fdrugs, fso fthere fis fno frisk fof foverdose." f- fCORRECT fANSWER f-
ANS: fB



Tylenol fis fthe ftrade fname fand facetaminophen fis fthe fgeneric fname ffor fthe fsame fmedication. fIt fis
fimportant fto fteach fpatients fto fbe faware fof fthe fdifferent fnames ffor fthe fsame fdrug fto fminimize
fthe frisk foffoverdose. fOver-the-counter f(OTC) fmedications fand fprescription fmedications fmay fbe
ftaken ftogether funless fsignificant fharmful fdrug finteractions fare fpossible. fEven fthough fno fdrug
finteractions fare fat fplay fin fthis fcase, fboth fdrugs fcontain facetaminophen, fwhich fcould flead fto
ftoxicity.




The fnurse fis fpreparing fto fcare ffor fa fpatient fwho fwill fbe ftaking fan fantihypertensive fmedication.
fWhichfaction fby fthe fnurse fis fpart fof fthe fassessment fstep fof fthe fnursing fprocess?




a. Asking fthe fprescriber ffor fan forder fto fmonitor fserum fdrug flevels

b. Monitoring fthe fpatient ffor fdrug finteractions fafter fgiving fthe fmedication

c. Questioning fthe fpatient fabout fover-the-counter fmedications

d. Taking fthe fpatient's fblood fpressure fthroughout fthe fcourse fof ftreatment f- fCORRECT f ANSWER f-
ANS: fC



The fassessment fpart fof fthe fnursing fprocess finvolves fgathering finformation fbefore fbeginning
ftreatment,fand fthis fincludes fasking fabout fother fmedications fthe fpatient fmay fbe ftaking. fMonitoring
fserum fdrug flevels, fwatching ffor fdrug finteractions, fand fchecking fvital fsigns fafter fgiving fthe
fmedication fare fall fpart foffthe fevaluation fphase.




A fpostoperative fpatient freports fpain, fwhich fthe fpatient frates fas fan f8 fon fa fscale ffrom f1 fto f10 f(10
fbeing fthe fmost fextreme fpain). fThe fprescriber fhas fordered facetaminophen f(Tylenol) f650 fmg fPO
fevery f6 fhoursfPRN fpain. fWhat fwill fthe fnurse fdo?

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