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Test Bank- Focus on Nursing Pharmacology 7th Edition by Amy Karch UPDATED VERSION

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Focus on Nursing Pharmacology

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Focus on Nursing Pharmacology

Test Bank- Focus on Nursing Pharmacology 7th Edition by Amy Karch UPDATED VERSIONTest Bank- Focus on Nursing Pharmacology 7th Edition by Amy Karch UPDATED VERSIONTest Bank- Focus on Nursing Pharmacology 7th Edition by Amy Karch UPDATED VERSION

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amy karch
test bank focusonnursing pharmacology7th
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focusonnursing pharmacology7th edition
focusonnursing pharmacology

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Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 1 Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 2

Table of Contents Chapter 51- Diuretic Agents 833
Chapter 52- Drugs Affecting the Urinary Tract and the Bladder 849
Table of Contents 1 Chapter 53- Introduction to the Respiratory System 866
Chapter 01- Introduction to Drugs 3 Chapter 54- Drugs Acting on the Upper Respiratory Tract 883
Chapter 02- Drugs and the Body 20 Chapter 55- Drugs Acting on the Lower Respiratory Tract 900
Chapter 03- Toxic Effects of Drugs 37 Chapter 56- Introduction to the Gastrointestinal System 917
Chapter 04- The Nursing Process in Drug Therapy and Patient Safety 54 Chapter 57- Drugs Affecting Gastrointestinal Secretions 933
Chapter 05- Dosage Calculations 71 Chapter 58- Drugs Affecting Gastrointestinal Motility 949
Chapter 06- Challenges to Effective Drug Therapy 86 Chapter 59- Antiemetic Agents 965
Chapter 07- Introduction to Cell Physiology 103
Chapter 08- Anti-infective Agents 120
Chapter 09- Antibiotics 138
Chapter 10- Antiviral Agents 155
Chapter 11- Antifungal Agents 172
Chapter 12- Antiprotozoal Agents 188
Chapter 13- Anthelmintic Agents 204
Chapter 14- Antineoplastic Agents 220
Chapter 15- Introduction to the Immune Response and Inflammation 237
Chapter 16- Anti-inflammatory, Antiarthritis, and Related Agents 254
Chapter 17- Immune Modulators 270
Chapter 18- Vaccines and Sera 287
Chapter 19- Introduction to Nerves and the Nervous System 304
Chapter 20- Anxiolytic and Hypnotic Agents 320
Chapter 21- Antidepressant Agents 337
Chapter 22- Psychotherapeutic Agents 354
Chapter 23- Antiseizure Agents 371
Chapter 24- Antiparkinsonism Agents 388
Chapter 25- Muscle Relaxants 404
Chapter 26- Narcotics, Narcotic Antagonists, and Antimigraine Agents 420
Chapter 27- General and Local Anesthetic Agents 436
Chapter 28- Neuromuscular Junction Blocking Agents 453
Chapter 29- Introduction to the Autonomic Nervous System 470
Chapter 30- Adrenergic Agonists 487
Chapter 31- Adrenergic Antagonists 503
Chapter 32- Cholinergic Agonists 520
Chapter 33- Anticholinergic Agents 536
Chapter 34- Introduction to the Endocrine System 553
Chapter 35- Hypothalamic and Pituitary Agents 569
Chapter 36- Adrenocortical Agents 585
Chapter 37- Thyroid and Parathyroid Agents 602
Chapter 38- Agents to Control Blood Glucose Levels 619
Chapter 39- Introduction to the Reproductive System 636
Chapter 40- Drugs Affecting the Female Reproductive System 653
Chapter 41- Drugs Affecting the Male Reproductive System 669
Chapter 42- Introduction to the Cardiovascular System 685
Chapter 43- Drugs Affecting Blood Pressure 702
Chapter 44- Agents for Treating Heart Failure 719
Chapter 45- Antiarrhythmic Agents 735
Chapter 46- Antianginal Agents 752
Chapter 47- Lipid-Lowering Agents 768
Chapter 48- Drugs Affecting Blood Coagulation 785
Chapter 49- Drugs Used to Treat Anemias 801
Chapter 50- Introduction to the Renal System 817

,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 3 Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 4

Chapter 01- Introduction to Drugs liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs
have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse
potential and limited dependence liability.

1. A nurse working in radiology administers iodine to a patient who is having a computed tomography 3. When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
(CT) scan. The nurse working on the oncology unit administers chemotherapy to patients who have
cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella (MMR) A) Working with animals who are given experimental drugs
vaccine to a 14-month-old child as a routine immunization. Which branch of pharmacology best
describes the actions of all three nurses?
B) Choosing appropriate patients to be involved in the drug study
A) Pharmacoeconomics
C) Monitoring and observing patients closely for adverse effects
B) Pharmacotherapeutics
D) Conducting research to determine effectiveness of the drug
C) Pharmacodynamics
Ans: C
D) Pharmacokinetics
Feedback:
Ans: B
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to record
any symptoms they experience while taking the drugs. Nurses may be responsible for helping collect
Feedback: and analyze the information to be shared with the Food and Drug Administration (FDA) but would not
conduct research independently because nurses do not prescribe medications. Use of animals in drug
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical testing is done in the preclinical trials. Select patients who are involved in phase II studies to participate
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of in studies where the participants have the disease the drug is intended to treat. These patients are
drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help monitored closely for drug action and adverse effects. Phase I studies involve healthy human volunteers
diagnose a disease. The oncology nurse is administering a drug to help treat a disease. who are usually paid for their participation. Nurses may observe for adverse effects and toxicity.
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a
drug affects the body and pharmacokinetics is how the body acts on the body. 4. What concept is considered when generic drugs are substituted for brand name drugs?

2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed A) Bioavailability
for pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
Under what category would morphine be classified?
B) Critical concentration
A) Schedule I
C) Distribution
B) Schedule II
D) Half-life
C) Schedule III
Ans: A
D) Schedule IV
Feedback:
Ans: B
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available to
act on body cells. Binders used in a generic drug may not be the same as those used in the brand name
Feedback: drug. Therefore, the way the body breaks down and uses the drug may differ, which may eliminate a
generic drug substitution. Critical concentration is the amount of a drug that is needed to cause a
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence therapeutic effect and should not differ between generic and brand name medications. Distribution is
the phase of pharmacokinetics, which involves the movement of a drug to the body’s tissues and is the

,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 5 Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 6

same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug to 7. A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a Pregnancy
decrease to half the peak level, which should not change when substituting a generic medication. Category B drug. What would the nurse inform the patient?

5. A nurse is assessing the patient’s home medication use. After listening to the patient list current A) Adequate studies in pregnant women have demonstrated there is no risk to the fetus.
medications, the nurse asks what priority question?
B) Animal studies have not demonstrated a risk to the fetus, but there have been no adequate studies
A) Do you take any generic medications? in pregnant women.

B) Are any of these medications orphan drugs? C) Animal studies have shown an adverse effect on the fetus, but there are no adequate studies in
pregnant women.
C) Are these medications safe to take during pregnancy?
D) There is evidence of human fetal risk, but the potential benefits from use of the drug may be
acceptable despite potential risks.
D) Do you take any over-the-counter medications?

Ans: B
Ans: D

Feedback:
Feedback:

Category B indicates that animal studies have not demonstrated a risk to the fetus. However, there have
It is important for the nurse to specifically question use of over-the-counter medications because not been adequate studies in pregnant women to demonstrate risk to a fetus during the first trimester of
patients may not consider them important. The patient is unlikely to know the meaning of orphan drugs pregnancy and no evidence of risk in later trimesters. Category A indicates that adequate studies in
unless they too are health care providers. Safety during pregnancy, use of a generic medication, or pregnant women have not demonstrated a risk to the fetus in the first trimester or in later trimesters.
classification of orphan drugs are things the patient would be unable to answer but could be found in Category C indicates that animal studies have shown an adverse effect on the fetus, but no adequate
reference books if the nurse wishes to research them. studies in humans. Category D reveals evidence of human fetal risk, but the potential benefits from the
use of the drugs in pregnant women may outweigh potential risks.
6. After completing a course on pharmacology for nurses, what will the nurse know?
8. Discharge planning for patients leaving the hospital should include instructions on the use of over-the-
A) Everything necessary for safe and effective medication administration counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC
drugs?

B) Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
A) OTC drugs are safe and do not cause adverse effects if taken properly.

C) General drug information; the nurse can consult a drug guide for specific drug information.
B) OTC drugs have been around for years and have not been tested by the Food and Drug
Administration (FDA).
D) The drug actions that are associated with each classification of medication
C) OTC drugs are different from any drugs available by prescription and cost less.
Ans: C
D) OTC drugs could cause serious harm if not taken according to directions.
Feedback:
Ans: D
After completing a pharmacology course nurses will have general drug information needed for safe and
effective medication administration but will need to consult a drug guide for specific drug information
before administering any medication. Pharmacology is constantly changing, with new drugs entering Feedback:
the market and new uses for existing drugs identified. Continuing education in pharmacology is
essential to safe practice. Nurses tend to become familiar with the medications they administer most It is important to follow package directions because OTCs are medications that can cause serious harm
often, but there will always be a need to research new drugs and also those the nurse is not familiar with if not taken properly. OTCs are drugs that have been determined to be safe when taken as directed;
because no nurse knows all medications. however, all drugs can produce adverse effects even when taken properly. They may have originally
been prescription drugs that were tested by the FDA or they may have been grandfathered in when the

, Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 7 Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 8

FDA laws changed. OTC education should always be included as a part of the hospital discharge
instructions.
11. What aspect of pharmacology does a nurse study? (Select all that apply.)

9. What would be the best source of drug information for a nurse?
A) Chemical pharmacology

A) Drug Facts and Comparisons
B) Molecular pharmacology

B) A nurse’s drug guide
C) Impact of drugs on the body

C) A drug package insert
D) The body’s response to a drug

D) The Physicians’ Drug Reference (PDR)
E) Adverse and anticipated drug effects

Ans: B
Ans: C, D, E

Feedback:
Feedback:

A nurse’s drug guide provides nursing implications and patient teaching points that are most useful to
nurses in addition to need-to-know drug information in a very user friendly organizational Nurses study pharmacology from a pharmacotherapeutic level, which includes the effect of drugs on
style.Lippincott’s Nursing Drug Guide (LNDG) has drug monographs organized alphabetically and the body, the body’s response to drugs, and both expected and unexpected drug effects. Chemical and
includes nursing implications and patient teaching points. Numerous other drug handbooks are also on molecular pharmacology (Options A and B) are not included in nursing pharmacology courses.
the market and readily available for nurses to use. Although other drug reference books such as Drug
Facts and Comparisons, PDR, and drug package inserts can all provide essential drug information, they 12. The nurse, providing patient teaching about home medication use to an older adult, explains that even
will not contain nursing implications and teaching points and can be more difficult to use than nurse’s when drugs are taken properly they can produce negative or unexpected effects. What are these
drug guides. negative or unexpected effects called?

10. The nurse is preparing to administer a medication from a multidose bottle. The label is torn and soiled A) Teratogenic effects
but the name of the medication is still readable. What is the nurse’s priority action?

B) Toxic effects
A) Discard the entire bottle and contents and obtain a new bottle.

C) Adverse effects
B) Find the drug information and create a new label for the bottle.

D) Therapeutic effects
C) Ask another nurse to verify the contents of the bottle.

Ans: C
D) Administer the medication if the name of the drug can be clearly read.

Feedback:
Ans: A

Negative or unexpected effects are known as adverse or side effects. Teratogenic effects are adverse
Feedback: effects on the fetus and not a likely concern for an older adult. Toxic effects occur when medication is
taken in larger than recommended dosages caused by an increase in serum drug levels. Therapeutic
When the drug label is soiled obscuring some information the safest action by the nurse is to discard the effects are the desired actions for which the medication is prescribed.
bottle and contents because drug labels contain a great deal of important information, far more than just
the name of the drug. Concentration of the drug, expiration date, administration directions, and 13. After administering a medication, for what would the nurse assess the patient?
precautions may be missing from the label and so put the patient at risk. Looking up drug information
in a drug handbook or consulting with another nurse will not supply the expiration date or
concentration of medication. Be safe and discard the bottle and its contents.

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