TEST BANK FOR Understanding Pharmacology, Essentials for Medication Safety, 2nd Edition, Workman & La Charity

Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 1st
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Edition
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MULTIPLE CHOICE kj




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CONCEPTS
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1. Which health care professional has the major responsibility for dispensing prescribed
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drugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner kj


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c. Licensed nurse kj


d Pharmacy technician bg



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ANS: D
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering
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drugs, although under some circumstances a licensed nurse may dispense prescribed drugs
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but this is not his or her major responsibility in drug therapy. The pharmacy technician has
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the major responsibility of dispensing prescribed drugs under the direction of a licensed
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pharmacist.
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DIF: Cognitive Level: Remembering kj kj REF: p. 3 kj




2. Which term describes the effect of a drug that improves body function?
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a. Side effect kj


b Intended action bg



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c. Adverse reaction kj


d Idiosyncratic response kj


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ANS: B
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health
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problem. This response is any drug’s intended action also known as a therapeutic
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response.
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DIF: Cognitive Level: Remembering kj kj REF: p. 3 kj




3. Which type of drug name is ―owned‖ by the company that manufactures it?
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a. Generic name kj

,b Chemical name
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c. Category name kj


d Trade name bg



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ANS: D
The chemical name is a drug’s exact chemical composition. The generic name is the name
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assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone.
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The category name refers to the type of drug (what it does or what it is used for) and is
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not an actual drug name. The trade name (brand name) is the name provided and owned
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by a specific drug’s manufacturer.
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DIF: Cognitive Level: Remembering kj kj REF: p. 4 kj




4.
a. Penicillin
b Insulin
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c. NSAIDs
d Calcium
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ANS: B
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the
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wrong patient, or not given to the correct patient. Drugs classified as high alert drugs
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include potassium, narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or
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any drug that strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not
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considered high alert drugs.
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DIF: Cognitive Level: Remembering kj kj REF: p. 4 kj




5. What is the term for a drug that has the same action as a naturally
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occurring body hormone or enzyme?
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a. Agonist
b Blocking agent kj


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c. Chemical
d Duplicator
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ANS: A
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics
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the actions of naturally occurring body substances (intrinsic drugs). A blocking agent
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is a drug
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, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologic
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term.
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DIF: Cognitive Level: Remembering kj kj REF: pp. 6-7 kj




6. Which term describes how the body affects drug activity?
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a. Drug potency kj


b Pharmacodynamics
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c. Therapeutic effect kj




d Pharmacokinetics
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ANS: D
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how a drug works to change body function. Drug potency
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refers to how strongly or to what degree a drug exerts its effects. The therapeutic effect is
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closer to pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering kj kj REF: p. 10 kj




7. In the United States, which group is responsible for enforcing established
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standards for drug manufacturing?
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a. U.S. Pharmacopeia kj


b National Institutes of Health kj kj kj


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c. Food and Drug Administration
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d Association of Pharmaceutical Manufacturers kj kj kj


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ANS: C
The standards for drug manufacture are established by the U.S. Pharmacopeia.
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These standards are enforced by the Food and Drug Administration. Neither the National
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Institutes of Health nor the Association of Pharmaceutical Manufacturers has any
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authority to enforce drug standards.
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DIF: k j k j k j k j Cognitive Level: Remembering kj kj REF: k j k j k j p. 5 kj




8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal
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route.kj


b Transdermal drugs must be sterile rather than clean. kj kj kj kj kj kj kj


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c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulation.
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