TEST BANK FOR FOCUS ON NURSING PHARMACOLOGY 7THEDITION BY KARCH QUESTIONS AND ANSWERS. VERIFIED 1. A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT) scan. The nurse working on the oncology unit administers chemotherapy to patients who have cancer....
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TEST BANK
Test bank for Focus on Nursing pharmacology by Amy M. Karch, 17th Edition
TEST BANK
,Table of Contents
Chapter 01- Introduction to Drugs
Chapter 02- Drugs and the Body
Chapter 03- Toxic Effects of Drugs
Chapter 04- The Nursing Process in Drug Therapy and Patient Safety
Chapter 05- Dosage Calculations
Chapter 06- Challenges to Effective Drug Therapy
Chapter 07- Introduction to Cell Physiology
Chapter 08- Anti-infective Agents
Chapter 09- Antibiotics
Chapter 10- Antiviral Agents
Chapter 11- Antifungal Agents
Chapter 12- Antiprotozoal Agents
Chapter 13- Anthelmintic Agents
Chapter 14- Antineoplastic Agents
Chapter 15- Introduction to the Immune Response and Inflammation
Chapter 16- Anti-inflammatory, Antiarthritis, and Related Agents
Chapter 17- Immune Modulators
Chapter 18- Vaccines and Sera
Chapter 19- Introduction to Nerves and the Nervous System
Chapter 20- Anxiolytic and Hypnotic Agents
Chapter 21- Antidepressant Agents
Chapter 22- Psychotherapeutic Agents
Chapter 23- Antiseizure Agents
Chapter 24- Antiparkinsonism Agents
Chapter 25- Muscle Relaxants
Chapter 26- Narcotics, Narcotic Antagonists, and Antimigraine Agents
Chapter 27- General and Local Anesthetic Agents
Chapter 28- Neuromuscular Junction Blocking Agents
Chapter 29- Introduction to the Autonomic Nervous System
Chapter 30- Adrenergic Agonists
Chapter 31- Adrenergic Antagonists
Chapter 32- Cholinergic Agonists
Chapter 33- Anticholinergic Agents
Chapter 34- Introduction to the Endocrine System
Chapter 35- Hypothalamic and Pituitary Agents
Chapter 36- Adrenocortical Agents
Chapter 37- Thyroid and Parathyroid Agents
Chapter 38- Agents to Control Blood Glucose Levels
Chapter 39- Introduction to the Reproductive System
Chapter 40- Drugs Affecting the Female Reproductive System
Chapter 41- Drugs Affecting the Male Reproductive System
Chapter 42- Introduction to the Cardiovascular System
Chapter 43- Drugs Affecting Blood Pressure
Chapter 44- Agents for Treating Heart Failure
Chapter 45- Antiarrhythmic Agents
Chapter 46- Antianginal Agents
Chapter 47- Lipid-Lowering Agents
Chapter 48- Drugs Affecting Blood Coagulation
Chapter 49- Drugs Used to Treat Anemias
Chapter 50- Introduction to the Renal System
Chapter 51- Diuretic Agents
Chapter 52- Drugs Affecting the Urinary Tract and the Bladder
Chapter 53- Introduction to the Respiratory System
Chapter 54- Drugs Acting on the Upper Respiratory Tract
Chapter 55- Drugs Acting on the Lower Respiratory Tract
Chapter 56- Introduction to the Gastrointestinal System
Chapter 57- Drugs Affecting Gastrointestinal Secretions
Chapter 58- Drugs Affecting Gastrointestinal Motility
Chapter 59- Antiemetic Agents
,Amy M. Karch: Focus on Nursing pharmacology, 17th Edition
Chapter 1: Introduction to Drugs
Multiple Choice
Cognitive Level: ApplicationDifficulty:
Moderate
Integrated Process: Nursing process
1.A nurse working in radiology administers iodine to a patient who is having a
computerized axial tomography (CAT) scan. A nurse working on an oncology unit
administers chemotherapy to patients who have cancer. At the Public Health
Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
month-old child as a routine immunization. Which branch of pharmacology best
describes the actions of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved
with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose
disease. The nurse working in radiology is administering a drug to help diagnose a
disease. The nurse working on an oncology unit is administering a drug to help treat a
disease. 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 drug.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing process
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4
hours as needed for pain for a motor vehicle accident victim. The nurse is aware that
there is a high abuse potential for this drug; therefore, morphine is categorized as a:
A) Schedule I drug
B) Schedule II drug
C) Schedule III drug
D) Schedule IV drug
Ans: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high
abuse potential with severe dependence liability. Schedule I drugs have high abuse
potential and no accepted medical use. Schedule III drugs have a lesser abuse
potential than schedule II drugs and an accepted medical use. Schedule IV drugs have
low abuse potential and limited dependence liability.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Communication and documentation
3.A nurse working for a drug company is involved in phase III drug evaluation studies.
Which of the following might the nurse be responsible for during this stage of drug
development?
, Chapter 1: Introduction to Drugs
A) Working with animals who are given experimental drugs
B) Monitoring drug effects in patients who are selected to participate in a study,
who have the disease that the drug is meant to treat
C) Collecting records of symptoms that participants experience while taking a
drug and determining whether they are caused by the disease or the drug
D) Informing healthy, young volunteer participants of possible risks that could
occur from taking an experimental drug
Ans: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are
asked to record any symptoms they experience while taking the drugs. Nurses may be
responsible for helping collect and analyze the information to be shared with the
Food and Drug Administration (FDA). Use of animals in drug testing is done in the
preclinical trials. A select group of patients who are involved in phase II studies
participate in studies where the participants have the disease the drug is intended to
treat. These patients are monitored closely for drug effects. Phase I studies involve
healthy human volunteers who are usually paid for their participation. Nurses may
observe for adverse effects and toxicity.
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
4.Which of the following concepts is considered when generic drugs are substituted for
brand-name drugs?
A) Bioavailability
B) Critical concentration
C) Distribution
D) Half-life
Ans: A
Response:
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 drug. Therefore, the way the body breaks down
and uses the drug may differ, which may eliminate a substitution. Critical
concentration is the amount of a drug that is needed to cause a therapeutic effect.
Distribution is the phase of pharmacokinetics that involves the movement of a drug to
the body's tissues. A drug's half-life is the time it takes for the amount of drug to
decrease to one-half of the peak level.
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Teaching/learning
5.A nurse is teaching her patient about the use of over-the-counter (OTC) drugs. Which
of the following statements best informs the patient about their safe use?
A) “OTC drugs are products that are available without prescription for self-
treatment of minor complaints.”
B) “OTC drugs are considered medications and should be reported on a drug
history.”
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