Heather McRoberts
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chpt 1

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Heather McRoberts
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Pharm 1&2

Pharm 1&2

Frage 1 von 20

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. 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?

Wähle eine der folgenden:

  • Pharmacoeconomics

  • Pharmacotherapeutics

  • Pharmacodynamics

  • Pharmacokinetics

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Frage 2 von 20

1

A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed 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?

Wähle eine der folgenden:

  • Schedule I

  • Schedule II

  • Schedule III

  • Schedule IV

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Frage 3 von 20

1

When involved in phase III drug evaluation studies, what responsibilities would the nurse have?

Wähle eine der folgenden:

  • Working with animals who are given experimental drugs

  • Choosing appropriate patients to be involved in the drug study

  • Monitoring and observing patients closely for adverse effects

  • Conducting research to determine effectiveness of the drug

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Frage 4 von 20

1

What concept is considered when generic drugs are substituted for brand name drugs?

Wähle eine der folgenden:

  • Bioavailability

  • Critical concentration

  • Distribution

  • Half-life

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Frage 5 von 20

1

A nurse is assessing the patient’s home medication use. After listening to the patient list current medications, the nurse asks what priority question?

Wähle eine der folgenden:

  • Do you take any generic medications?

  • Are any of these medications orphan drugs?

  • Are these medications safe to take during pregnancy?

  • Do you take any over-the-counter medications?

Erklärung

Frage 6 von 20

1

After completing a course on pharmacology for nurses, what will the nurse know?

Wähle eine der folgenden:

  • Everything necessary for safe and effective medication administration

  • Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.

  • General drug information; the nurse can consult a drug guide for specific drug information.

  • The drug actions that are associated with each classification of medication

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Frage 7 von 20

1

A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a Pregnancy Category B drug. What would the nurse inform the patient?

Wähle eine der folgenden:

  • Adequate studies in pregnant women have demonstrated there is no risk to the fetus.

  • Animal studies have not demonstrated a risk to the fetus, but there have been no adequate studies in pregnant women.

  • Animal studies have shown an adverse effect on the fetus, but there are no adequate studies in pregnant women.

  • There is evidence of human fetal risk, but the potential benefits from use of the drug may be acceptable despite potential risks.

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Frage 8 von 20

1

The telephone triage nurse receives a call from a patient asking for a prescription for a narcotic to manage his surgical pain. The nurse explains that narcotic prescriptions must be written and cannot be called in to the pharmacy. The patient says, Why are narcotics so difficult to get a prescription for? What is the nurse’s best response?

Wähle eine der folgenden:

  • The Drug Enforcement Agency (DEA) determines the risk for addiction and the Food and Drug Administration (FDA) enforces their control.

  • The increase in the number of drug addicts has made the rules stronger.

  • The Centers for Disease Control and Prevention (CDC) regulates use of controlled substances to reduce the risk of injury.

  • Controlled substances like narcotics are controlled by the FDA and the DEA.

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Frage 9 von 20

1

Before administering a prescription medication, what information does the nurse find on the drug label? (Select all that apply.)

Wähle eine der folgenden:

  • Brand name

  • Generic name

  • Drug concentration

  • Expiration date

  • Adverse effects

  • A, B, C, D (ALL EXCEPT ADVERSE)

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Frage 10 von 20

1

The patient is prescribed a medication that was just placed in Phase IV study. The patient tells the nurse, This medication is too expensive. Could the doctor order a generic form of this medication? What is the nurse’s most accurate response?

Wähle eine der folgenden:

  • Medications are not produced in generic form until the patent expires, which normally takes several years.

  • You can request the generic form but the binder used may make the drug less effective for this medication.

  • The generic form of the medication would not be any less expensive because this is a relatively new medication.

  • Generic medications are lower quality drugs and that would mean you would not be getting the best treatment available.

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Frage 11 von 20

1

Drugs do not metabolize the same way in all people. For what patient would a nurse expect to assess for an alteration in drug metabolism?

Wähle eine der folgenden:

  • A 35-year-old woman with cervical cancer

  • A 41-year-old man with kidney stones

  • A 50-year-old man with cirrhosis of the liver

  • A 62-year-old woman in acute renal failure

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Frage 12 von 20

1

A patient presents to the emergency department with a drug level of 50 units/mL. The half-life of this drug is 1 hour. With this drug, concentrations above 25 units/mL are considered toxic and no more drug is given. How long will it take for the blood level to reach the non-toxic range?

Wähle eine der folgenden:

  • 30 minutes

  • 1 hour

  • 2 hours

  • 3 hours

Erklärung

Frage 13 von 20

1

A pharmacology student asks the instructor what an accurate description of a drug agonist is. What is the instructor’s best response?

Wähle eine der folgenden:

  • A drug that reacts with a receptor site on a cell preventing a reaction with another chemical on a different receptor site

  • A drug that interferes with the enzyme systems that act as catalyst for different chemical reactions

  • A drug that interacts directly with receptor sites to cause the same activity that a natural chemical would cause at that site

  • A drug that reacts with receptor sites to block normal stimulation, producing no effect

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Frage 14 von 20

1

A nurse is working as a member of a research team involved in exploring the unique response to drugs each individual displays based on genetic make-up. What is this area of study is called?

Wähle eine der folgenden:

  • Pharmacotherapeutics

  • Pharmacodynamics

  • Pharmacoeconomics

  • Pharmacogenomics

Erklärung

Frage 15 von 20

1

A nurse is caring for a patient who is supposed to receive two drugs at the same time. What is the nurse’s priority action?

Wähle eine der folgenden:

  • Wash her hands before handling the medications.

  • Consult a drug guide for compatibility.

  • Question the patient concerning drug allergies.

  • Identify the patient by checking the armband and asking the patient to state his name.

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Frage 16 von 20

1

Several processes enable a drug to reach a specific concentration in the body. Together they are called dynamic equilibrium. What are these processes? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Distribution to the active site

  • Biotransformation

  • Absorption from the muscle

  • Excretion

  • Interaction with other drugs

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Frage 17 von 20

1

What factor influences drug absorption?

Wähle eine der folgenden:

  • Kidney function

  • Route of administration

  • Liver function

  • Cardiovascular function

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Frage 18 von 20

1

The nurse is caring for a patient who is receiving gentamicin, 250 mg and fluconazole (Diflucan), 500 mg at the same time. The nurse knows that if these two drugs competed with each other for protein- binding sites, what would this do?

Wähle eine der folgenden:

  • Make the patient gentamicin deficient

  • Make the patient fluconazole deficient

  • Counteract any positive benefit the drugs would have

  • Alter the effectiveness of both drugs

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Frage 19 von 20

1

The nurse administers an intravenous medication with a half-life of 24 hours but recognizes what factors in this patient could extend the drug’s half-life? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Gastrointestinal disease

  • Kidney disease

  • Liver disease

  • Cardiovascular disease

  • Route of administration

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Frage 20 von 20

1

A patient has come to the clinic and been diagnosed with Lyme disease. The physician has ordered oral tetracycline. What is important for the nurse to include in the teaching plan about tetracycline? (Select all that apply.)

Wähle eine der folgenden:

  • Do not take the drug with anything high in sodium content to keep from producing a state of hypernatremia in the body.

  • Do not take the drug with foods or other drugs that contain calcium.

  • Do not take the drug at the same time you take an iron supplement or with foods that are high in iron content.

  • Avoid exposure to the sun when taking this drug as it can turn your skin purple.

  • Avoid eating bananas at the same time you take this drug as the potassium content of the tetracycline can produce hyperkalemia in the body.

  • ANS B & C Avoid calcuim and Iron

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