Heather McRoberts
Quiz by , created more than 1 year ago

chpt 1

105
0
0
Heather McRoberts
Created by Heather McRoberts over 4 years ago
Close

Pharm 1&2

Question 1 of 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?

Select one of the following:

  • Pharmacoeconomics

  • Pharmacotherapeutics

  • Pharmacodynamics

  • Pharmacokinetics

Explanation

Question 2 of 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?

Select one of the following:

  • Schedule I

  • Schedule II

  • Schedule III

  • Schedule IV

Explanation

Question 3 of 20

1

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

Select one of the following:

  • 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

Explanation

Question 4 of 20

1

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

Select one of the following:

  • Bioavailability

  • Critical concentration

  • Distribution

  • Half-life

Explanation

Question 5 of 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?

Select one of the following:

  • 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?

Explanation

Question 6 of 20

1

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

Select one of the following:

  • 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

Explanation

Question 7 of 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?

Select one of the following:

  • 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.

Explanation

Question 8 of 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?

Select one of the following:

  • 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.

Explanation

Question 9 of 20

1

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

Select one of the following:

  • Brand name

  • Generic name

  • Drug concentration

  • Expiration date

  • Adverse effects

  • A, B, C, D (ALL EXCEPT ADVERSE)

Explanation

Question 10 of 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?

Select one of the following:

  • 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.

Explanation

Question 11 of 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?

Select one of the following:

  • 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

Explanation

Question 12 of 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?

Select one of the following:

  • 30 minutes

  • 1 hour

  • 2 hours

  • 3 hours

Explanation

Question 13 of 20

1

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

Select one of the following:

  • 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

Explanation

Question 14 of 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?

Select one of the following:

  • Pharmacotherapeutics

  • Pharmacodynamics

  • Pharmacoeconomics

  • Pharmacogenomics

Explanation

Question 15 of 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?

Select one of the following:

  • 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.

Explanation

Question 16 of 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.)

Select one or more of the following:

  • Distribution to the active site

  • Biotransformation

  • Absorption from the muscle

  • Excretion

  • Interaction with other drugs

Explanation

Question 17 of 20

1

What factor influences drug absorption?

Select one of the following:

  • Kidney function

  • Route of administration

  • Liver function

  • Cardiovascular function

Explanation

Question 18 of 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?

Select one of the following:

  • Make the patient gentamicin deficient

  • Make the patient fluconazole deficient

  • Counteract any positive benefit the drugs would have

  • Alter the effectiveness of both drugs

Explanation

Question 19 of 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.)

Select one or more of the following:

  • Gastrointestinal disease

  • Kidney disease

  • Liver disease

  • Cardiovascular disease

  • Route of administration

Explanation

Question 20 of 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.)

Select one of the following:

  • 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

Explanation

Previous
Next