(Test Bank) Clayton’s Basic Pharmacology For Nurses

Willihnganz, 18

Nursing

Test Bank

18th Edition

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Test Bank for Clayton’s Basic Pharmacology For Nurses, The downloadable file consists of 495 pages, and the total size of the file is 5.18 MB. Purchase now only for highly discounted price.

Author(s): Willihnganz

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Willihnganz: Clayton’s Basic Pharmacology for Nurses, 18th Edition Table of Content Unit 1: Applying Pharmacology to Nursing Practice 1. Drug Definitions, Standards, and Information Sources 2. Basic Principles of Drug Action and Drug Interactions 3. Drug Action Across the Life Span 4. The Nursing Process and Pharmacology 5. Patient Education to Promote Health Unit 2: Illustrated Atlas of Medication Administration 6. Principles of Medication Administration and Medication Safety 7. Percutaneous Administration 8. Enteral Administration 9. Parenteral Administration: Safe Preparation of Parenteral Medications 10. Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes 11. Parenteral Administration: Intravenous Route Unit 3: Drugs Affecting the Autonomic and Central Nervous Systems 12. Drugs Affecting the Autonomic Nervous System 13. Drugs Used for Sleep 14. Drugs Used for Neurodegenerative Disorders (NEW!) 15. Drugs Used for Anxiety Disorders 16. Drugs Used for Depressive and Bipolar Disorders 17. Drugs Used for Psychoses 18. Drugs Used for Seizure Disorders 19. Drugs Used for Pain Management Unit 4: Drugs Affecting the Cardiovascular System 20. Introduction to Cardiovascular Disease and Metabolic Syndrome 21. Drugs Used to Treat Dyslipidemias 22. Drugs Used to Treat Hypertension 23. Drugs Used to Treat Dysrhythmias 24. Drugs Used to Treat Angina Pectoris 25. Drugs Used to Treat Peripheral Vascular Disease 26. Drugs Used to Treat Thromboembolic Disorders 27. Drugs Used to Treat Heart Failure 28. Drugs Used for Diuresis Unit 5: Drugs Affecting the Respiratory System 29. Drugs Used to Treat Upper Respiratory Disease 30. Drugs Used to Treat Lower Respiratory Disease Unit 6: Drugs Affecting the Digestive System 31. Drugs Used to Treat Oral Disorders 32. Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease 33. Drugs Used to Treat Nausea and Vomiting 34. Drugs Used to Treat Constipation and Diarrhea Unit 7: Drugs That Affect the Endocrine System 35. Drugs Used to Treat Diabetes Mellitus 36. Drugs Used to Treat Thyroid Disease 37. Corticosteroids 38. Gonadal Hormones Unit 8: Drugs Affecting the Reproductive System 39. Drugs Used in Obstetrics 40. Drugs Used in Men’s and Women’s Health Unit 9: Drugs Affecting Other Body Systems 41. Drugs Used to Treat Disorders of the Urinary System 42. Drugs Used to Treat Glaucoma and Other Eye Disorders 43. Drugs Used to Treat Cancer 44. Drugs Used to Treat the Musculoskeletal System 45. Drugs Used to Treat Infection Unit 10: Drugs Affecting the General Health of the Body 46. Nutrition 47. Herbal and Dietary Supplemental Therapy 48. Substance Abuse Willihnganz: Clayton’s Basic Pharmacology for Nurses, 18th Edition Test Bank Chapter 01. Drug Definitions, Standards, and Information Sources MULTIPLE CHOICE 1. The name is the name under which the drug is listed by the United States Food and Drug Administration, who by federal law names the drug for human use in the United States. 1. brand 3. official 2. nonproprietary 4. trademark ANS: 3 3. The official name is the name under which a drug is listed by the FDA. 1. The brand name, or trademark, is the name given to a drug by its manufacturer. 2. The nonproprietary, or generic, name is provided by the USAN Council. 4. The trademark, or brand name, is the name given to a drug by its manufacturer. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 2 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Safe, Effective Care Environment 2. The contains information specific to nutritional supplements. 1. USP Dictionary of USAN & International Drug Names 2. Natural Medicines Comprehensive Database 3. United States Pharmacopoeia/National Formulary 4. Drug Interaction Facts ANS: 3 3. The United States Pharmacopoeia/National Formulary contains information specific to nutritional supplements. 1. USP Dictionary of USAN & International Drug Names is a compi lation of drug names, pronunciation guide and possible future FDA-approved drugs; it does not include nutritional supplements. 2. Natural Medicines Comprehensive Database contains evidence -based information on herbal medicines and herbal combination products ; it does not include information specific to nutritional supplements. 4. Drug Interaction Facts contains comprehensive information on drug interaction facts; it does not include nutritional supplements. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 3 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 3. Drugs may be classified according to which of the following? 1. Effect on the body system 3. Generic or trade 2. Cost 4. Chemical constitution ANS: 1 1. Class ification is according to effect on body system, therapeutic use or clinical indications, physiological or chemical action, prescription or nonprescription, and/or recreational drugs. 2. Drugs are not classified by cost. 3. Drugs are not classified by generic or trade names. 4. Drugs are not classified by chemical constitution. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 2 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 4. The most comprehensive reference availab le to research a drug interaction is: 1. Drug Facts and Comparisons . 2. Drug Interaction Facts . 3. Handbook on Injectable Drugs . 4. Martindale –The Complete Drug Reference . ANS: 2 2. First published in 1983, this reference is currently the most comprehe nsive book available on drug interactions. In addition to monographs listing various aspects of drug interactions, this information is reviewed and updated by an internationally renowned group of physicians and pharmacists with clinical and scientific expe rtise. 1. This is not the most comprehensive source. 3. This is not the most comprehensive source. 4. This is not the most comprehensive source. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 4 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 5. The physician has written an order for a drug with which the nurse is unfamiliar. Which section of the Physician’s Desk Reference would be most helpful to get information about this drug? 1. Manufacturer’s section 3. Product Category section 2. Brand and Generic Name section 4. Product Information section ANS: 2 2. A physician’s order would include the brand and/or generic name of the drug. The alphabetic index in the PDR would make this section the most user- friend ly. Based on a physician’s order, manufacturer’s information and classification information would not be known. 1. This is a roster of manufacturers. 3. This lists products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and antib iotics. 4. This section contains reprints of the package inserts for the major products of manufacturers. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 6 TOP: Nursing Process Step: Planning MSC: NCLEX Client Needs Category: Physiological Integrity 6. A patient who lives in Atlanta states she’s concerned she is taking an inferior antibiotic because her insurance company pays only for generic equivalents. A reference source to refer her to is: 1. Advice for the Patient (USPDI) . 2. Therapeutic Choices . 3. Approved Drug Products and Legal Requirements (USPDI) . 4. Drug Interaction Facts . ANS: 3 3. The United States Pharmacopoeia Dispensing Information is an excellent nontechnical source for patients. The Approved Drug Product and Legal Requirement section lists the therapeutic equivalent drugs when a drug is made by more than one manufacturer. Therefore, patients are able to verify therapeutic equivalence of the medication of lower cost. 1. This section features easy-to-understand, in-depth materials to help educate patients about medications and their proper use. 2. This is a Canadian publication. 4. This contains only information on drug interactions. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 9 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity 7. The Federal Drug Administration of the Department of Health and Human Services was given the authority to determine the safety of a drug before its marketing as a result of the: 1. Federal Food, Drug & Cosmetic Act (1938). 2. Durham -Humphrey Amendment (1952). 3. Controlled Substances Act (1970). 4. Kefauver -Harris Drug Amendment (1962). ANS: 1 1. The Federal Food, Drug & Cosmetic Act in 1938 authorized the FDA to determine the safety of all drugs before marketing. Later amendments and acts helped tighten FDA control and ensure drug safety. 2. This amendment defines the kinds of drugs that cannot be used safely without medical supervision and restricts their sale to prescription by a licensed practitioner. 3. This act addresses only controlled substances and their categorization. 4. The Kefauver -Harris Drug Amendments ensure drug efficacy and greater drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their products before marketing them. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 9 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 8. A patient is receiving IM Demerol postoperatively. The nurse recognizes that this drug is a narcotic with a high potential for physical and psychological dependency. This drug will be locked up on the unit because it is a Schedule drug. 1. I 3. III 2. II 4. IV ANS: 2 2. Demerol (meperidine) is a Schedule II drug; it has a high potential for abuse and may lead to severe psychological and physical dependence. 1. Schedule I drugs have high potential for abuse and no recognized medical use. 3. Schedule II drugs have some potential for abuse. Use may lead to low-to- moderate physical dependence or high psychological dependence. 4. Schedule IV drugs have low potential for abuse. Use may lead to limited physical or psychological dependence. PTS: 1 DIF: Cognitive Level: Application REF: PAGE: 10 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Safe, Effective Care Environment 9. To expedite drug development and approval for an outbreak of smallpox, a disease for which there is no known treatment, the FDA would: 1. list smallpox as a “health orphan” disease. 2. omit the preclinical research phase. 3. extend the clinical research phase. 4. “fast -track” the investigational drug. ANS: 4 4. The FDA must ensure that all phases of the preclinical and clinical research phase have been completed in a safe manner. Once the Investigational New Drug Application has been approved, the drug can receive highest priority within the agency which is called “fast tracking.” A smallpox outbreak would become a priority concern in the world. 1. Orphan diseases are not researched in a priority manner. 2. Preclinical research is not omitted. 3. Extending any phase of the research would mean a longer time to develop a vaccine. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 13 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Safe, Effective Care Environment 10. Over-the-counter (OTC) drugs may be purchased with: 1. a prescription from a physician. 2. a prescription from a health care provider licensed to prescribe medications. 3. no prescription. 4. a limited prescription specifying “no refills.” ANS: 3 3. Over-the-counter medications do not require a prescription. 1. Over-the-counter medications do not require a prescription. 2. Prescription drugs require an order by a health professional who is licensed to prescribe, such as a physician, nurse practitioner, physician assistant, or dentist. 4. Over-the-counter medications do not require a prescription. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 2 TOP: Nursing Process Step: Planning MSC: NCLEX Client Needs Category: Physiological Integrity 11. The most authoritative reference for medications that are injected is the: 1. Parenteral Drug Handbook. 3. Drugs and Injections Quarterly. 2. Handbook on Injectable Drugs. 4. Handbook of Nonprescription Drugs. ANS: 2 2. The Handbook on Injectable Drugs is the most comprehensive reference available on the topic of compatibility of injectable drugs. It is a collection of monographs for over 300 injectable drugs that are listed alphabetically by generic name. 1. Not all parenteral drugs are injected. 3. There is no refere nce by this name. 4. This has information about medications that do not require a prescription. PTS: 1 DIF: Cognitive Level: Comprehension REF: PAGE: 5 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity COMPLETI ON 1. Pharmacology deals with the study of drugs and their actions on . (Your response should appear as two words, lowercase, separated by a space.) ANS: living organisms Correct: Per definition. Incorrect: This is not the correct response. PTS: 1 DIF: Cognitive Level: Knowledge REF: PAGE: 1 TOP: Nursing Process Step: Evaluation MSC: NCLEX Client Needs Category: Physiological Integrity MULTIPLE RESPONSE 1. The nurse is caring for a 5-year-old girl newly diagnosed with juvenile -onset diabetes mellitu s. Which of the following approaches to therapeutic methods should be considered in treating this child and her illness? (Select all that apply.) ANS: 1, 2, 4 1. Therapeutic methods include drug therapy. 2. Therapeutic methods include diet therapy. 4. Thera peutic methods include physiotherapy and psychological therapy. 3. Therapeutic methods do not include family -centered care. 5. Therapeutic methods do not include daily baths. PTS: 1 DIF: Cognitive Level: Application REF: PAGE: 1 TOP: Nursing Process Step: Planning MSC: NCLEX Client Needs Category: Physiological Integrity 2. An 83-year-old woman experiencing shortness of breath is brought to the hospital by her daughter. The nurse is obtaining the medication history from the patient and her daughter. Unfortu nately, neither have a list of her current medications, only a weekly pill dispenser that contains four different pills. They did not bring the prescription bottles with them, but they fill her prescriptions through the local pharmacy. Which of the followi ng resources would be appropriate to use in determining the medication names and doses? (Select all that apply.) 1. Martindale –The Complete Drug Reference 2. Physician’s Desk Reference, grey section 1. Therapeutic drugs 4. Regular daily exercise a activity 2. Concentrated carbohydrate diet 5. Daily baths 3. Family -centered care 3. Senior Citizens’ Center 4. Patient’s home pharmacy 5. Drug Identification Guide ANS: 2, 4, 5 2. The Physician’s Desk Reference, grey section, has full color images of commonly dispensed tablets and capsules. 4. The patient’s pharmacy would have an accurate account of all the medications the client is currently on. 5. A Drug Identification Guide has full color images of commonly dispensed tablets and capsules. 1. Martindale –The Complete Drug Reference has written information on medication and would not be an appropriate resource. 3. The Senior Citizens’ Center is not likely to have specific patient medication information. PTS: 1 DIF: Cognitive Level: Analysis REF: PAGE: 6 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity Test Bank MULTIPLE CHOICE 1. What is the na me under which a drug is listed by the U.S. Food and Drug Administration (FDA)? a. Brand b. Nonproprietary c. Official d. Trademark ANS: C The official name is the name under which a drug is listed by the FDA. The brand name, or trademark, is the name given to a drug by its manufacturer. The nonproprietary, or generic, name is provided by the U.S. Adopted Names Council. DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 2 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Safe, Effectiv e Care Environment 2. Which source contains information specific to nutritional supplements? a. USP Dictionary of USAN & International Drug Names b. Natural Medicines Comprehensive Database c. United States Pharmacopoeia/National Formulary (USP NF) d. Drug Interaction Facts ANS: C United States Pharmacopoeia/National Formulary contains information specific to nutritional supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug names, pronunciation guide, and possible future F DA approved drugs; it does not include nutritional supplements. Natural Medicines Comprehensive Database contains evidence based information on herbal medicines and herbal combination products; it does not include information specific to nutritional supple ments. Drug Interaction Facts contains comprehensive information on drug interaction facts; it does not include nutritional supplements. DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 4 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Categor y: Physiological Integrity 3. What is the most comprehensive reference available to research a drug interaction? a. Drug Facts and Comparisons b. Drug Interaction Facts c. Handbook on Injectable Drugs d. Martindale —The Complete Drug Reference ANS: B First published in 1983, Drug Interaction Facts is the most comprehensive book available on drug interactions. In addition to monographs listing various aspects of drug interactions, this information is reviewed and updated by an internationally renowned group of physicians and pharmacists with clinical and scientific expertise. DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 4. The physician has written an order for a drug with which the nurse is unfamiliar. Which section of the Physicians’ Desk Reference (PDR) is most helpful to get information about this drug? a. Manufacturer’s section b. Brand and Generic Name section c. Product Category section d. Product Information section ANS: B A physician’s order would include the brand and/or generic name of the drug. The alphabetic index in the PDR would make this section the most user friendly. Based on a physician’s order, manufacturer’s information and classificati on information would not be known. The Manufacturer’s section is a roster of manufacturers. The Product Category section lists products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and antibiotics. The Product Information se ction contains reprints of the package inserts for the major products of manufacturers. DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 4 TOP: Nursing Process Step: Planning MSC: NCLEX Client Needs Category: Physiological Integrity 5. Which online drug r eference makes available to health care providers and the public a standard, comprehensive, up to date look up and downloadable resource about medicines? a. American Drug Index b. American Hospital Formulary c. DailyMed d. Physicians’ Desk Reference (PDR) ANS: C DailyMed makes available to health care providers and the public a standard, comprehensive, up to date look up and downloadable resource about medicines. The American Drug Index is not appropriate for patient use. The American Hospital Formulary is not appropriate for patient use. The PDR is not appropriate for patient use. DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 5 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity 6. Which legislation authori zes the FDA to determine the safety of a drug before its marketing? a. Federal Food, Drug, and Cosmetic Act (1938) b. Durham Humphrey Amendment (1952) c. Controlled Substances Act (1970) d. Kefauver Harris Drug Amendment (1962)