Chapter 1: Introduction to Drugs Flashcards
A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)scan. The nurse working in the oncology unit administers chemotherapy to patients who have cancer. At the Public Health Department, a nurse administers a 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
B) Pharmacotherapeutics
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 high abuse potential.
Under what category would morphine be classified?
A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV
B) Schedule II
When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
A) Working with animals who are given experimental drugs
B) Choosing appropriate patients to be involved in the drug study
C) Monitoring and observing patients closely for adverse effects
D) Conducting research to determine effectiveness of the drug
C) Monitoring and observing patients closely for adverse effects
What concept is considered when generic drugs are substituted for brand-name drugs? A) Bioavailability B) Critical concentration C) Distribution D) Half-life
A) Bioavailability
A nurse is assessing the patient’s home medication use. After listening to the patient list current medications, the nurse asks what priority question?
A)Do you take any generic medications?
B)Are any of these medications orphan drugs?
C)Are these medications safe to take during pregnancy?
D)Do you take any over-the-counter medications?
D)Do you take any over-the-counter medications?
After completing a course on pharmacology for nurses, what will the nurse know?
A) Everything necessary for safe and effective medication administration
B) Current pharmacologic therapy; the nurse will not require ongoing education for 5years.
C) General drug information; the nurse can consult a drug guide for specific drug information.
D) The drug actions that are associated with each classification of medication
C) General drug information; the nurse can consult a drug guide for specific drug information.
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?
A)Adequate studies in pregnant women have demonstrated there is no risk to the fetus.
B)Animal studies have not demonstrated a risk to the fetus, but there have been no adequate studies in pregnant women.
C)Animal studies have shown an adverse effect on the fetus, but there are no adequate studies in pregnant women.
D)There is evidence of human fetal risk, but the potential benefits from use of the drug may be acceptable despite potential risks.
B)Animal studies have not demonstrated a risk to the fetus, but there have been no adequate studies in pregnant women
Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?
A)OTC drugs are safe and do not cause adverse effects if taken properly.
B)OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA).
C)OTC drugs are different from any drugs available by prescription and cost less.
D)OTC drugs could cause serious harm if not taken according to directions.
D)OTC drugs could cause serious harm if not taken according to directions.
What would be the best source of drug information for a nurse? A) Drug Facts and Comparisons B) A nurse’s drug guide C) A drug package insert D) The Physicians’ Drug Reference (PDR)
B) A nurse’s drug guide
The nurse is preparing to administer medication from a multidose bottle. The label is torn and soiled but the name of the medication is still readable. What is the nurse’s priority action?
A) Discard the entire bottle and contents and obtain a new bottle.
B) Find the drug information and create a new label for the bottle.
C) Ask another nursem to verify the contents of the bottle.
D) Administer the medication if the name of the drug can be clearly read.
A) Discard the entire bottle and contents and obtain a new bottle.
What aspect of pharmacology does a nurse study? (Select all that apply.)
A) Chemical pharmacology B) Molecular pharmacology C) Impact of drugs on the body D) The body’s response to a drug E) Adverse and anticipated drug effects
C) Impact of drugs on the body
D) The body’s response to a drug
E) Adverse and anticipated drug effects
The nurse, providing patient teaching about home medication use to an older adult, explains that even when drugs are taken properly they can produce negative or unexpected effects. What are these negative or unexpected effects called?
A) Teratogenic effects
B) Toxic effects
C) Adverse effects
D) Therapeutic effects
C) Adverse effects
After administering a medication, for what would the nurse assess the patient?
A) Drug effects
B) Allergies
C) Pregnancy
D) Preexisting conditions
A) Drug effects
The nurse receives an order to administer an unfamiliar medication and obtains a nurse’s drug guide published four years earlier. What is the nurse’s most prudent action?
A) Find a more recent reference source.
B) Use the guide if the drug is listed.
C) Ask another nurse for drug information.
D) Verify the information in the guide with the pharmacist
A) Find a more recent reference source.
What would the nurse provide when preparing a patient for discharge and home medication self-administration?
A) Personal contact information to use if the patient has questions
B) Thorough medication teaching about drugs and the drug regimen
C) Over-the-counter medications to use to treat potential adverse effects
D) A sample size package of medication to take home until prescription is filled
B) Thorough medication teaching about drugs and the drug regimen
