Test Bank for Introductory Clinical Pharmacology 12th Edition
by Susan M Ford
Chapter 01, General Principles of Pharmacology
1. After teaching a group of students about the basics of pharmacology, the students
will be able to choose which aspect as the most critical to remember?
A) Drug name
...
Test Bank for Introductory Clinical Pharmacology 12th Edition by Susan M Ford Chapter 01, General Principles of Pharmacology 1. After teaching a group of students about the basics of pharmacology, the students will be able to choose which aspect as the most critical to remember? A) Drug name B) Drug class C) Drug action D) Drug source CORRECT ANS ✔✔ C Explanation>>> Pharmacology is the study of drugs and its action on living organisms. Thus, an essential aspect of pharmacology is drug action. An understanding of the drug name, drug class, and drug source is important, but the most critical aspect related to pharmacology is how the drug acts in the body. Question Format: Multiple Choice Chapter: 1 Learning Objective: 1 Cognitive Level: Apply Patient Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 3, Introduction 2. A nursing practitioner suspects the patient had an adverse reaction to a prescribed medication due to an interaction with an unreported over -the-
counter supplement. Which action by the nursing practitioner will best assist in preventing future similar incidents? A) File a report with MedWatch B) File a report with the State Board of Nursing C) Instruct the patient to avoid combining medications in the future D) Document the incident and report it to the health care provider CORRECT ANS ✔✔ A Explanation>>> Nursing practitioner s play an important role in monitoring for adverse reactions. Therefore, it is important to submit reports, even if there is uncertainty about the cause –effect relationship. The FDA protects the identity of those who voluntarily report adverse reactions. Question Format: Multiple Choice Chapter: 1 Learning Objective: 9 Cognitive Level: Apply Patient Needs: Safe and Effective Care Environment: Safety and Infection Control Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events 3. A nursing practitioner is assessing a patient and notes the patient has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nursing practitioner interpret this finding to specifically indicate? A) Mild allergic reaction B) Anaphylactic shock C) Angioedema D) Drug idiosyncrasy CORRECT ANS ✔✔ C Explanation>>> Angioedema is a type of allergic drug reaction manifested by the collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips, mouth, and throat. Allergic reactions can be manifested by a wide range of signs and symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious allergic reaction that requires immediate medical attent ion. Drug idiosyncrasy describes any unusual or abnormal reaction to a drug, one that is different from the one normally expected. Question Format: Multiple Choice Chapter: 1 Learning Objective: 5 Cognitive Level: Apply Patient Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 12, Allergic Drug Reactions 4. The nursing practitioner is preparing to teach a patient about a new drug which is in the fourth phase of development. Which activity will the nursing practitioner explain best illustrates this phase? A) Health care providers report adverse effects to FDA. B) Healthy volunteers are involved in the test. C) In vitro tests are performed using human cells. D) The drug is given to patient s with the disease. CORRECT ANS ✔✔ A Explanation>>> The postmarketing surveillance phase of drug development encourages health care professionals to report adverse effects of drugs to the FDA using MedWatch. Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro testing of the drug on human or animal cells is done in the pre-FDA phase. In Phase 2 of clinical testing, the drug is given to patient s with the disease for which the drug is manufactured. Question Format: Multiple Choice Chapter: 1 Learning Objective: 4 Cognitive Level: Apply Patient Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 7, Concept Mastery Alert 5. A nursing practitioner is assessing a pregnant patient who admits to having a cocaine addiction. Which condition of the baby after birth should the nursing practitioner explain and prepare the patient for? A) Diabetes B) Hypertension C) Addiction to drugs D) CNS defects CORRECT ANS ✔✔ C Explanation>>> The nursing practitioner informs the patient that children born to mothers using addictive drugs are often born with an addiction to the drug. Children born to mothers who are addicted to cocaine are not known to be born with diabetes, CNS defects, or hypertension. Question Format: Multiple Choice Chapter: 1 Learning Objective: 6 Cognitive Level: Apply Patient Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 11, Drug Use, Pregnancy, and Lactation 6. A patient arrives at the health care clinic and reports taking several pills for a headache and severe cough without relief. Which adverse effect should the nursing practitioner be aware may develop from this combination? A) Gastrointestinal bleeding B) Breathing difficulties C) Liver damage D) Anaphylaxis
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