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TEST BANK for Clayton's Basic Pharmacology for Nurses 18th Edition by Michelle J. Willihnganz |ISBN: 9780323550611| ultimate guide with guaranteed pass$22.49
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TEST BANK for Clayton's Basic Pharmacology for Nurses 18th Edition by Michelle J. Willihnganz |ISBN: 9780323550611| ultimate guide with guaranteed pass
TEST BANK for Clayton's Basic Pharmacology for Nurses 18th Edition by Michelle J. Willihnganz |ISBN: 9780323550611| ultimate guide with guaranteed pass TEST BANK for Clayton's Basic Pharmacology for Nurses 18th Edition by Michelle J. Willihnganz |ISBN: 9780323550611| ultimate guide with guar...
information on herbal medicines and herbal combination products; it does not include
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information specific to nutritional supplements. Drug Interaction Facts contains
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comprehensive information on drug interaction facts; it does not include nutritional
fh fh fh fh fh fh fh fh fh fh fh
supplements.
fh
DIF: Cognitive Level: Knowledge REF: p. 2 fh fh f h fh OBJ: 4 fh
TOP: Nursing Process Step: Assessment
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Physiological Integrity
f h fh fh fh fh fh
3. What is the most comprehensive reference available to research a drug interaction?
fh fh fh fh fh fh fh fh fh fh fh
a. Drug Facts and Comparisons fh fh fh
b. Drug Interaction Facts fh fh
c. Handbook on Injectable Drugs fh fh fh
d. Martindale—The Complete Drug Reference fh fh fh
ANS: B fh
, First published in 1983, Drug Interaction Facts is the most comprehensive book available on
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drug interactions. In addition to monographs listing various aspects of drug interactions, this
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information is reviewed and updated by an internationally renowned group of physicians and
fh fh fh fh fh fh fh fh fh fh fh fh fh
pharmacists with clinical and scientific expertise.
fh fh fh fh fh fh
DIF: Cognitive Level: Comprehension REF: p. 3 fh fh f h fh OBJ: 3 fh
TOP: Nursing Process Step: Assessment
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Physiological Integrity
f h fh fh fh fh fh
4. The physician has written an order for a drug with which the nurse is unfamiliar. Which
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
section of the Physicians’ Desk Reference (PDR) is most helpful to get information about
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
this drug?
fh fh
a. Manufacturer‟s section fh
b. Brand and Generic Name section fh fh fh fh
c. Product Category section fh fh
d. Product Information section fh fh
ANS: B fh
A physician‟s order would include the brand and/or generic name of the drug. The alphabetic
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
index in the PDR would make this section the most user friendly. Based on a physician‟s
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
order, manufacturer‟s information and classification information would not be known. The
fh fh fh fh fh fh fh fh fh fh fh
Manufacturer‟s section is a roster of manufacturers. The Product Category section lists
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products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and
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antibiotics. The Product Information section contains reprints of the package inserts for the
fh fh fh fh fh fh fh fh fh fh fh fh fh
major products of manufacturers.
fh fh fh fh
DIF: Cognitive Level: Comprehension REF: p. 3 fh fh f h fh OBJ: 4 fh
TOP: Nursing Process Step: Planning
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Physiological Integrity
f h fh fh fh fh fh
5. Which online drug reference makes available to health care providers and the public a
fh fh fh fh fh fh fh fh fh fh fh fh fh
fh standard, comprehensive, up to date look up and downloadable resource about medicines?
fh fh fh fh fh fh fh fh fh fh fh
a. American Drug Index fh fh
b. American Hospital Formulary fh fh
c. DailyMed
d. Physicians’ Desk Reference (PDR) fh fh fh
ANS: C fh
DailyMed makes available to health care providers and the public a standard, comprehensive,
fh fh fh fh fh fh fh fh fh fh fh fh
up to date look up and downloadable resource about medicines. The American Drug Index is
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
not appropriate for patient use. The American Hospital Formulary is not appropriate for
fh fh fh fh fh fh fh fh fh fh fh fh fh
patient use. The PDR is not appropriate for patient use.
fh fh fh fh fh fh fh fh fh fh
DIF: Cognitive Level: Knowledge REF: p. 4 fh fh f h fh OBJ: 5 fh
TOP: Nursing Process Step: Implementation
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Physiological Integrity
f h fh fh fh fh fh
6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing?
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
a. Federal Food, Drug, and Cosmetic Act (1938) fh fh fh fh fh fh
b. Durham Humphrey Amendment (1952) fh fh fh
c. Controlled Substances Act (1970) fh fh fh
, d. Kefauver Harris Drug Amendment (1962) fh fh fh fh
ANS: A fh
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
safety of all drugs before marketing. Later amendments and acts helped tighten FDA control
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
cannot be used safely without medical supervision and restricts their sale to prescription by a
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
licensed practitioner. The Controlled Substances Act addresses only controlled substances and
fh fh fh fh fh fh fh fh fh fh fh
their categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
fh fh fh fh fh fh fh fh fh fh fh fh
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
products before marketing them.
fh fh fh fh
DIF: Cognitive Level: Knowledge REF: p. 4 fh fh f h fh OBJ: 8 fh
TOP: Nursing Process Step: Assessment
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Physiological Integrity
f h fh fh fh fh fh
7. Meperidine (Demerol) is a narcotic with a high potential for physical and psychological
fh fh fh fh fh fh fh fh fh fh fh fh
fh dependency. Under which classification does this drug fall? fh fh fh fh fh fh fh
a. I
b. II
c. III
d. IV
ANS: B fh
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
severe psychological and physical dependence. Schedule I drugs have high potential for abuse
fh fh fh fh fh fh fh fh fh fh fh fh fh
and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
lead to low to moderate physical dependence or high psychological dependence. Schedule IV
fh fh fh fh fh fh fh fh fh fh fh fh fh
drugs have low potential for abuse. Use may lead to limited physical or psychological
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
dependence.
fh
DIF: Cognitive Level: Comprehension REF: p. 4 | p. 5 OBJ: 7 fh fh f h fh fh fh fh fh
TOP: Nursing Process Step: Assessment
fh f h fh fh fh
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
f h fh fh fh fh fh fh fh
8. What would the FDA do to expedite drug development and approval for an outbreak of
fh fh fh fh fh fh fh fh fh fh fh fh fh fh
smallpox, for which there is no known treatment?
fh fh fh fh fh fh fh fh
a. List smallpox as a health orphan disease.
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b. Omit the preclinical research phase. fh fh fh fh
c. Extend the clinical research phase. fh fh fh fh
d. Fast track the investigational drug.
fh fh fh fh
ANS: D fh
Once the Investigational New Drug Application has been approved, the drug can receive
fh fh fh fh fh fh fh fh fh fh fh fh
highest priority within the agency, which is called fast tracking. A smallpox outbreak would
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become a priority concern in the world. Orphan diseases are not researched in a priority
fh fh fh fh fh fh fh fh fh fh fh fh fh fh fh
manner. Preclinical research is not omitted. Extending any phase of the research would
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mean a longer time to develop a vaccine. The FDA must ensure that all phases of the
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preclinical and clinical research phase have been completed in a safe manner.
fh fh fh fh fh fh fh fh fh fh fh fh
DIF: Cognitive Level: Knowledge REF: fh fh f h p. 7 fh OBJ: 8 fh
TOP: Nursing Process Step: Assessment
fh f h fh fh fh
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