Adams4e Tif Ch02

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 2
Question 1 Type: MCSA The nursing instructor teaches the student nurses about the pharmacological classification of drugs. The instructor evaluates that learning has occurred when the students make which response? 1. "An anti-anginal treats angina." 2. "A calcium channel blocker blocks heart calcium channels." 3. "An antih pertensive lowers blood pressure." 4. "An anticoagulant influences blood clotting." Correct Answer: ! Rationa e 1" The pharmacological classification addresses a drug#s mechanism of action$ or how a drug produces its effect in the bod . To sa that a drug influences blood clotting addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug treats angina addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug lowers blood pressure addresses the therapeutic usefulness of the drug$ not the pharmacological classification. Rationa e 2" The pharmacological classification addresses a drug#s mechanism of action$ or how a drug produces its effect in the bod . To sa that a drug influences blood clotting addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug treats angina addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug lowers blood pressure addresses the therapeutic usefulness of the drug$ not the pharmacological classification. Rationa e 3" The pharmacological classification addresses a drug#s mechanism of action$ or how a drug produces its effect in the bod . To sa that a drug influences blood clotting addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug treats angina addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug lowers blood pressure addresses the therapeutic usefulness of the drug$ not the pharmacological classification. Rationa e 4" The pharmacological classification addresses a drug#s mechanism of action$ or how a drug produces its effect in the bod . To sa that a drug influences blood clotting addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug treats angina addresses the therapeutic usefulness of the drug$ not the pharmacological classification. To sa that a drug lowers blood pressure addresses the therapeutic usefulness of the drug$ not the pharmacological classification. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, '() Cop right !*+' b %earson )ducation$ &nc.
C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-+ Question 2 Type: MCSA The nurse is providing medication education to a client with h pertension. The nurse teaches the client that the ph sician ordered a diuretic to decrease the amount of fluid in his bod . -hich statement best describes the nurse#s instruction? 1. The nurse provided appropriate medication education. 2. The nurse e.plained the drug#s mechanism of action. 3. The nurse taught the client about a protot pe drug. 4. The nurse e.plained the conse/uences of not using the drug. Correct Answer: ! Rationa e 1" A drug#s mechanism of action e.plains how a drug produces its effect in the bod . The nurse did not e.plain the conse/uences of not using the drug. The nurse is not teaching the client about a protot pe drug. The education was most likel appropriate$ but this response is too vague. Rationa e 2" A drug#s mechanism of action e.plains how a drug produces its effect in the bod . The nurse did not e.plain the conse/uences of not using the drug. The nurse is not teaching the client about a protot pe drug. The education was most likel appropriate$ but this response is too vague. Rationa e 3" A drug#s mechanism of action e.plains how a drug produces its effect in the bod . The nurse did not e.plain the conse/uences of not using the drug. The nurse is not teaching the client about a protot pe drug. The education was most likel appropriate$ but this response is too vague. Rationa e 4" A drug#s mechanism of action e.plains how a drug produces its effect in the bod . The nurse did not e.plain the conse/uences of not using the drug. The nurse is not teaching the client about a protot pe drug. The education was most likel appropriate$ but this response is too vague. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-0 Question 3 Type: MCSA
1uring pharmacolog class$ the student nurse asks the nursing instructor how students will ever learn about the individual antibiotic drugs since there are so man . -hat is the best response b the nursing instructor? 1. "2ou will learn a little trick called mnemonics." 2. "2ou will learn how to do a flow chart to enhance memor ." 3. "2ou will learn how to categori3e the individual drugs." 4. "2ou will learn a representative drug from each class." Correct Answer: ' Rationa e 1" A protot pe$ or representative$ drug is the well-understood drug model from which other drugs in a pharmacological class are compared. Categori3ing individual drugs is not the best wa to learn about drugs. 4sing mnemonics is not the best wa to learn about drugs. 5low charts are not the best wa to learn about drugs. Rationa e 2" A protot pe$ or representative$ drug is the well-understood drug model from which other drugs in a pharmacological class are compared. Categori3ing individual drugs is not the best wa to learn about drugs. 4sing mnemonics is not the best wa to learn about drugs. 5low charts are not the best wa to learn about drugs. Rationa e 3" A protot pe$ or representative$ drug is the well-understood drug model from which other drugs in a pharmacological class are compared. Categori3ing individual drugs is not the best wa to learn about drugs. 4sing mnemonics is not the best wa to learn about drugs. 5low charts are not the best wa to learn about drugs. Rationa e 4" A protot pe$ or representative$ drug is the well-understood drug model from which other drugs in a pharmacological class are compared. Categori3ing individual drugs is not the best wa to learn about drugs. 4sing mnemonics is not the best wa to learn about drugs. 5low charts are not the best wa to learn about drugs. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: !-! Question 4 Type: MCSA The ph sician ordered a brand name drug for the client$ paro.etine 6%a.il7. After taking this medication for a ear$ the client tells the nurse that it is no longer working. -hat is the best assessment of the nurse at this time? 1. "This sounds like our medication needs changing." 2. "8et#s look for interactions with other medications ou are taking."
3. "Are ou taking %a.il or paro.etine?" 4. "&t is time for us to do the 9eck 1epression assessment again." Correct Answer: 0 Rationa e 1" The bioavailabilit of a generic drug ma not be the same as the bioavailabilit of a brand name drug. Assessing for worsening of depression is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Assessing for interactions with other drugs is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Considering a change in medication is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Rationa e 2" The bioavailabilit of a generic drug ma not be the same as the bioavailabilit of a brand name drug. Assessing for worsening of depression is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Assessing for interactions with other drugs is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Considering a change in medication is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Rationa e 3" The bioavailabilit of a generic drug ma not be the same as the bioavailabilit of a brand name drug. Assessing for worsening of depression is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Assessing for interactions with other drugs is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Considering a change in medication is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Rationa e 4" The bioavailabilit of a generic drug ma not be the same as the bioavailabilit of a brand name drug. Assessing for worsening of depression is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Assessing for interactions with other drugs is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. Considering a change in medication is appropriate$ but the nurse should first assess if the patient has changed to a generic form of the drug. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-' Question * Type: MCSA The ph sician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too e.pensive. -hat is the best plan b the nurse? 1. :elp the client receive free medicine through a "patient assistance" program. 2. Ask the ph sician if a cheaper brand name drug ma be substituted.
3. Ask the ph sician if a generic drug ma be substituted. 4. Maintain the client on samples of the brand name drug from the ph sician#s office. Correct Answer: 0 Rationa e 1" ;eneric drugs are much less costl than brand name drugs. A patient assistance program is a good idea$ but since the client ma not /ualif for this it is not the best plan. Another brand name drug ma not be what the client needs for the illness. %roviding samples is an option$ but the office ma temporaril run out of samples and the client will not receive the medication. Rationa e 2" ;eneric drugs are much less costl than brand name drugs. A patient assistance program is a good idea$ but since the client ma not /ualif for this it is not the best plan. Another brand name drug ma not be what the client needs for the illness. %roviding samples is an option$ but the office ma temporaril run out of samples and the client will not receive the medication. Rationa e 3" ;eneric drugs are much less costl than brand name drugs. A patient assistance program is a good idea$ but since the client ma not /ualif for this it is not the best plan. Another brand name drug ma not be what the client needs for the illness. %roviding samples is an option$ but the office ma temporaril run out of samples and the client will not receive the medication. Rationa e 4" ;eneric drugs are much less costl than brand name drugs. A patient assistance program is a good idea$ but since the client ma not /ualif for this it is not the best plan. Another brand name drug ma not be what the client needs for the illness. %roviding samples is an option$ but the office ma temporaril run out of samples and the client will not receive the medication. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" %lanning %earnin# )utcome: !-< Question + Type: MCMA The nurse is teaching a medication class for parents of children with attention-deficit h peractivit disorder who are receiving stimulant medications. The nurse has reviewed reasons wh the medications are restricted. The nurse determines that learning has occurred when the parents make which response6s7? ,ote" Credit will be given onl if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. "The use of these medications is restricted so that the pharmacies can track the rate of drug abuse in our cit ."
2. "The use of these medications is restricted because the ph sician needs to evaluate our child more often." 3. "The use of these medications is restricted because the have the potential for abuse." 4. "The use of these medications is restricted so that the drug companies can make a bigger profit." *. "The use of these medications is restricted because this is the current law." Correct Answer: 0$< Rationa e 1" The Controlled Substance Act is the law under which medications with abuse potential are restricted. Stimulant medications are considered controlled substances. More fre/uent evaluations are a good plan$ but this is not the reason for restricted use of stimulant medications. 1rug companies do not make a bigger profit when medications are listed as restricted. %harmacies do not track the rate of drug abuse in cities. Rationa e 2" The Controlled Substance Act is the law under which medications with abuse potential are restricted. Stimulant medications are considered controlled substances. More fre/uent evaluations are a good plan$ but this is not the reason for restricted use of stimulant medications. 1rug companies do not make a bigger profit when medications are listed as restricted. %harmacies do not track the rate of drug abuse in cities. Rationa e 3" The Controlled Substance Act is the law under which medications with abuse potential are restricted. Stimulant medications are considered controlled substances. More fre/uent evaluations are a good plan$ but this is not the reason for restricted use of stimulant medications. 1rug companies do not make a bigger profit when medications are listed as restricted. %harmacies do not track the rate of drug abuse in cities. Rationa e 4" The Controlled Substance Act is the law under which medications with abuse potential are restricted. Stimulant medications are considered controlled substances. More fre/uent evaluations are a good plan$ but this is not the reason for restricted use of stimulant medications. 1rug companies do not make a bigger profit when medications are listed as restricted. %harmacies do not track the rate of drug abuse in cities. Rationa e *" The Controlled Substance Act is the law under which medications with abuse potential are restricted. Stimulant medications are considered controlled substances. More fre/uent evaluations are a good plan$ but this is not the reason for restricted use of stimulant medications. 1rug companies do not make a bigger profit when medications are listed as restricted. %harmacies do not track the rate of drug abuse in cities. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-= Question Type: MCSA The client sa s to the nurse$ "M doctor said m drug is a controlled substance> am & considered an addict?" -hat is the best response b the nurse?
1. "Are ou concerned about becoming an addict? -e can discuss this in more detail it ou would like to." 2. "2ou are not an addict> the 1rug )nforcement Administration 61)A7 restricts the use of drugs with a high potential for abuse." 3. "-h do ou ask about becoming an addict? ,ot man of our clients have asked this /uestion." 4. "2ou are not an addict$ but the 1rug )nforcement Administration 61)A7 will monitor ou for this." Correct Answer: ! Rationa e 1" 1rugs that have a high potential for addiction are considered controlled substances. The 1rug )nforcement Administration 61)A7 does not monitor clients for addiction when the receive controlled substances. &t is premature at this time to ask the client if he is concerned about addiction> there is no information to support an addiction. "-h " /uestions are considered non-therapeutic because the put the client on the defensive. Rationa e 2" 1rugs that have a high potential for addiction are considered controlled substances. The 1rug )nforcement Administration 61)A7 does not monitor clients for addiction when the receive controlled substances. &t is premature at this time to ask the client if he is concerned about addiction> there is no information to support an addiction. "-h " /uestions are considered non-therapeutic because the put the client on the defensive. Rationa e 3" 1rugs that have a high potential for addiction are considered controlled substances. The 1rug )nforcement Administration 61)A7 does not monitor clients for addiction when the receive controlled substances. &t is premature at this time to ask the client if he is concerned about addiction> there is no information to support an addiction. "-h " /uestions are considered non-therapeutic because the put the client on the defensive. Rationa e 4" 1rugs that have a high potential for addiction are considered controlled substances. The 1rug )nforcement Administration 61)A7 does not monitor clients for addiction when the receive controlled substances. &t is premature at this time to ask the client if he is concerned about addiction> there is no information to support an addiction. "-h " /uestions are considered non-therapeutic because the put the client on the defensive. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: !-? Question . Type: MCSA
The client is receiving methadone 61olophine7$ a Schedule && drug. The client sa s to the nurse$ "A pharmacist told me his pharmac must register with the 1rug )nforcement Administration 61)A7 to give me this drug> will 1)A agents be snooping around m house?" -hat is the best response b the nurse? 1. "&t is probabl unlikel that 1rug )nforcement Administration 61)A7 agents will be bothering ou." 2. ",o$ the 1rug )nforcement Administration 61)A7 restricts drugs that have a high potential for abuse." 3. ",o. & think our s stem should be more like )urope> the have fewer controlled drugs." 4. "That#s an interesting /uestion. Are ou worried about the 1rug )nforcement Administration 61)A7?" Correct Answer: ! Rationa e 1" The Controlled Substance Act of +@?* restricts the use of drugs that have a high potential for abuse. :ospitals and pharmacies must register with the 1rug )nforcement Administration 61)A7 to obtain a specific registration number that will enable them to purchase controlled drugs. Telling the client that 1rug )nforcement Administration 61)A7 agents will "probabl " not bother him can lead the client to think 1)A agents might bother him. Asking the client if he is worried about the 1rug )nforcement Administration 61)A7 puts him on the defensive and is non-therapeutic. 9 sa ing that our s stem should be more like )urope#s$ the nurse is introducing her beliefs and this is non-therapeutic> the client ma not agree. Rationa e 2" The Controlled Substance Act of +@?* restricts the use of drugs that have a high potential for abuse. :ospitals and pharmacies must register with the 1rug )nforcement Administration 61)A7 to obtain a specific registration number that will enable them to purchase controlled drugs. Telling the client that 1rug )nforcement Administration 61)A7 agents will "probabl " not bother him can lead the client to think 1)A agents might bother him. Asking the client if he is worried about the 1rug )nforcement Administration 61)A7 puts him on the defensive and is non-therapeutic. 9 sa ing that our s stem should be more like )urope#s$ the nurse is introducing her beliefs and this is non-therapeutic> the client ma not agree. Rationa e 3" The Controlled Substance Act of +@?* restricts the use of drugs that have a high potential for abuse. :ospitals and pharmacies must register with the 1rug )nforcement Administration 61)A7 to obtain a specific registration number that will enable them to purchase controlled drugs. Telling the client that 1rug )nforcement Administration 61)A7 agents will "probabl " not bother him can lead the client to think 1)A agents might bother him. Asking the client if he is worried about the 1rug )nforcement Administration 61)A7 puts him on the defensive and is non-therapeutic. 9 sa ing that our s stem should be more like )urope#s$ the nurse is introducing her beliefs and this is non-therapeutic> the client ma not agree. Rationa e 4" The Controlled Substance Act of +@?* restricts the use of drugs that have a high potential for abuse. :ospitals and pharmacies must register with the 1rug )nforcement Administration 61)A7 to obtain a specific registration number that will enable them to purchase controlled drugs. Telling the client that 1rug )nforcement Administration 61)A7 agents will "probabl " not bother him can lead the client to think 1)A agents might bother him. Asking the client if he is worried about the 1rug )nforcement Administration 61)A7 puts him on the defensive and is non-therapeutic. 9 sa ing that our s stem should be more like )urope#s$ the nurse is introducing her beliefs and this is non-therapeutic> the client ma not agree. ! o"a Rationa e:
Co#niti$e %e$e : C ient &eed: C ient &eed 'u": &ursin#/(nte#rated Concepts: %earnin# )utcome: !-? Question / Type: MCSA 1uring the admission assessment$ the client tells the nurse "Sure & smoke a little weed 6mariAuana7 to manage m stress. 1oesn#t ever one?" -hat is the best assessment /uestion for the nurse to ask? 1. "-hat other wa s do ou think ou might use to help ou to manage our stress?" 2. "That is a Schedule & drug> aren#t ou afraid of going to Aail for a long time?" 3. "1o ou reall believe that ever one smokes mariAuana to manage stress?" 4. ":ow often do ou smoke mariAuana$ and how much each time?" Correct Answer: ' Rationa e 1" The nurse must assess the amount and fre/uenc of an drug the client uses$ including illegal drugs. Asking the client if he reall believes something is not an assessment /uestion$ and can lead to an argument with the client. Stress management is not the main concern during the admission assessment. Asking the client if he is afraid of going to Aail is not an assessment /uestion$ and is not the issue during the admission assessment. Rationa e 2" The nurse must assess the amount and fre/uenc of an drug the client uses$ including illegal drugs. Asking the client if he reall believes something is not an assessment /uestion$ and can lead to an argument with the client. Stress management is not the main concern during the admission assessment. Asking the client if he is afraid of going to Aail is not an assessment /uestion$ and is not the issue during the admission assessment. Rationa e 3" The nurse must assess the amount and fre/uenc of an drug the client uses$ including illegal drugs. Asking the client if he reall believes something is not an assessment /uestion$ and can lead to an argument with the client. Stress management is not the main concern during the admission assessment. Asking the client if he is afraid of going to Aail is not an assessment /uestion$ and is not the issue during the admission assessment. Rationa e 4" The nurse must assess the amount and fre/uenc of an drug the client uses$ including illegal drugs. Asking the client if he reall believes something is not an assessment /uestion$ and can lead to an argument with the client. Stress management is not the main concern during the admission assessment. Asking the client if he is afraid of going to Aail is not an assessment /uestion$ and is not the issue during the admission assessment. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u":
&ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: !-@ Question 10 Type: MCSA The mother of an adolescent receiving meth lphenidate 6Concerta7 for attention-deficit h peractivit disorder tells the nurse that her son is better and asks wh she can#t Aust get refills on the prescription. -hat is the best response b the nurse? 1. "Bust drop b and & will get a prescription for ou without seeing our son." 2. "-e can#t do that> ma be ou can find another doctor#s office that will do it." 3. "The law does not allow us to give ou refills on this medication." 4. "The medication can be addictive so our son needs a monthl medical evaluation." Correct Answer: ' Rationa e 1" Telling the mother the reason for monthl evaluations is a therapeutic response that is correct and answers the mother#s /uestion. Schedule && medications cannot be refilled without the client being seen b the ph sician. Telling the mother about the law is accurate$ but it is a non-therapeutic response> the mother needs an e.planation. Ceferring the mother to another office is non-therapeutic and implies that other medical offices violate the law. Rationa e 2" Telling the mother the reason for monthl evaluations is a therapeutic response that is correct and answers the mother#s /uestion. Schedule && medications cannot be refilled without the client being seen b the ph sician. Telling the mother about the law is accurate$ but it is a non-therapeutic response> the mother needs an e.planation. Ceferring the mother to another office is non-therapeutic and implies that other medical offices violate the law. Rationa e 3" Telling the mother the reason for monthl evaluations is a therapeutic response that is correct and answers the mother#s /uestion. Schedule && medications cannot be refilled without the client being seen b the ph sician. Telling the mother about the law is accurate$ but it is a non-therapeutic response> the mother needs an e.planation. Ceferring the mother to another office is non-therapeutic and implies that other medical offices violate the law. Rationa e 4" Telling the mother the reason for monthl evaluations is a therapeutic response that is correct and answers the mother#s /uestion. Schedule && medications cannot be refilled without the client being seen b the ph sician. Telling the mother about the law is accurate$ but it is a non-therapeutic response> the mother needs an e.planation. Ceferring the mother to another office is non-therapeutic and implies that other medical offices violate the law. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit
C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: !-= Question 11 Type: MCSA The client is receiving a ver e.pensive medication. The client asks the nurse wh the medicine is so e.pensive. -hat is the best response b the nurse? 1. "&t is e.pensive$ but our insurance covers it and ou have a low co-pa ." 2. "1rug companies are allowed to advertise medications and this adds to the cost." 3. "1rug companies must recoup the cost of developing and producing the drug." 4. "& think the drug companies should be more accountable for lowering costs." Correct Answer: ! Rationa e 1" Advertising b drug companies costs several billion dollars a ear and this adds to the cost of the drug. Telling the client that drug companies must be allowed to recoup the cost implies that the nurse is defending the drug companies. Telling the client that his insurance covers the drug doesn#t answer his /uestion. &t is nontherapeutic for the nurse to introduce her own beliefs$ such as accountabilit of drug companies$ into a conversation with the client. Rationa e 2" Advertising b drug companies costs several billion dollars a ear and this adds to the cost of the drug. Telling the client that drug companies must be allowed to recoup the cost implies that the nurse is defending the drug companies. Telling the client that his insurance covers the drug doesn#t answer his /uestion. &t is nontherapeutic for the nurse to introduce her own beliefs$ such as accountabilit of drug companies$ into a conversation with the client. Rationa e 3" Advertising b drug companies costs several billion dollars a ear and this adds to the cost of the drug. Telling the client that drug companies must be allowed to recoup the cost implies that the nurse is defending the drug companies. Telling the client that his insurance covers the drug doesn#t answer his /uestion. &t is nontherapeutic for the nurse to introduce her own beliefs$ such as accountabilit of drug companies$ into a conversation with the client. Rationa e 4" Advertising b drug companies costs several billion dollars a ear and this adds to the cost of the drug. Telling the client that drug companies must be allowed to recoup the cost implies that the nurse is defending the drug companies. Telling the client that his insurance covers the drug doesn#t answer his /uestion. &t is nontherapeutic for the nurse to introduce her own beliefs$ such as accountabilit of drug companies$ into a conversation with the client. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit
C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: !-< Question 12 Type: MCSA The nurse provides medication education to a client with terminal cancer. The ph sician has ordered morphine 6MS Contin7$ a Schedule && drug$ for the client. The nurse determines that learning has occurred when the client makes which statement? 1. "& need to call the office for a refill before m medication runs out." 2. "This drug is addictive so & should onl take it when m pain becomes severe." 3. "Ma be m doctor could change me to a Schedule &D drug." 4. "& need to see m doctor before m prescription runs out so & can get a refill." Correct Answer: ' Rationa e 1" Schedule && drugs cannot be refilled without the client seeing the ph sician. ,ot taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the ph sician for a refill. A Schedule &D drug ma not effectivel relieve the client#s pain. Rationa e 2" Schedule && drugs cannot be refilled without the client seeing the ph sician. ,ot taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the ph sician for a refill. A Schedule &D drug ma not effectivel relieve the client#s pain. Rationa e 3" Schedule && drugs cannot be refilled without the client seeing the ph sician. ,ot taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the ph sician for a refill. A Schedule &D drug ma not effectivel relieve the client#s pain. Rationa e 4" Schedule && drugs cannot be refilled without the client seeing the ph sician. ,ot taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the ph sician for a refill. A Schedule &D drug ma not effectivel relieve the client#s pain. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation
%earnin# )utcome: !-@ Question 13 Type: MCSA The client is receiving a brand name drug and wants to change to the generic form because it is cheaper. -hat is the best outcome for this client? 1. Client will state two wa s a brand name drug differs from a generic name drug. 2. Client will take the brand name drug after speaking with the ph sician. 3. Client will ask the nurse wh brand name drugs are better than generic drugs. 4. Client will state two wa s to obtain the medication at a reduced cost. Correct Answer: + Rationa e 1" The dosage of drugs ma be the same with a brand name and generic drug$ but the bioavailabilit ma be affected b the inert ingredients and tablet compression. Enowing wa s to obtain medication at a reduced cost is an appropriate outcome$ but the client will not learn wh a brand name drug ma be preferable over a generic drug. Ceferring the client to the ph sician is inappropriate because the nurse can educate the client about the difference between generic and brand name drugs. The client asking the nurse a /uestion is not an outcome. Rationa e 2" The dosage of drugs ma be the same with a brand name and generic drug$ but the bioavailabilit ma be affected b the inert ingredients and tablet compression. Enowing wa s to obtain medication at a reduced cost is an appropriate outcome$ but the client will not learn wh a brand name drug ma be preferable over a generic drug. Ceferring the client to the ph sician is inappropriate because the nurse can educate the client about the difference between generic and brand name drugs. The client asking the nurse a /uestion is not an outcome. Rationa e 3" The dosage of drugs ma be the same with a brand name and generic drug$ but the bioavailabilit ma be affected b the inert ingredients and tablet compression. Enowing wa s to obtain medication at a reduced cost is an appropriate outcome$ but the client will not learn wh a brand name drug ma be preferable over a generic drug. Ceferring the client to the ph sician is inappropriate because the nurse can educate the client about the difference between generic and brand name drugs. The client asking the nurse a /uestion is not an outcome. Rationa e 4" The dosage of drugs ma be the same with a brand name and generic drug$ but the bioavailabilit ma be affected b the inert ingredients and tablet compression. Enowing wa s to obtain medication at a reduced cost is an appropriate outcome$ but the client will not learn wh a brand name drug ma be preferable over a generic drug. Ceferring the client to the ph sician is inappropriate because the nurse can educate the client about the difference between generic and brand name drugs. The client asking the nurse a /uestion is not an outcome. ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" %lanning
%earnin# )utcome: !-0 Question 14 Type: MCMA The ph sician orders a brand name drug for the client. The hospital formular substitutes the generic e/uivalent of the brand name drug$ and the nurse administers the generic drug. -hich statement6s7 best represents the nurse#s action? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. The nurse should have contacted the ph sician prior to administering the drug. 2. The nurse should have called the pharmacist to see if the drugs were bioe/uivalent. 3. The nurse used good Audgment in administering the drug. 4. The nurse was correct> hospital policies allow for this. Correct Answer: 0$' Rationa e 1" The nurse used good Audgment as hospital policies allow for generic substitution of certain drugs. &f there is a concern$ the pharmacist should contact the ph sician. &t is not feasible for the nurse to contact the ph sician ever time there is a generic substitution. %h sicians are aware of the hospital formular . Rationa e 2" The nurse used good Audgment as hospital policies allow for generic substitution of certain drugs. &f there is a concern$ the pharmacist should contact the ph sician. &t is not feasible for the nurse to contact the ph sician ever time there is a generic substitution. %h sicians are aware of the hospital formular . Rationa e 3" The nurse used good Audgment as hospital policies allow for generic substitution of certain drugs. &f there is a concern$ the pharmacist should contact the ph sician. &t is not feasible for the nurse to contact the ph sician ever time there is a generic substitution. %h sicians are aware of the hospital formular . Rationa e 4" The nurse used good Audgment as hospital policies allow for generic substitution of certain drugs. &f there is a concern$ the pharmacist should contact the ph sician. &t is not feasible for the nurse to contact the ph sician ever time there is a generic substitution. %h sicians are aware of the hospital formular . ! o"a Rationa e: Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-<
Question 1* Type: MCSA -hich t pe of classification s stem is being used when drugs are grouped together because the help treat a particular disease or condition? 1. Therapeutic 2. Mechanism of action 3. Chemical 4. %harmacological Correct Answer: + Rationa e 1" Therapeutic classification is based on the drug#s usefulness in treating a particular disease. %harmacological classification addresses a drug#s mechanism of action. 6p. +!7 Rationa e 2" Therapeutic classification is based on the drug#s usefulness in treating a particular disease. %harmacological classification addresses a drug#s mechanism of action. 6p. +!7 Rationa e 3" Therapeutic classification is based on the drug#s usefulness in treating a particular disease. %harmacological classification addresses a drug#s mechanism of action. 6p. +!7 Rationa e 4" Therapeutic classification is based on the drug#s usefulness in treating a particular disease. %harmacological classification addresses a drug#s mechanism of action. 6p. +!7 ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: :ealth %romotion and Maintenance C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-+ Question 1+ Type: MCSA An overwhelmed nursing student asks the instructor whether there are an tips that will make learning pharmacolog easier. The instructor gives an e.ample of the anticoagulant heparin. The instructor indicates that knowing heparin and comparing other drugs to it will facilitate learning the man anticoagulants. -hich approach is the instructor using? 1. Mechanism of action approach 2. ;eneric name approach
3. Trade name approach 4. %rotot pe drug approach Correct Answer: ' Rationa e 1" :eparin is the generic name$ but comparing one well-understood drug with others in the same class is known as the protot pe approach. 6pp. +!F+07 Rationa e 2" :eparin is the generic name$ but comparing one well-understood drug with others in the same class is known as the protot pe approach. 6pp. +!F+07 Rationa e 3" :eparin is the generic name$ but comparing one well-understood drug with others in the same class is known as the protot pe approach. 6pp. +!F+07 Rationa e 4" :eparin is the generic name$ but comparing one well-understood drug with others in the same class is known as the protot pe approach. 6pp. +!F+07 ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: Safe )ffective Care )nvironment C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-! Question 1Type: MCSA -hile discussing antih pertensives$ the instructor states that a particular agent causes a reduction in blood pressure b blocking receptor sites. The instructor is describing which of the following? 1. 1rugGdrug interaction 2. Adverse effects 3. &ndication 4. Mechanism of action Correct Answer: ' Rationa e 1" The instructor is describing how a drug produces an effect within the bod $ which is known as the mechanism of action. Adverse effects are what can result from drug use$ not a description of how the drug works. &ndications are the reasons the drug is being used$ and drugGdrug interactions refer to the effects of multiple drug use. 6p. +!7
Rationa e 2" The instructor is describing how a drug produces an effect within the bod $ which is known as the mechanism of action. Adverse effects are what can result from drug use$ not a description of how the drug works. &ndications are the reasons the drug is being used$ and drugGdrug interactions refer to the effects of multiple drug use. 6p. +!7 Rationa e 3" The instructor is describing how a drug produces an effect within the bod $ which is known as the mechanism of action. Adverse effects are what can result from drug use$ not a description of how the drug works. &ndications are the reasons the drug is being used$ and drugGdrug interactions refer to the effects of multiple drug use. 6p. +!7 Rationa e 4" The instructor is describing how a drug produces an effect within the bod $ which is known as the mechanism of action. Adverse effects are what can result from drug use$ not a description of how the drug works. &ndications are the reasons the drug is being used$ and drugGdrug interactions refer to the effects of multiple drug use. 6p. +!7 ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: :ealth %romotion and Maintenance C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-0 Question 1. Type: MCSA Advil$ Motrin$ and ,uprin are e.amples of 1. chemical names. 2. combination names. 3. trade names. 4. generic names. Correct Answer: 0 Rationa e 1" Advil$ Motrin$ and ,uprin are trade names for ibuprofen. 6p. +07 Rationa e 2" Advil$ Motrin$ and ,uprin are trade names for ibuprofen. 6p. +07 Rationa e 3" Advil$ Motrin$ and ,uprin are trade names for ibuprofen. 6p. +07 Rationa e 4" Advil$ Motrin$ and ,uprin are trade names for ibuprofen. 6p. +07 ! o"a Rationa e:
Co#niti$e %e$e : Cemembering C ient &eed: :ealth %romotion and Maintenance C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-< Question 1/ Type: MCSA -hich drug has the highest dependenc potential? 1. Acetaminophen 2. Codeine 3. :eroin 4. 1ia3epam Correct Answer: 0 Rationa e 1" :eroin is a Schedule & drug$ and has the highest potential for abuse$ ph sical dependence$ and ps chological dependence of the drugs listed. 6p. +<7 Rationa e 2" :eroin is a Schedule & drug$ and has the highest potential for abuse$ ph sical dependence$ and ps chological dependence of the drugs listed. 6p. +<7 Rationa e 3" :eroin is a Schedule & drug$ and has the highest potential for abuse$ ph sical dependence$ and ps chological dependence of the drugs listed. 6p. +<7 Rationa e 4" :eroin is a Schedule & drug$ and has the highest potential for abuse$ ph sical dependence$ and ps chological dependence of the drugs listed. 6p. +<7 ! o"a Rationa e: Co#niti$e %e$e : Cemembering C ient &eed: Safe )ffective Care )nvironment C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-@ Question 20 Type: MCSA The presence of muscle tremors following drug cessation would most accuratel be associated with which of the following?
1. Adverse effect 2. %s chological dependence 3. Therapeutic effect 4. %h sical dependence Correct Answer: ' Rationa e 1" The presence of ph sical withdrawal s mptoms 6muscle tremors7 is seen when a person is ph sicall dependent on a drug and the drug is removed. -ith ps chological dependence$ few ph sical signs are seen. Therapeutic effects are seen while drugs are being used$ not after the have been removed. 6pp. +'F+<7 Rationa e 2" The presence of ph sical withdrawal s mptoms 6muscle tremors7 is seen when a person is ph sicall dependent on a drug and the drug is removed. -ith ps chological dependence$ few ph sical signs are seen. Therapeutic effects are seen while drugs are being used$ not after the have been removed. 6pp. +'F+<7 Rationa e 3" The presence of ph sical withdrawal s mptoms 6muscle tremors7 is seen when a person is ph sicall dependent on a drug and the drug is removed. -ith ps chological dependence$ few ph sical signs are seen. Therapeutic effects are seen while drugs are being used$ not after the have been removed. 6pp. +'F+<7 Rationa e 4" The presence of ph sical withdrawal s mptoms 6muscle tremors7 is seen when a person is ph sicall dependent on a drug and the drug is removed. -ith ps chological dependence$ few ph sical signs are seen. Therapeutic effects are seen while drugs are being used$ not after the have been removed. 6pp. +'F+<7 ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: %h siological &ntegrit C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" )valuation %earnin# )utcome: !-? Question 21 Type: MCSA A ph sician ma telephone in an order for which of the following? 1. Morphine 2. MariAuana 3. Cocaine 4. Codeine Correct Answer: '
Rationa e 1" Schedule & and && drugs cannot be ordered via the telephone. MariAuana is a Schedule & drug$ and cocaine and morphine are Schedule && drugs$ while codeine is a Schedule &&& drug. 6p. +<7 Rationa e 2" Schedule & and && drugs cannot be ordered via the telephone. MariAuana is a Schedule & drug$ and cocaine and morphine are Schedule && drugs$ while codeine is a Schedule &&& drug. 6p. +<7 Rationa e 3" Schedule & and && drugs cannot be ordered via the telephone. MariAuana is a Schedule & drug$ and cocaine and morphine are Schedule && drugs$ while codeine is a Schedule &&& drug. 6p. +<7 Rationa e 4" Schedule & and && drugs cannot be ordered via the telephone. MariAuana is a Schedule & drug$ and cocaine and morphine are Schedule && drugs$ while codeine is a Schedule &&& drug. 6p. +<7 ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: Safe )ffective Care )nvironment C ient &eed 'u": &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: !-?H !-I Question 22 Type: MCMA A protot pe drug is a single drug in a class and can be compared with all other medications in the class. The benefit of stud ing the protot pe drug is that the nurse would be able to predict characteristics of other drugs in the same class$ including Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. which drugs have the most favorable safet profile. 2. their therapeutic indications. 3. their actions and adverse effects. 4. their specific clinical use. *. contraindications specific to an drug in that group. Correct Answer: !$0$' Rationa e 1" The protot pe drug does not provide a safet profile of other drugs in the same class. Rationa e 2" Stud ing the therapeutic indications of a protot pe drug ma allow the nurse to predict actions and adverse effects of other drugs in the same group.
Rationa e 3" 9 stud ing the protot pe$ the nurse can predict the actions and adverse effects of other drugs in the same class. Rationa e 4" Stud ing the protot pe drug ma allow the nurse to predict the clinical use of another drug in the same class. Rationa e *" Contraindications ma differ for specific drugs in the same class as the protot pe. ! o"a Rationa e: Co#niti$e %e$e : 4nderstanding C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: ,ursing %rocess" Assessment %earnin# )utcome: +-< Question 23 Type: MCMA Chemical names are assigned for each drug. -hat are the maAor reasons that nursing usuall does not use the chemical name of the drugs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. The are usuall not brief or eas to remember. 2. The are often difficult to pronounce. 3. There is no standard for assigning names. 4. The do not e.plain the nature of the drug. *. There is onl one chemical name for each drug. Correct Answer: +$! Rationa e 1" Chemical names are usuall not brief or eas to remember. Rationa e 2" Chemical names are often difficult to pronounce. Rationa e 3" Chemical names are assigned b a standard nomenclature. Rationa e 4" Chemical names do e.plain the nature of the drug.
Rationa e *" -hile it is true each drug has onl one chemical name$ this is not one of the reasons nurses do not use the chemical name. ! o"a Rationa e: Co#niti$e %e$e : Cemembering C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: +-= Question 24 Type: MCMA A client is admitted to the emergenc department with high blood pressure. The health care provider orders a diuretic and tells the client this medication will lower the blood pressure b decreasing intravascular fluid volume. -hat does this description address? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. The drug#s mechanism of action 2. The drug#s pharmacologic classification 3. :ow the drug produces its effects in the bod 4. The drug#s therapeutic classification *. -hat condition is being treated b the drug Correct Answer: +$!$0 Rationa e 1" Mechanism of action describes how a drug produces its effects in the bod J?in this case$ how it lowers blood pressure. Rationa e 2" The pharmacologic classification describes how a drug produces its effects in the bod J?in this case$ how it lowers blood pressure. Rationa e 3" The diuretic lowers blood pressure b lowering fluid volume in the vasculature. Rationa e 4" The therapeutic classification states what condition the drug is used to treat. Rationa e *" A drug#s therapeutic classification states what condition the drug is used to treat. ! o"a Rationa e:
Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: +-' Question 2* Type: MCMA A client who is admitted to the intensive care unit for monitoring notices the arthritis medication does not look like the one used at home and asks the nurse wh . -hat is the nurseKs best response? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. "This is a different brand from the one ou use at home$ but it will give ou the same pain relief." 2. "2our health care provider feels we can safel substitute this drug for the drug ou use at home." 3. "This generic drug is the one we have on formular in the pharmac . &t has the same ingredients as the one ou use at home." 4. "This is what we have in the pharmac . ;o ahead and take it for now and let me know if it doesn#t relieve the pain." *. "The medications in the hospital often do not look like the ones ou get from the pharmac ." Correct Answer: +$!$0 Rationa e 1" Most brand-name drugs can be safel substituted with generic drugs. The e.ceptions to this rule are critical care drugs and drugs with a narrow margin of safet . Rationa e 2" Most brand-name drugs can be safel substituted with generic drugs. The e.ceptions to this rule are critical care drugs and drugs with a narrow margin of safet . Rationa e 3" Most brand-name drugs can be safel substituted with generic drugs. The e.ceptions to this rule are critical care drugs and drugs with a narrow margin of safet . Rationa e 4" This response does not let the client know that it is ver common to substitute noncritical care medications with various generic or brand-name versions. Rationa e *" This response does not let the client know that it is ver common to substitute noncritical care medications with various generic or brand-name versions. ! o"a Rationa e:
Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: +-I Question 2+ Type: MCMA A client who received a refill for a medication returns to the pharmac and sa s$ LThis medication is wrongM &t doesnKt look an thing like m usual prescription.N -hich response b the pharmacist would be most appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. "2our usual prescription drug is too e.pensive$ so & substituted it with a generic one." 2. "There is no difference between this drug and the one ou usuall get." 3. "Our state allows me to substitute a generic drug when the prescription calls for a brand-name drug." 4. "1on#t worr . Can ou see that the generic ingredients are e.actl the same?" *. "This medication is a generic form of our other medication. That is wh it looks different. 9ut it has the same ingredients and should work the same wa ." Correct Answer: 0$< Rationa e 1" &t ma be true that the client#s prescription is a brand name and more e.pensive$ but this is not an appropriate e.planation for the substitution. Rationa e 2" -hile this ma be true$ it does not give the client an appropriate e.planation for the substitution. Rationa e 3" Some states allow the pharmacist to routinel substitute a generic drug for a brand-name drug. Other states prohibit this substitution and the pharmacist or client must re/uest the substitution from the health care provider. Rationa e 4" The ingredients ma be e.actl the same$ but this is not an appropriate e.planation for the substitution. Rationa e *" There ma be several forms of a generic medication. Although the ma look different$ the ingredients and mechanism of action are the same. ! o"a Rationa e:
Co#niti$e %e$e : Appl ing C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: ,ursing %rocess" &mplementation %earnin# )utcome: +-I Question 2Type: MCMA A client tells the nurse that the health care provider has prescribed a new medication that Lhas Aust come on the market.N The nurse has not heard of this particular medication but is able to give the client important information based on its protot pe drug because of which principles? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 'tandard Te,t: Select all that appl . 1. Enowing the protot pe drug allows the nurse to predict the mechanism of action of the new medication. 2. The information regarding the protot pe drug can be e.tended to an drug in the same class. 3. The protot pe drug is the drug to which all drugs in a class are compared. 4. Enowing the protot pe drug#s therapeutic or pharmacologic classification can reveal important information about other drugs in the same class. *. This is a new drug on the market. &t ma not have a protot pe drug et and its properties cannot be predicted. Correct Answer: +$! Rationa e 1" Enowledge about the protot pe drug can help the nurse predict important information such as actions$ side effects$ mechanism of action$ and contraindications for other drugs in the same class. Rationa e 2" Enowledge about the protot pe drug can help the nurse predict important information such as actions$ side effects$ mechanism of action$ and contraindications for other drugs in the same class. Rationa e 3" The protot pe drug is chosen to be the representative medication in a particular classification. Rationa e 4" Bust knowing a drug#s therapeutic or pharmacologic classification can reveal important information about the drug. Rationa e *" Enowledge about the protot pe drug can help the nurse predict important information such as actions$ side effects$ mechanism of action$ and contraindications for other drugs in the same class. ! o"a Rationa e: Co#niti$e %e$e : Appl ing
C ient &eed: %h siological &ntegrit C ient &eed 'u": %harmacological and %arenteral Therapies &ursin#/(nte#rated Concepts: Teaching and 8earning %earnin# )utcome: +-<

Adams4e Tif Ch02

Transféré par

Informations du document

Description originale:

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

Adams4e Tif Ch02

Transféré par

Droits d'auteur :

Formats disponibles

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 2

Vous aimerez peut-être aussi