Pharmacology And Drug Administration Modernization

Pharmacology And Drug Administration Modernization
1. Which is the best resource when a nurse requires
information concerning recall of a medication, safety
alerts, new medications, and generic approvals?
1. U.S. Food and Drug Administration
2. American Nurses Association
3. U.S. Pharmacopoeia
4. National Formulary
2. Which law should a nurse review if the nurse wants
to ensure that the policy and procedures employed
in the agency in which he or she works meet requirements regarding controlled medication?
1. Food, Drug, and Cosmetic Act (1938)
2. Durham-Humphrey Amendment (1952)
3. Food and Drug Administration Modernization
Act (1997)
4. Comprehensive Drug Abuse Prevention and
Control Act (1970)
3. A patient is receiving a narcotic analgesic for pain
associated with cancer of the pancreas. Several weeks
after initiation of therapy, the patient says to a nurse,
“The medication does not control the pain as much
as it did several weeks ago.” What response to the
medication should the nurse conclude this patient is
experiencing?
Pharmacology And Drug Administration Modernization
1. Tolerance
2. Potentiation
3. Adverse effect
4. Idiosyncratic reaction
4. A nurse is administering an antibiotic to a patient
who has an infected leg wound and a history of impaired peripheral circulation to the lower extremities.
Which is the nurse’s most important concern about
this patient’s status when evaluating a response to the
antibiotic?
1. Competence to biotransform the medication
2. Ability to move the medication around the body
3. Potential to excrete the medication from the body
4. Capacity to absorb the medication into the blood
stream
5. A nurse is caring for a patient who has impaired
kidney function. For which process associated with
pharmacokinetics should the nurse be most concerned
about when evaluating this patient’s response to a
medication regimen?
1. Biotransformation
2. Distribution
3. Absorption
4. Excretion
Pharmacology And Drug Administration Modernization
6. A nurse is caring for a patient who has a prescription for
an opioid for pain every 4 hours prn. The patient asks,
“How long will it take for the medication to relieve
my pain after I take the pill?” Which concept is most
important for the nurse to explain to the patient?
1. Peak plasma level
2. Duration
3. Half-life
4. Onset
7. A nurse is caring for a patient who reports taking
multiple over-the-counter herbal supplements. Which
information about supplements should the nurse include when teaching this patient about supplements?
Select all that apply.
1. Herbal supplements are safe to take.
2. Herbal supplements are regulated by
the FDA.
3. Manufacturers’ advertising of benefits
are not supported with evidence.
4. Some patients do not realize the importance of reporting supplement use.
5. Alcohol should not be ingested with
herbal supplements because of the
risk of nontherapeutic interactions.
8. A nurse is explaining to a patient the need to perform
blood tests to determine if a medication the patient is
receiving is in the therapeutic range. Which statement
is most important for the nurse to include in the
discussion?
1. “We need to draw your blood at the medication’s halflife to determine if the dose needs to be adjusted.”
2. “We need to draw your blood just before the next
dose to identify the lowest level of the medication
in your blood.”
3. “We need to draw your blood two hours after
administering the medication to determine the peak
plasma level of the drug.”
4. “We need to draw your blood hourly to determine
the duration of the therapeutic concentration of
the medication in your blood.”
428 Unit III Essential Components of Nursing Care
9. A nurse is caring for a patient who is receiving an
antibiotic intravenously. The patient asks, “Why
are you drawing my blood so many times since I’ve
started getting my antibiotic?” Which response by
the nurse best answers the patient’s question?
1. “We want to ensure that the dose is not too strong
that it causes toxicity.”
2. “The results will reflect if the dose is being absorbed
appropriately by your body.”
3. “We want to determine if the medication gets
into your blood within thirty minutes.”
4. “The results will reveal if the blood level of the
medication is being maintained within the
therapeutic range.”

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