What does nursing focus on in pharmacotherapeutics?

Drug effects on body & body response to drug

What indicates nephrotoxicity?

Elevated blood urea nitrogen (BUN)

Which agency regulates drug evaluation in the US?

Food and Drug Administration (FDA)

What does "DAW" on a prescription mean?

Dispense as written (brand name)

What is documented in medication reconciliation?

All medications, dose, route, last taken

What is a concern with OTC drug use?

Can mask underlying disease symptoms

What should patients keep a list of for emergencies?

All medications, prescription & OTC

What is repolarization?

Return to resting state (Na out, K in)

What governs controlled substance distribution & use?

Comprehensive Drug Abuse Prevention and Control Act

Where should unused medications be returned for safe disposal?

Pharmaceutical take-back location

What is "germ warfare"?

Use of bacteria, viruses, parasites to destroy population

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(Updated) Pharm M1-3 Book

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Updated to match the Module Readings out of Course Schedule

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Questions 100

Answers

1
What is hypokalemia?
High calcium levels
Low serum potassium levels
Low sodium levels
High serum potassium levels
2
What does nursing focus on in pharmacotherapeutics?
Chemical structures & synthesis
Drug effects on body & body response to drug
Drug manufacturing & distribution
Marketing & advertising
3
What is a symptom of hyperkalemia?
Slow heart rate
Rapid heart rate
Increased urine output
Warm skin
4
What indicates nephrotoxicity?
Increased urine output
Low creatinine
Normal electrolyte balance
Elevated blood urea nitrogen (BUN)
5
What elements treat iron deficiency anemia?
Iron salts
Aluminum salts
Fluorine salts
Gold salts
6
What is a drug's name from the developer?
Proprietary name
Generic name
Chemical name
Brand name
7
What is the junction between a nerve and an effector?
Dendrite
Soma
Synapse
Axon hillock
8
What drug treats a small number of people?
Orphan drug
Brand name drug
Generic drug
Over-the-counter drug
9
What term means nerve impulses exit CNS to periphery?
Efferent fibers
Afferent fibers
Dendrites
Axon terminals
10
What helps prevent medication errors in home setting?
Patient and family education
Ignoring OTC drugs
Increased hospital stays
Relying solely on providers
11
Which agency regulates drug evaluation in the US?
Centers for Disease Control
National Institutes of Health
Drug Enforcement Agency (DEA)
Food and Drug Administration (FDA)
12
What does "DAW" on a prescription mean?
Dispense as written (brand name)
Drug available widely
Daily as needed
Dose as wanted
13
What act required drug efficacy & safety standards?
Kefauver-Harris Act of 1962
Pure Food and Drug Act
Federal Food, Drug and Cosmetic Act
Orphan Drug Act
14
What is a symptom of blood dyscrasia?
Normal hematocrit
High white blood cell count
Low platelet count
Clear urine
15
Which DEA schedule has no accepted medical use?
Schedule II (C-II)
Schedule IV (C-IV)
Schedule I (C-I)
Schedule III (C-III)
16
What part of the brain controls basic vital functions?
Cerebellum
Midbrain
Hindbrain (brainstem)
Forebrain
17
Who monitors controlled substances?
Food and Drug Administration (FDA)
Department of Health
Drug Enforcement Agency (DEA)
Federal Bureau of Investigation (FBI)
18
What is documented in medication reconciliation?
Future medication needs
Only prescription drugs
All medications, dose, route, last taken
Only OTC drugs
19
What is a nursing responsibility in drug therapy?
Approving new drugs
Developing new drugs
Administering drugs
Setting drug prices
20
What is a concern with OTC drug use?
Are rigorously tested like new drugs
Never interact with other medications
Always safer than prescription drugs
Can mask underlying disease symptoms
21
What are initial drug trials with non-human subjects?
Phase II studies
Phase III studies
Preclinical trials
Phase I studies
22
What is a symptom of auditory damage from drugs?
Blurred vision
Color vision changes
Increased hearing
Tinnitus
23
What should patients keep a list of for emergencies?
All medications, prescription & OTC
Only prescription drugs
Only herbal medications
Past illnesses
24
What is the approximate mean investment for new drug to market?
$5 billion
$500 million
$1.3 billion
$100 million
25
What happens when a drug patent runs out?
FDA re-evaluates all studies
Brand name changes
Drug is pulled from market
Generic drugs can be produced
26
What is repolarization?
Sodium influx
Return to resting state (Na out, K in)
Membrane charge reversal
Action potential generation
27
Why should children not use adult medications?
Adult meds taste bad for children
Children prefer liquids
Body organs are different
Children do not respond to drugs
28
What is the structural unit of the nervous system?
Neuron
Axon
Soma
Dendrite
29
What is nephrotoxicity?
Blood disorder
Skin reaction
Liver damage
Kidney damage
30
What governs controlled substance distribution & use?
Comprehensive Drug Abuse Prevention and Control Act
Orphan Drug Act
Pure Food and Drug Act
Kefauver-Harris Act
31
What is the evaluation step of the nursing process?
Limited to therapeutic response
A continuous process
Done only in acute settings
A one-time event
32
What is a nurse's intervention related to drug therapy?
Conducting clinical trials
Providing comfort measures
Setting drug prices
Developing drug advertisements
33
Where should unused medications be returned for safe disposal?
Pharmaceutical take-back location
Thrown in regular trash
Flushed down toilet
Stored indefinitely at home
34
What is hyperglycemia?
High potassium levels
High serum glucose levels
Low potassium levels
Low serum glucose levels
35
How does the FDA classify herbal or alternative therapies?
Prescription drugs
Controlled substances
Over-the-counter drugs
Dietary supplements
36
What is an example of drug-induced tissue damage?
Dermatological reactions
Therapeutic effect
Drug interaction
Placebo effect
37
What phase is continuous evaluation after marketing?
Phase III study
Preclinical trials
Phase II study
Phase IV study
38
What is used as an antacid to decrease gastric acidity?
Aluminum salts
Gold salts
Fluorine salts
Iron salts
39
What should a nurse do for "right dose"?
Ignore decimal points
Double-check calculations
Assume computer is correct
Cut all tablets in half
40
What drugs can cause extrapyramidal symptoms?
Antihistamines
Diuretics
Antipsychotic drugs
Antidiabetic agents
41
What is a symptom of stomatitis?
Diarrhea
Fever
Skin rash
Swollen gums
42
What is a symptom of hypokalemia?
Irregular pulse
Decreased urination
High blood pressure
Increased bowel sounds
43
What is "germ warfare"?
Psychological warfare
Chemical weapon use
Use of bacteria, viruses, parasites to destroy population
Traditional military combat
44
What are undesirable drug effects called?
Therapeutic effects
Adverse effects
Secondary actions
Primary actions
45
What indicates hepatotoxicity?
Normal clotting factors
Decreased urine output
Low blood glucose
Elevated liver enzymes
46
What produces and releases neurotransmitters?
Muscle
Nerve
Gland
Blood vessel
47
What element treats rheumatoid arthritis?
Gold salts
Aluminum salts
Fluorine salts
Iron salts
48
What is a symptom of superinfections?
High blood pressure
Black or hairy tongue
Clear urine
Increased urination
49
What should a nurse avoid in drug orders to prevent errors?
Brand names
Abbreviations
Generic names
Numbers
50
What should be included in drug education programs?
All known adverse effects listed
Manufacturer's contact info
Name, dose, and action of drug
Cost analysis
51
What should be used to measure liquid medications for children?
Appropriate measuring devices
Eyedroppers
Any spoon available
Household teaspoons
52
What is a key step to deal with the opioid crisis?
Tightening controlled substance classification
Increasing opioid availability
Promoting illicit drug use
Reducing toxicology screening
53
Which "right" of medication administration checks patient ID?
Right time
Right drug
Right route
Right patient
54
What is a risk of ordering drugs from other countries via internet?
Lower cost
Faster delivery
Discrepancies in product content
Greater protection by US laws
55
What can cause neuroleptic malignant syndrome (NMS)?
General anesthetics
Antidepressants
Antihistamines
Pain relievers
56
Why are patients being discharged earlier from hospitals?
Reduced hospital days for diagnoses
Lack of new drugs
Shortage of nurses
Patient preference only
57
What is a symptom of extrapyramidal symptoms (EPS)?
Clear thinking
Muscular tremors
Normal gait
Increased activity
58
What must a nurse ensure about drug storage?
Only in a cabinet
Specific environments (refrigeration, light protection)
Patient's preference
Anywhere accessible
59
When is drug administration documented?
At the end of the shift
After administering the drug
Before administration
Only if an error occurs
60
What is stomatitis?
Inflammation of mucous membranes
Blood disorder
Skin rash
Liver damage
61
What protects the brain by keeping out toxins and large structures?
Blood-brain barrier
Circle of Willis
Skull
Meninges
62
What are long projections carrying info from one nerve to another?
Ganglia
Dendrites
Axons
Somas
63
Where were digitalis and opiates originally derived from?
Plants
Inorganic compounds
Animals
Synthetic sources
64
What effect means causing birth defects?
Teratogenic
Paradoxical
Therapeutic
Adverse
65
What is the original name of a drug?
Brand name
Trade name
Generic name
Chemical name
66
What phase tests a potential drug on healthy humans?
Phase II study
Phase I study
Phase III study
Preclinical trials
67
What has a tremendous impact on actual drug therapy success?
Patent length
Placebo effect
Adverse effects
Chemical name
68
What phase tests a drug on actual patients with the disorder?
Preclinical trials
Phase II study
Phase III study
Phase I study
69
What occurs with an overdose of a drug causing system damage?
Side effect
Poisoning
Drug allergy
Therapeutic effect
70
What is a symptom of hyperglycemia?
Shaking
Drowsiness
Fatigue
Increased urination (polyuria)
71
What is hyperkalemia?
Low calcium levels
Increased serum potassium levels
Decreased serum potassium levels
High sodium levels
72
What is the most accurate source of drug information?
Journals
Package insert
Physician's Desk Reference (PDR)
Internet chat rooms
73
What is a symptom of hypoglycemia?
Increased urination
Fruity breath odor
Hot, flushed skin
Cold, clammy skin
74
What type of damage can chloroquine cause?
Retinal damage
Kidney damage
Liver damage
Auditory nerve damage
75
What act provides incentives for orphan drug development?
Federal Food, Drug and Cosmetic Act
Orphan Drug Act of 1983
Pure Food and Drug Act
Kefauver-Harris Act
76
What type of drug is sold by its name, not brand name?
Generic drug
Prescription drug
Over-the-counter drug
Orphan drug
77
What is a symptom of dermatological reactions?
Increased heart rate
Muscle weakness
Fever
Hives
78
What are superinfections caused by?
Overdose of antibiotics
Destruction of normal flora bacteria
Increased immunity
New bacterial invasion
79
Which neurotransmitter inhibits nerve activity?
Acetylcholine
Norepinephrine
Gamma-aminobutyric acid (GABA)
Dopamine
80
From what source was human insulin created via genetic engineering?
Cows and pigs
Thyroid tissues
Inorganic compounds
Escherichia coli bacteria
81
What determines drug choice in some HMOs?
Drug advertising
Formulary
Patient preference only
Provider's sole discretion
82
What is a key step of the nursing process after assessment?
Diagnosis
Planning
Re-assessment
Documentation
83
What is hepatotoxicity?
Liver damage
Bone marrow suppression
Kidney damage
Skin irritation
84
What drugs are available without a prescription?
Over-the-counter (OTC) drugs
Controlled substances
Prescription drugs
Orphan drugs
85
What is hypoglycemia?
High serum blood glucose concentration
Electrolyte imbalance
Low serum blood glucose concentration
Fluid retention
86
What is a concern about herbal medicines?
Never interact with other drugs
Are rigorously tested by FDA
Always safe
Can produce toxic reactions
87
What does "bioequivalent" mean for generic drugs?
Contain different active ingredients
Work in the body the same way
Are always more expensive
Are less safe
88
What is a key symptom of NMS?
Normal reflexes
Decreased heart rate
Low blood pressure
High fever
89
What is the first step of the nursing process?
Planning
Intervention
Assessment
Evaluation
90
What is clinical pharmacology?
Pharmacotherapeutics
Toxicology
Pharmacokinetics
Pharmacodynamics
91
What is blood dyscrasia?
Kidney damage
Bone marrow suppression
Skin inflammation
Liver inflammation
92
What must a nurse check for the "right drug"?
Drug's color
Prescribed drug is the one to administer
Manufacturer's logo
Drug cost
93
What is a risk of taking multiple OTC cold medications?
Reduced side effects
Increased immunity
Faster recovery
Unintended overdose
94
What does pharmacology study?
Patient care plans
Drug distribution
Chemical names
Biological effects of chemicals
95
What is depolarization in a nerve?
Sodium influx reverses membrane charge
Calcium channels close
Membrane remains polarized
Potassium influx reverses charge
96
Who is the "final check" in drug regimen process?
The manufacturer
The nurse
The physician
The pharmacist
97
What is a challenge with internet drug information?
Too little information
Lack of access
Evaluating accuracy and reliability
Inability to purchase drugs
98
What should be avoided to prevent drug interactions?
All prescription drugs
Specific OTC drugs or alternative therapies
Water
Any food intake
99
What information is on a drug label?
Physician's Desk Reference (PDR) code
Brand and generic names
All clinical trial data
Manufacturer's profits
100
What influenced consumers to request specific treatments?
HMO restrictions
Limited information access
Direct-to-consumer drug advertising
Strict FDA regulations

(Updated) Pharm M1-3 Book Flashcards | StudBud