Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 8th Edition-Kee -Hayes

Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 8th Edition-Kee -Hayes

Chapter 02: The Drug Approval ProcessMULTIPLE CHOICE 1. The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?a.Ask another nurse to observe and cosign wasting the remaining drug from the vial.b.Keep the remaining amount in the patient’s drawer to give at the next dose.c.Record the amount unused in the patient’s medication record.d.Dispose of the vial with the remaining drug into a locked collection box.  ANS: ASchedule II drugs are controlled substances, and all must be accounted for. When wasting a portion of a drug, another nurse should observe and cosign that a drug was wasted. DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 16TOP:NURSING PROCESS: Nursing InterventionMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient is prescribed a medication and asks the nurse if the drug is available in a generic form. The nurse understands that a generic medication will have a name thata.is a registered trademark.b.is always capitalized.c.describes the drug’s chemical structure.d.is non-proprietary.  ANS: DThe generic name is the official, non-proprietary name for a drug. The brand name is the trademark name and is always capitalized. The chemical name describes the chemical structure of the drug. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 18TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. A patient receives a prescription on which the provider has noted that a generic medication may be given. The patient asks the nurse what this means. What will the nurse tell the patient about generic drugs?a.They contain the same inert ingredients as brand-name drugs.b.They have chemical structures that are identical to proprietary drugs.c.They tend to be less expensive than brand-name drugs.d.They undergo extensive testing before they are marketed.  ANS: CGeneric drugs are approved by the FDA if they are proved to be bioequivalent to the brand-name drug. They tend to be less expensive because manufacturers of these drugs do not have to do the extensive testing required of brand-name drugs before marketing. They are not identical to brand-name drugs and often have different inert ingredients. DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 18TOP:NURSING PROCESS: Nursing Intervention: Patient TeachingMSC:NCLEX: Management of Client Care 4. The nurse reviews information about a drug and notes the initials “USP” after the drug’s official name. The nurse understands that this designation indicates the druga.is a controlled substance.b.is approved by the U.S. Food and Drug Administration (FDA).c.is available in generic form.d.meets quality and safety standards.  ANS: DThe “USP” designation is given to drugs that have met high standards for therapeutic use, patient safety, quality, purity, strength, packaging safety, and dosage form by the United States Pharmacopoeia National Formulary. The FDA classifies controlled substances with Roman numerals from I to V. The USP designation does not indicate FDA approval. The USP designation does not indicate generic availability. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 15TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 5. The nurse is preparing to give a medication to a child. The child’s parent asks whether the drug is safe for children. How will the nurse respond to the parent?a.“Drugs are tested on adults and safe doses for children are based on weights compared to adult weights.”b.“Drugs are deemed safe for children over time when repeated use proves effectiveness and safety.”c.“Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric use.”d.“Drugs are tested on children in postmarketing studies and on a limited basis.”  ANS: CThe Pediatric Research Equity Act requires drug manufacturers to test drugs on children. DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 17TOP:NURSING PROCESS: Nursing InterventionMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 6. Which law(s) govern all drug administration by nurses?a.Drug Regulation and Reform Actb.FDA Amendments Actc.Nurse Practice Actsd.The Controlled Substances Act  ANS: CEach state’s Nurse Practice Act identifies how nurses administer medications. The other acts govern how drugs are marketed and tested. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 17TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 7. The nurse administers a drug and miscalculates the dose by placing the decimal place one space to the right, resulting in a 10-fold overdose and the death of the patient. What offense does this represent?a.Malfeasanceb.Malpracticec.Misfeasanced.Nonfeasance  ANS: CMisfeasance is negligence in giving either the wrong drug or the wrong dose, resulting in the death of the patient. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 17TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 8. The nurse is busy and neglects to give a drug to a patient resulting in the patient’s death. What offense does this represent?a.Malfeasanceb.Malpracticec.Misfeasanced.Nonfeasance  ANS: DNonfeasance is omitting a drug dose, resulting in the patient’s death. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 17TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 9. A patient is taking methadone as part of a heroin withdrawal program. The nurse understands that, in this instance, methadone is classified as which drug schedule?a.C-Ib.C-IIc.C-IIId.C-V  ANS: BMethadone is a category II drug, with a high potential for drug abuse. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 16TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 10. The nurse is preparing to administer a combination drug containing acetaminophen and codeine. The nurse knows that this drug is classified as which drug schedule?a.C-IIb.C-IIIc.C-IVd.C-V  ANS: BCodeine is normally a category II drug, except when it is part of a combination product such as with acetaminophen, making it a category III drug. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 16TOP:NURSING PROCESS: N/AMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies