Pharmacology Quiz 2

a drug that stimulates the action of a receptor is known as an:
a. antagonist b. agonist c. agnostic d. allergen

in terms of drug absorption, which circumstance will enhance or promote a drug's effect?
a. a smaller surface area b. rapid dissolution in solution c. lipid insolubility d. low blood flow

the six rights that a nurse should consider before administering a drug include all of the following except:
a. the right storage area b. the right patient c. the right drug d. the right time

suzie is a 22 year old that was prescribed oxycontin for pain and took this drug for 2 weeks. she presents today at prime care with shaking chills, sweating, facial flushing, severe anxiety, and hallucinations. the RN recognizes, based on suzie's medication history, that she is experiencing withdrawal symptoms secondary to:
a. a drug tolerance b. drug dependence c. an adverse drug reaction d. infection

buster is receiving Digoxin to slow and strengthen his heart rate. he begins to complain of everything looking yellow. the RN knows it may be time to assess:
a. cardiac enzyme levels to rule out MI b. plasma drug levels of digoxin for toxicity c. plasma drug levels of digoxin for less then therapeutic effects d. b/p and pulse

when the RN administers a drug that is classified in the drug literature as nephrotoxic, he/she should assess the patients':
a. liver function b. basal metabolic rate c. renal function d. plasma drug levels

when adjusting doses of a particular drug for variations in patient size, the most accurate dose determination can be calculated based on:
a. the patient's creatine clearance b. the patient's body surface area c. the patient's ideal body weight d. the drug's pharmacokinetics

John is a 45 year old patient who presents to the ER complaining of severe back pain. He has been treated for 6 months now with Morphine 10mg by mouth every 6 hours as needed for back pain. The RN determines that this dosage is no longer effective for John as his pain is not well controlled and is averaging a "5" on a scale of 0-10. this is an example of:
a. latrogenic disease b. a side effect c. drug tolerance d. drug dependence

the drug allergy reaction that produces a life threatening reaction that can lead to brochospasm, laryngeal edema, respiratory distress and a drop in blood pressure is:
a. anaphylactic reaction b. delayed allergic reaction c. serum-sickness reaction d. cytotoxic reaction

when determining whether an adverse drug reaction has occurred, the nurse should consider which question?
a. has the drug produced this effect in another patient receiving the same agent at the same dose? b. could the pathophysiogic events of the illness itself explain the event? c. did the patient notice that the drug caused a bad taste in the mouth? d. is the patient complaining about the frequency of drug dosing?

the effects of a drug on the body
a. pharmacoherapeutics b. pharmacopoeia c. pharmacokinetics d. pharmacodynamics

dilantin is a commonly used medicine for the treatment of seizure disorders. the RN is aware that the lab values for Dilantin should be between 10 and 2- mcg/ml. this narrow window is called the:
a. therapeutic goal b. therapeutic dose c. therapeutic index d. therapeutic antepileptia

prescribed medications are prepared and administered during which phase of the nursing process?
a. assessment b. nursing diagnosis c. implemenation d. evaluation

mrs. j presents to the ER with an apparent facture of the right ankle and severe pain. she has a medical history of diabetes mellitus; CHF; and elevated liver enzymes. dr. k is considering the therapeutic objective in treating mrs. j's pain, which is to:
a. give her the strongest pain reliever available b. provide maximal benefit with minimal harm c. get her out of my ER as quickly as possible d. suggest the nurses perform non-medicale pain relieving techniques, such as elevation and ice

the nurse is caring for the patient with kidney disease. the nurse needs to make more focused assessments when administering medications to this patient bc the patient may experience problems with the process of:
a. absorption b. distribution c. excretion and/or metabolism d. metabolism

lab values obtained for certain drugs to ensure dose is therapeuticplasma drug level

the most important property a drug can have

great leafy veggi (high in vit K) may decrease anticoagulation from Coumadin

the property of a drug that elicits only the response for which it is given

a drug that prevents or impedes the actions of a receptor is an
a. agnostic b. antagonist c. allergen d. agonist

the use of drugs to diagnose, prevent or treat disease or prevent pregnancy is
a. clinical pharmacology b. experimental pharmacology c. pharmacotherapeutics d. pharmacology

prescribed medicines are prepared and administered during which phase of the nursing process?
a. nursing diagnosis b. implementation c. assessment d. evaluation

mr. booger is an 88 year old man prescribed an antihistamine for a sinus infection. while taking this drug he notices that he is very sleepy all the time. this is an example of:
a. teratogenic effect b. side effect c. iatrogentic disease d. adverse reaction

the RN is the:
a. cause of most medication errors b. the patient's last line of defense against medication errors. c. only member of the healthcare team who can prevent med errors d. the only member of the healthcare team who has no responsibility for med errors

select the accurate statement regarding the placebo effect of medicines.

a. it is a rare effect, seen only with psychotropic meds b. it is caused by psychologic factors rather than physiologic ones c. it is almost always a positive response that facilitates healing d. when it occurs, it indicates that the patient did not have an illness

select the accurate statement regarding gender differences in response to drugs

a. gender has no effect on drug kinetics or dynamics b. men metabolize drugs more efficiently and are therefore more likely to experience the intended drug effect c. men and women respond differently to drugs, but little is known about how and why d. women are inefficient metabolizers of drugs and will be more prone to side effects

when one drug alters the absorption of a second drug taken at the same time, the interaction would be classified as:

a. combined toxicity b. pharmacokinetic c. pharmacodynamic d. a direct chemical reaction

mr. r has liver disease. he is recieving a drug that is metabolized by the liver. the nurse needs to most carefully monitor the patient for signs of:

a. therapeutic objects and tolerance b. idiosyncratic effects and anaphylaxis c. allergic effects and toxicity d. adverse effects and toxicity

how the body effect a drug:

a. pharmacotherapeutics b. pharmacodynamics c. pharmacokinetics d. pharmacopoeia

The RN has just administered Atropine 0.5 mg IM along with Versed 5 mg as a pre-operative medication. 40 mins later the injection the patient states, "it feels like my heart is racing." the patient's apical pulse is 136. the RN would:

a. recognize this as a potential drug interaction between Versed and Atropine, check a B/P and call the MD for further orders b. recognize this could be an adverse reaction to the atropine, check a B/P and call the MD for further orders c. recognize this is an expected effect of the Atropine and just continue to monitor the heart rate d. recognize this is an adverse reaction of the Versed, check a B/P, and contact the MD for permission to administer more atropine to slow the heart rate