Question 1

The physician orders a brand name drug for the client. The hospital formulary substitutes the generic equivalent of the brand name drug, and the nurse administers the generic drug. Which statement(s) best represent(s) the nurse's action?

Accepted Answer

The nurse used good judgment in administering the drug because the hospital formulary substitutes the generic equivalent of the brand name drug, and hospital policies allow for this.

Question 2

The nurse is providing medication education to a client with hypertension. The nurse teaches the client that the physician ordered a diuretic to decrease the amount of fluid in the client's body. Which statement best describes the nurse's instruction?

Accepted Answer

B

Question 3

The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well as microbiology, when he only wants to learn about pharmacology. What is the best response by the instructor?

Accepted Answer

An understanding of anatomy, physiology, and microbiology is essential to understanding pharmacology, as these subjects provide foundational knowledge necessary for comprehending how drugs interact with the body and affect health.

Question 4

Modern pharmacology was introduced to the United States by the opening of the first department of pharmacology at the University of Michigan in which year?

Accepted Answer

The first department of pharmacology in the United States was established at the University of Michigan in 1890.

Question 5

The nurse is teaching a class for clients about over-the-counter (OTC) medications. The nurse determines that education has been effective when the clients make which statement?

Accepted Answer

Reading all the directions on the label and contacting the doctor's office if they are unclear ensures safe and appropriate use of OTC medications.

Question 6

The client is receiving a very expensive medication. The client asks the nurse why the medicine is so expensive. What is the best response by the nurse?

Accepted Answer

The nurse's response should be factual and informative. Explaining that drug companies need to recoup the costs of developing and producing the drug provides a clear and accurate reason for the high price.

Question 7

The physician ordered a brand name drug for the client, paroxetine (Paxil). After taking this medication for a year, the client tells the nurse that it is no longer working. What is the best assessment of the nurse at this time?

Accepted Answer

The nurse should first verify if the client is taking the brand name drug (Paxil) or a generic version (paroxetine), as there can be differences in efficacy or patient perception between brand name and generic drugs.

Question 8

The application of drugs for the purpose of treating diseases and treatment of suffering is known as

Accepted Answer

Pharmacotherapeutics specifically refers to the use of drugs to treat diseases and alleviate suffering.

Question 9

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?

Accepted Answer

The pharmacological classification of drugs is based on their mechanism of action. A calcium channel blocker is classified pharmacologically because it specifically blocks calcium channels in the heart and blood vessels. The other options describe therapeutic classifications, which are based on the condition they treat.

Question 10

The older adult client has gastrointestinal bleeding. The client says to the nurse, "I don't understand this. All I did was take ibuprofen (Advil) for my arthritis." Which plan would be best as it relates to the nurse's education of this client?

Accepted Answer

The answer of The older adult client has gastrointestinal bleeding....

Question 11

The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key events in the history of pharmacology?

Accepted Answer

Early researchers often used themselves as test subjects to understand drug effects. The initial intention of pharmacology was to relieve human suffering. In the twentieth century, pharmacologists began synthesizing drugs in laboratories, marking a significant advancement in the field.

Question 12

The client is receiving a brand name drug and wants to change to the generic form because it is cheaper. What is the best outcome for this client?

Accepted Answer

The answer of The client is receiving a brand name...

Question 13

The nurse administers a vaccine to a child. What is the best understanding of the nurse as it relates to the manufacture of this vaccine?

Accepted Answer

Vaccines are often produced using microorganisms or animal cells, where the pathogen or its components are grown and harvested to create the vaccine.

Question 14

The client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?

Accepted Answer

The nurse should not be judgmental or accusatory. The nurse should focus on the client's current condition and provide support to the husband.

Question 15

A client with chronic back pain informs the nurse he has been receiving therapeutic touch in addition to his medications. What is the nurse's best classification of this client's treatment?

Accepted Answer

Complementary therapy refers to treatments used alongside conventional medicine, such as therapeutic touch used in addition to medications.

Question 16

The physician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too expensive. What is the best plan by the nurse?

Accepted Answer

Substituting a generic drug is often a cost-effective solution, as generics are typically less expensive than brand name drugs and are considered to be therapeutically equivalent.

Question 17

The student nurse has completed an initial pharmacology course and tells the nursing instructor that it was difficult and she is glad it is over. What is the best response by the nursing instructor?

Accepted Answer

Learning is a continuous process, especially in fields like pharmacology, where new information and updates are frequent. The instructor's response emphasizes the ongoing nature of learning and the importance of continuous education in mastering pharmacology.

Question 18

The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make which comments?

Accepted Answer

Pharmacology is the study of medicines and drugs, including their effects and uses, which aligns with statements B and E. Therapeutics involves the use of drugs to treat suffering, which is correctly described in statement C.

Question 19

The client says to the nurse, "My wife and I take the same drug, but we have different side effects. Are we doing something wrong?" What is the best response by the nurse?

Accepted Answer

Differences in sex can lead to variations in drug metabolism and side effects, so it is not unusual for a man and a woman to experience different side effects from the same medication.

Question 20

During pharmacology class, the student nurse asks the nursing instructor how students will ever learn about the individual antibiotic drugs since there are so many. What is the best response by the nursing instructor?

Accepted Answer

Learning a representative drug from each class helps students understand the characteristics and mechanisms of action of that class, making it easier to remember and apply knowledge to other drugs in the same class.

Quiz 1: Introduction to Pharmacology