Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Karch's Focus on Pharmacology 8th Ed. Chapter 2 Exam Questions with Answers, Exams of Pharmacology

Karch's Focus on Pharmacology 8th Ed. Chapter 2 Exam Questions with Answers

Typology: Exams

2024/2025

Available from 06/09/2025

nettah-kibera-1
nettah-kibera-1 🇺🇸

101 documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Karch's Focus on
Pharmacology 8th Ed. |
Chapter 2 Exam Questions
with Answers
Chemotherapeutic agents are drugs that - Correct Answers: interfere with foreign cell functioning, such
as invading microorganisms or neoplasms.
Receptor sites - Correct Answers: are protein areas on cell membranes that react with specific
chemicals.
Selective toxicity is - Correct Answers: the ability of a drug to attack only those systems found in foreign
or abnormal cells.
When trying to determine why the desired therapeutic effect is not being seen with an oral drug, the
nurse should consider - Correct Answers: food altering the makeup of gastric juices.
Much of the biotransformation that occurs when a drug is taken occurs as part of - Correct Answers: the
first-pass effect through the liver.
The half-life of a drug - Correct Answers: is determined by a balance of all pharmacokinetic processes.
J.B. has Parkinson disease that has been controlled for several years with levodopa. After he begins a
health food regimen with lots of vitamin B6, his tremors return, and he develops a rapid heart rate,
hypertension, and anxiety. The nurse investigating the problem discovers that vitamin B6 can speed the
conversion of levodopa to dopamine in the periphery, leading to these problems. The nurse would
consider this problem - Correct Answers: a drug-drug interaction.
When reviewing a drug to be given, the nurse notes that the drug is excreted in the urine. What points
should be included in the nurse's assessment of the patient? - Correct Answers: c. The patient's renal
function tests
d. The patient's fluid intake
pf3
pf4

Partial preview of the text

Download Karch's Focus on Pharmacology 8th Ed. Chapter 2 Exam Questions with Answers and more Exams Pharmacology in PDF only on Docsity!

Karch's Focus on

Pharmacology 8th Ed. |

Chapter 2 Exam Questions

with Answers

Chemotherapeutic agents are drugs that - Correct Answers: interfere with foreign cell functioning, such as invading microorganisms or neoplasms. Receptor sites - Correct Answers: are protein areas on cell membranes that react with specific chemicals. Selective toxicity is - Correct Answers: the ability of a drug to attack only those systems found in foreign or abnormal cells. When trying to determine why the desired therapeutic effect is not being seen with an oral drug, the nurse should consider - Correct Answers: food altering the makeup of gastric juices. Much of the biotransformation that occurs when a drug is taken occurs as part of - Correct Answers: the first-pass effect through the liver. The half-life of a drug - Correct Answers: is determined by a balance of all pharmacokinetic processes. J.B. has Parkinson disease that has been controlled for several years with levodopa. After he begins a health food regimen with lots of vitamin B6, his tremors return, and he develops a rapid heart rate, hypertension, and anxiety. The nurse investigating the problem discovers that vitamin B6 can speed the conversion of levodopa to dopamine in the periphery, leading to these problems. The nurse would consider this problem - Correct Answers: a drug-drug interaction. When reviewing a drug to be given, the nurse notes that the drug is excreted in the urine. What points should be included in the nurse's assessment of the patient? - Correct Answers: c. The patient's renal function tests d. The patient's fluid intake

e. Other drugs being taken that could affect the kidney When considering the pharmacokinetics of a drug, what points would the nurse need to consider? - Correct Answers: a. How the drug will be absorbed d. How the drug will be excreted e. How the drug will be metabolized f. The half-life of the drug Drug-drug interactions are important considerations in clinical practice. When evaluating a patient for potential drug-drug interactions, what would the nurse expect to address? - Correct Answers: b. The need to adjust drug dose or timing of administration e. Increased adverse effects f. The use of herbal or alternative therapies The blood-brain barrier keeps foreign substances away from the central nervous system (CNS). - Correct Answers: TRUE The liver plays a key role in the excretion of drugs from the body. - Correct Answers: TRUE Drug excretion, which is the removal of the drug from the body, occurs primarily via the - Correct Answers: kidneys but the liver as well. A 38-year-old client is obese and has abscesses around the inner thigh muscles. The client is receiving IV antibiotics, but no improvement has been seen. The client questions the nurse about the most likely cause for the drug therapy failure. The nurse explains that the: - Correct Answers: distribution of the drug to the area of the abscesses is impaired. An older adult client calls the health care provider's office and tells the nurse that prescriptions for three medications have run out and the pharmacy will not refill them this close together. A home health referral is made and the client is found to be taking the medication more often than prescribed. What is a priority nursing diagnosis for this client? - Correct Answers: Nonadherence to therapeutic medication regimen

When drugs are bound to proteins in the blood, they can be transported to different areas of the body. The protein-drug complex is relatively large and cannot enter into capillaries and into tissues to react. What must occur for drugs to do their job in the body? - Correct Answers: The drug must be freed from the protein-binding site. A nurse is caring for a client who has had part of her small intestine removed due to cancer. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. While planning the client's care, the nurse should consider a possible alteration in which aspect of pharmacokinetics? - Correct Answers: absorption A nurse is caring for a 92-year-old who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to: - Correct Answers: try to distinguish between normal signs of aging and the adverse drug effects. The nurse is administering a drug to a client that has a half-life of approximately 36 hours. The nurse knows that this drug will be administered every: - Correct Answers: 24 hours. Relatively few drugs act by mechanisms other than combination with receptor sites on cells. What drugs do not act on receptor sites? (Select all that apply.) - Correct Answers: antacids osmotic diuretics purines The mentoring nurse is orienting a new graduate RN to the geriatric floor. What assessment technique will the new graduate nurse perform to identify an age-related physiological change associated with medication metabolism? - Correct Answers: external palpation of the liver What is the primary role of protein binding on drug action? - Correct Answers: Decreasing the medication's speed of action A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. The client has a history of mild hypertension. He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness of the client's drug therapy? - Correct Answers: vascular impairment