Pharmacology Quiz for Nursing Students
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Questions and Answers

Which of the following is NOT a requirement for proving medical malpractice?

  • Damage
  • Breach of duty
  • Informed consent (correct)
  • Duty of care

    • A low therapeutic index indicates a drug with a wide margin between its therapeutic and toxic doses.

    False (B)

    What happens in the First Pass Effect?

  • Drugs are eliminated through the kidneys.
  • Drugs are metabolized by the intestines.
  • Drugs are broken down in the liver before reaching systemic circulation. (correct)
  • Drugs are absorbed directly into the bloodstream.

    • The first-pass effect refers to the process by which drugs are metabolized by the kidneys before reaching systemic circulation.

    <p>False (B)</p> Signup and view all the answers

    A Black Box Warning alerts prescribers of ______ adverse events associated with a drug.

    <p>serious</p> Signup and view all the answers

    What is the primary role of the liver in medication pharmacokinetics?

    <p>Metabolism (breaking down drugs)</p> Signup and view all the answers

    What is the name of the time it takes for half of a drug to be eliminated from the body?

    <p>Half-life</p> Signup and view all the answers

    The process of drug absorption refers to the movement of the drug from its site of administration into the ______.

    <p>bloodstream</p> Signup and view all the answers

    Match the following drug names with their corresponding categories:

    <p>Tylenol = Brand Name Acetaminophen = Generic Name Prozac = Brand Name Fluoxetine = Generic Name</p> Signup and view all the answers

    Match the following nursing process stages with their corresponding activities:

    <p>Assessment = Gathering information about the patient Nursing diagnosis = Identifying patient health problems Planning = Developing a plan of care and setting goals for the patient Implementation = Carrying out the plan of care, including medication administration, education, treatments, etc. Evaluation = Evaluating the effectiveness of the plan and making adjustments as needed</p> Signup and view all the answers

    Which of the following is NOT a benefit of generic brand drugs?

    <p>Faster absorption rate (B)</p> Signup and view all the answers

    Which of the following best describes a nursing diagnosis?

    <p>A patient's response to a health problem or medical condition (D)</p> Signup and view all the answers

    An agonist activates a receptor and triggers a response.

    <p>True (A)</p> Signup and view all the answers

    The therapeutic index of a drug refers to the difference between the effective dose and the lethal dose.

    <p>True (A)</p> Signup and view all the answers

    What is one example of a nursing intervention that could be included in the implementation phase of the nursing process?

    <p>Administering medication</p> Signup and view all the answers

    Enteral administration refers to medication delivery through the ______ tract.

    <p>gastrointestinal</p> Signup and view all the answers

    Which administration route delivers the medication directly into the bloodstream, bypassing the liver?

    <p>Intravenous (IV) (C)</p> Signup and view all the answers

    Coating a medication helps to increase the speed of absorption into the bloodstream.

    <p>False (B)</p> Signup and view all the answers

    What is the primary function of Allopurinol in treating gout?

    <p>Allopurinol blocks the enzyme that produces uric acid, preventing the buildup of uric acid in joints.</p> Signup and view all the answers

    The two main types of COX enzymes are COX-1, which helps protect the stomach lining, and COX-2, which is more involved in ______.

    <p>inflammation and pain</p> Signup and view all the answers

    Match the following medication administration routes with their characteristics:

    <p>Oral = Absorbed through the intestines and processed by the liver Sublingual = Absorbed rapidly under the tongue, bypassing the liver Intramuscular (IM) = Injected into muscle tissue, absorbed over several hours Intravenous (IV) = Delivered directly into the bloodstream, bypassing the liver</p> Signup and view all the answers

    Which of the following is a contraindication for taking celecoxib?

    <p>Allergies to sulfa (B)</p> Signup and view all the answers

    Celecoxib can be taken on a daily basis.

    <p>True (A)</p> Signup and view all the answers

    Etanercept is a type of pain reliever.

    <p>False (B)</p> Signup and view all the answers

    Carbamide peroxide is used to remove ______ from the ear canal.

    <p>earwax</p> Signup and view all the answers

    What nursing action is important when administering ophthalmic drops or ointments?

    <p>Administering the drops or ointment into the conjunctival sac</p> Signup and view all the answers

    Match the following terms with their correct definitions:

    <p>Antipyretic = A chemical that inhibits the growth and reproduction of microorganisms without killing them. Analgesic = A type of medication used to reduce fever. Antiseptic = Medications that relieve pain without causing loss of consciousness.</p> Signup and view all the answers

    What is the nursing consideration for administering etanercept?

    <p>Never give with a live vaccine. (A)</p> Signup and view all the answers

    What is the epigastric region?

    <p>The upper part of the abdomen, right below the ribcage, in the middle, just above the belly button and below the chest.</p> Signup and view all the answers

    Study Notes

    Week 1

    • Bioavailability: IV push affects immediately, purest form, skips first pass. Measures how much of a drug enters the bloodstream.
    • Malpractice (4 requirements): Duty of care, breach of duty, causation, damage. Nurses have legal obligations, failures must cause harm, and patients must suffer actual harm.
    • Liver's role: Primary role is metabolism (breaking down drugs). It makes drugs more or less active, and is where the first-pass effect occurs.
    • Kidney's role: Primary role is excretion (removing drugs). Filters out drug byproducts and determines how quickly the drug leaves the body.
    • Complete Medication Order Components: Right drug, right dose, right time, right route, right pt, right documentation, right reason, right to refuse.

    Week 2

    • Black Box Warning: Serious adverse events are alerted to prescribers by the FDA.
    • Half-life: Time taken for half of the drug to be eliminated from the body. This is a pharmacokinetic concept.
    • Brand and Generic Names: Generic names (manufacturer names) are generally cheaper versions of brand-name drugs. Both are equally efficacious.

    Week 3

    • Nursing Process Stages: Assessment, nursing diagnosis, planning, implementation, evaluation.
    • Medical Diagnosis vs. Nursing Diagnosis: Medical diagnosis is made by a physician identifying the disease, while a nursing diagnosis identifies patient responses to health problems.
    • Pharmacokinetics: Absorption, distribution, metabolism, and excretion. How the body processes drugs.
    • Pharmacodynamics: How the drug affects the body.
    • Therapeutic Index (Window): Ratio between toxic and therapeutic concentrations. Smaller index = hazardous drug.

    Week 3 continued

    • Enteral Administration: Giving medication through the gastrointestinal tract (oral or feeding tube).
    • Enteric Coatings: Coated tablets/long-acting meds that avoid stomach acid digestion for proper absorption.

    Week 4

    • Gout: Buildup of uric acid in joints; treated with allopurinol, an antigout medication.
    • Allopurinol: Works by blocking the enzyme that creates uric acid.
    • NSAID's: Nonsteroidal anti-inflammatory drugs that reduce pain and inflammation. Two main types are COX-1 and COX-2

    Week 4 continued

    • Celecoxib: A selective COX-2 inhibitor, used to treat inflammatory issues. Doesn't affect the GI tract.
    • Carbamide Peroxide (Debrox): Used to soften and remove earwax.
    • Etanercept: Biologic medication for rheumatoid arthritis.

    Week 5

    • Ophthalmic Drops/Ointments: Administration in the conjunctival sac; important for administering to the right area.
    • Conjunctival Sac: Area between the eyelids and the surface of the eye where tears collect.

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    Description

    Test your knowledge on pharmacology with this quiz designed for nursing students. It covers essential concepts such as drug metabolism, pharmacokinetics, and the nursing process. Challenge yourself and assess your understanding of medical malpractice in the context of pharmacological practices.

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