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Pharmacology
Chapter 5 NCLEX and Critical Thinking Questions
8
Nursing
Undergraduate 2
02/06/2012

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Cards

Term
What is the term for unpredictable and unexplained drug reactions?
a. adverse reactions
b. idiosyncratic reactions
c. enzyme-specific reactions
d. unaltered reactions
Definition
Idiosyncratic reaction - b
Term
A drug that occupies a receptor site and prevents endogenous chemicals from acting is called a/an:
a. antagonist
b. partial agonist
c. agonist
d. protagonist
Definition
antagonist - a; an antagonist occupies a receptor site and prevents endogenous chemicals from acting. An agonist produces the same type of response as the endogenous substance. A partial agonist is a medication that produces a weaker response than an agonist.
Term
In considering the pharmacotherapeutic perspective, which property is considered to be of most importance?
a. potency
b. efficacy
c. toxicity
d. interaction with other drugs
Definition
efficacy - b
Term
The term used to describe the magnitude of maximal response that can be produced from a particular drug is:
a. efficacious
b. toxic
c. potent
d. comparable
Definition
efficacious - a
Term
Morphine has a greater efficacy than either of the OTC drugs, aspirin or acetaminophen. Base on what the nurse knows about efficacy, what patient condition might require a dose of morphine rather than aspirin or acetaminophen?
a. a patient who is in mild pain but does not like to take aspirin or acetaminophin
b. a patient who routinely uses acetaminophen at home for pain relief
c. a patient who quickly develops allergies to multiple medications
d. a patient in moderate to severe pain after the other drugs have been ineffective for pain relief
Definition
d. a patient in moderate to severe pain after the other drugs have been ineffective for pain relief
Term
if the ED50 is the dose required to produce an effective response in 50% of a group of patients, what happens in the other 50% of the patients after a dose has been administered?
Definition
the other 50% of the population did not experience the desired effect from the dose
Term
Two drugs competing for a receptor on a mast cell that will cause the release of an agonist versus an antagoniston this receptor. Which would likely be called an antihistamine, the agonist or the antagonist?
Definition
An agonist binds to the receptor site and produces the same or a greater response than the engogenous chemical. An antagonist occupies a receptor site and prevents the endogenous substance from acting. Antagonists compete with agonists for binding sites. An antihistamine would most likely be an antagonist
Term
A nurse reads that the drug to be given has a "narrow therapeutic index." This means that the drug:
a. has a narrow range of effectiveness and may not give this patient the desired therapeutic results
b. has a narrow safety margin and even a small increase in dose may produce adverse or toxic effects
c. has a narrow range of conditions or diseases that the drug will be expected to treat successfully.
d. has a narrow segment of the population for whom the drug will work as desired.
Definition
has a narrow safety margin and even a small increase in dose may produce adverse or toxic effects - b
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