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Chapter 4. Regulations

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 4. Regulations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   While shopping for an over-the-counter cough suppressant, the nurse identifies the medication will be classified as:

A. A Schedule I medication
B. A Schedule III medication
C. A Schedule V medication
D. Nonscheduled medication

 

 

____     2.   Nurses are protected from unnecessary job-related risks due to the regulations set by:

A. Food and Drug Administration (FDA)
B. Drug Enforcement Administration (DEA)
C. Occupational Safety and Health Administration (OSHA)
D. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

 

 

____     3.   The nurse provides a client admitted with gastroesophageal reflux a dose of intravenous pantoprazole (Protonix). Fifteen minutes later, the client calls for help and is gasping for breath. Emergency measures are instituted and the client is transferred to the intensive care unit. Which action should be included in the nurse’s follow-up activities?

A. Notify the nursing supervisor that the client experienced a common side effect to the drug.
B. Identify the episode as an adverse reaction and ensure it is reported to the FDA.
C. Call the hospital administrator to report an act of medication fraud.
D. Contact the local news channel to arrange an investigation.

 

 

____     4.   A client with advanced colorectal cancer is going to start taking long-acting morphine sulfate (MS Contin). Which of the following statements by the nurse is best?

A. “I will call the prescription into your local pharmacy.”
B. “You are only allowed to have one refill on this medication before you have to see the doctor again.”
C. “This is considered a Schedule IV medication, so there are strict guidelines we must follow.”
D. “I am faxing the prescription to the pharmacy, but you must also take this written prescription with you to pick it up.”

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate        TOP:   Therapeutic Classification: NA

KEY:  Comprehension                               MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Table 4.4 (p. 45) and Table 4.7 (p. 57): Schedule I medications have high abuse potential. Schedule III medications have lower abuse potential with moderate to low dependence risk. Schedule V medications have even lower abuse potential and include over-the-counter cough suppressants.

 

  1. ANS:  C                    PTS:   1                    DIF:    Easy               TOP:   Therapeutic Classification: NA

KEY:  Knowledge     MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Modern Regulating Agencies (p. 46): OSHA is a branch of the Department of Labor that helps ensure all workers are not exposed to unnecessary job-related risks.

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: GERD agents                          KEY:  Analysis

MSC:  NCLEX Category: Safety and Infection Control

NOT:  See Food and Drug Administration (p. 47): A side effect that can cause severe harm or death is commonly called an adverse reaction. An example is airway swelling. It is your responsibility as an allied health professional to report an adverse reaction to a medication to the FDA’s MedWatch.

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Narcotics            KEY:              Analysis

MSC:  NCLEX Category: Psychosocial Integrity

NOT:  See Drug Control (p. 57): Morphine is a Schedule II medication. An office assistant cannot call in the prescription, and no refills are permitted. The office staff may fax the prescription to the pharmacy, but the clients must also give a handwritten prescription to the pharmacist to receive the medication.

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