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Which of the following terms describes the transportation of a drug from the bloodstream to the body tissues and intended site of action?.A. Which of the following statements describes t

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Test Bank for Administering Medications 7th Edition

by Donna F.Gauwitz

Chapter 02 Principles of Drug Action

Multiple Choice Questions

1 Which of the following terms describes the passage of a drug from the site

of administration into the bloodstream?

A Absorption

B Distribution

C Metabolism

D Excretion11

2 Which of the following terms describes the transportation of a drug from the

bloodstream to the body tissues and intended site of action?

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4 Which of the following terms describes the body's way of removing the waste products of ordinary cell processes?

A Slow the body's natural reactions to irritation

B Speed up the energy-producing functions of cells

C Destroy parts of cells

D Replace natural substances that the body lacks

6 Which of the following statements describes the action that stimulants have on the body?

A Slow the body's natural reactions to irritation

B Speed up the energy-producing functions of cells

C Destroy parts of cells

D Replace natural substances that the body lacks

7 Which of the following statements describe the action that insulin has on the body?

A Slow the body's natural reactions to irritation

B Speed up the energy-producing functions of cells

C Destroy parts of cells

D Replace natural substances that the body lacks

8 Which of the following statements describes the action that antibiotics have on the body?

A Slow the body's natural reactions to irritation

B Speed up the energy-producing functions of cells

C Destroy parts of cells

D Replace natural substances that the body lacks

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9 Age, size, sex, and genetics are all factors

that: A affect drug excretion

B affect drug metabolism

C affect drug action

D affect drug distribution

10 The route of administration, and the time of day that the drug is administered, diet, and environmental conditions are all factors that:

A Affect drug excretion

B Affect drug metabolism

C Affect drug action

D Affect drug distribution

11 Which of the following statements describes how a health care worker can create a positive attitude in patients who are undergoing medication therapy?

A Review, with the patient, the important reasons for taking the medication

B Treat the patient in a cheerful and caring manner

C Maintain your own positive, confident attitude

D All answers are correct

12 Which of the following describes the effect of a drug that is mainly limited to the area where it is applied or enters the body?

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14 Which of the following describes the desired effect of a drug, or the reason the drug

16 Which of the following terms describes the interaction of two drugs to inhibit or

cancel each other's effect?

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19 Psychological drug dependence is:

A a drive or craving to take a drug to relieve discomfort

B a physical need for the drug

C the self-administration of a drug in chronically excessive quantities

D a problem with people who take their own medications at home

20 Physical drug dependence is:

A a drive or craving to take a drug to relieve discomfort

B a physical need for the drug

C the self-administration of a drug in chronically excessive quantities

D a problem with people who take their own medications at home

21 Withdrawal symptoms can occur as a result

of: A physical drug dependence

B psychological drug dependence

C drug misuse

D drug side effects

22 Which of the following are examples of drugs that are commonly abused?

A Caffeine, nicotine, alcohol

B Barbiturates, depressants, stimulants

C Anabolic steroids, sedatives, hypnotics

D All answers are correct

23 Which of the following statements describes the health care worker's responsibilities with respect to the administration of drugs?

A The health care worker is expected to be aware of possible adverse drug reactions,

drug dependence, and the improper use of drugs

B The health care worker must consult his supervisor when drug abuse is suspected

C The health care worker must keep medicines locked up when not in use

D All answers are correct

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24 Which of the following is NOT one of the four processes that affect drug

action? A Absorption

B Biotransformation

C Distribution

D Potentiation

25 Which of the following describes why pain medications are prescribed?

B For the systemic effect they provide

C For the side effects they provide

D For the cumulative effects they provide

26 The ability of a drug to cross the cell membrane and the rate at which it can do so affects which of the following?

A The size and shape of drug molecules

B The ability of drugs to dissolve in water or fat

C The pH balance of drugs and cells

D The route of administration

28 How quickly and completely a drug is absorbed into the bloodstream affects which of the following?

A Drug action

B Drug tolerance

C Drug toxicity

D Drug dependence

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29 Which of the following routes of administration provides the fastest and most

dependable absorption of a drug?

31 Bactrim is considered a long-lasting antibiotic for which of the following reasons?

B Bactrim is absorbed very slowly

C Bactrim is prescribed for 7 to 10 days

D Bactrim resists biotransformation

32 Enzymes that break down a drug are involved in which of the following processes?

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34 The chemical composition of a drug, the rate of metabolism, and how often a drug is administered all effect which of the following?

36 Which of the following are used to calculate proper adult dose?

B Body mass index and percent of body fat

C Lean body mass and height

D Body surface area and muscle mass

37 Which of the following decreases the effects of Coumadin on blood clotting?

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39 Which of the following will cause drugs that are taken orally to be absorbed more quickly?

A Gastrointestinal tract free of food

B Increased fluid intake

C Exercise

D Good oral hygiene

40 Which of the following can occur with older adults who see multiple doctors and are prescribed multiple drugs?

42 When observing a patient's reaction to a drug that has been administered,

determine whether you are seeing the drug's therapeutic effect or a

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44 When a patient presents with an idiosyncratic response to a drug, which of the following is the recommended treatment?

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49 Which of the following terms refers to the self-administration of a drug in

chronically excessive quantities, resulting in a psychological or physical dependence?

50 State the four basic drug actions

51 Name the four body processes that affect drug action

52 Identify 10 factors influencing drug actions

53 Differentiate between systemic and local drug effects

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54 State the difference between the therapeutic effect and side effects

55 Define synergism

56 Define antagonism

57 Define potentiation

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58 Explain the difference between psychological and physical drug dependence

59 List five commonly abused drugs

60 State the health care worker's responsibilities with regard to adverse reactions of

drugs, dependence, and drug abuse

Fill in the Blank Questions

61 Insulin is an example of a drug that is taken to _a substance that the body lacks

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62 Antibiotics are examples of drugs that _cells or parts of cells

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70 To diminish the unpleasant effects of drugs secreted through saliva, the patient should be educated to chew or suck hard candy

71 Combining certain drugs with certain foods can alter the drug's effects This is an example

of the effect that a person's _has on drug action

73 Each person's individual makeup causes slight differences in basic processes like

metabolism and excretion This is an example of the effect that has on drug action

74 Diseases of the liver and kidneys can have an important effect on the processing and elimination of drugs This is an example of how _affect drug action

75 A patient's mental state is an important factor in the success or failure of drug therapy This is an example of the effect have on drug action

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76 A is an inactive substance that has no pharmacological effects but may make a patient with a positive attitude "feel better."

77 As a member of the health care team, you can influence a patient's response to medication

by creating a _attitude in the patient

83 When drugs collect in the body and produce an increased response, it is termed a

effect of drug action

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86 Older adult patients often see several doctors who prescribe what is needed in a

patient's particular case Multiple doctors and multiple drugs can lead to serious drug

87 Heat relaxes the blood vessels and speeds up the circulation, so drugs act faster This is an example of the effect that _conditions have on drug action

88 The term drug refers to the chemical changes the drug produces in cells and tissues

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95 Occasionally, the body has an unexpected or dangerous response to a drug These

unexpected conditions are called _reactions

96 A drug is an abnormal response that occurs because a person has

developed antibodies against a particular drug

97 _is a substance released by injured cells that is responsible for the symptoms usually seen in allergic reactions

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encountered antigen is termed _

certain drugs

order to produce the same physiological and/or psychological effects

the next dose is given a effect occurs

size, and/or physical condition

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105 _refers to the drug's ability to poison the body

effect of each drug given separately, it is called _

and one drug increases the effect of the other drug

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112 When a person has a drive or a craving to take a certain drug for pleasure or to relieve discomfort, they are experiencing drug dependence

drug that it needs it to function

person stops taking a drug on which they are physically dependent

excessive quantities, resulting in a psychological or physical dependence

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Chapter 02 Principles of Drug Action

Key

Multiple Choice Questions

administration into the bloodstream?

bloodstream to the body tissues and intended site of action?

B Distribution

After a drug is absorbed, the transportation of that drug from the bloodstream to the

body tissues and intended site of action is called distribution

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-2

inactivate a drug by converting it into a water-soluble compound?

(p 24)

(p 24)

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A Slow the body's natural reactions to irritation

B Speed up the energy-producing functions of cells

C Destroy parts of cells

D Replace natural substances that the body lacks

Antihistamines slow the body's natural reactions to irritation

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-3

(p 26)

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(p

6

body?

B Speed up the energy-producing functions of cells

Stimulants speed up the energy-producing functions of cells

D Replace natural substances that the body lacks

Insulin is taken because the pancreas is unable to produce insulin to maintain normal blood glucose levels

C Destroy parts of cells

Antibiotics kill disease microorganisms

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(p

Learning Outcome: 2-3

C affect drug action.

Responses to drug action differ according to age, size, sex, and genetics

and environmental conditions are all factors that:

C Affect drug action.

The route of administration, and the time of day that the drug is administered, diet, and environmental conditions all play a role in drug action

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-4

(p 28)

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11.28) Which of the following statements describes how a health care worker can create apositive attitude in patients who are undergoing medication therapy?

D All answers are correct

As a member of the health care team, you can do much to create a positive attitude in the patient One way is to review, with the patient, the important reasons for taking the

medication Another, is to treat the patient in a cheerful and caring manner Also, your own positive, confident attitude toward the drugs you administer can influence the patient's response to the medication

bloodstream to affect cells or tissues in various parts of the body?

C Systemic effect

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A drug is usually prescribed on the basis of its therapeutic effect This is the desired effect,

or reason the drug is administered

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-6

the goal of drug therapy?

16 (p 33) Which of the following terms describes the interaction of two drugs to inhibit

or cancel each other's effect?

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drugs are administered at the same time, and one drug increases the effect of the other?

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(p

19 (p 34) Psychological drug dependence is:

A a drive or craving to take a drug to relieve discomfort

B a physical need for the drug

C the self-administration of a drug in chronically excessive quantities

D a problem with people who take their own medications at home

In psychological dependence, a person has a drive or craving to take a drug for pleasure or

to relieve discomfort

Bloom's: Remember

Difficulty: Easy Learning

Outcome: 2-8

20 (p 34) Physical drug dependence is:

B a physical need for the drug.

In physical drug dependence, the body grows so accustomed to the drug that it needs it to function

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-8

A physical drug dependence

In physical drug dependence, the body grows so accustomed to the drug that it needs it to function When the drug is taken away, the person develops withdrawal symptoms

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Bloom's: Remember

Learning Outcome: 2-8

sedatives, hypnotics

D All answers are correct

The most commonly abused drugs are alcohol, nicotine, anabolic steroids,

barbiturates, sedatives, hypnotics, depressants, and stimulants

Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-9

responsibilities with respect to the administration of drugs?

D All answers are correct

In a case of suspected drug abuse, the health care worker's main responsibility is to consult the nurse in charge Health care workers must keep medicines locked up when not in use, administer only prescribed medications, and watch for signs of drug dependence and the improper use of drugs As a person giving medications, health care workers are expected to

be aware of possible reactions and to notify their supervisor as soon as they notice any

signs of an adverse reaction

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The four basic body processes that affect drug action are absorption,

distribution, metabolism/biotransformation, and excretion

Bloom's: Understand

Difficulty: Easy

Learning Outcome: 2-3

B For the systemic effect they provide

Pain medications must travel through the bloodstream to affect cells or tissues in various parts of the body These types of drugs are given for their systemic effects

(p 24)

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Bloom's: Remember

Difficulty: Easy

Learning Outcome: 2-1

processes carried on by body cells?

D The route of administration

The way a drug interacts with the normal processes carried on by body cells is determined by many things: the size and shape of the drug molecules, their ability to dissolve in water or fat, the pH balance of drugs and cells, and the electrical charges of molecules

dependable absorption of a drug?

A Oral

D Intravenous

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