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A nursing student is reviewing information about the Controlled Substances Act of 1970. The student would expect to find which of the following as being regulated for drugs classified as controlled substances? Select all that apply.
- A. Manufacturing
- B. Elimination
- C. Distribution
- D. Formulation
- E. Dispensing
Correct Answer: A,C,E
Rationale: The Controlled Substances Act of 1970 regulates the manufacture, distribution, and dispensing of drugs classified as controlled substances. Elimination refers to the excretion of drugs from the body, a pharmacokinetic activity. The act does not address formulation of the drug.
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After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which of the following as the site for the metabolism of most drugs?
- A. Liver
- B. Lungs
- C. Kidneys
- D. Intestinal mucosa
Correct Answer: A
Rationale: Although the kidneys, lungs, plasma, and intestinal mucosa may aid in the metabolism of drugs, most drugs are metabolized by the liver.
Which of the following would be most important for the nurse to do to ensure the safe use of prescription drugs in the institutional setting? Select all that apply.
- A. Administering drugs
- B. Monitoring clients for drug effects
- C. Prescribing drugs
- D. Evaluating clients for toxic effects
- E. Educating clients/caregivers about drugs
Correct Answer: A,B,D,E
Rationale: In the institutional setting, the nurse's role to ensure safe use of prescription drugs includes administering drugs, monitoring drug effects, evaluating for toxic effects, and educating clients and caregivers about drugs.
A nurse is preparing to administer a prescribed medication to a client. The nurse integrates knowledge of which of the following as a possible factor that could influence the drug response? Select all that apply.
- A. Age
- B. Polypharmacy
- C. Weight
- D. Sex
- E. Disease
Correct Answer: A,B,C,D,E
Rationale: Drug response can be influenced by the following factors: age, polypharmacy, weight, sex, disease, and genetics.
A nurse is preparing a teaching plan for a client who is prescribed an oral medication. As part of the plan, the nurse expects to describe the importance of absorption. The nurse would integrate knowledge of which of the following as a mechanism for absorption in the gastrointestinal tract? Select all that apply.
- A. Active transport
- B. Transposition
- C. Passive transport
- D. Endocytosis
- E. Pinocytosis
Correct Answer: A,C,E
Rationale: During absorption, the drug particles in the GI tract are moved into the body fluids via active transport, passive transport, and pinocytosis.
A nursing instructor is preparing a teaching plan for a group of nursing students about pharmacology. When describing this topic, the instructor would focus the discussion on which of the following as an essential aspect?
- A. Drug name
- B. Drug class
- C. Drug action
- D. Drug source
Correct Answer: C
Rationale: Pharmacology is the study of drugs and their action on living organisms. Thus, an essential aspect of pharmacology is drug action. An understanding of the drug name, drug class, and drug source is important, but the most critical aspect related to pharmacology is how the drug acts in the body.