Deck 2: Pharmacotherapy of the Pediatric Patient

Question 1

The FDA Modernization Act contained several flaws, which led to the passage of the Best Pharmaceuticals for Children Act in 2002. What was the major flaw in the modernization act?

A) Profits for studying off-patent drugs were higher.
B) Congress controlled the choice of drugs that the pharmaceutical companies were allowed to study.
C) Drugs were chosen for research based on their potential value for children.
D) Drugs were chosen for research based on their financial benefits to the pharmaceutical companies.

Answer 1

D

Question 2

The nurse is calculating the medication dose for a 4-year-old child by use of the body weight method. Which is a disadvantage of this type of drug dosage?

A) It does not account for metabolism and elimination.
B) It uses calculation of milligrams of drug and child's weight.
C) It utilizes the serum concentration of the drug and the proportion of the body weight.
D) It is not as easy to calculate as the body surface area method.

Answer 2

A

Question 3

The nurse teaching a parenting class would stress what information about adverse drug reactions in the breastfeeding infant?

A) Common drug effects seen in breastfeeding infants include diarrhea and irritability.
B) Topical medications are safe to use during lactation.
C) Occasional alcohol use by the mother is safe for the breastfed infant.
D) Sedation is rarely a drug effect in breastfed infants.

Answer 3

B

Question 4

The client asks the nurse the difference between a specialty supplement and an herbal supplement. Which is the nurse's best response?

A) "A specialty supplement complements a specific function of the body."
B) "Herbal supplements cure chronic conditions."
C) "Herbal supplements are used to target acute conditions."
D) "A specialty supplement is for general use."

Question 5

A nurse is preparing to discharge a client from an acute care setting. The nurse reviews with the client the list of medications the client was receiving during the hospitalization and those the client was taking prior to the hospitalization. The client asks the nurse why this is necessary. Which is the nurse's best response?

A) "The hospital requires all nurses to review medications with the clients near the end of the hospitalization."
B) "The discussion ensures that the client is aware of medications received during the hospitalization.'
C) "The process helps to identify any duplicate medication or incorrect dosages prior to the client being discharged."
D) "Registered nurses are mandated by law to review all medications administered for insurance coverage."

Question 6

A nurse educator explaining drug interactions to students includes which statement in the teaching?

A) "Drug interactions occur with very small amounts of drug."
B) "The symptoms of drug interactions are related to the pharmacologic actions of the drug."
C) "Drug interactions require a previous exposure to the drug."
D) "The severity of the drug reaction is directly related to the dose of the drug."

Question 7

Which is a disadvantage of the FDA Adverse Event Reporting System (FAERS)?

A) Reports received from the manufacturers are forwarded to the FDA to be added to its computerized database.
B) The reporting system can restrict the use of a drug in specific populations if found unsafe.
C) Reported adverse effects can remove the product from the market.
D) The nurse should examine the incidence of adverse effects that occur over and above that caused by a placebo.