Download NURS 6521-Advanced Pharmacology Final Exam Questions and Answers 100% Accuracy and more Exams Nursing in PDF only on Docsity!
NURS 6521-Advanced Pharmacology Final Exam
Questions and Answers 100% Accuracy
A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Headaches and chest pain The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Ciprofloxacin Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Reduce dose by 50% for 3 to 4 days Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Impairment of renal function The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? Give the medication through a straw to decrease the staining of the teeth. The NP is prescribing A medication for six-month-old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication? Rectal suppository Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? ethanol withdrawal The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is: Absorbed rapidly
Steady state is: When the amount of drug in the body remains constant The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication? they could feel a bit of nausea, but this will resolve in about a week or so
calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also perform light-weight exercises and go for walks.
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication with high-fat meals. Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? "Do you feel like you're having any pain in your bones?" The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. the patient indicates a need for further teaching? "I will take this medication with food " Autonomic Drugs are often using topical form for what purpose? To shrink mucous membranes Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? Wellbutrin, bupropion hydrochloride Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for osteoporosis An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with vancomycin. Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol? Fomepizole Terazosin (Hytrin) is classified under which of the following drug class: alpha blockers Gold compounds are contraindicated in patients with all of the following conditions except:
Combination OCs prevent pregnancy primarily by: Suppressing ovulation. Which of the following medications will not increase the likelihood of photosensitivity? Amoxicillin A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? 2000 mg Which of the following is a true statement about aspirin and its action on platelets It is used for prophylaxis against strokes and acute myocardial infarction A male patient has been on long-term bicalutamide (Codex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following? Liver function When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of? Nitrates John, the Nurse Practitioner is prescribing Fosamax for his patient. Bisphosphonate administration education includes Sitting erect for at least 30 minutes afterwards How do bisphosphonates treat osteoporosis? By reducing bone resorption and inhibiting osteoclastic activity The maximum amount of acetaminophen that can be taken per day is: 4 grams Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Selective serotonin reuptake inhibitors (SSRIs) Phenytoin decreases folic acid absorption by Inhibiting intestinal enzymes require for folic acid absorption The Nurse Practitioner knows that Bupropion use (Wellbutrin, Zyban) is contraindicated in which of the following instances?
In conjunction with a MAOI) monoamine oxidase inhibitor Which of the following should not be taken with a selective serotonin reuptake inhibitor? Alcohol
overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Dental hygiene practices
A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that the increase in the neutrophil count is only transient. A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Where the medication will be stored A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as result of drug errors is higher among infants & children than adults. This fact is primarily due to Immature liver and kidney function in infants and children. A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Hypertensive crisis A7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause staining of permanent teeth. Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his ..Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible. Cleanse the wound of debris prior to applying the silver sulfadiazine A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report
A patient's current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the? The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin. A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common? Breakthrough bleeding A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? A 48-year-old Caucasian man who has adult-onset diabetes A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase inhibitor imatinib. What route of administration should the nurse explain to the patient? Oral administration of imatinib in a home setting A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication once a day. A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug first thing in the morning. When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? The patient will not develop an infection. The patient will not experience bone pain. The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia. A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year- old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to stay well hydrated by drinking at least eight 8-oz glasses of water daily.
A Nurse Practitioner is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group? Atherosclerosis of the penile artery
Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Headaches and chest pain
A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously.The APRN will be sure to avoid the small veins in the dorsum of the hand or the wrist. The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? 1500 mg A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Lid margin crusting and pruritus A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? The peak and trough blood levels A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high a PTT. The nurse anticipates that which of the following drugs may be ordered? Protamine sulfate A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered phytoestrogens. An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Infuse the drug over 2 to 4 hours into a central line using an infusion pump The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Having nurses check their math calculations with a colleague before administering a drug. A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to complete the entire course of drug therapy.
A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will monitor the patient for bleeding gums. Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid alcohol. A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Tylenol. A Nurse Practitioner will instruct a patient taking allopurinol to take each dose after a meal. A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with microcephaly. A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug? "Lately, I have to get up three or four times a night to go to the bathroom." After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from clomiphene. An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? Cells that have a rapid mitotic rate A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient? "It's important that you let us know if you develop any significant swelling or puffiness." A patient has been admitted to the critical care unit with a diagnosis of peritonitis
that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause ototoxicity or nephrotoxicity.
