*NURSING > QUESTIONS & ANSWERS > WALDEN UNIVERSITY. pharmacology final nurs6521.docx. 99% proven pass rate (All)
Course NURS-6521F-9/NURS-6521N-9/NURS-6521C-9-Advanced Pharmacology2020 Fall Quarter 08/31-11/22-PT27 Test Exam - Week 11 Started 11/15/20 8:18 PM Submitted 11/15/20 10:13 PM Due Date 11/16/20 1:... 59 AM Status Completed Attempt Score 90 out of 100 points Time Elapsed 1 hour, 55 minutes out of 2 hours and 30 minutes Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displayed Submitted Answers Question 1 JC is a 13 year old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children? Selected Answer: corticosteroi ds Question 2 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 current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Selected Answer: Cleanse the wound of debris prior to applying the silver sulfadiazine Question 3 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selected Answer: Anxiety related to perceived danger of drug therapy to fetus or infant Question 4 A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selected Answer: Creatinine clearance Question 5 A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selected Answer: perform relaxation techniques after the treatments. Question 6 A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's annual well-child checkup, the NP should carefully review what? Selected Answer: weight and height Question 7 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Selected Answer: Ciprofloxac in Question 8 Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must educate the patient regarding the rapid onset of Ambien. Which statement below is correct? Selected Answer: Zolpidem should be taken just before going to bed Question 9 On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate? Selected Answer: "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" Question 10 A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selected Answer: phytoestrogens. Question 11 A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should Selected Answer: use adequate contraception. Question 12 A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of Selected Answer: caffeine. Question 13 An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on Selected Answer: the permeability of fungal cell walls. Question 14 Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is? Selected Answer: Ototoxici ty Question 15 A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? Selected Answer: Increased drug distribution resulting from hemodynamic changes Question 16 A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selected hypercholesterolemia Answer: . Question 17 A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Selected Answer: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. Question 18 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? Selected Answer: "You might find that your face becomes flushed or you get a headache after you take Viagra." Question 19 A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selected Answer: whether the pregnant woman uses illegal substances. Question 20 A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? Selected Answer: Risk for Infection related to suppressed bone marrow function Question 21 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 aPTT. The nurse anticipates that which of the following drugs may be ordered? Selected Answer: Protamine sulfate Question 22 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: Selected Answer: Absorbed rapidly Question 23 Which adverse reaction is common in the patient taking buspirone? Selected heada [Show More]
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