NURS 6521, Advanced Pharm Final Exam.docx, WALDEN UNIVERSITY. QUESTIONS AND ANSWERS. GRADED A+

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Question 1 An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of inju... ry, the nurse should take which of the following actions? Selected Answer: Prime the IV tubing with an approved IV solution rather than with the drug itself. Question 2 Which adverse reaction is common in the patient taking buspirone? Selected Answer: headache Question 3 A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placing the drops Selected Answer: in the buccal pouch. Question 4 A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selected Answer: first thing in the morning. Question 5 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Selected Answer: magnesium sulfate toxicity. Question 6 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? Selected Answer: Atherosclerosis of the penile artery Question 7 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: corticosteroids Question 8 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? Selected Answer: Drink a lot of water Question 9 A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would be most important for the nurse to monitor? Selected Answer: Infiltration, edema, or phlebitis at the infusion site Question 10 A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? Selected Answer: Hepatic function Question 11 How is hydrocodone eliminated from the body? Selected Answer: Liver Question 12 A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that Selected Answer: body fluids such as urine, saliva, tears, and sputum may become discolored. Question 13 Mr. Asberry is taking Levofloxacin for his sinusitis. He calls your clinic and reports some pain just above the heel of his left foot. The NP should: Selected Answer: discontinue the levofloxacin Question 14 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 15 A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs. Question 16 The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? Selected Answer: Body dysmorphic disorder Question 17 Which antibiotic is most frequently associated with "Red man Syndrome" Selected Answer: Vancomycin Question 18 A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure Selected Answer: that serum levels of the drug are being monitored. Question 19 An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Selected Answer: Knowledge Deficit Question 20 A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selected Answer: place the patch on the back, abdomen, upper arms, or thighs. Question 21 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected Answer: complete the entire course of drug therapy. Question 22 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of Selected Answer: cardiac arrhythmias. Question 23 Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following? Selected Answer: blood pressure Question 24 A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Selected Answer: Take the drug for one full week before coming in contact with allergens Question 25 A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? Selected Answer: Respiratory difficulty Question 26 Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: Doxycycline Question 27 A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug Selected Answer: with a glass of water 1 hour before or 2 hours after a meal. Question 28 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information? Selected Answer: It is important to take the medication as prescribed, even after the redness and swelling decrease Question 29 The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. Which statement by the patient indicates a need for further teaching? Selected Answer: "I will take this medication with food " Question 30 A patient with bipolar dis [Show More]

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