WALDEN UN/ Review Test Submission: Week 6 -Quiz - NURS-6521C-4:NURS....pdf. 100% ACCURATE ANSWERS. RATED A+

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User Gene Dougherty Course NURS-6521C-4/NURS-6521D-4/NURS-6521N-4-Advanced Pharmacology2018 Fall Quarter 08/27-11/18-PT27 Test Week 6 -Quiz Started 10/7/18 1:32 PM Submitted 10/7/18 2:02 PM Due ... Date 10/8/18 1:59 AM Status Completed Attempt Score 30 out of 30 points Time Elapsed 29 minutes out of 1 hour and 15 minutes Instructions Results Displayed Feedback Please answer each question below and click Submit when you have completed the Quiz. Question 1 Response A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? Since sulfinpyrazone inhibits antiplatelet action, it is important for the nurse COURSES ? MY HOME PAGE HELP 1 out of 1 points Gene Dougherty 57 This study source was downloaded by 100000773243632 from CourseHero.com on 03-19-2022 05:30:45 GMT -05:00 https://www.coursehero.com/file/34839601/Review-Test-Submission-Week-6-Quiz-NURS-6521C-4NURSpdf/ Feedback: to monitor the patient for signs of bleeding. It is also important to avoid administration of sulfinpyrazone with other drugs such as salicylates and anticoagulants (warfarin) that affect platelet aggregation. The drug does not pose a risk of hypothermia, hypotension, or renal dysfunction. Question 2 Response Feedback: A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? The nurse will need to caution the patient about the adverse effect of photosensitivity, especially considering his work. He should be advised to wear protective clothing and sunglasses and to use sunscreen whenever he is outside on the job site. A complete blood cell count should be done before therapy begins but would not be needed again unless indicated. A nurse must check with the prescriber before advising a patient to decrease a drug dosage. A diet high in protein is not necessary with this drug. Question 3 Response Feedback: A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in Glatiramer should reduce the frequency of multiple sclerosis–related attacks and therefore decrease fatigue. Fatigue, weakness, spasticity, balance problems, bladder and bowel problems, numbness, vision loss, tremor, and vertigo are the most common symptoms of multiple sclerosis. Chest pain, breathing difficulties, and heart palpitations are all identified side effects of glatiramer and are not common manifestations of MS. Question 4 Response Feedback: A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? Subcutaneous insulin therapy for type 1 diabetes frequently consists of daily injections of mixtures of short-acting regular insulin with intermediate-acting insulins; multiple doses of regular insulin before each meal in association with one or two daily doses of long-acting insulin may also be used. Frequent, fixed doses of rapid-acting or intermediate-acting insulin may result in unsafe blood sugar levels. Question 5 A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points This study source was downloaded by 100000773243632 from CourseHero.com on 03-19-2022 05:30:45 GMT -05:00 https://www.coursehero.com/file/34839601/Review-Test-Submission-Week-6-Quiz-NURS-6521C-4NURSpdf/ Response Feedback: (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? The CNS depression that is associated with the use of cyclobenzaprine constitutes a risk for injury. The anticholinergic effects of the drug constitute a risk for constipation, not diarrhea. Nutrition and swallowing are not typically affected by the use of cyclobenzaprine. Question 6 Response Feedback: A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's The nurse should assess the patient's alcohol consumption before therapy is initiated. Concomitant alcohol use increases the rate of glyburide metabolism and may cause a disulfiram-like reaction. Even though the patient's blood pressure should be assessed, it is not as important as making sure that the patient is aware of the serious reaction that alcohol can cause while on glyburide. The amount of salt used in the patient's diet is important as well as the patient's potassium level, but not specifically in relation to the use of glyburide. Question 7 Response Feedback: A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? After an early morning dose of NPH insulin, the patient should be alert for a possible hypoglycemic reaction during mid- to late-afternoon. The lengthy peak action time produces additional risks for hypoglycemic reactions. Question 8 Response Feedback: A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? It is most important that patients and their families know that movement disorders are chronic, that there is no cure, and that drug therapy only serves to help decrease the severity of the symptoms. Symptoms are not normally eliminated completely. Culture must be considered because of catecholamine-O-methyltransferase (COMT), which affects the absorption of levodopa in the body. Some of the drugs used to treat movement disorders can pose a risk of causing renal or hepatic dysfunction, but not all. Question 9 A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points This study source was downloaded by 100000773243632 from CourseHero.com on 03-19-2022 05:30:45 GMT -05:00 https://www.coursehero.com/file/34839601/Review-Test-Submission-Week-6-Quiz-NURS-6521C-4NURSpdf/ Response Feedback: Somatropin is used for the long-term treatment of pediatric patients who have growth failure due to an inadequate secretion of endogenous growth hormone; therefore, the nurse should check the patient's height. If the patient's growth rate does not exceed the pretreatment rate by at least 2 cm per year, nonadherence to therapy, antibody formation, malnutrition, or hypothyroidism may be considered as possible causes. Somatropin would not significantly affect antidiuretic hormone (ADH) levels, or cause dehydration or water retention. Question 10 Response Feedback: A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? The most common adverse effects of allopurinol include pruritus, maculopapular rash, nausea and vomiting, elevated liver function tests, and acute gout symptoms. Blood sugar levels, blood pressure, and body temperature are not associated with adverse effects of allopurinol. Question 11 Response Feedback: A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Taking aspirin with milk or food minimizes the stomach upset because it buffers the stomach wall from direct contact with the medication, decreasing gastric distress. Chewable tablets can be chewed before swallowing or crushed and then advised to be taken with food or mixed in a drink. Swallowed whole, extended-release tablets are enteric coated to delay release of the aspirin, which again buffers the stomach wall from the medication, decreasing gastric distress. Nonchewable tablets should be swallowed whole and should never be advised to be crushed or chewed. Question 12 Response Feedback: A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? Aspirin has been associated with hepatotoxicity in patients with juvenile arthritis, active systemic lupus erythematosus, rheumatic fever, or preexisting hepatic impairment. The hepatotoxicity is thought to be a direct toxicity to the liver and is associated with high-dose therapy. Bronchoconstriction is one of the hypersensitivity responses to aspirin, while patients with hemophilia are at risk for agranulocytosis and aplastic anemia. Question 13 A nurse will instruct a patient taking allopurinol to take each dose 1 out of 1 points 1 out of 1 points 1 out of 1 points This study source was downloaded by 100000773243632 from CourseHero.com on 03-19-2022 05:30:45 GMT -05:00 1 out of 1 points https://www.coursehero.com/file/34839601/Review-Test-Submission-Week-6-Quiz-NURS-6521C-4NURSpdf/ Response Feedback: The nurse should teach the patient to take each dose after a meal to decrease the potential for nausea and vomiting. Taking this medicine at night, in the morning, or before a meal would not help decrease the GI symptoms associated with this drug. Question 14 Response Feedback: Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? If the pulse rate is greater than 100 bpm, it is necessary to withhold a levothyroxine dose in an older adult. Anorexia, recent vaccination, and recent falls do not necessary indicate a need to withhold this medication. Question 15 Response Feedback: A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? Use of illicit drugs as well as an age-related decrease in renal function may have predisposed the patient to nephrotoxicity. Therefore, it is most important for the nurse to advise the patient to drink enough water to decrease the risk for nephrotoxicity when taking methotrexate. Avoiding red meat or taking the tablets before bedtime does not help reduce the risk of nephrotoxicity. Question 16 Response Feedback: A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? Gabapentin is unusual in that it does not interact with other drugs and does not alter the serum concentrations of other anticonvulsants. Consequently, it is unnecessary to modify the patient's existing drug regimen. Regular assessment of renal function is necessary in patients with diabetes, but this is not a consequence of the use of gabapentin [Show More]

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