NURS 6521 Week 10 Walden University Already Passed

Question 1 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 ...

Question 1 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? A. Hepatic metabolism of drugs that are normally metabolized by the kidneys B. Decreased excretion rates as a result of decreased glomerular filtration rate during pregnancy C. Decreased absorption of inhaled drugs due to decreased tidal volume D. Increased drug distribution resulting from hemodynamic changes Question 2 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during A. the first 2 months of pregnancy. B. the second trimester. C. breast-feeding of the neonate. D. the two to 3 weeks prior to delivery. Question 3 A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? A. Instruct the patient to notify the nurse if she experiences palpitations. B. Instruct the patient to lie on her back during the infusion. C. Instruct the patient to limit the amount of her fluid intake during the therapy. D. Instruct the patient to lie on her left side during the infusion. Question 4 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication A. that may be prescribed as a patch and which may cause dry mouth. B. that will be administered as a weekly IM injection in an outpatient setting. C. that will be provided in pill form and which may cause lightheadedness. D. that can be inhaled and that may cause occasional heart palpitations. Question 5 A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? A. Diflunisal (Dolobid) B. Acetaminophen C. Ibuprofen D. Aspirin Question 6 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? A. Headaches B. Dental hygiene practices C. Chronic diarrhea D. Diet Question 7 A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? A. Phenytoin (Dilantin) B. Furosemide (Lasix) C. Ibuprofen (Advil) D. Insulin Question 8 The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to A. increase the blood concentrations of the drug in the breast-feeding infant. B. evaluate the drug's potential adverse effects on the neonate. C. reduce neonatal drug exposure. D. reduce the half-life of the drug. Question 9 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 A. microcephaly. B. thrombocytopenia. C. a high-pitched cry. D. an electrolyte imbalance. Question 10 A 56-year-old woman will soon be