NURS-6521 ,Advanced Pharmacology - midterm exam

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabus ...

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following?  Question 2 0 out of 1 points You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? Selected Answer: Increased irritability, abdominal cramping, and lower extremity weakness.  Question 3 A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action?  Question 4 Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation?  Question 5 The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: Selected Answer: intranasal H1 antihistamines.  Question 6 0 out of 1 points Glucocorticoids affect the metabolism of carbohydrates, protein, and fats.  Question 7 Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because:  Question 8 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?  Question 9 A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse?  Question 10 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  Question 11 The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the  Question 12 Metformin (Glucophage) acts by:  Question 13 Some first-generation antihistamines are used:  Question 14 A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?  Question 15 Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. dailo Which medication most likely is contributing to her hypoglycemic episodes Selected Answer: Metformin  Question 16 Autonomic drugs have little effect when administered: A patient on valproic acid may experience which of the following symptoms? Selected Answer: Constipation