NURS 6521 PHARM QUIZ WEEK 7_LATEST,100% CORRECT

1. A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to A. take orl ...

1. A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to A. take orlistat and multivitamins together. B. take orlistat in one dose at breakfast. C. omit the dose if the meal does not contain fat. D. omit the dose if the meal does not contain protein. 1 points QUESTION 2 1. It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? A. Relief from symptoms B. Blood ammonia levels C. Water levels in the colon D. Oncotic pressure in the colon 1 points QUESTION 3 1. 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? A. Nausea B. Diarrhea C. Bradycardia D. Slight headache 1 points QUESTION 4 1. A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with atropine sulfate. Which of the following instructions would be important for self-administration of this drug? A. Decrease the dosage when the number of stools decreases B. Take the drug with a meal C. Take the drug with fruit juice D. Continue therapy until the physician discontinues the drug 1 points QUESTION 5 1. A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to A. pork. B. ragweed. C. shellfish. D. pollen. 1 points QUESTION 6 1. A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? A. Morphine B. Levodopa C. Digoxin D. Dicyclomine hydrochloride 1 points QUESTION 7 1. A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? A. Drug toxicity B. Increased urine output C. Increased abdominal pain and vomiting D. Anorexia 1 points QUESTION 8 1. A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1receptor antagonists in the treatment of diseases of the upper GI tract? A. The parietal cells of the stomach have H2 receptors but not H1 receptors. B. H2 receptors in the upper GI tract outnumber H1 receptors by a factor of 2:1. C. H2RAs have a longer duration of action and fewer adverse effects than H1RAs. D. H2RAs may be administered orally and in an outpatient environment but H1RAs require intravenous administration. 1 points QUESTION 9 1. A clinic nurse 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? A. Teach the patient to take omeprazole 1 hour before meals. B. Monitor the patient for the development of diarrhea. C. Coordinate bone density testing for the patient. D. Emphasize that the drug should not be crushed or chewed. 1 points QUESTION 10 1. Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? A. Bismuth subsalicylate B. A stimulant laxative C. A hyperosmotic laxative D. A bulk-forming (fiber) laxative 1 points QUESTION 11 1. A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? A. Nausea and vomiting B. White blood cell nadir C. Cardiac events D. Myelosuppression 1 points QUESTION 12 1. A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is A. dry mouth. B. irritability. C. headache. D. heart palpitations. 1 points QUESTION 13 1. A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose. What desired outcomes should the nurse associate with this drug order? A. Patient will express an understanding of his current bowel regimen. B. Patient will have formed bowel movements that do not contain frank or occult blood. C. Patient will express relief from constipation. D. Patient will have three to four loose bowel movements each day. 1 points QUESTION 14 1. A patient who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the patient's nausea by A. raising the pH of the patient's gastric contents. B. eradicating H. Pylori bacteria from the patient's stomach. C. blocking the effect of histamine at H2 receptors. D. stimulating the motility of the patient's upper GI tract. 1 points QUESTION 15 1. A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient's safety. Which of the following would be an appropriate nursing diagnosis? A. Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations B. Acute Pain related to adverse drug effects, headache C. Diarrhea related to adverse effects of drug therapy D. Potential Complication: Electrolyte Imbalance related to hypophosphatemia, secondary to drug therapy 1 points QUESTION 16 1. A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following? A. Urine specific gravity B. Aspartate transaminase levels C. Blood glucose level D. Serum phosphate level 1 points QUESTION 17 1. A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to A. notify the clinic if the stools are black or if there is evidence of blood. B. avoid protein-rich foods. C. avoid grapefruit and grapefruit juice. D. treat the diarrhea with OTC medications. 1 points QUESTION 18 1. A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction? A. Headache and lethargy B. Toxic megacolon C. Urticaria D. Numbness of extremities 1 points QUESTION 19 1. A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? A. Bismuth subsalicylate B. Lubiprostone C. Docusate D. Mesalamine 1 points QUESTION 20 1. A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all.” How should the nurse best respond to this patient's statement? A. “A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.” B. “Prilosec won't really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.” C. “It could be that Prilosec isn't the right drug for you, so it would be best to talk this over with your care provider.” D. “Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn.” 1 points QUESTION 21 1. A patient is taking cholestyramine. The nurse will assess for which of the following common adverse effects of the drug? A. Indigestion B. Headache C. Abdominal pain D. Constipation 1 points QUESTION 22 1. An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should A. encourage the patient to request antiemetics if the nausea becomes unbearable. B. administer a combination of antiemetics prior to the administration of the drug. C. place the patient on a low-residue diet. D. ensure that the patient is NPO from midnight prior to receiving the drug. 1 points QUESTION 23 1. A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? A. “Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation.” B. “Try using a different over-the-counter laxative and see that if you resolves your problem.” C. “I'll refer you to a specialist because it could be that you have a disease affecting your bowels or stomach.” D. “Because we become more prone to constipation as we age, you'll likely need to increase the number of stool softeners you take.” 1 points QUESTION 24 1. A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? A. Eculizumab (Soliris) B. Infliximab (Remicade) C. Muromonab-CD3 (Orthoclone OKT3) D. Tositumomab plus 131I (Bexxar) 1 points QUESTION 25 1. A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)? A. Constipation B. Breathlessness and hypotension C. Hyperthyroidism D. Impaired cardiac function 1 points QUESTION 26 1. A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? A. Carefully assess the patient for infections B. Teach the patient strategies for dealing with headaches C. Avoid OTC antacids for the duration of treatment D. Advocate for intravenous, rather than oral, administration 1 points QUESTION 27 1. Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? A. Fatigue B. Hair loss C. Increased appetite D. Metallic taste 1 points QUESTION 28 1. A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? A. “Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.” B. “No, the two drugs will work against each other.” C. “Sure, you may take an antacid with ranitidine.” D. “I wouldn't advise it. You may experience severe constipation.” 1 points QUESTION 29 1. A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is A. low in sodium, high in potassium. B. low in sodium and potassium. C. high in iron. D. low in proteins. 1 points QUESTION 30 1. Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) A. Aluminum hydroxide B. Antibiotics C. Ondansetron (Zofran) D. Cisapride (Propulsid) E. A PPI 1 points QUESTION 31 1. Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? A. They achieve a synergistic effect when administered in combination with cell cycle–nonspecific drugs. B. They affect cancerous cells during a particular phase of cellular reproduction. C. They affect cancerous cells and normal body cells in a similar manner. D. They follow a specific sequence of cytotoxic events in order to achieve cell death. 1 points QUESTION 32 1. A woman with an inflammatory skin disorder has begun taking prednisone in an effort to control the signs and symptoms of her disease. The nurse who is providing care for this patient should prioritize which of the following potential nursing diagnoses in the organization of the patient's care? A. Fluid Volume Excess B. Constipation C. Impaired Gas Exchange D. Acute Confusion 1 points QUESTION 33 1. A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated? A. Hypertension B. Diabetes mellitus C. Glaucoma D. Rheumatoid arthritis 1 points QUESTION 34 1. To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication A. twice a day. B. four times a day. C. once a day. D. every 2 hours. 1 points QUESTION 35 1. A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective adjunct in the treatment of diarrhea. For which of the following patients could the administration of this drug be potentially harmful? A. A 60-year-old woman who tends to get diarrhea during periods of intense stress B. An 80-year-old man who has diarrhea secondary to Clostridium difficile infection C. A man who has experienced diarrhea shortly after beginning tube feeding through a nasogastric tube D. A woman who has experienced severe diarrhea associated with influenza • Question 1 1 out of 1 points A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to • Question 2 1 out of 1 points It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? • Question 3 1 out of 1 points 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 4 1 out of 1 points A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with atropine sulfate. Which of the following instructions would be important for self-administration of this drug? • Question 5 1 out of 1 points A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to • Question 6 1 out of 1 points A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? • Question 7 1 out of 1 points A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? • Question 8 1 out of 1 points A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? • Question 9 1 out of 1 points A clinic nurse 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 10 1 out of 1 points Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? • Question 11 1 out of 1 points A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? • Question 12 1 out of 1 points A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is • Question 13 1 out of 1 points A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose. What desired outcomes should the nurse associate with this drug order? • Question 14 1 out of 1 points A patient who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the patient's nausea by • Question 15 1 out of 1 points A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient's safety. Which of the following would be an appropriate nursing diagnosis? • Question 16 1 out of 1 points A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following? • Question 17 1 out of 1 points A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to • Question 18 1 out of 1 points A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction? • Question 19 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? • Question 20 1 out of 1 points A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all.” How should the nurse best respond to this patient's statement? • Question 21 1 out of 1 points A patient is taking cholestyramine. The nurse will assess for which of the following common adverse effects of the drug? • Question 22 1 out of 1 points An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should • Question 23 1 out of 1 points A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? • Question 24 1 out of 1 points A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? • Question 25 1 out of 1 points A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)? • Question 26 1 out of 1 points A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? • Question 27 1 out of 1 points Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? • Question 28 1 out of 1 points A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? • Question 29 1 out of 1 points A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is • Question 30 1 out of 1 points Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) • Question 31 1 out of 1 points Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? • Question 32 1 out of 1 points A woman with an inflammatory skin disorder has begun taking prednisone in an effort to control the signs and symptoms of her disease. The nurse who is providing care for this patient should prioritize which of the following potential nursing diagnoses in the organization of the patient's care? • Question 33 1 out of 1 points A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated? • Question 34 1 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication • Question 35 1 out of 1 points A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective adjunct in the treatment of diarrhea. For which of the following patients could the administration of this drug be potentially harmful?