NURS 6521N Week 11 Quiz.Q&A

NURS 6521N Week 11 Quiz.Q&A Question 1 A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following befo ...

NURS 6521N Week 11 Quiz.Q&A Question 1 A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? A. That the infant's skin has greater permeability than that of an adult B. That there is less body surface area to be concerned about C. That there is decreased absorption rates of topical drugs in infants D. That there is a lower concentration of water in an infant's body compared with an adult 1 points Question 2 A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs. A. Monophasic B. Triphasic OC C. Ortho Tri-Cyclen D. Biphasic OC 1 points Question 3 A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient? A. “Take this drug once each day on an empty stomach.” B. “It's best to take a dose of sibutramine after each meal.” C. “This drug will help you to lose weight without having to exercise or change your normal diet.” D. “Take a dose when you feel like you are tempted to binge on food.” 1 points Question 4 A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect? A. Increased intranodal conduction time B. Increased cardiac conduction C. Decreased heart rate D. Decreased myocardial contraction 1 points Question 5 A nurse working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using A. body surface area. B. age in months. C. age in years. D. weight. 1 points Question 6 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? A. Nephrotoxicity B. Hypokalemia C. Hypertensive crisis D. Cardiac dysrhythmia 1 points Question 7 A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should A. abstain from sex. B. use adequate contraception. C. obtain a pap smear . D. take a pregnancy test every month. 1 points Question 8 A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be A. body temperature. B. blood pressure. C. Vision. D. height and weight. 1 points Question 9 A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? A. ADHD B. Anxiety C. Respiratory depression D. Obesity 1 points Question 10 The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? A. Having nurses check their math calculations with a colleague before administering a drug. B. Recording drug administration in both the nurse's notes and the medication administration record (MAR) C. Avoiding intravenous administration of drugs whenever possible. D. Ensuring that a full assessment takes place no more than 30 minutes before giving a drug. 1 points Question 11 A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? A. A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects. B. A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. C. A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects. D. A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects. ........CONTINUED