NURS 6521N Week 11 final exam
pharmacology
NURS 6521N Week 11 final exam
pharmacology
Question 1
1 out of 1 points
Which of the following would the nurse include in a teaching plan about the signs
and symptoms o
...
NURS 6521N Week 11 final exam
pharmacology
NURS 6521N Week 11 final exam
pharmacology
Question 1
1 out of 1 points
Which of the following would the nurse include in a teaching plan about the signs
and symptoms of thrombophlebitis and thromboembolism that should be
reported by a patient taking estrogen?
Selected Answer: Headaches and chest pain
Question 2
1 out of 1 points
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
Selected Answer: microcephaly.
Question 3
1 out of 1 points
A nurse practitioner orders 150 mg of oral fluconazole for a patient with
vulvovaginal candidiasis. The patient should expect to take medication
Selected Answer: once a day.
Question 4
1 out of 1 points
A nurse works at a weight management clinic. To which of the following
overweight patients could the nurse safely administer dextroamphetamine?
Selected Answer: A 48-year-old Caucasian man who has adult-onset diabetes
Question 5
1 out of 1 points
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the
following complaints by this patient most likely indicated a need for this drug?
Selected
Answer:
"Lately, I have to get up three or four times a night to go to the
bathroom."
Question 6
1 out of 1 points
After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and
her husband have sought a referral to a fertility specialist in order to explore their
options. A nurse at the clinic should recognize that the woman may benefit fromSelected Answer: clomiphene.
Question 7
1 out of 1 points
An oncology nurse is reviewing the pathophysiology of cancer and is discussing
with a colleague the factors that contribute to the success or failure of a patient's
chemotherapy. Which of the following cancerous cells is most susceptible to the
effects of chemotherapeutic drugs?
Selected Answer: Cells that have a rapid mitotic rate
Question 8
1 out of 1 points
A middle-aged patient has received a diagnosis of GI stromal tumor following an
extensive diagnostic workup. Imatinib has been recommended as a component
of the patient's drug regimen. What patient education should the nurse provide to
this patient?
Selected
Answer:
"It's important that you let us know if you develop any significant
swelling or puffiness."
Question 9
1 out of 1 points
A 12-year-old boy is being discharged from the hospital after major surgery. The
boy will be taking two medications at home for an extended period. The nurse
who is discharging the patient should provide medication teaching specifically to
Selected Answer: both the boy and his mother regarding all medication issued.
Question 10
1 out of 1 points
A patient has been admitted to the critical care unit with a diagnosis of peritonitis
that has necessitated treatment with gentamicin. As a result, the care team
should be cautious when concurrently administering other medications that may
cause
Selected Answer: ototoxicity or nephrotoxicity.
Question 11
1 out of 1 points
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After
each treatment, the patient has acute nausea and vomiting accompanied by a
slightly increased heart rate. The nurse will advise her to
Selected Answer: perform relaxation techniques after the treatments.
Question 12
1 out of 1 points
A nurse is caring for a patient with cancer who has been prescribed dronabinol(Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will
inform the patient that he or she is taking an oral form of
Selected Answer: marijuana.
Question 13
1 out of 1 points
A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a lifethreatening infection. Which of the following would be most important for the
nurse to monitor?
Selected Answer: Infiltration, edema, or phlebitis at the infusion site
Question 14
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy,
and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage adjustments to minimize adverse effects and
prevent toxicity. The nurse should make sure
Selected Answer: that serum levels of the drug are being monitored.
Question 15
1 out of 1 points
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been
prescribed to a 42-year-old patient. When providing education to the patient and
his wife, the nurse should inform the wife about which of the following adverse
effects?
Selected Answer: Vaginal burning
Question 16
1 out of 1 points
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?
Selected Answer: Phenytoin (Dilantin)
Question 17
1 out of 1 points
A male patient with a medical background tells the nurse that he is not satisfied
with the oral synthetic testosterone that has been prescribed for him and he
would like to try a natural form of oral testosterone. Which of the following would
be an appropriate response by the nurse?
Selected "Natural testosterone undergoes a high first-pass effect and isAnswer: not used orally."
Question 18
0 out of 1 points
A male patient is trying to decide if he should use finasteride (Proscar) to treat
benign prostatic hypertrophy (BPH). When providing information about the drug,
the nurse will include which of the following as a risk associated with finasteride
therapy?
Selected Answer: Sexual dysfunction related to erectile dysfunction
Question 19
1 out of 1 points
A 2-year-old child is diagnosed with a minor ailment and is to be administered
medications at home for 2 weeks. The child lives with his mother, grandmother,
and four other children between the ages of 14 months and 7 years. The home
health nurse is asked to assess the home environment to determine if it is
appropriate for the child to take his medication at home. Which of the following
will have the greatest impact on the nurse's assessment?
Selected Answer: Where the medications will be stored
Question 20
1 out of 1 points
A 22-year-old woman has given birth to an infant who exhibits the signs and
symptoms of maternal cocaine use during pregnancy. These signs and
symptoms are a result of what pathophysiological effect of opioid use during
pregnancy?
Selected Answer: Vasoconstriction leading to reduced placental blood flow
Question 21
1 out of 1 points
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain
along with a local disease flare. The nurse interprets this as an indication of
which of the following?
Selected Answer: The tumor responding to treatment
Question 22
0 out of 1 points
A female patient is prescribed oprelvekin therapy to treat thrombocytopenia.
Which of the following should the nurse continuously monitor to determine the
efficacy and duration of the oprelvekin therapy?
Selected Answer: Weight gain
Question 23
1 out of 1 pointsThe 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?
Selected
Answer:
Having nurses check their math calculations with a colleague
before administering a drug.
Question 24
1 out of 1 points
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the
following assessment findings would most strongly indicate that treatment has
been effective?
Selected Answer: The patient's hemoglobin level is 11 g/dL
Question 25
1 out of 1 points
A patient has been scheduled to begin treatment with rituximab for nonHodgkin's lymphoma. The nurse who will administer this drug should understand
that it targets
Selected Answer: specific antigens on the surface of malignant B cells.
Question 26
1 out of 1 points
A 15-year-old boy has been diagnosed with bone cancer after several months of
fatigue and pain. What question should the nurse include in an assessment
when trying to minimize the potential for adverse drug reactions?
Selected Answer: "Do you ever use alcohol or drugs?"
Question 27
1 out of 1 points
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?
Selected Answer: "Take this drug once each day on an empty stomach."
Question 28
1 out of 1 points
A 49-year-old farmer who normally enjoys good health has become seriously ill
in recent days and the results of an extensive diagnostic work up have resulted
in a diagnosis of histoplasmosis. The patient has been admitted to the hospital
and has begun treatment with amphotericin B. The nurse who is providing care
for the patient should prioritize which of the following diagnostic results during
his course of treatment?Selected Answer: Electrolytes, blood urea nitrogen, and creatinine
Question 29
1 out of 1 points
A patient has just received her first dose of imatinib and the nurse on the
oncology unit is amending the patient's care plan accordingly. What nursing
diagnosis is most appropriate in light of this addition to the patient's drug
regimen?
Selected Answer: Risk for Infection related to bone marrow suppression
Question 30
1 out of 1 points
A 20-year-old female patient is receiving topical clindamycin for acne vulgaris.
She develops a rash and urticaria along with severe itching where the
medication is applied. The nurse will formulate which of the following nursing
diagnoses for the patient?
Selected Answer: Risk for Injury related to allergic reactions
Question 31
0 out of 1 points
Which of the following nursing actions is most important in achieving successful
antimicrobial therapy with vancomycin?
Selected Answer: Monitor serum drug level
Question 32
1 out of 1 points
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?
Selected Answer: Acetaminophen
Question 33
1 out of 1 points
A patient receiving high-dose cisplatin therapy exhibits symptoms of
hypomagnesemia. Which of the following should the nurse suggest to help offset
the magnesium losses from the cisplatin therapy?
Selected Answer: Consuming chocolates
Question 34
1 out of 1 points
A child is admitted to the burn unit with second and third degree burns on both
arms and part of his or her face. When administering topical medications to the
burned areas, the nurse shouldSelected Answer: use sterile technique when applying the medication.
Question 35
0 out of 1 points
An immunocompromised 7-year-old child was recently discharged home with a
peripherally-inserted central line (PIC line) for home antibiotic therapy. He has
now been brought to the emergency department by his mother and father with
signs and symptoms of line sepsis. Upon questioning, the mother states that she
has been removing the PIC dressing daily and washing the site with warm water
and a cloth. What nursing diagnosis is most appropriate in this situation?
Selected Answer: Knowledge Deficit
Question 36
1 out of 1 points
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.
Selected Answer: Monophasic
Question 37
1 out of 1 points
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurse
should
Selected
Answer:
offer a choice between liquid and chewable medications, if
possible.
Question 38
1 out of 1 points
A nurse is providing patient education to a 13-year-old girl who was just
diagnosed with type 1 diabetes mellitus. Which of the following statements by
the patient will alert the nurse that special instructions regarding insulin are
necessary?
Selected Answer: "I am on the middle school track team."
Question 39
1 out of 1 points
A 28-year-old woman has completed rituximab therapy for an autoimmune
disease. She tells the nurse that she and her husband would like to start a
family. The nurse will advise her to
Selected Answer: continue using birth control for at least 12 months.
Question 401 out of 1 points
A 73-year-old woman has osteoporosis and is prescribed alendronate. She
takes calcium and vitamin D supplements, drinks lots of water, and has just quit
smoking. The nurse should advise the patient to also
Selected Answer: perform light-weight exercises and go for walks.
Question 41
1 out of 1 points
A nurse is performing patient education for a woman who has just been
prescribed a bisphosphonate. Which of the following diagnostic and history
findings would have prompted the woman's care provider to prescribe a
bisphosphonate?
Selected Answer: Low bone density and a family history of osteoporosis
Question 42
1 out of 1 points
A 20-year-old woman will soon begin taking oral contraceptives for the first time.
What advice should the nurse provide to this patient?
Selected
Answer:
"Make sure to seek care quickly if you experience bad
headaches, calf pain, or changes in vision."
Question 43
1 out of 1 points
A nurse is providing patient education to a 50-year-old woman who is taking
methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid
which of the following drugs?
Selected Answer: Salicylates
Question 44
1 out of 1 points
A nurse is instructing a 19-year-old female patient on the use of fluconazole for
candida vaginitis. A teaching priority will be to
Selected
Answer:
use an alternative form of birth control, if taking an oral
contraceptive.
Question 45
1 out of 1 points
A nurse is assessing a patient who has chronic lymphoblastic myelogenous
leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will
assess the patient for which of the following?
Selected Answer: Leukopenia
Question 46
1 out of 1 pointsMr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment
of lung cancer that has metastasized to his liver. In an effort to prevent infection,
Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's
following assessment questions most directly addresses a common adverse
effect of filgrastim?
Selected Answer: "Do you feel like you're having any pain in your bones?"
Question 47
1 out of 1 points
A preterm neonate received caffeine for the treatment of apnea. The nurse
should monitor the neonate for which of the following?
Selected Answer: Bloody stools
Question 48
1 out of 1 points
A patient has been prescribed daptomycin for a complicated skin infection.
Which of the following will the nurse advise the patient to report immediately?
Selected Answer: Muscle pain or tingling
Question 49
1 out of 1 points
A 7-year-old child has been taking tetracycline for a bacterial infection. The
nurse will be sure to inform the parents that this drug could cause
Selected Answer: staining of permanent teeth.
Question 50
1 out of 1 points
Sulconazole has been prescribed for a patient with tinea pedis. The nurse will
instruct the patient to use the topical agent
Selected Answer: once a day.
Question 51
1 out of 1 points
A nurse has questioned why a patient's physician has prescribed a narrowspectrum antibiotic rather than a broad-spectrum drug in the treatment of a
patient's infection. Which of the following facts provides the best rationale for the
use of narrow-spectrum antibiotics whenever possible?
Selected
Answer:
The use of broad-spectrum antibiotics can create a risk for a
superinfection.
Question 52
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the following
will the nurse advise the patient is a common adverse effect of estrogentherapy?
Selected Answer: Breakthrough bleeding
Question 53
1 out of 1 points
A nurse is discussing oprelvekin therapy with a male patient. Which of the
following will the nurse tell the patient is the most common adverse effect of the
drug?
Selected Answer: Fluid retention/weight gain
Question 54
1 out of 1 points
A man has a demonstrated history of androgen deficiency and the
consequences of this health problem include an inability to maintain an erection.
Which of the following medications would best address this patient's erectile
dysfunction (ED)?
Selected Answer: Exogenous testosterone
Question 55
1 out of 1 points
A female patient has follicular non-Hodgkin's lymphoma and is receiving
thalidomide (Thalomid). It will be most important for the nurse to monitor this
patient for which of the following?
Selected Answer: Bleeding
Question 56
1 out of 1 points
A nurse has administered filgrastim to a diverse group of patients in recent
months. Which of the following patients should the nurse observe for extremely
elevated white blood cell counts following administration of the drug?
Selected Answer: A 19-year-old male receiving radiotherapy
Question 57
1 out of 1 points
A nurse is aware that the concept of selective toxicity is foundational to
antimicrobial therapy. Which of the following statements most accurately
describes selective toxicity?
Selected Answer: A drug harms microbes without harming human cells.
Question 58
1 out of 1 points
A 59-year-old man with a recent history of erectile dysfunction has been
assessed and prescribed sildenafil (Viagra). When providing patient education to
this man, the nurse should tell him which of the following?Selected
Answer:
"You might find that your face becomes flushed or you get a
headache after you take Viagra."
Question 59
1 out of 1 points
A nurse has completed a medication reconciliation of a patient who has been
admitted following a motor vehicle accident. Among the many drugs that the
patient has received in the previous year is rituximab. The nurse would be
justified in suspecting the patient may have received treatment for which of the
following diseases?
Selected Answer: Non-Hodgkin's lymphoma
Question 60
1 out of 1 points
A patient asks the nurse practitioner about food sources such as soybeans and
soy products. The nurse practitioner understands that these foods are
considered
Selected Answer: phytoestrogens.
Question 61
1 out of 1 points
A nurse is providing patient education to a 23-year-old woman who is starting
the norelgestromin/ethinyl estradiol transdermal system (Ortho Evra). Because
this is the patient's first time to use the birth control patch, the nurse will instruct
her to apply the patch
Selected Answer: on the day her menstrual period begins.
Question 62
1 out of 1 points
A nurse is explaining the use of acyclovir therapy to a 72-year-old man.
Nephrotoxicity is discussed as a major adverse effect in older patients. To
minimize the risk of the patient developing this adverse effect, the nurse will
advise him to
Selected
Answer:
stay well hydrated by drinking at least eight 8-oz glasses of
water daily.
Question 63
1 out of 1 points
Which of the following patients will be at the greatest risk for anemia and would
be the most likely candidate for epoetin alfa therapy?
Selected Answer: A 62-year-old male with cancer
Question 64
1 out of 1 pointsA 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
Selected Answer: use adequate contraception.
Question 65
1 out of 1 points
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
Selected Answer: the first 2 months of pregnancy.
Question 66
1 out of 1 points
On the advice of her sister, a 52-year-old woman has visited her nurse
practitioner to discuss the potential benefits of hormone replacement therapy in
controlling the symptoms of menopause. Which of the following responses by
the nurse is most appropriate?
Selected
Answer:
"It's important to balance the possible benefits of HRT with the
fact that it might increase your risk of heart disease and stroke"
Question 67
1 out of 1 points
A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal
allergy. To maximize the therapeutic effects of the drug, which of the following
will the nurse include in instructions to the patient?
Selected
Answer:
Take the drug for one full week before coming in contact with
allergens
Question 68
1 out of 1 points
A nurse who provides care on a pediatric unit of a hospital is aware that the
potential for harm as a result of drug errors is higher among infants and children
than adults. This fact is primarily due to
Selected Answer: immature liver and kidney function in infants and children.
Question 69
1 out of 1 points
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?Selected Answer: ADHD
Question 70
1 out of 1 points
A nurse is caring for a 64-year-old female patient who is receiving IV heparin
and reports bleeding from her gums. The nurse checks the patient's laboratory
test results and finds that she has a very high aPTT. The nurse anticipates that
which of the following drugs may be ordered?
Selected Answer: Protamine sulfate
Question 71
1 out of 1 points
A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At
each clinic visit, the nurse's priority assessment would be
Selected Answer: height and weight.
Question 72
1 out of 1 points
A 9-year-old boy was bought to his primary care provider by his mother with
signs and symptoms of hookworm infection and will be sent home with a
prescription for mebendazole. When provided patient and family education, the
nurse should teach the mother with which of the following measures to avoid
reinfection following treatment?
Selected
Answer:
The importance of vigilant hygiene for the boy and the other
members of the family
Question 73
1 out of 1 points
A 43-year-old man has been diagnosed with active TB. He is prescribed a
multiple drug therapy, including INH and rifampin. A priority assessment by the
nurse will be to monitor which combination of laboratory test results?
Selected
Answer:
Serum alanine transaminase, aspartate transaminase, and
bilirubin
Question 74
1 out of 1 points
During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds
the patient's platelet count to be 92,000 cells/mm3. The nurse should do which
of the following?
Selected Answer: Consult the prescriber for discontinuation of the drug
Question 75
1 out of 1 points
A nurse is discussing with a 58-year-old male patient the causes of erectiledysfunction in men over 50 years of age. Which of the following will the nurse
inform the patient is the primary physical cause of erectile dysfunction of men in
this age group?
Selected Answer: Atherosclerosis of the penile artery
Question 76
1 out of 1 points
A patient has been admitted to the critical care unit of the hospital with bacterial
septicemia that has failed to respond to initial antibiotic treatment. The patient's
most recent blood cultures reveal the presence of methicillin-resistant
Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate
that this patient will likely require intravenous administration of what antibiotic?
Selected Answer: Vancomycin
Question 77
1 out of 1 points
A nurse is instructing a colleague on how an antimicrobial produces a
therapeutic effect. Which of the following should be included in the nurse's
teaching?
Selected Answer: Penicillin interferes with synthesis of the bacteria cell wall.
Question 78
1 out of 1 points
A 20-year-old woman has been prescribed estrogen. As with all women taking
estrogen, the nurse will carefully monitor the patient for which of the following?
Selected Answer: Cardiovascular complications
Question 79
1 out of 1 points
A nurse has been assigned to a 55-year-old woman who has a malignant brain
tumor. The patient is receiving her first dose of carmustine. It will be critical for
the nurse to observe for which of the following?
Selected Answer: Respiratory difficulty
Question 80
1 out of 1 points
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient to
Selected Answer: complete the entire course of drug therapy.
Question 81
1 out of 1 points
A 66-year-old man has made an appointment with his primary care provider to
discuss his recent erectile dysfunction (ED) and has requested a prescription fortadalafil (Cialis) based on television commercials he has seen. What
characteristic of this patient would most likely contraindicate the use of tadalafil
for his ED?
Selected
Answer:
The patient has unstable angina and uses a nitroglycerin
patch
Question 82
1 out of 1 points
A nurse is caring for a patient who is at 28 weeks' gestation and is receiving
terbutaline (Brethine) to control preterm labor. Which of the following
assessment parameters should the nurse prioritize?
Selected Answer: Fetal heart rate (FHR)
Question 83
1 out of 1 points
A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of
doxorubicin shortly. When planning this patient's care, what nursing diagnosis
should the nurse prioritize?
Selected Answer: Risk for Infection related to suppressed bone marrow function
Question 84
1 out of 1 points
A patient is taking rifampin (Rifadin) for active TB. When discussing this drug
with the patient, the nurse should stress that
Selected
Answer:
body fluids such as urine, saliva, tears, and sputum may
become discolored.
Question 85
1 out of 1 points
A nurse is administering rituximab to a patient via the IV route. The nurse will set
the IV pump at 50 mg/hour for the first half hour of the initial infusion. If there are
not apparent reactions after 30 minutes of the infusion, the nurse will increase
the dosage every 30 minutes by 50 mg/hour until the maximum infusion rate
reaches which of the following?
Selected Answer: 400 mg/hour
Question 86
0 out of 1 points
A 60-year-old patient experienced a sudden onset of chest pain and shortness of
breath and was subsequently diagnosed with a pulmonary embolism in the
emergency department. The patient has been started on an intravenous heparin
infusion. How does this drug achieve therapeutic effect?
Selected By inhibiting platelet aggregation on vessel walls and promotingAnswer: fibrinolysis
Question 87
1 out of 1 points
A patient will soon begin targeted therapy as a component of her treatment plan
for chronic leukemia. The nurse is conducting health education about this new
aspect of the patient's drug regimen and the patient has asked about the
potential side effects of treatment. How should the nurse best respond?
Selected
Answer:
"Both classes of drugs have adverse effects, but targeted
therapies tend to have less of an effect on healthy body cells."
Question 88
1 out of 1 points
A patient is taking etoposide for a testicular tumor refractory to treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must
carefully monitor for which of the following?
Selected Answer: Elevated prothrombin time
Question 89
1 out of 1 points
A patient is receiving long-term clindamycin therapy for a life-threatening
infection. The nurse will begin by monitoring this drug therapy by obtaining
Selected Answer: a baseline complete blood count.
Question 90
0 out of 1 points
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is
prescribed. To help increase bioavailability of the drug, the nurse will encourage
the patient to take the medication
Selected Answer: on an empty stomach.
Question 91
1 out of 1 points
A 29-year-old woman who is morbidly obese has recently begun a
comprehensive, medically-supervised program of weight reduction. Prior to
adding dextroamphetamine (Dexedrine) to her regimen, the patient should be
questioned about her intake of
Selected Answer: caffeine.
Question 92
1 out of 1 points
A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and
has been taking insulin since she was 13 years old. She asks the nurse if the
insulin will be harmful to her baby. The best response to the patient by the nursewould be
Selected
Answer:
"Insulin is usually the drug of choice for controlling blood glucose
levels during pregnancy because it does not cross into the
placenta."
Question 93
1 out of 1 points
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?
Selected
Answer:
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.
Question 94
0 out of 1 points
Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several
weeks ago and who is scheduled to begin chemotherapy. He reports to the
nurse that he read about the need for erythropoietin in an online forum for
cancer patients and wants to explore the use of epoetin alfa with his oncologist.
Which of the following facts should underlie the nurse's response to Mr. Lepp?
Selected
Answer:
Epoetin alfa is normally contraindicated in patients who are
receiving radiotherapy or chemotherapy.
Question 95
1 out of 1 points
A patient with a diagnosis of chronic myeloid leukemia has met with her
oncologist, who has recommended treatment with the kinase inhibitor imatinib.
What route of administration should the nurse explain to the patient?
Selected Answer: Oral administration of imatinib in a home setting
Question 96
1 out of 1 points
A nurse is going to administer medication to an infant using a medicine dropper.
The best method is to open the child's mouth by gently squeezing the cheeks
and placing the drops
Selected Answer: in the buccal pouch.
Question 97
1 out of 1 points
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many
milligrams will the patient receive in one dose?
Selected Answer: 2000 mg Question 98
1 out of 1 points
A patient is being treated for Mycoplasma pneumoniae pneumonia. She is
allergic to penicillin and is being given azithromycin (Zithromax) in capsule form.
The nurse will inform the patient that she will need to take the capsule
Selected Answer: on an empty stomach.
Question 99
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she cannot
continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture
depicting drug molecules crossing the placental membrane and entering into the
fetal circulation. The nurse tells the patient that the main reason this happens is
because
Selected
Answer:
drugs compete with the hormones of pregnancy for albuminbinding sites.
Question 100
1 out of 1 points
A patient has been prescribed oral tetracycline. The nurse will instruct the patient
to take the drug
Selected
Answer:
on an empty stomach 1 hour before or 2 hours after taking any
meals or other drugs.
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