*NURSING > EXAM > NUR2474 NUR 2474 PHARMACOLOGY FOR PROFESSIONAL NURSING FINAL EXAM REVIEW RATED A LATEST 2021 2022 (All)

NUR2474 NUR 2474 PHARMACOLOGY FOR PROFESSIONAL NURSING FINAL EXAM REVIEW RATED A LATEST 2021 2022 RASMUSSEN COLLEGE

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1. What adjustment in pain medication may be needed for an elderly person with elevated liver enzymes due to anticonvulsant therapy? The timer between doses should be expanded to allow for metabolism... in hepatic dysfunction 2. The nurse reads that the half-life of morphine is roughly 3 hours. How would the nurse use this information to decide if it is safe to give Morphine every 3 hours as needed for pain? The half-life of Morphine would be longer in hepatic insufficiency; the drug would accumulate 3. A client with persistent pain due to cancer is brought to the ED by his spouse. Upon assessment, the nurse notes pinpoint pupils and a RR of 6 breaths per minute. The nurse should immediately prepare for administration of which medication? naloxone (Narcan), the antidote for opiates 4. A nurse is providing client education about the use of a fentanyl transdermal delivery system. Which of these statements would indicate accurate understanding of self-care expectations? Change the patch every 72 hours 5. What should the nurse do after giving a young man Dilaudid (hydromorphone) for a migraine? Provide a restful, dimly lit environment 6. Sumatriptan (Imitrex) is orered for an elderly client experiencing a migraine. The nurse understands that triptans are contraindicated in which condition? Cerebrovascular insufficiency 7. A client is returning to the clinic for follow-up related to elevated liver enzymes. Which of the following medications on the client's medication list would concern the nurse most? Acetaminophen PRN for pain 8. A client taking paroxetine (Paxil), a serotonin reuptake inhibitor for post-traumatic stress disorder, calls the clinic complaining of confusion, restlessness, and fever. What should the nurse reply? Have him talk to his doctor before taking any more Paxil since these are signs of serotonin toxicity 9. A client taking amitriptyline (a tricyclic antidepressant) complains of having blurred vision and dry mouth, and he states that he hasn't had a bowel movement in 3 days. His vital signs are T 97.6 F, P 90/m, BP 130/79, and RR 20/m. Based on this, the nurse should suspect which of the following causes? Anticholinergic effects 10. A client experiencing loss of libido wants to know why he was started on citalopram, an SSRI, rather than one of the other types of antidepressants. Which response would be most appropriate? "SSRIs have fewer side effects than other antidepressants. Should I mention the concern to your provider?" [Show More]

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