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2022/2023 Update!!! NURS 6521: Advanced Pharmacology Final Exam Questions and Answers Attained score A+
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A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder 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? Headaches and chest pain The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Ciprofloxacin Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Reduce dose by 50% for 3 to 4 days Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Impairment of renal function 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?
Give the medication through a straw to decrease the staining of the teeth. The NP is prescribing A medication for six-month-old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication? Rectal suppository Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? ethanol withdrawal The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is: Absorbed rapidly Steady state is: When the amount of drug in the body remains constant The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication? they could feel a bit of nausea, but this will resolve in about a week or so
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor plasma concentrations regularly. Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include: Acetaminophen suppository The anticoagulant drug that acts as a vitamin K antagonist is: coumadin Which of the following drugs can a person with G6PD deficiency take safely? Acetaminophen The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? 1500 mg 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 perform light-weight exercises and go for walks.
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 with high-fat meals. Mr. 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? "Do you feel like you're having any pain in your bones?" The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. the patient indicates a need for further teaching? "I will take this medication with food " Autonomic Drugs are often using topical form for what purpose? To shrink mucous membranes Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? Wellbutrin, bupropion hydrochloride Mr. CW has his routine appointment today in your clinic. He has been taking
Combination OCs prevent pregnancy primarily by: Suppressing ovulation. Which of the following medications will not increase the likelihood of photosensitivity? Amoxicillin A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? 2000 mg Which of the following is a true statement about aspirin and its action on platelets It is used for prophylaxis against strokes and acute myocardial infarction A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following? Liver function When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of? Nitrates John, the Nurse Practitioner is prescribing Fosamax for his patient.
Bisphosphonate administration education includes Sitting erect for at least 30 minutes afterwards How do bisphosphonates treat osteoporosis? By reducing bone resorption and inhibiting osteoclastic activity The maximum amount of acetaminophen that can be taken per day is: 4 grams Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Selective serotonin reuptake inhibitors (SSRIs) Phenytoin decreases folic acid absorption by Inhibiting intestinal enzymes require for folic acid absorption The Nurse Practitioner knows that Bupropion use (Wellbutrin, Zyban) is contraindicated in which of the following instances? In conjunction with a MAOI) monoamine oxidase inhibitor Which of the following should not be taken with a selective serotonin reuptake inhibitor? Alcohol
The nurse should question the physician's order if the patient has a history of cardiac arrhythmias. 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)? Exogenous testosterone 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 perform relaxation techniques after the treatments. 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? A 19-year-old Male receiving radiation therapy A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Dental hygiene practices
A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that the increase in the neutrophil count is only transient. 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? Where the medication will be stored A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as result of drug errors is higher among infants & children than adults. This fact is primarily due to Immature liver and kidney function in infants and children. A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity A 15-year-old boy who has been taking dextroamphetamine for the treatment of
department by his mother and father with signs and symptoms of line sepsis. Upon questioning, ...Caregiver Ineffective Family Therapeutic Regimen Management
A patient's current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the? The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin. A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common? Breakthrough bleeding A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? A 48-year-old Caucasian man who has adult-onset diabetes 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? Oral administration of imatinib in a home setting A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication once a day. A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The
A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is an allergic response. A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Instruct the patient to lie on her left side during the infusion. A Nurse Practitioner 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 drugs compete with the hormones of pregnancy for albumin-binding sites. A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity? A drug harms microbes without harming human cells.
A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of food containing iron or calcium. 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 for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? The patient has unstable angina and uses a nitroglycerin patch 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? Ineffective Family Therapeutic Regimen Management 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? Headaches and chest pain
products. The nurse practitioner understands that these foods are considered phytoestrogens. An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Infuse the drug over 2 to 4 hours into a central line using an infusion pump 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? Having nurses check their math calculations with a colleague before administering a drug. A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to complete the entire course of drug therapy. A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as magnesium sulfate toxicity.
A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will monitor the patient for bleeding gums. Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid alcohol. A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Tylenol. A Nurse Practitioner will instruct a patient taking allopurinol to take each dose after a meal. 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 microcephaly. 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? "Lately, I have to get up three or four times a night to go to the bathroom."