Download RNSG 1301 PHARMACOLOGY FINAL EXAM | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ and more Exams Pharmacology in PDF only on Docsity!
RNSG 1301 PHARMACOLOGY FINAL EXAM
| ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION
During the immediate postoperative period the post anesthesia care unit Nurse is assessing the patient who had head surgery. The patient is Experiencing tachycardia, tachypnea, muscle rigidity and temp of 103 F. The nurse will prepare for what treatment? ---------CORRECT ANSWER----- ------------Dantrolene/dantrium You notice that a patient is on hydrochlorothiazide. You recall that all are true adverse effects of this diuretic except ---------CORRECT ANSWER------ -----------Hypocalcemia An anti-convulsant drug has been ordered as part of the pain management for the patient. The nurse explains to the patient the purpose of the anticonvulsant is for? ---------CORRECT ANSWER----------------- Neuropathic pain A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough the nurse know that is an adverse effect of which of the following antihypertensive drugs or classes -- -------CORRECT ANSWER-----------------ACE Inhibitors The nurse is planning to administer the Contraceptive Form DPO shot, how will this be administered ---------CORRECT ANSWER-----------------IM
What antidote is used for warfarin overdose? ---------CORRECT ANSWER-- ---------------Vitamin K When reviewing the health history of a patient who is to receive NSAID therapy the nurse keeps in mind that contraindication of these drugs includes which condition? ---------CORRECT ANSWER----------------- Bleeding disorders How does viagra work? ---------CORRECT ANSWER------------------ Vasodilator
- Do not take with another vasodilator A patient has hypertension along with type one diabetes and protein urea. The nurse anticipates that a drug from which class will be ordered for its renal protective effects? ---------CORRECT ANSWER-----------------ACE inhibitors A patient is receiving Finasteride (Proscar) for treatment of BPH the nurse should tell him that a possible effect of this drug is? ---------CORRECT ANSWER-----------------Increased hair growth The nurse notes in a female patient history she has an order for the androgen methyl-testosterone. Based on this finding the nurse interprets that the patient has which disorder? ---------CORRECT ANSWER-------------- ---Inoperable breast cancer
interaction with them? ---------CORRECT ANSWER-----------------Oral anticoagulants The nurse is instructing a male patient about application of transdermal testosterone patches. What body location is preferred for this specific patch? ---------CORRECT ANSWER-----------------Scrotum A 36 - year-old male patient is scheduled for a physical exam. He tells the nurse that he wants to start taking a vitamin formula that includes Saw Palmetto for prostate health which is the nurse's best response? --------- CORRECT ANSWER-----------------The dr. will need to draw some blood And do a digital rectal exam to make sure that you do not have an enlarged prostate If a patient has an acute asthma attack which medication will be given for treatment ---------CORRECT ANSWER-----------------Albuterol (Provental) The nurse notes in a patient's medication history that the patient will be taking desmopressin based on the findings the nurse will interpret that the patient has which disorder ---------CORRECT ANSWER----------------- Diabetes insipidus A 16-year-old boy is taking somatotropin he has had an asthma attack at a race at school the nurse expects which intervention to occur --------- CORRECT ANSWER-----------------Somatotropin does needs to be adjusted
Which contraceptive most closely duplicates the normal hormonal level of the female menstrual cycle ---------CORRECT ANSWER----------------- Triphasic Before administering epogen to a patient in renal failure which lab result is most important to assess? ---------CORRECT ANSWER----------------- Hemoglobin An eight-year-old girl is diagnosed with true pituitary dwarfism she's been treated with somatotropin the nurse will monitor for which expected outcome? ---------CORRECT ANSWER-----------------increased growth A patient is receiving methotrexate And is experiencing a severe bone marrow suppression the nurse will expect which intervention to reduce this problem ---------CORRECT ANSWER-----------------Leucovorin The nurse is reviewing Prevention of infection measures with a patient who is receiving antineoplastic therapy. Which statement by the patient indicates a need for further teaching? ---------CORRECT ANSWER------------ -----I should eat only fruits and vegetables A patient is about to undergo a diagnostic bowel procedure the nurse expects which drug to be used for total cleansing of the Bowel? --------- CORRECT ANSWER-----------------GoLYTELY A 55-year-old obese patient with diagnosis of Candidiasis in the skin folds under her breast when the nurse sees her at a follow-up visit two months later she complains it has returned she said she applied the medicine for a
appropriate? ---------CORRECT ANSWER-----------------Report black tarry stools if they occur (indication of bleeding) A woman has been receiving both radiation and chemo for her cancer lately she has developed anorexia caused by the treatment and needs nutritional supplements. The nurse anticipates that the physician will Initiate which therapy? ---------CORRECT ANSWER-----------------Peripheral A 20-year-old patient newly diagnosed with a lymphoma and has an allergy to one of the proposed therapy drugs The tumor he has does not respond to any other type Treatment but this one The nurse expect the oncologist to follow which course of treatment? ---------CORRECT ANSWER----------------- Give it to him anyway (pretreat allergies) A patient who is taking Propylthiouracil (PTU) For hyperthyroidism wants to know how this medicine works. How do you explain it? ---------CORRECT ANSWER-----------------Impedes formation Of thyroid hormone A 19-year-old college student has been diagnosed with hypothyroidism and started thyroid replacement therapy, Synthroid. After one week she calls the clinic to say she feels no better The nurses response is based off the fact that ---------CORRECT ANSWER-----------------It takes 3 to 4 weeks to work During treatment for a patient who has breast cancer The nurse hears the physician mention that the patient has reached nadir the nurse knows that this term means? ---------CORRECT ANSWER-----------------Lowest Level of neutrophils reached during therapy
When monitoring a patient who is taking a thyroid replacement Therapy which of the following signs of an excessively high dose of this drug - -------- CORRECT ANSWER-----------------Thyroid crisis
- palpitations
- Nervousness
- irritability A patient is to receive a topical corticosteroid for the treatment of psoriasis when administering this medication The nurse is aware that which of the following forms is commonly most penetrating when applied to the skin ----- ----CORRECT ANSWER------------------ointments What time of the day do you usually administer levothyroxine --------- CORRECT ANSWER-----------------In the morning The nurse is teaching a class about thyroid Disease which condition is caused by low levels of thyroid hormone during youth ---------CORRECT ANSWER-----------------Cretinism An infant has thrush The nurse expect to administer which drug for the treatment ---------CORRECT ANSWER-----------------Nystatin What do you have to tell a patient if your dispensing levothyroxine for the first time about by generic or brand name ---------CORRECT ANSWER------ -----------Don't switch generic and brand name. STICK WITH ONE!
The nurse is preparing to administer insulin intravenously which statement about IV insulin is true? ---------CORRECT ANSWER-----------------Only regular insulin can be administered IV A patient with a history of COPD And type 2 diabetes has been treated for pneumonia for the past week, he has been receiving IV corticosteroids as wells as antibiotics. His pneumonia has resolved But blood glucose is still elevated and is required small amounts of sliding scale insulin. What is the reason for this? ---------CORRECT ANSWER-----------------Corticosteroids increase blood glucose levels A 48-year-old is diagnosed with Metabolic syndrome and it started on Metformin The purpose of metformin in the situation is to? --------- CORRECT ANSWER-----------------Decrease insulin resistance A patient is receiving cisplatin for chemotherapy and has developed pneumonia the nurse would be concerned about nephrotoxicity is which type of antibiotic was ordered for treatment of pneumonia at this time? ------ ---CORRECT ANSWER-----------------Amino-glycoside A patient is in The HIV clinic for a follow up appointment he has been on an antiviral therapy for HIV for more than three years possible potential adverse affects of antiviral therapy would include all the following except? -- -------CORRECT ANSWER-----------------Sarcoma A patient is taking fludrocortisone for treatment of Addison's disease and his wife is concerned about all the problems that occur with this therapy.
When teaching them about therapy with this drug the nurse should include which information? ---------CORRECT ANSWER-----------------Take with food to minimize GI upset A patient is receiving aminoglutethimide (Cytadren) therapy, The nurse knows that this medication is used for which condition ---------CORRECT ANSWER-----------------Cushing syndrome The nurse notes in a patient's medication history that the patients taking allopurinol (xylophone)based on this finding the nurse interprets that the patient has which disorder ---------CORRECT ANSWER-----------------Gout When monitoring a patient who is taking a systematically administered glucocorticoid, the nurse should monitor for signs of which condition? ------- --CORRECT ANSWER-----------------Hypokalemia A patient with a tracheostomy has difficulty removing excessive thick mucus from the respiratory tract The nurse anticipates that the drug that will be administered to remove the mucus will be ---------CORRECT ANSWER-----------------Guaifenesin The nurse expects that a patient experiencing under secretion (hyposecretion) of adrenocortical hormones when which Condition is found upon assessment? ---------CORRECT ANSWER------------------Dehydration
- weight loss increased potassium levels
- decreased serum sodium levels
been prescribed this medication for? ---------CORRECT ANSWER------------- ----Prevention of preterm labor in the 22 week of pregnancy When discussing dosage calculation for pediatrics with a clinical pharmacist the nurse notes that one of the following Types of dosage calculations is used more commonly in pediatric calculation? --------- CORRECT ANSWER-----------------Weight based Mg per Kg formula When reviewing various schedules of controlled drugs The nurse notes that the statement that best describes a schedule II is? ---------CORRECT ANSWER-----------------High potential for abuse that have been accepted for medical use Patient has been ordered Ketorolac (Toradol) for which condition? --------- CORRECT ANSWER-----------------Moderate to severe pain When administering a new medication to a patient the nurse notes that it is highly protein bound. The nurse should expect which result? --------- CORRECT ANSWER-----------------The duration of the medication will be longer A 50 year old woman Will be taking selective estrogen modulators (Serms), which is part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse affects with this patient including a possible occurrence of? ---------CORRECT ANSWER-----------------Venous thrombosis embolism
The nurse is aware confusion, forgetfulness, and increase risk of falls are common response of an elderly patient who is taking which type of drug? -- -------CORRECT ANSWER-----------------Sedatives All of the following drug agents are anti-fungal except? ---------CORRECT ANSWER-----------------Myambutol (treats TB) What can fluconazole/Diflucan be used for? ---------CORRECT ANSWER--- --------------One time vaginal infections During a follow up visit a patient who has been on estrogen therapy admits that she's continuing to smoke cigarettes The nurse will remind the patient that smoking while on estrogen may lead to increase? ---------CORRECT ANSWER-----------------Risk of thrombosis What is a black box warning? ---------CORRECT ANSWER-----------------Can be prescribed as long as prescriber and patient know that there is potential risk Mild to severe pain is best treated with which medication? --------- CORRECT ANSWER-----------------Fentanyl (Duragesic) While monitoring a patient who overdosed on barbiturates the nurse must keep in mind that the cause of death would be? ---------CORRECT ANSWER-----------------Respiratory arrest
One patient has cancer of the bone and another has cancer in the connective tissue of his leg muscle and tissue and a third has cancer in her vascular tissues. These patients have in common the type of tumor referred to as? ---------CORRECT ANSWER-----------------Sarcoma A patient is receiving her third course of 5 FU therapy and knows that stomatitis is a potential adverse effect of anti-neoplastic therapy. What will the nurse teach her about this problem? ---------CORRECT ANSWER-------- ---------She should examine her mouth daily A patient asks "Why do I have to take TB for such a long time and multiple drugs?" ---------CORRECT ANSWER-----------------Taking multiple drugs reduces the chances of the tuberculosis will become drug resistant When monitoring a patient with severe bone marrow suppression the nurse knows that which of the following Is a principal early sign of infection? ------- --CORRECT ANSWER-----------------Fever
