NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q &, Exams of Nursing

Download NURS 6521N Midterm Exam advanced pharmacology LATEST UPDATE 2021/2022 100%correct (100 Q & and more Exams Nursing in PDF only on Docsity! Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some A narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients ina hospital setting? aclecte Narcotics to be used in the hospital are dispensed Answer only with a written prescription. Question 2 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. (i Which of the following should the nurse anticipate? aclecte The drug will decrease in effectiveness Answer Question 3 1 out of 1 points A nurse is creating a plan of care for a 68-year-old woman with a (i recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? aclecte Acute Pain, Headache, related to adverse effects Answer of drug therapy Question 4 1 out of 1 points A nurse is caring for a patient who abuses marijuana. The treatment {J for marijuana abuse consists mainly of Selecte d Answer no harmacologic interventions combined with an np exercise program. Question 5 1 out of 1 points A nurse is caring for a patient who is in severe pain and is receiving jan opioid analgesic. Which of the following would be the nurse's priority assessments? aclecte Pain intensity, respiratory rate, and level of consciousness Answer Question 6 1 out of 1 points A patient has been prescribed an oral drug that is known to havea ¥ high first- pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Selected Administering the drug intravenously rather than aclecte an adrenergic antagonist. Answer Question 13 1 out of 1 points Which of the following will a nurse inform the patient is one of the i most common adverse effects of guaifenesin (Robitussin)? aclecte Gastrointestinal distress Answer Question 14 O out of 1 points A patient who has ongoing pain issues has been prescribed 3 meperidine (Demerol) IM. How should the nurse best administer this medication? aclecte Into the patient shoulder muscle using a small-gauge Answer needle Question 15 0 out of 1 points A nurse is providing patient education to a 35-year-old man who has 9 been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered aclecte orally. Answer Question 16 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician (has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to aclecte swallow the tablet with milk or food. Answer . Question 17 1 out of 1 points A nurse notes new drug orders for a patient who is already getting {4 several medications. Which of the following is the most important consideration when preparing to administer the new drugs? aclecte Possible drug-drug interactions that might occur Answer . Question 18 1 out of 1 points A nurse is discussing with a patient the efficacy of a drug that his {J physician has suggested, and he begin taking. Efficacy of a drug means which of the following ? How well a drug produces its desired effect Selecte d Answer Question 19 1 out of 1 points The nurse's assessment of a community-dwelling adult suggests i that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? aclecte "| broke out in hives and got terribly itchy when | Answer started a new prescription last year." Question 20 1 out of 1 points An 80-year-old patient has been taking lorazepam since his wife died (ja year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to aclecte withdraw the drug gradually over a 2 to 3 week period. Answer Question 21 1 out of 1 points A patient has been prescribed lithium therapy. Which of the following dsigns and symptoms will the nurse tell the patient to report immediately? Selecte d Answer Muscle twitching Selecte d Vitamin B Answer . Question 28 1 out of 1 points An unconscious patient has been brought to the hospital, and the {J physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Selecte d Answer Intravenous infusion. . Question 29 1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. {4 Before the drug therapy begins, a priority action by the nurse will be to assess the patient's aclecte use of alcohol. Answer Question 30 1 out of 1 points To minimize the risk of adverse effects of glucagon when given to jan unconscious diabetic patient, as the patient regains consciousness, the nurse should aclecte administer carbohydrates. Answer Question 31 1 out of 1 points A nurse is caring for a 61-year-old man who has had a severe {J attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to aclecte avoid aggravating the gastrointestinal tract. Answer Question 32 1 out of 1 points A patient who is experiencing withdrawal from heavy alcohol use have {4 developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? Selecte d Answer The patient develops muscle rigidity and a sudden, high fever. Question 33 1 out of 1 points A patient who has been admitted to the hospital for a mastectomy (J has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient's stay in the hospital? aclecte Monitor the patient vigilantly for signs and Answer symptoms of potentially adverse drug effects . Question 34 1 out of 1 points A patient receives 25 units of NPH insulin at 7.AM. At what time of (i day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? Question 40 1 out of 1 points These drugs have a potential for abuse, but the potential is lower (i than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug Selecte qd Schedule 3 Answer Question 41 1 out of 1 points A nurse who is responsible for administering medications should 4 understand that the goals of the MedWatch program are to (Select all that apply.) aolecte provide regular feedback about product safety issues. Answer facilitate the reporting of adverse reactions of drugs. increase awareness of serious reactions caused by drugs or medical devices. Question 42 1 out of 1 points A 40-year-old woman with a diagnosis of fibromyalgia has been (i prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? aclecte Risk for Injury related to CNS depressant effects Answer Question 43 1 out of 1 points A 52-year-old man is suffering from a deficiency of exocrine Ei pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to Selecte qd pork. Answer . Question 44 1 out of 1 points A nurse is caring for a patient with chronic angina. The patient is i receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? Selecte Dizziness d Answer Question 45 1 out of 1 points A nurse is caring for an 81-year-old patient in a long-term care facility (i who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to aclecte polypharmacy decreasing the number of available Answer protein- binding sites. Question 46 1 out of 1 points An elderly postsurgical patient has developed postoperative [i pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? aclecte An oral antidepressant that the patient has been Answer taking daily for several years Question 47 1 out of 1 points A patient has a blood serum drug level of 50 units/mL. The drug's {half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range? Selecte d Answer patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that aclecte optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment. Answer . Question 54 1 out of 1 points A 33-year-old man has developed acute gouty arthritis. He has been {J prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? aclecte Dietary habits Answer . Question 55 1 out of 1 points A 42-year-old man is being treated for a peptic ulcer with ranitidine £4 (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is Selecte qd headache. Answer Question 56 1 out of 1 points A nurse is overseeing the care of a young man whose ulcerative i colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? aclecte Carefully assess the patient for infections Answer Question 57 1 out of 1 points A patient has been admitted to the ICU because of multiple traumas [4 due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of aclecte seizure disorders. Answer Question 58 1 out of 1 points A male patient has been brought to the emergency department i during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to Selecte d Answer avoid the small veins in the dorsum of the hand or the wrist. Question 59 1 out of 1 points A 75-year-old woman is prescribed magnesium hydroxide for i constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient's aclecte medication history. Answer Question 60 1 out of 1 points Answer: decreased but the anti-inflammatory effects continue." Question 65 1 out of 1 points A nurse is teaching an older adult patient about polypharmacy. Which £4 of the following statements best describe this term? aclecte Taking several drugs simultaneously Answer Question 66 1 out of 1 points A nurse is caring for a 73-year-old man who is receiving drug i therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The nurse will base the patient's plan of care on the understanding that there is aclecte a decrease in the amount of creatinine to be filtered. Answer Question 67 1 out of 1 points A nurse is assigned to a patient who is taking lithium. Which of the {i following drug serum levels would indicate that the patient is at risk for adverse effects of the drug? aclecte 1.7 mEq/L Answer Question 68 1 out of 1 points A 58-year-old man is admitted to the emergency department. A {A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? Selecte d Answer: goxin immune fab . Question 69 1 out of 1 points A nurse works in a sleep disorder clinic and is responsible for (i administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)? aclecte A 35-year-old man who is having difficulty falling Answer asleep, but once asleep can stay asleep . Question 70 0 out of 1 points A 79-year-old patient in a long-term care facility is to receive an £3 intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? aclecte Serum sodium levels Answer Question 71 1 out of 1 points A nurse is caring for a patient who has been diagnosed with i hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? aclecte History of taking anticoagulant drugs Answer Question 72 1 out of 1 points An 80-year-old man has been prescribed oxycodone for severe, {4 noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient that aclecte there is risk of an extremely high dose available all Answer at once if the tablet is crushed. Question 73 0 out of 1 points A nurse is providing discharge instructions to a patient who will be EQ taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is Selecte d Answer low in sodium and potassium. points A community health nurse is performing a home visit to an elderly 4 client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following measures should the nurse suggest? aclecte Encouraging the patient to change her diet and exercise habits Answer . Question 80 1 out of 1 points A male patient is to begin treatment for pneumonia with an J albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? Selected Throat irritati on Answer: Question 81 1 out of 1 points A patient has GERD and is taking ranitidine (Zantac). She continues to Ea have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? aclecte "Yes, but be sure to wait at least 2 hours to take the Answer antacid after you take the ranitidine." Question 82 1 out of 1 points Mesalamine (Asacol) is prescribed for a 22-year-old woman with i crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? aclecte Hair loss Answer Question 83 1 out of 1 points A 79-year-old woman who takes several medications for a variety of i chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? aclecte Integrating the new drug into the patient's existing Answer schedule promotes adherence. Question 84 1 out of 1 points A homeless man who is well known to care providers at the local {J hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? aclecte The patient's protein deficit will likely increase the levels of the free drug in his blood. Answer Question 85 1 out of 1 points A nurse who provides care for older adults is aware of the high incidence of (i drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to Selected consult their care provider before taking new over- the-counter medications. Answer: . Question 91 1 out of 1 points An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for Selecte qd falls. Answer . Question 92 0 out of 1 points A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be 3 most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? aclecte White blood cell nadir Answer . Question 93 1 out of 1 points A patient with diabetes has had a cough for 1 week and has been (i prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? aclecte Monitor glucose ‘Answer levels closely Question 94 1 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with Jatropine sulfate, the nurse will instruct the patient to take the medication Selecte d Answer: four times a day. . Question 95 1 out of 1 points A 22-year-old male college senior has lived with a diagnosis of Crohn's ‘Ed disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? Selecte d Answer Infliximab (Remicade) . Question 96 1 out of 1 points A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) aolecte The drug does not cause sleepiness in the morning. Answer One of the most common adverse effects of the . drug is headache. It is available in both quick-onset and continuous- release oral forms. . Question 97 1 out of 1 points A patient is suffering from acute inhalant intoxication. The priority 4 nursing intervention will be to aclecte administer oxygen therapy. Answer e Question 98 1 out of 1 points Following an endoscopy, a 66-year-old man has been diagnosed 4 with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) Selecte a Antibiotics Answer A PPI s: . Question 99 1 out of 1 points On the 1 a.m. rounds, the nurse finds a patient awake and frustrated (ij that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic as Selecte Answer: d