NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATE, Exams of Nursing

Download NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATE and more Exams Nursing in PDF only on Docsity! NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 1 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? Selecte d Answer : "You might find that your face becomes flushed or you get a headache after you take Viagra." • Question 2 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? Selecte d Answer : Elevated prothrombin time • Question 3 1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selecte d Answer : complete the entire course of drug therapy. • Question 4 Drugs have a valid medical use but a high potential for abuse, both NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 10 0 out of 1 points A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using Selecte d Answer: weigh t. • Question 11 1 out of 1 points An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib? Selecte d Answer : The patient has chronic heart failure resulting in significant peripheral edema. • Question 12 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? Selecte d Answer : Sexual dysfunction related to erectile dysfunction • Question 13 1 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer: after a meal. • Question 14 1 out of 1 points A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selecte d Answer : place the patch on the back, abdomen, upper arms, or thighs. • Question 15 1 out of 1 points A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Selected weekly subcutaneous NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Answer: injections. • Question 16 1 out of 1 points 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 Selecte d Answer : food containing iron or calcium. • Question 17 1 out of 1 points A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow- spectrum 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? Selecte d Answer : The use of broad-spectrum antibiotics can create a risk for a superinfection. • Question 18 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 Selecte d Answer : offer a choice between liquid and chewable medications, if possible. • Question 19 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University administering other medications that may cause Selecte d Answer : ototoxicity or nephrotoxicity. • Question 25 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 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? Selecte d Answer : The patient has unstable angina and uses a nitroglycerin patch • Question 26 A 29-year-old woman who is morbidly obese has recently begun a 0 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University questioned about her intake of Selecte d Answer : alcohol. • Question 27 1 out of 1 points A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selecte d Answer : The patient will experience complete bladder emptying • Question 28 1 out of 1 points A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy- induced anemia. Which of the following will the nurse do with the unused portion of the drug? Selecte d Answer : Discard the unused portion of the drug. • Question 29 1 out of 1 points A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses? Selecte d Answer: NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Risk for Injury related to loss of vision or thrombotic events • Question 30 1 out of 1 points A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selecte d Answer : Dietary habits • Question 31 1 out of 1 points A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Selecte d Answer : electrocardiogram (ECG). • Question 32 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : body fluids such as urine, saliva, tears, and sputum may become discolored. • Question 38 1 out of 1 points A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? Selecte d Answer : The use of ciprofloxacin is contraindicated in pregnancy. • Question 39 1 out of 1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Selecte d Answer : Urinary elimination patterns • Question 40 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? Selecte d Answer : NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University The tumor responding to treatment • Question 41 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? Selecte d Answer : 2000 mg • Question 42 1 out of 1 points A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? Selecte d Answer : "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued." • Question 43 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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 Selecte d Answer : an allergic response. • Question 44 1 out of 1 points A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selecte d Answer : Anxiety related to perceived danger of drug therapy to fetus or infant • Question 45 1 out of 1 points A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Selecte d Answer: NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selecte d Answer : Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 52 1 out of 1 points Laboratory testing has confirmed that a patient has chloroquine- resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of Selecte d Answer : cardiac arrhythmia s. • Question 53 0 out of 1 points When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer s: The patient will not develop an infection. The patient will not experience bone pain. The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia. The patient will not retain fluid. • Question 54 1 out of 1 points A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Selecte d Answer : schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. • Question 55 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 Selecte d Answer : both the boy and his mother regarding all medication issued. • Question 56 1 out of 1 points A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Increased drug distribution resulting from hemodynamic changes • Question 57 1 out of 1 points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selecte d Answer : The peak and trough blood levels • Question 58 1 out of 1 points 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? Selecte d Answer : Instruct the patient to lie on her left side during the infusion. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Consult the prescriber for discontinuation of the drug • Question 65 1 out of 1 points A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selecte d Answer : whether the pregnant woman uses illegal substances. • Question 66 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? Selecte d Answer : "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells." • Question 67 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? Selecte d Answer: NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University R i sk for Injury related to allergic reactions • Question 68 0 out of 1 points A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that Selecte d Answer : trichomoniasis discharge is typically thin and clear. • Question 69 1 out of 1 points A Nurse Practitioner is having difficulty administering a bitter drug to a 5- year-old child. The nurse should Selecte d Answer: offer the child a flavored ice chip or ice pop prior to administering the drug. • Question 70 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? Selecte d Answer : "Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes." • Question 71 1 out of 1 points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selecte d Answer : That the infant's skin has greater permeability than that of an adult • Question 72 1 out of 1 points A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Selecte d Answer: A 48-year-old Caucasian man who has adult- onset diabetes • Question 73 1 out of 1 points 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 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University gynecoma stia. • Question 79 1 out of 1 points A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to Selecte d Answer: use an alternative form of birth control, if taking an oral contraceptive. • Question 80 1 out of 1 points A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selecte d Answer : first thing in the morning. • Question 81 A man has a demonstrated history of androgen deficiency and the 1 out of 1 points consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University dysfunction (ED)? Selected Answer: Exogenous testosterone • Question 82 1 out of 1 points A Nurse Practitioner 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 Selecte d Answer : marijuan a. • Question 83 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? Selecte d Answer : A 62-year-old male with cancer • Question 84 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? Selecte d Answer : Acetaminophen NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 85 1 out of 1 points A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Selecte d Answer: tyleno l. • Question 86 1 out of 1 points 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? Selecte d Answer : Infuse the drug over 2 to 4 hours into a central line using an infusion pump • Question 87 0 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to Selecte d Answer : take the vitamins at least 2 hours before or after taking ciprofloxacin. • Question 94 1 out of 1 points A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur? Selecte d Answer : Presence of blood in urine or stools • Question 95 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? Selecte d Answer : Risk for Infection related to suppressed bone marrow function • Question 96 1 out of 1 points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University advise her to take which of the following vitamin supplements while taking the drug? Selecte d Answer : Vitamin B • Question 97 1 out of 1 points A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life- threatening infection. Which of the following would be most important for the nurse to monitor? Selecte d Answer : Infiltration, edema, or phlebitis at the infusion site • Question 98 1 out of 1 points A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : The use of dexrazoxane in conjunction with doxorubicin • Question 99 1 out of 1 points The Nurse Practitioner has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient? Selecte d Answer : Systolic blood pressure readings in excess of 190 mmHg • Question 100 1 out of 1 points A Nurse Practitioner 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 Selecte d Answer : stay well hydrated by drinking at least eight 8-oz glasses of water daily. • Question 101 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Tuesday, May 5, 2020 11:54:15 PM EDT NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 6 1 out of 1 points • Question 7 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Dietary habits A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selecte d Answer: first thing in the morning. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 8 1 out of 1 points • Question 9 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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 Selecte d Answer : magnesium sulfate toxicity. 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? Selecte d Answer : Prostatic neoplasia A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selecte d Answer : inhibiting tumor growth by enhancing inflammation. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 10 1 out of 1 points • Question 11 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selecte d Answer : whether the pregnant woman uses illegal substances. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 16 1 out of 1 points • Question 17 1 out of 1 points • Question 18 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer: stop using creams, ointments, and oils on the child's skin and scalp. 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? Selecte d Answer : Acetaminophen 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 Selecte d Answer : food containing iron or calcium. A Nurse Practitioner 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? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 19 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Neurotoxi ci ty 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 Ineffective Family Therapeutic Regimen Management NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 20 1 out of 1 points • Question 21 1 out of 1 points • Question 22 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Answer: 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 Selecte d Answer : the increase in the neutrophil count is only transient. A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? Selecte d Answer : Increased drug distribution resulting from hemodynamic changes 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? Selecte d Answer: NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 27 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Anxiety related to perceived danger of drug therapy to fetus or infant A Nurse Practitioner 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 Selecte d Answer : stay well hydrated by drinking at least eight 8-oz glasses of water daily. • Question 28 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 29 1 out of 1 points • Question 30 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? Selecte d Answer : Hepati c functio n 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? Selecte d Answer : "You might find that your face becomes flushed or you get a headache after you take Viagra." 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)? Selecte d Answer : Exogenous testosterone NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 31 1 out of 1 points • Question 32 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug Selecte d Answer: with a glass of water 1 hour before or 2 hours after a meal. 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 perform relaxation techniques after the treatments. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 38 1 out of 1 points • Question 39 1 out of 1 points • Question 40 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A Nurse Practitioner 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? Selecte d Answer : Leukope n ia Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent Selecte d Answer: once a day. 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? Selecte d Answer : Risk for Infection related to suppressed bone marrow function NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 41 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selecte d Answer: The peak and trough blood levels 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 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 42 1 out of 1 points • Question 43 1 out of 1 points • Question 44 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : drugs compete with the hormones of pregnancy for albumin- binding sites. A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in Selecte d Answer : iron-rich foods such as beans and leafy green vegetables. An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Selecte d Answer : Prime the IV tubing with an approved IV solution rather than with the drug itself. A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 50 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selecte d Answer: after a meal. A Nurse Practitioner is discussing with a 58-year-old male patient the causes of erectile dysfunction 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? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 51 1 out of 1 points • Question 52 0 out of 1 points • Question 53 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer : Atherosclerosis of the penile artery 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 Selecte d Answer : an allergic response. 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? Selecte d Answer : Increased heart rate During ongoing assessment of a patient receiving 5-FU therapy, the nurse NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 54 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Selecte d Answer : Consult the prescriber for discontinuation of the drug A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selecte d Answer : Lid margin crusting and pruritus • Question 55 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 60 1 out of 1 points • Question 61 1 out of 1 points • Question 62 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selecte d Answer: complete the entire course of drug therapy. A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that Selecte d Answer: body fluids such as urine, saliva, tears, and sputum may become discolored. 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 Selecte d Answer : plasma concentrations regularly. A patient is receiving long-term clindamycin therapy for a life- threatening infection. The nurse will begin by monitoring this drug therapy by obtaining NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 63 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer: a baseline complete blood count. A Nurse Practitioner 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? Selecte d 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 64 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 65 0 out of 1 points • Question 66 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because Selecte d Answer : the patient is at greater risk for high serum levels of the drug. When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) Selecte d Answer s: The patient will not develop an infection. The patient will not experience bone pain. The patient will not develop febrile neutropenia. A Nurse Practitioner 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? Selecte d Answer : AD H D NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 71 1 out of 1 points • Question 72 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Hypertensive crisis A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects Selecte d Answer : PMS. Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 73 1 out of 1 points • Question 74 1 out of 1 points • Question 75 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer: stand or sit upright for at least 30 minutes after taking alendronate.. 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? Selecte d 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" A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selecte d Answer : The patient will experience complete bladder emptying Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 76 1 out of 1 points • Question 77 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selecte d Answer: A 62-year-old male with cancer A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication Selecte d Answer: once a day. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 82 1 out of 1 points • Question 83 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University at a significantly higher risk of Selecte d Answer : hypercholesterolemia. 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? Selecte d Answer : The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on Selecte d Answer : the permeability of fungal cell walls. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 84 1 out of 1 points • Question 85 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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 Selecte d Answer : that serum levels of the drug are being monitored. A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 86 1 out of 1 points • Question 87 1 out of 1 points • Question 88 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University conjunctivitis? Selecte d Answer : The use of ciprofloxacin is contraindicated in pregnancy. 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 Selecte d Answer: staining of permanent teeth. A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life- threatening infection. Which of the following would be most important for the nurse to monitor? Selecte d Answer : Infiltration, edema, or phlebitis at the infusion site A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to Selecte d Answer: NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 93 1 out of 1 points • Question 94 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University By inacti vating clotting factors and thus stopping the coagulation cascade A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selecte d Answer : That the infant's skin has greater permeability than that of an adult NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 95 1 out of 1 points • Question 96 1 out of 1 points • Question 97 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? Selecte d Answer: "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? Selecte d Answer : Drink plenty of water every day 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 Selecte d Answer : the first 2 months of pregnancy. A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 98 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Selecte d Answer : weekly subcutaneous injections. 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 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 1 out of 1 points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selected Answer: Lid margin crusting and pruritus • Question 3 1 out of 1 points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected Answer: The peak and trough blood levels • Question 4 1 out of 1 points A Nurse Practitioner 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 5 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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 6 1 out of 1 points NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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? Selected Answer: Infuse the drug over 2 to 4 hours into a central line using an infusion pump • Question 7 1 out of 1 points 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? Selected Answer: Having nurses check their math calculations with a colleague before administering a drug. • Question 8 1 out of 1 points 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 Selected Answer: the increase in the neutrophil count is only transient. • Question 9 1 out of 1 points A nurse practitioner has administered filgrastim to a diverse group of patients in recent NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University • Question 14 1 out of 1 points A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selected Answer: tylenol. • Question 15 0 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selected Answer: before a meal. • Question 16 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 from Selected Answer: clomiphene. • Question 17 1 out of 1 points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle. • Question 18 NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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. NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University 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: "The adverse effects to targeted therapies are most often a result of the patient's cancer, not the drugs themselves." • Question 24 1 out of 1 points A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selected Answer: Anxiety related to perceived danger of drug therapy to fetus or infant • Question 25 1 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: Prostatic neoplasia • Question 26 1 out of 1 points A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Selected Answer: Presence of blood in urine or stools • Question 27 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 "Lately, I have to get up three or four times a night to go to the NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University Answer: bathroom." • Question 28 1 out of 1 points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selected Answer: That the infant's skin has greater permeability than that of an adult • Question 29 1 out of 1 points A Nurse Practitioner 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? Selected Answer: Neurotoxicity • Question 30 0 out of 1 points A Nurse Practitioner 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? NURS 6521NURS6521 Final NURS-6521N-55, Advanced Pharmacology Exam - Week 11 2021/2022 LATEST UPDATE & UPGRADED A+ LEVEL Walden University