NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023, Exams of Nursing

Download NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 and more Exams Nursing in PDF only on Docsity! NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • Questio 1 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? Select ed Answe r: 2000 mg • Question 2 1 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 Select ed Answe r: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. • Question 3 1 out of 1 points 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 Select ed Answe r: magnesium sulfate toxicity. • Question 4 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 point 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 Select ed Answe r: with a glass of water 1 hour before or 2 hours after a meal. • Question 5 1 out of 1 points A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Select ed Answe r: phytoestrogens. • Question 6 1 out of 1 points A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Select ed Answe r: Leuko pen ia • Question 12 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Select ed Answe r: assess the area and make sure that there are no open lesions or abrasions. • Question 13 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? Select ed Answe r: Discard the unused portion of the drug. • Question 14 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? Select ed Answe r: Instruct the patient to lie on her left side during the infusion. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • Question 15 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 16 1 out of 1 points A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should Select ed Answe r: use sterile technique when applying the medication. • Question 17 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 Anxiety related to perceived danger of drug therapy to fetus or NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Select ed Answe r: Lid margin crusting and pruritus • Question 24 1 out of 1 points 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 Select ed Answe r: the first 2 months of pregnancy. • Question 25 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? Select ed Answe r: Infiltration, edema, or phlebitis at the infusion site • Question 26 1 out of 1 points A Nurse Practitioner is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Select ed Answer: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ S a licyla t es • Question 27 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? Select ed Answe r: Prostatic neoplasia • Question 28 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? Select ed Answe r: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 29 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause Select ed Answe r: ototoxicity or nephrotoxicity. • Question 30 1 out of 1 points A Nurse Practitioner is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Select ed Answe r: Keep the bed in a low position and the side rails up at all times. • Question 31 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? Select ed Answe r: The use of broad-spectrum antibiotics can create a risk for a superinfection. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Select ed Answe r: "I am on the middle school track team." • Question 35 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 Select ed Answe r: that serum levels of the drug are being monitored. • Question 36 1 out of 1 points A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Select ed Answe r: The patient's hemoglobin level is 11 g/dL • Question 37 1 out of 1 points 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 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ supplement this treatment with a diet that is high in Select ed Answe r: iron-rich foods such as beans and leafy green vegetables. • Question 38 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? Select ed Answe r: The patient has chronic heart failure resulting in significant peripheral edema. • Question 39 1 out of 1 points A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to Select ed Answe r: avoid the small veins in the dorsum of the hand or the wrist. • Question 40 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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? Select ed Answe r: Dietary habits • Question 41 1 out of 1 points A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? Select ed Answe r: Drink a lot of water • Question 42 1 out of 1 points 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 Select ed Answe r: PMS. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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? Select ed Answe r: The patient will experience complete bladder emptying • Question 49 1 out of 1 points Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Select ed Answe r: Cleanse the wound of debris prior to applying the silver sulfadiazine • Question 50 1 out of 1 points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selecte d Answer : Nephrotoxicity and hepatotoxicity • Question 51 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 points A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity? Select ed Answe r: A drug harms microbes without harming human cells. • Question 52 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? Select ed Answe r: The tumor responding to treatment • Question 53 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 Select ed Answe r: place the patch on the back, abdomen, upper arms, or thighs. • Question 54 1 out of 1 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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? Select ed Answe r: Hypertens ive crisis • Question 55 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? Select ed Answe r: "Lately, I have to get up three or four times a night to go to the bathroom." • Question 56 1 out of 1 points A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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 Select ed Answe r: inhibiting tumor growth by enhancing inflammation. • Question 63 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? Select ed Answe r: A 62-year-old male with cancer • Question 64 0 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 advise her to take which of the following vitamin supplements while taking the drug? Select ed Answe r: Vitamin C • Question 65 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 0 out of 1 points A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Select ed Answe r: prostate cancer. • Question 66 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 Select ed Answe r: the patient is at greater risk for high serum levels of the drug. • Question 67 1 out of 1 points 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. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • Question 68 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 Select ed Answe r: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. • Question 69 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? Select ed Answe r: Urinary elimination patterns • Question 70 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 Select ed Answe r: stay well hydrated by drinking at least eight 8-oz glasses of water daily. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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? Select ed Answe r: Atherosclerosis of the penile artery • Question 76 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 Select ed Answe r: whether the pregnant woman uses illegal substances. • Question 77 1 out of 1 points A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Select ed Answe r: Take the drug for one full week before coming in contact with allergens NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • Question 78 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? Select ed Answe r: Presence of blood in urine or stools • Question 79 1 out of 1 points A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Selecte d Answer : Liver function tests • Question 80 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 Select ed Answe r: offer a choice between liquid and chewable medications, if possible. • Question 81 1 out of 1 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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 Select ed Answe r: take the vitamins at least 2 hours before or after taking ciprofloxacin. • Question 82 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? Select ed Answe r: Hepa tic funct ion • Question 83 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? Selected Increased drug distribution resulting from hemodynamic changes NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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? Select ed Answe r: "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells." • Question 90 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 Select ed Answe r: weekly subcutaneous injections. • 91 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? Select ed Answer: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ T h e patient has unstable angina and uses a nitroglycerin patch • Question 92 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Drugs have a valid medical use but a high potential for abuse, both 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. Examples include certain amphetamines and barbiturates. This is scheduled drug Select ed Answe r: Schedule 2 • Question 93 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 : weig h t. • Question 94 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? Select ed Answe r: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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. • Questio100 1 out of 1 points 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 Select ed Answe r: plasma concentrations regularly. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+. NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • 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