1|Page
WGU D027 Pathopharmacological Advanced
Foundations Objective Final Verified Exam||Newest
Exam!!!
Should you take phenytoin with oral contraceptives? -
ANSWER-Phenytoin is designated as pregnancy category
D and interferes with the
Efficacy of oral birth control pills leading to the potential for
unplanned pregnancy.
A nurse is caring for a patient who has been taking an
antiepileptic drug for
Several weeks. The nurse asks the patient if the therapy is
effective. The patient
Reports little change in seizure frequency. What will the
nurse do?
Request an order to increase the dose of the antiepileptic
drug
Reinforce the need to take the medications as prescribed
Contact the provider to request an order for serum drug
levels
Ask the patient to complete a seizure frequency chart for
the past few weeks - ANSWER-Contact the provider to
request an order for serum drug levels
,2|Page
When to stop aspirin before a surgery - ANSWER-aspirin
at therapeutic levels may double bleeding time for up to
one week and
Should be discontinued at least one week prior to any
surgery.
Glucocorticoids suppress bone creation, accelerate bone
loss, and decrease
Absorption of dietary calcium. - ANSWER-take calcium
and vitamin D
Why take methotrexate for rheumatoid arthritis -
ANSWER-Methotrexate helps delay B and T lymphocytic
joint destruction caused by RA
In 80% of patients taking the drug. - delays joint
degeneration
Urate lowering drugs - ANSWER-prevent gout flare ups
Colchicine - ANSWER-treat gout flare ups
Benefit of estrogen therapy - ANSWER-The principal
benefits of ET are the suppression of menopausal
symptoms and
,3|Page
Prevention of bone loss.
What type of hormone replacement should you take if you
have had a hysterectomy - ANSWER-estrogen only
When not to use IUD - ANSWER-multiple sex partners as
increases risk of Pelvic inflammatory disease
Goal of terazosin for BPH? - ANSWER-improved urinary
hesitation
What to avoid with flagyl for H. Pylori - ANSWER-alcohol
Bulk forming laxatives - ANSWER-take with full glass of
water
Glipizide and trimethoprim/sulfamethaxazole interaction -
ANSWER-can cause hypoglycemia - check BGL more
frequently
Primary UTI treatment - ANSWER-3 days bactrim
(trimethoprim/sulfamethaxazole
, 4|Page
Herpes treatment - ANSWER-acyclovir or valacyclovir
What med to give to lower total cholesterol impacting LDL
- ANSWER-atorvastatin 20 mg
If pt has CHF, low EF, and increased BNP, what should we
do with his medications? - ANSWER-stop ARB or ACE
inhibitors and start ARNI like entreats
What meds to avoid for COPD or asthma? - ANSWER-
beta-blockers - cause bronchospasm
What percent of diabetes is type 2? - ANSWER-90-95%
What to review if patient taking kava? - ANSWER-liver
function
What happens if hypothyroid is untreated in pregnant
patient - ANSWER-Neuropsychological deficits in the fetus
can occur if the condition is not treated.****
What does Iodine do for graves disease - ANSWER-This
drug will be taken up by the thyroid gland and will destroy
the cells to reduce my
Hyperthyroidism.
WGU D027 Pathopharmacological Advanced
Foundations Objective Final Verified Exam||Newest
Exam!!!
Should you take phenytoin with oral contraceptives? -
ANSWER-Phenytoin is designated as pregnancy category
D and interferes with the
Efficacy of oral birth control pills leading to the potential for
unplanned pregnancy.
A nurse is caring for a patient who has been taking an
antiepileptic drug for
Several weeks. The nurse asks the patient if the therapy is
effective. The patient
Reports little change in seizure frequency. What will the
nurse do?
Request an order to increase the dose of the antiepileptic
drug
Reinforce the need to take the medications as prescribed
Contact the provider to request an order for serum drug
levels
Ask the patient to complete a seizure frequency chart for
the past few weeks - ANSWER-Contact the provider to
request an order for serum drug levels
,2|Page
When to stop aspirin before a surgery - ANSWER-aspirin
at therapeutic levels may double bleeding time for up to
one week and
Should be discontinued at least one week prior to any
surgery.
Glucocorticoids suppress bone creation, accelerate bone
loss, and decrease
Absorption of dietary calcium. - ANSWER-take calcium
and vitamin D
Why take methotrexate for rheumatoid arthritis -
ANSWER-Methotrexate helps delay B and T lymphocytic
joint destruction caused by RA
In 80% of patients taking the drug. - delays joint
degeneration
Urate lowering drugs - ANSWER-prevent gout flare ups
Colchicine - ANSWER-treat gout flare ups
Benefit of estrogen therapy - ANSWER-The principal
benefits of ET are the suppression of menopausal
symptoms and
,3|Page
Prevention of bone loss.
What type of hormone replacement should you take if you
have had a hysterectomy - ANSWER-estrogen only
When not to use IUD - ANSWER-multiple sex partners as
increases risk of Pelvic inflammatory disease
Goal of terazosin for BPH? - ANSWER-improved urinary
hesitation
What to avoid with flagyl for H. Pylori - ANSWER-alcohol
Bulk forming laxatives - ANSWER-take with full glass of
water
Glipizide and trimethoprim/sulfamethaxazole interaction -
ANSWER-can cause hypoglycemia - check BGL more
frequently
Primary UTI treatment - ANSWER-3 days bactrim
(trimethoprim/sulfamethaxazole
, 4|Page
Herpes treatment - ANSWER-acyclovir or valacyclovir
What med to give to lower total cholesterol impacting LDL
- ANSWER-atorvastatin 20 mg
If pt has CHF, low EF, and increased BNP, what should we
do with his medications? - ANSWER-stop ARB or ACE
inhibitors and start ARNI like entreats
What meds to avoid for COPD or asthma? - ANSWER-
beta-blockers - cause bronchospasm
What percent of diabetes is type 2? - ANSWER-90-95%
What to review if patient taking kava? - ANSWER-liver
function
What happens if hypothyroid is untreated in pregnant
patient - ANSWER-Neuropsychological deficits in the fetus
can occur if the condition is not treated.****
What does Iodine do for graves disease - ANSWER-This
drug will be taken up by the thyroid gland and will destroy
the cells to reduce my
Hyperthyroidism.
