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NSG 524 - Exam 5 Questions with accurate detailed answers

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NSG 524 - Exam 5 Questions with accurate detailed answers

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NSG 524 - Exam 5 Questions with accurate detailed answers
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Which is the most serious adverse effect associated with milirinone (Primacor)? -
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✔✔Ventricular dysrhythmia ||




Which class of antifungals is the largest and most versatile (broad spectrum) group? -
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✔✔Azole



Which adverse effects should the nurse monitor for in a client receiving acyclovir (Zovirax)? -
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✔✔Increased serum creatinine
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A provider considers prescribing tamoxifen for a woman with breast cancer. Upon reviewing
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results of genetic testing, the prescriber notes that the patient has variations in the CYP2Dy
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allele resulting in a deficiency of the CYP2D6 isoenzymes. The CYP2D6 isoenzymes are
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necessary to convert tamoxifen to its active form, endoxifen. Which action by the provider is
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the most appropriate? - ✔✔Prescribing a different medication instead of tamoxifen
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A nurse is discussing adenosine with a student. Which student response if correct related to
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adenosine? - ✔✔Adenosine has an extremely short half-life and must be given as an IV
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push.



Which of the following would be the most appropriate first intervention initiated in a
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patient with sustained supraventricular tachycardia? - ✔✔Vagal maneuvers
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A client develops atrial fibrillation with a ventricular rate of 140 beats per minute and signs
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of decreased cardiac output. Which of the following medications should the nurse anticipate
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administering first? - ✔✔Metoprolol
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Which of the following is not an anticipated adverse effect of adenosine? - ✔✔Hypertension
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, 2




Which of the following statements is true regarding the drug dopamine? (select all that
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apply). - ✔✔- at low therapeutic doses, dopamine only acts on dopamine receptors
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- at moderate doses, dopamine activates beta 1 and dopamine receptors.
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Which effect is the nurse most likely to observe in a client receiving dobutamine? -
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✔✔Increased heart rate || ||




Dopamine is administered to a client who has been experiencing hypotensive episodes.
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Other than an increase in blood pressure, which indicator would the nurse use to monitor
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effectiveness? - ✔✔Increased urine output. || || || ||




Which of the following is not a contraindication for the administration of dopamine -
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✔✔bradycardia



A nursing student asks what differentiates antiestrogen drugs from aromatase inhibitors in
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the treatment of breast cancer. What is the correct response? - ✔✔Antiestrogen drugs
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increase the risk of endometrial cancer.
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A client with a strong family history of breast cancer considered taking tamoxifen for cancer
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prevention. Which of the following findings is a possible contraindications? - ✔✔History of
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DVT



A nursing student asks about the difference between cell-cycle phase specific drugs and
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those that are cell-cycle nonspecific. What will the nurse explain? - ✔✔Cell-cycle phase
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specific drugs cannot harm resting cells
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A postmenopausal woman has ER-positive breast cancer and her prescriber orders
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tamoxifen. She asks the nurse if anastrozole would work better for her. What will the nurse
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tell her? - ✔✔Anastrozole is not effective until after menopause.
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