NURSING NR508Advanced Pharmacology Mid-Term Exam.

1. A patient asks a primary care NP whether over-the-counter drugs are safer than prescription drugs. The NP should explain that over-the-counter drugs are: (Points : 2) generally safe when label information is understood and followed. safer because over-the-counter doses are lower than prescription doses of the same drug. less safe because they are not well regulated by the Food and Drug Administration (FDA). not extensively tested, so claims made by manufacturers cannot be substantiated. Question 2.2. A woman who is being treated with radiotherapy for breast cancer asks her primary care nurse practitioner (NP) about using dietary supplements to improve her chance of recovery. The NP should tell her that: (Points : 2) vitamin E is not harmful but has not been shown to change outcomes. no supplements have been shown to alter outcomes or response to therapy. folic acid and other B vitamins may improve ability to tolerate chemotherapy. vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence. Question 3.3. A patient with type 2 diabetes mellitus takes metformin (Glucophage) 1000 mg twice daily and glyburide (Micronase) 12 mg daily. At an annual physical examination, the BMI is 29 and hemoglobin A1c is 7.3%. The NP should: (Points : 2) begin insulin therapy. change to therapy with colesevelam (Welchol). add a third oral antidiabetic agent to this patient’s drug regimen. enroll the patient in a weight loss program to achieve better glycemic control.