NURSING 6005 PHARM QUIZ 3

NURSING 6005 PHARM QUIZ 3. Question 1 A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to A. change to another similar drug if lovastatin proves to be ineffective. B. drink moderate amounts of alcohol. C. avoid prolonged exposure to sunlight. D.use over-the-counter (OTC) drugs to treat any muscle cramps or pain. Question 2 A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely A. increase the serum creatinine level. B. decrease drug absorption in the blood. C. decrease the amount of circulating blood sent through the kidneys. D. increase the synergistic effect of the drug. Question 3 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered A. intravenously. B. subcutaneously. C. orally. D.transdermally. Question 4 A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? A. Blood urea nitrogen (BUN) B. Heart rate C. Urinary output D.Blood pressure Question 5 A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it A. inhibits cholesterol syntheses. B. consists of a fibric acid derivative. C. is a bile-acid resin. Question 6 A nurse is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the nurse assess before beginning drug therapy? A. Serum magnesium levels B. Blood glucose levels C. Serum calcium levels D. Serum potassium levels Question 7 A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.) A. Temperature B. Respiratory rate C. Oxygen saturation D.Blood pressure E. Heart rate Question 8 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? A. Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided B. Call the physician C. Have the patient swallow a tablet every 5 minutes for 15 minutes D.Ask the patient to lie back and try to relax Question 9 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by A. binding LDL to HDL. B. oxidizing cholesterol to bile acids. C. inhibiting the synthesis of cholesterol