MN553 Final Exam Answers 2023

MN553 Final Exam Answers 2023. MN553 Advanced Pharmacology & Pharmacotherapeutics It appears to be related to the decrease in aldosterone production. Presence of a dry, hacky cough indicates a high risk for this adverse response. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week. Question 2 4 / 4 points Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be: Question options: Appetite and concentration improve in the first 1 to 2 weeks. Sleep should improve almost immediately upon starting citalopram. Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic dose. His dysphoric mood will improve in 1 to 2 weeks. Question 3 4 / 4 points Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: Question options: Complete blood count Blood glucose C-reactive protein BUN, creatinine, and creatinine clearance Question 4 4 / 4 points When a pharmacoeconomic analysis looks at two or more treatment alternatives that are considered equal in efficacy and compares the costs of each it is referred to as: Question options: Cost-minimization analysis Cost-of-illness analysis Cost-effectiveness analysis Cost-benefit analysis Question 5 4 / 4 points Being competent in the use of information technology in clinical practice is expected in professional nurses. Advanced practice competence includes the ability to: Question options: Search for information using the most common search engines Serve as content experts in developing, implementing, and evaluating information Systems Write programs to assure the integrity of health information Use information technology to prescribe drugs Question 6 4 / 4 points Instructions for the use of nicotine gum include: Question options: Chew the gum quickly to get a peak effect. The gum should be “parked” in the buccal space between chewing. Acidic drinks such as coffee help with the absorption of the nicotine. The highest abstinence rates occur if the patient chews the gum when he or she is having cravings. Question 7 4 / 4 points A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the: Question options: Concentration will produce therapeutic effects Concentration will produce an adverse response Time between doses must be shortened Duration of action of the drug is too long Question 8 4 / 4 points An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is: Question options: Histamine2 receptor antagonists for 4 to 8 weeks Proton pump inhibitor bid for 12 weeks until healing is complete Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days Proton pump inhibitor bid and levofloxacin for 14 days Question 9 4 / 4 points Alterations in drug metabolism among Asians may lead to: Question options: Slower metabolism of antidepressants, requiring lower doses Faster metabolism of neuroleptics, requiring higher doses Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses Question 10 4 / 4 points Patients who are prescribed exogenous androgens need to be warned that decreased libido: Question options: Is an unusual side effect of androgens and should be reported to the provider Is treated with increased doses of androgens, so the patient should let the provider know if he is having problems May be a sign of early prostate cancer and he should make an appointment for a prostate screening exam May occur with androgen therapy Question 11 0 / 4 points A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with: Question options: Methimazole Propylthiouracil (PTU) Radioactive iodine Nothing, treatment is best delayed until after her pregnancy ends Question 12 4 / 4 points The dosage of Vitamin B12 to initially treat pernicious anemia is: Question options: Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month Vitamin B12 IM monthly Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month Oral cobalamin 1,000 mcg daily Question 13 4 / 4 points A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to: Question options: Ensure the patient will not have increased adverse drug reactions to the tamoxifen Identify potential drug-drug interactions that may occur with tamoxifen Reduce the likelihood of therapeutic failure with tamoxifen treatment Identify poor metabolizers of tamoxifen Question 14 4 / 4 points Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include: Question options: Heart failure Angina Myocardial infarction Dyslipidemia Question 15 4 / 4 points Developmental variation in renal function has what impact on prescribing for infants and children? Question options: Lower doses of renally excreted drugs may be prescribed to infants younger than age 6 months. Higher doses of water soluble drugs may need to be prescribed because of increased renal excretion. Renal excretion rates have no impact on prescribing. Parents need to be instructed on whether drugs are renally excreted or not. Question 16 4 / 4 points Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine? Question options: Delay eating the midday meal until after the swimming class. Increase the morning dose of NPH insulin on days of the swimming class. Adjust the morning insulin injection so that the peak occurs while swimming.