nurs_6521_finals_advanced_pharmacology_exam_elaborations_questions_with_answers
The nurse practitioner orders Amoxicillin 500 mg tid? What isthe total amount of medication patient will take per day? Selected Answer: 1500 mg A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selected Answer: Lid margin crusting and pruritus A patient isto begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected Answer: The peak and trough blood levels A Nurse Practitioner is caring for a 64-year-old female patient who isreceiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? Selected Answer: Protamine sulfate A patient asks the nurse practitioner about food sourcessuch as soybeans and soy products. The nurse practitioner understands that these foods are considered Selected Answer: phytoestrogens. An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Selected Answer: Infuse the drug over 2 to 4 hours into a central line using an infusion pump The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addressesthe most common cause of incorrect doses in the care of infants and children? Selected Answer: Having nurses check their math calculations with a colleague before administering a drug. WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED PHARMACOLOGY Exam Elaborations Questions with Answers Graded A A female patient istaking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days afterstarting therapy. The nurse's evaluation of the increase is that Selected Answer: the increase in the neutrophil count is only transient. A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? Selected Answer: A 19-year-old male receiving radiotherapy A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected Answer: complete the entire course of drug therapy. Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Selected Answer: alcohol. A pregnant patient asksthe Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Selected Answer: tylenol. After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from Selected Answer: clomiphene. A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle. A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage
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