NURS 6521: ADVANCED PHARMACOLOGY FINAL EXAM

NURS 6521: ADVANCED PHARMACOLOGY FINAL EXAM A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Headaches and chest pain The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Ciprofloxacin Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Reduce dose by 50% for 3 to 4 days Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Impairment of renal function The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? Give the medication through a straw to decrease the staining of the teeth. The NP is prescribing A medication for six-month-old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication? Rectal suppository Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? ethanol withdrawal The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is: Absorbed rapidly Steady state is: When the amount of drug in the body remains constant The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication? they could feel a bit of nausea, but this will resolve in about a week or so Which test should the NP order for monitoring effectiveness of the patient receiving heparin? PTT A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an electrocardiogram (ECG). A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NP should : perform a pregnancy test A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to stop using creams, ointments, and oils on the child's skin and scalp. Which adverse reaction is common in the patient taking buspirone? headache JC is a 13-year-old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children? corticosteroids A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor plasma concentrations regularly. Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include: Acetaminophen suppository The anticoagulant drug that acts as a vitamin K antagonist is: coumadin Which of the following drugs can a person with G6PD deficiency take safely? Acetaminophen The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? 1500 mg A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also perform light-weight exercises and go for walks