PHARMACOLOGY FINAL EXAM RASMUSSEN LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (GRADED A+)

PHARMACOLOGY FINAL EXAM RASMUSSEN LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (GRADED A+) A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has ordered intravenous piperacillin and tobramycin. Why might the nurse question this combination of antibiotics? a. This combination causes tendon rupture. b. Aminoglycosides are inactivated by penicillins. c. Aminoglycosides alone are adequate against pseudomonas. There is no need to risk penicillin allergy. d. Aminoglycosides increase the risk of penicillin allergy. - ANSWER-b. Aminoglycosides are inactivated by penicillins. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice daily. Before administering the third dose, the nurse observes the client has a widespread rash, a temperature and a heart rate of 100 beats/min. The client looks ill and reports not feeling well. What is the nurse's response? a. Request an order for intravenous trimethoprim/ sulfamethoxazole. b. Initiate probiotics. c. Withhold the treatment and notify the provider of the symptoms. d. Administer the dose and request an order for an antipyretic medication. - ANSWER-c. Withhold the treatment and notify the provider of the symptoms. A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. What will the nurse tell the client? a. Over time, people can develop tolerance to opioids. We can discuss increasing your dose with the provider. b. Take your medication more often to help control the pain c. You are addicted and should take a different medication. We can discuss this with your provider. d. The risk of respiratory depression increases over time - ANSWER-a. Over time, people can develop tolerance to opioids. We can discuss increasing your dose with the provider. The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm? a. Lithium b. Methotrexate c. Ibuprofen d. Nicotine - ANSWER-c. Ibuprofen Which statement by a client indicates an understanding of selfcare precautions when taking warfarin? a. "My warfarin dose may need to be readjusted when I take a course of antibiotics." b. "I should expect pink urine due to metabolic bi-products of the dye used in this medication." c. "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider." d. "I should eat spinach to increase my iron count if my INR goes below two." - ANSWER-a. "My warfarin dose may need to be readjusted when I take a course of antibiotics."