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Exam (elaborations)

D116 - Pharmacology - WGU Pre-Assessment

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D116 - Pharmacology - WGU Pre-Assessment WITH QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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D116 - Pharmacology - WGU Pre-Assessment (study plan)
Study online at https://quizlet.com/_f9cn8s

Inaccessibility of patient
care

Feedback:Limiting pre-
scriptive authority for
What factor can be attrib-
APRNs can create bar-
uted to limited prescriptive
riers to quality, afford-
authority for APRNs?
able, and accessible pa-
tient care. It may also
lead to poor collaboration
among providers and high-
er health care costs.
Ask the patient about the
number and frequency of
tablets taken.
A patient reports that
a medication prescribed
Feedback:using the drug
for recurrent migraine
as ordered. Asking the pa-
headaches is not working.
tient to tell the nurse how
Which action should be
many tablets are taken
taken first?
and how often helps the
nurse determine compli-
ance.
The patient is taking anoth-
er medication that binds to


, D116 - Pharmacology - WGU Pre-Assessment (study plan)
Study online at https://quizlet.com/_f9cn8s

A patient is receiving in- serum albumin
travenous gentamicin. A
serum drug test reveals Feedback:Gentamicin
toxic levels. The dosing is binds to albumin, but only
correct, and this medica- weakly, and in the
tion has been tolerated by presence of another drug
this patient in the past. that binds to albumin, it
Which could be a probable can rise to toxic levels in
cause of the test result? blood serum.
Binding of one or both
agents will be reduced,
Plasma levels of free drug
The nurse is administer- will rise, The increase in
ing morning medications. free drug will intensify ef-
The nurse gives a patient fects
multiple medications, two
of which compete for plas- Feedback:When two
ma albumin receptor sites. drugs bind to the same site
As a result of this con- on plasma albumin, coad-
current administration, the ministration of those drugs
nurse can anticipate that produces competition for
what might occur? Select binding. As a result, bind-
all that apply ing of one or both agents
is reduced, causing plas-
ma levels of free drug to
rise.The increase in free


, D116 - Pharmacology - WGU Pre-Assessment (study plan)
Study online at https://quizlet.com/_f9cn8s

drug can intensify the ef-
fect, but it usually under-
goes rapid elimination. The
increase in plasma levels
of free drug is rarely sus-
tained.
metabolism of drugs
A patient asks a nurse why
a friend who is taking the Feedback:The most com-
same drug responds dif- mon source of genetic vari-
ferently to that drug. The ation in drug response is
nurse knows that the most related to alterations in
common variation in drug drug metabolism and is de-
response is due to differ- termined by genetic codes
ences in each patient's: for various drug-metaboliz-
ing isoenzymes.
"I need to take it every day
to reduce the frequency of
A patient with migraines is migraines."
started on a beta block-
er. The nurse explains Feedback:When taken
the benefits of taking the prophylactically, medica-
medication for migraines. tions such as beta block-
ers can reduce the fre-
quency of migraine at-


, D116 - Pharmacology - WGU Pre-Assessment (study plan)
Study online at https://quizlet.com/_f9cn8s

tacks. They do not pro-
vide complete relief from
Which statement by the migraines. They do not re-
patient indicates an under- duce the duration of mi-
standing of the medica- graines. They are not effec-
tion's effects? tive for treating a migraine
once the migraine has be-
gun
To change the patch every
week.

Feedback: Transdermal
A prescriber orders trans- patches are to be changed
dermal clonidine [Cat- every 7 days. Medication
apres TTS] for a patient administered by patch has
with hypertension. What the same therapeutic ef-
will the nurse teach this pa- fect and adverse effects as
tient? that given by other routes,
except that localized skin
reactions may occur and
are common with clonidine
patches.
any history of alcohol
A 25-year-old patient has
abuse or compulsive be-
been newly diagnosed
haviors

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