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Exam (elaborations)

NURS 6521N MIDTERM EXAM ADVANCED PHARMACOLOGY 2024 UPDATE

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NURS 6521N MIDTERM EXAM ADVANCED PHARMACOLOGY 2024 UPDATE

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NURS 6521N MIDTERM EXAM ADVANCED PHARMACOLOGY 2024 UPDATE


A nurse works at a weight management clinic. To which of the following overweight patients

could the nurse safely administer dextroamphetamine? - (ANSWER)A 48-year-old Caucasian
man who has adult-onset diabetes



A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following

complaints by this patient most likely indicated a need for this drug? - (ANSWER)"Lately, I have
to get up three or four times a night to go to the bathroom."



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 - (ANSWER)clomiphene.



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? - (ANSWER)Headaches and chest pain



A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been

consuming alcohol during her pregnancy. The nurse knows that using alcohol during

pregnancy may result in a child who presents with - (ANSWER)microcephaly



A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal

candidiasis. The patient should expect to take medication - (ANSWER)Once a day



An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague
the factors that contribute to the success or failure of a patient's chemotherapy. Which of the
following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? -
(ANSWER)Cells that have a rapid mitotic rate

,NURS 6521N MIDTERM EXAM ADVANCED PHARMACOLOGY 2024 UPDATE


A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive
diagnostic workup. Imatinib has been recommended as a component of the patient's drug

regimen. What patient education should the nurse provide to this patient?"It's important that
you let us know if you develop any significant swelling or - (ANSWER)Puffiness



A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be

taking two medications at home for an extended period. The nurse who is discharging the

patient should provide medication teaching specifically to - (ANSWER)both the boy and his
mother regarding all medication issued.

#@$#%^&^*
&(*
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has

necessitated treatment with gentamicin. As a result, the care team should be cautious when

concurrently administering other medications that may cause - (ANSWER)ototoxicity or
nephrotoxicity



A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each

treatment, the patient has acute nausea and vomiting accompanied by a slightly increased

heart rate. The nurse will advise her to - (ANSWER)perform relaxation techniques after the
treatments.



A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to

help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that

he or she is taking an oral form of - (ANSWER)marijuana



A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening

infection. Which of the following would be most important for the nurse to monitor? -
(ANSWER)Infiltration, edema, or phlebitis at the infusion site

, NURS 6521N MIDTERM EXAM ADVANCED PHARMACOLOGY 2024 UPDATE


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

adjustments to minimize adverse effects and prevent toxicity. - (ANSWER)The nurse should
make sure that serum levels of the drug are being monitored



Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-

year-old patient. When providing education to the patient and his wife, the nurse should

inform the wife about which of the following adverse effects? - (ANSWER)Vaginal burning

#@$#%^&^*
A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is &(*
pregnant. During the initial assessment, the nurse learns that the patient is currently taking
medications for diabetes, hypertension, and a seizure disorder. The nurse would be most
concerned about which of the following medications? - (ANSWER)Phenytoin (Dilantin)



A male patient with a medical background tells the nurse that he is not satisfied with the oral

synthetic testosterone that has been prescribed for him and he would like to try a natural form

of oral testosterone. Which of the following would be an appropriate response by the nurse? -
(ANSWER)"Natural testosterone undergoes a high first-pass effect and is not used orally."



A male patient is trying to decide if he should use finasteride (Proscar) to treat benign

prostatic hypertrophy (BPH). When providing information about the drug, the nurse will

include which of the following as a risk associated with finasteride therapy? -
(ANSWER)Prostatic neoplasia



A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at
home for 2 weeks. The child lives with his mother, grandmother, and four other children
between the ages of 14 months and 7 years. The home health nurse is asked to assess the home
environment to determine if it is appropriate for the child to take his medication at home.

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