NURS 6521 Advanced Pharmacology – Final Exam Q&A: Oncology Pharmacology, Endocrine & Reproductive Drugs

Description: A comprehensive final exam set with verified answers spanning oncology agents, endocrine therapies, and reproductive pharmacology. It highlights chemo adverse effects, targeted therapy considerations, BPH and fertility agents, gentamicin toxicity, and special populations. Structured for fast recall of indications, monitoring, and patient counseling. A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? - answerA 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 Page1 should recognize that the woman may benefit from - answerclomiphene. 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? - answerHeadaches 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 - answermicrocephaly A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication - answerOnce 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? - answerCells that have a rapid mitotic rate 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 - answerPuffiness 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 - answerboth the boy and his mother regarding all medication issued. A patient has been admitted to the critical care unit with a diagnosis of Page2 peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause - answerototoxicity 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 - answerperform 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 - answermarijuana 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? - answerInfiltration, edema, or phlebitis at the infusion site 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. - answerThe 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? - answerVaginal burning A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. Page3 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? - answerPhenytoin (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? - answerProstatic 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. Which of the following will have the greatest impact on the nurse's assessment? - answerWhere the medications will be stored A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of maternal cocaine use during pregnancy. These signs and symptoms are a result of what pathophysiological effect of opioid use