NURS 6521 UPGRADED PHARMACOLOGICAL AND NURSING QUESTIONS AND ANSWERS FOR RELIABLE REVISION

NURS 6521 UPGRADED PHARMACOLOGICAL AND NURSING QUESTIONS AND ANSWERS FOR RELIABLE REVISION 1. Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided - Answer A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an 2. order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following 3. increased HR and decrease BP - Answer An expected outcome for a patient who has just taken sublingual nitroglycerin should be 10 mg - Answer A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? 4. Nitrate tolerance - Answer A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for ... 5. Blood pressure - Answer A patient is admitted to the emergency department with severe chest pain. The 6. emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate 7. dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before 8. administering the nitroglycerin, the nurse should prioritize which of the following assessments? 9. Dizziness - Answer A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine 10. (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse 11. attribute to being a common adverse effect of this medication? 12. crush the capsule and ask the patient to inhale the vapors - Answer A 45-year-old man enters the emergency department complaining of chest pain. The 13. nurse has an order to administer amyl nitrite. The nurse will... 14. keep the tablets in the original dark bottle. - Answer A patient is being discharged home with a prescription for sublingual nitroglycerin. 15. The nurse will instruct the patient and family to... 16. don a pair of gloves - Answer A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's initial 17. action will be to... 18. have the patient go into his house and sit or lie down - Answer A patient calls the clinic and reports that he is having chest pain. The patient states that 19. ì'm scared that I am going to die and I've been pacing up and down my driveway.î 20. After calming the patient, the initial instruction by the nurse would be to... 21. A nurse works at a weight management clinic. To which of the following overweight patients 22. could the nurse safely administer dextroamphetamine? - Answer A 48-year-old Caucasian man who has adult-onset diabetes 23. A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following 24. 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." 25. After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband 26. have sought a referral to a fertility specialist in order to explore their options. A nurse at the 27. clinic should recognize that the woman may benefit from - Answer clomiphene. 28. 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 29. A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been 30. consuming alcohol during her pregnancy. The nurse knows that using alcohol during 31. pregnancy may result in a child who presents with - Answer microcephaly 32. A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal 33. candidiasis. The patient should expect to take medication - Answer Once a day 34. 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 35. 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 36. 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 37. A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be 38. taking two medications at home for an extended period. The nurse who is discharging the 39. patient should provide medication teaching specifically to - Answer both the boy and his mother regarding all medication issued. 40. A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has 41. necessitated treatment with gentamicin. As a result, the care team should be cautious when 42. concurrently administering other medications that may cause - Answer ototoxicity or nephrotoxicity 43. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each 44. treatment, the patient has acute nausea and vomiting accompanied by a slightly increased 45. heart rate. The nurse will advise her to - Answer perform relaxation techniques after the treatments. 46. A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to 47. help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that 48. he or she is taking an oral form of - Answer marijuana 49. A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening 50. infection. Which of the following would be most important for the nurse to monitor? - Answer Infiltration, edema, or phlebitis at the infusion site 51. A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may 52. pose a risk to both the mother and the fetus. The primary care physician has made dosage 53. adjustments to minimize adverse effects and prevent toxicity. - Answer The nurse should make sure that serum levels of the drug are being monitored 54. Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42- 55. year-old patient. When providing education to the patient and his wife, the nurse should 56. inform the wife about which of the following adverse effects? - Answer Vaginal burning 57. 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) 58. A male patient with a medical background tells the nurse that he is not satisfied with the oral 59. synthetic testosterone that has been prescribed for him and he would like to try a natural form 60. 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." 61. A male patient is trying to decide if he should use finasteride (Proscar) to treat benign 62. prostatic hypertrophy (BPH). When providing information about the drug, the nurse will 63. include which of the following as a