NURS 676 Advanced Pharmacology Week 3 Exam ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
with accurate detailed solutions ||//\\|| ||//\\|| ||//\\||
A patient reports that a medication prescribed for recurrent migraine headaches is not
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
working. Which action should be taken first? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Ask the patient about the number and frequency of tablets taken.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
b. Assess the patient's headache pain on a scale from 1 to 10.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. Report the patient's complaint to the prescriber.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Suggest biofeedback as an adjunct to drug therapy.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Ask the patient about the number and frequency of tablets taken.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
How can collaboration with a pharmacist improve positive outcomes for patients? Select all
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
that apply. ||//\\||
a. Pharmacists can suggest foods that will help with the patient's condition.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
b. Pharmacists have additional information on drug interactions.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. The pharmacist can suggest adequate medication dosing.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Pharmacists have firsthand knowledge of the facility formulary.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: B,C,D ||//\\||
Providers should collaborate with pharmacists because they will likely have additional
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
information on formulary, drug interactions, and suggestions for adequate medication dosing. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Dietitians can make foods recommendations to treat the patient's condition. The pharmacist
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
can contact the prescriber about questionable prescriptions, but cannot alter the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
prescription without notification of and approval by the provider. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
We have an expert-written solution to this problem!
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
When prescribing drugs with a narrow therapeutic index, what intervention does the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
provider take to decrease risk to the patient? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Schedule drug administration intervals that exceed the drug's half-life.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
, b. Order the medication to be administered by the intravenous route.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. Monitor the patient's plasma drug levels at regular intervals.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Teach the patient that optimal outcomes will require adherence to the medication
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
regimen.
c. Monitor the patient's plasma drug levels at regular intervals.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
When administering medications to infants, it is important to remember which of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following? (select all) ||//\\|| ||//\\||
A. Infants have immature livers, which slows drug metabolism.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
B. oral medications are contraindicated in infants because a nurse cannot administer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
medication to an uncooperative patient. ||//\\|| ||//\\|| ||//\\|| ||//\\||
C. Immaturity of renal function causes infants to excrete drugs less efficiently.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D. Non-breastfeeding infants are less likely to develop toxicity when given double lipid-
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
soluble drugs. ||//\\||
E. Infants are more sensitive to medications that act on the CNS.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A. Infants have immature livers, which slows drug metabolism.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C. Immaturity of renal function causes infants to excrete drugs less efficiently.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
E. Infants are more sensitive to medications that act on the CNS.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
We have an expert-written solution to this problem!
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A frail older adult is admitted to the hospital after several days of vomiting, diarrhea, poor
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
intake of food and fluids, and anuria for 8 hours. In preparing to care for this patient, the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
nurse will look for what lab values to help guide medication administration? (select all)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A. Gastric pH
||//\\|| ||//\\||
B. Plasma drug levels
||//\\|| ||//\\|| ||//\\||
C. Serum creatinine
||//\\|| ||//\\||
D. Serum albumin
||//\\|| ||//\\||
E. Creatinine clearance
||//\\|| ||//\\||
B. Plasma drug levels
||//\\|| ||//\\|| ||//\\||
D. Serum albumin
||//\\|| ||//\\||
E. Creatinine clearance
||//\\|| ||//\\||
with accurate detailed solutions ||//\\|| ||//\\|| ||//\\||
A patient reports that a medication prescribed for recurrent migraine headaches is not
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
working. Which action should be taken first? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Ask the patient about the number and frequency of tablets taken.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
b. Assess the patient's headache pain on a scale from 1 to 10.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. Report the patient's complaint to the prescriber.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Suggest biofeedback as an adjunct to drug therapy.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Ask the patient about the number and frequency of tablets taken.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
How can collaboration with a pharmacist improve positive outcomes for patients? Select all
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
that apply. ||//\\||
a. Pharmacists can suggest foods that will help with the patient's condition.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
b. Pharmacists have additional information on drug interactions.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. The pharmacist can suggest adequate medication dosing.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Pharmacists have firsthand knowledge of the facility formulary.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: B,C,D ||//\\||
Providers should collaborate with pharmacists because they will likely have additional
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
information on formulary, drug interactions, and suggestions for adequate medication dosing. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Dietitians can make foods recommendations to treat the patient's condition. The pharmacist
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
can contact the prescriber about questionable prescriptions, but cannot alter the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
prescription without notification of and approval by the provider. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
We have an expert-written solution to this problem!
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
When prescribing drugs with a narrow therapeutic index, what intervention does the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
provider take to decrease risk to the patient? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a. Schedule drug administration intervals that exceed the drug's half-life.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
, b. Order the medication to be administered by the intravenous route.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
c. Monitor the patient's plasma drug levels at regular intervals.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
d. Teach the patient that optimal outcomes will require adherence to the medication
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
regimen.
c. Monitor the patient's plasma drug levels at regular intervals.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
When administering medications to infants, it is important to remember which of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following? (select all) ||//\\|| ||//\\||
A. Infants have immature livers, which slows drug metabolism.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
B. oral medications are contraindicated in infants because a nurse cannot administer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
medication to an uncooperative patient. ||//\\|| ||//\\|| ||//\\|| ||//\\||
C. Immaturity of renal function causes infants to excrete drugs less efficiently.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D. Non-breastfeeding infants are less likely to develop toxicity when given double lipid-
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
soluble drugs. ||//\\||
E. Infants are more sensitive to medications that act on the CNS.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A. Infants have immature livers, which slows drug metabolism.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C. Immaturity of renal function causes infants to excrete drugs less efficiently.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
E. Infants are more sensitive to medications that act on the CNS.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
We have an expert-written solution to this problem!
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A frail older adult is admitted to the hospital after several days of vomiting, diarrhea, poor
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
intake of food and fluids, and anuria for 8 hours. In preparing to care for this patient, the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
nurse will look for what lab values to help guide medication administration? (select all)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A. Gastric pH
||//\\|| ||//\\||
B. Plasma drug levels
||//\\|| ||//\\|| ||//\\||
C. Serum creatinine
||//\\|| ||//\\||
D. Serum albumin
||//\\|| ||//\\||
E. Creatinine clearance
||//\\|| ||//\\||
B. Plasma drug levels
||//\\|| ||//\\|| ||//\\||
D. Serum albumin
||//\\|| ||//\\||
E. Creatinine clearance
||//\\|| ||//\\||
