NURS 676 FINAL EXAM LATEST VERSION 3 ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
QUESTIONS WITH ||//\\|| ||//\\||
ANSWERS
• Question 1 ||//\\||
Black cohosh is an herb that is commonly used for
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Menopausal symptoms || // \ \ | |
• Question 2 ||//\\||
A 6-month-old child has developed skin irritation due to an allergic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
reaction. He has been prescribed a topical skin ointment. The nurse will ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
consider which of the following before administering the drug? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: That the infant's skin has greater permeability than that of an ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 3 adult ||//\\|| ||//\\||
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
headaches. His mother reports that she gives him Tylenol at least three times a day. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Which of the following will the nurse work with the physician to evaluate?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Hepatic function ||//\\||
• Question 4 ||//\\||
A nurse practitioner has administered filgrastim to a diverse group of patients in recent
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
months. Which of the following patients should the nurse observe for extremely ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
elevated white blood cell counts following administration of the drug? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: A 19-year-old male receiving radiotherapy
||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 5 ||//\\||
A 51-year-old female patient has been receiving doxorubicin (Adriamycin)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
for metastatic breast cancer. Her medical record indicates she has
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Which of the following measures would help limit the severity of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cardiomyopathy in this patient? ||//\\|| ||//\\|| ||//\\||
ANS: The use of dexrazoxane in conjunction with ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 6 doxorubicin ||//\\|| ||//\\||
Women who are prescribed progestin-only contraception need education regarding
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which common adverse drug effect? ||//\\|| ||//\\|| ||//\\|| ||//\\||
, ANS: Irregular vaginal bleeding for the first few months ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 7 ||//\\||
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
monitor which of the following? ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Potassium level ||//\\||
• Question 8 ||//\\||
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A
microscopic exam reveals trichomonas vaginalis. The nurse practitioner is ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
aware that ||//\\||
ANS: asymptomatic women are diagnosed with trichomoniasis by a routine
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
pap smear. ||//\\||
• Question 9 ||//\\||
A 59-year-old man with a recent history of erectile dysfunction has been
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
assessed and prescribed sildenafil (Viagra). When providing patient ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
education to this man, the nurse should tell him which of the following? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: "You might find that your face becomes flushed or you get a
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
headache after you take Viagra." ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 10 ||//\\||
A patient with chronic heart failure has begun treatment with epoetin alfa,
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which she will receive in her own home from a home health nurse. The nurse
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should teach the patient to supplement this treatment with a diet that is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
high in ||//\\||
ANS: iron-rich foods such as beans and leafy green vegetables. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 11 ||//\\||
A patient is receiving long-term clindamycin therapy for a life-threatening
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
infection. The nurse will begin by monitoring this drug therapy by ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
obtaining
ANS: a baseline complete blood count.
||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 12 ||//\\||
A 35-year-old woman is on a weight-loss program and is to begin taking
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
sibutramine (Meridia). After baseline physical data are obtained, the nurse ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
will assess the patient's childbearing potential. The nurse will inform the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient that during sibutramine therapy she should ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: use ||//\\||
adequate ||//\\||
contraceptio
n.
, • Question 13 ||//\\||
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?
ANS: "Lately, I have to get up three or four times a night to go ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
to the bathroom." ||//\\|| ||//\\||
• Question 14 ||//\\||
A patient is receiving radiotherapy for an overactive thyroid gland and asks
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
whether her milk is safe for her baby. If her treatment cannot be ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
discontinued, what should the nurse recommend? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Advise her to discard her breast milk in a biohazard container, as it is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
unsafe for the baby. ||//\\|| ||//\\|| ||//\\||
• Question 15 ||//\\||
A pregnant patient who has diabetes has been admitted to the hospital to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
begin labor. Since the patient has diabetes, the physician has decided to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
use oxytocin (Pitocin) to initiate labor contractions. When talking to the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient about the adverse effects of the drug, the nurse should understand ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
that the most common adverse effects of the drug include
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: uterine tachysystole. ||//\\||
• Question 16 ||//\\||
A male patient has been brought to the emergency department during an
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
episode of status epilepticus. Diazepam is to be administered ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
intravenously. The APRN will be sure to ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: avoid the small veins in the dorsum of the hand or the wrist.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 17 ||//\\||
A Nurse Practitioner works at a weight management clinic. To which of the
||//\\|| ||//\\|| | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| | | / / \ \ | | | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following overweight patients could the nurse safely administer dextroamphetamine? ||//\\|| | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: A 48-year-old Caucasian man who has adult- onset diabetes
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 18 ||//\\||
All insects have an FDA black box warning regarding
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Potential for causing life-threatening ||//\\|| ||//\\|| ||//\\||
G.I. bleed ||//\\||
QUESTIONS WITH ||//\\|| ||//\\||
ANSWERS
• Question 1 ||//\\||
Black cohosh is an herb that is commonly used for
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Menopausal symptoms || // \ \ | |
• Question 2 ||//\\||
A 6-month-old child has developed skin irritation due to an allergic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
reaction. He has been prescribed a topical skin ointment. The nurse will ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
consider which of the following before administering the drug? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: That the infant's skin has greater permeability than that of an ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 3 adult ||//\\|| ||//\\||
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
headaches. His mother reports that she gives him Tylenol at least three times a day. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Which of the following will the nurse work with the physician to evaluate?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Hepatic function ||//\\||
• Question 4 ||//\\||
A nurse practitioner has administered filgrastim to a diverse group of patients in recent
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
months. Which of the following patients should the nurse observe for extremely ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
elevated white blood cell counts following administration of the drug? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: A 19-year-old male receiving radiotherapy
||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 5 ||//\\||
A 51-year-old female patient has been receiving doxorubicin (Adriamycin)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
for metastatic breast cancer. Her medical record indicates she has
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Which of the following measures would help limit the severity of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
cardiomyopathy in this patient? ||//\\|| ||//\\|| ||//\\||
ANS: The use of dexrazoxane in conjunction with ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 6 doxorubicin ||//\\|| ||//\\||
Women who are prescribed progestin-only contraception need education regarding
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which common adverse drug effect? ||//\\|| ||//\\|| ||//\\|| ||//\\||
, ANS: Irregular vaginal bleeding for the first few months ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 7 ||//\\||
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
monitor which of the following? ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Potassium level ||//\\||
• Question 8 ||//\\||
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A
microscopic exam reveals trichomonas vaginalis. The nurse practitioner is ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
aware that ||//\\||
ANS: asymptomatic women are diagnosed with trichomoniasis by a routine
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
pap smear. ||//\\||
• Question 9 ||//\\||
A 59-year-old man with a recent history of erectile dysfunction has been
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
assessed and prescribed sildenafil (Viagra). When providing patient ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
education to this man, the nurse should tell him which of the following? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: "You might find that your face becomes flushed or you get a
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
headache after you take Viagra." ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 10 ||//\\||
A patient with chronic heart failure has begun treatment with epoetin alfa,
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which she will receive in her own home from a home health nurse. The nurse
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should teach the patient to supplement this treatment with a diet that is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
high in ||//\\||
ANS: iron-rich foods such as beans and leafy green vegetables. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 11 ||//\\||
A patient is receiving long-term clindamycin therapy for a life-threatening
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
infection. The nurse will begin by monitoring this drug therapy by ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
obtaining
ANS: a baseline complete blood count.
||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 12 ||//\\||
A 35-year-old woman is on a weight-loss program and is to begin taking
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
sibutramine (Meridia). After baseline physical data are obtained, the nurse ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
will assess the patient's childbearing potential. The nurse will inform the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient that during sibutramine therapy she should ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: use ||//\\||
adequate ||//\\||
contraceptio
n.
, • Question 13 ||//\\||
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?
ANS: "Lately, I have to get up three or four times a night to go ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
to the bathroom." ||//\\|| ||//\\||
• Question 14 ||//\\||
A patient is receiving radiotherapy for an overactive thyroid gland and asks
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
whether her milk is safe for her baby. If her treatment cannot be ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
discontinued, what should the nurse recommend? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Advise her to discard her breast milk in a biohazard container, as it is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
unsafe for the baby. ||//\\|| ||//\\|| ||//\\||
• Question 15 ||//\\||
A pregnant patient who has diabetes has been admitted to the hospital to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
begin labor. Since the patient has diabetes, the physician has decided to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
use oxytocin (Pitocin) to initiate labor contractions. When talking to the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient about the adverse effects of the drug, the nurse should understand ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
that the most common adverse effects of the drug include
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: uterine tachysystole. ||//\\||
• Question 16 ||//\\||
A male patient has been brought to the emergency department during an
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
episode of status epilepticus. Diazepam is to be administered ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
intravenously. The APRN will be sure to ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: avoid the small veins in the dorsum of the hand or the wrist.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 17 ||//\\||
A Nurse Practitioner works at a weight management clinic. To which of the
||//\\|| ||//\\|| | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| | | / / \ \ | | | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following overweight patients could the nurse safely administer dextroamphetamine? ||//\\|| | | / / \ \ | | ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: A 48-year-old Caucasian man who has adult- onset diabetes
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
• Question 18 ||//\\||
All insects have an FDA black box warning regarding
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ANS: Potential for causing life-threatening ||//\\|| ||//\\|| ||//\\||
G.I. bleed ||//\\||
