Walden University NURS6521/NURS 6521 Midterm Exam Fall QTR With Verified Solutions. Accurate Updated Version.

Walden University NURS6521/NURS 6521 Midterm Exam Fall QTR With Verified Solutions. Accurate Updated Version. In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to - CORRECT ANStake their medication at the prescribed times. A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? - CORRECT ANSIt is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. of the following assessment findings should an assisted living facility has begun taking daily oral Following an assessment by her primary care provider, a 70-year-old resident of doses of levothyroxine. Which prompt the nurse to withhold a scheduled dose of levothyroxine? - CORRECT ANSThe resident's apical heart rate is 112 beats/minute with a regular rhythm processes protects the lower respiratory system? - CORRECT ANSCilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will instruct the patient to take the medication - CORRECT ANSat bedtime. A Nurse Practitioner who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the Nurse Practitioner should encourage them to - CORRECT ANSconsult their care provider before taking new over-the-counter medications. A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? - CORRECT ANSTaking several drugs simultaneously A diabetic patient being treated for obesity tells the Nurse Practitioner that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the Nurse Practitioner's immediate attention? - CORRECT ANSIncreased blood glucose A 22-year-old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at bedtime and regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin? - CORRECT ANSTake 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15 minutes before each meal decongestants should not be used chronically (5 days) because they can cause - CORRECT ANSrebound rhinitis/congestion The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggest the parents to use in these situations? - CORRECT ANSAlbuterol A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by - CORRECT ANSblocking adrenergic receptors and producing antisympathetic effects. A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? - CORRECT ANSLate afternoon A child with sinusitis has been on antibiotics for seven days and his symptoms are not improving., All of the following are options to prescribe for the patient now EXCEPT: - CORRECT ANSAmoxicillin/clavulanic acid The Nurse Practitioner's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? - CORRECT ANS"I broke out in hives and got terribly itchy when I started a new prescription last year." A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? - CORRECT ANSThe patient's protein deficit will likely increase the levels of the free drug in his blood. A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAS more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? - CORRECT ANSThe parietal cells of the stomach have H2 receptors but not H1 receptors. A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? - CORRECT ANSThe amount of alcohol consumption In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient's hypertension? - CORRECT ANSUsing the two drugs to treat a health problem may create a synergistic effect. A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? - CORRECT ANS"Quitting smoking will significantly increase the chance that this drug will heal your ulcer." The APRN should educate a diabetic patient that beta blockers may mask the signs and symptoms of - CORRECT ANShypoglycemia A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self- administration of a drug? - CORRECT ANSThe therapeutic effects and possible adverse effects Advanced practice nurse prescribing of scheduled medications is affected most by: - CORRECT ANSCombined state medical / pharmacy /nursing prescribing board regulations The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting blood sugar of 312 and HBA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide? - CORRECT ANSGive 19 units of Lantus subcutaneously prior to bedtime. A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient's - CORRECT ANSmedication history. A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? - CORRECT ANS"No, the drug dosage will likely stay the same." A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? - CORRECT ANSNeed for additional bronchodilation A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by - CORRECT ANSdecreasing the influx of sodium into neurons.