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WGU D441 PHARMACOLOGY|PA|PRE-ASSESSMENT | QUESTIONS AND ANSWERS | LATEST UPDATE | FULLY SOLVED

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WGU D441 PHARMACOLOGY|PA|PRE-ASSESSMENT | QUESTIONS AND ANSWERS | LATEST UPDATE | FULLY SOLVED

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WGU D441 PHARMACOLOGY|PA|PRE-
ASSESSMENT




Correct

Incorrect




1 of 56

Term


A client who is experiencing vasomotor symptoms related to
menopause receives a new prescription for estrogen replacement.
Which client condition should the nurse report the healthcare
provider prior to administering the first dose of the medication?


A. Colorectal cancer.
B. Pulmonary embolism.
C. Dyspareunia.
D. Osteoporosis.



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, B. Avoid crowds and people who
D. Rapid weight gain.
are sick.




B. Use an additional form of
B. Pulmonary embolism.
contraception.


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2 of 56

Term


A client with generalized anxiety disorder (GAD) receives a new
prescription for lorazepam. Which statement provided by the
client requires additional instruction by the nurse?


A. Use relaxation techniques to reduce excessive anxiety.
B. Move slowly from a sitting position to a standing position.
C. Avoid alcohol and other sedatives while taking the medication.
D. Stop taking the medication if intended effect is not immediate



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D. Hemoglobin level increased to 12 C. Avoid driving, since this
g/dL (7.45 mmol/L). medication causes drowsiness




D. Stop taking the medication
D. Decrease cigarette use to a pack
if intended effect is not
per day.
immediate

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3 of 56

Term


The nurse is assessing a client who was recently diagnosed with
Parkinson's disease and is taking carbidopa-levodopa. The client is
concerned that the medication is not working. Which intervention
should the nurse implement first?
A. Explore what the client means by the drug "is not working."
B. Determine if the client is taking the medication before meals.
C. Evaluate the client for signs of dyskinesia.
D. Ask if the client's morning voids are dark colored.



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A. Explore what the client
B. Explore what the client means by
means by the drug "is not
the drug "is not working."
working."




C. Serum potassium level of 3.8 A. Rinsing the mouth with water
mEq/L (3.8 mmol/L). should be done after each use.


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4 of 56

Term



A client receives a prescription for penicillin G 1,000,000 units
intramuscular (IM) daily. The medication is available in 1,200,000

, units/2 mL syringe. How many mL should the nurse administer?
(Enter numeric value only. If rounding is required, round to the
nearest tenth.)



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37.5
Determine the concentration of magnesium sulfate in the IV bag:
The IV bag contains 4 grams (4000 mg) of magnesium sulfate in 500 mL.
Concentration = 4000 mg / 500 mL = 8 mg/mL
Determine the prescribed infusion rate:
The prescription is for 300 mg/hour.
Calculate the infusion rate in mL/hour:
Infusion rate (mL/hour) = Prescribed dose (mg/hour) / Concentration (mg/mL)
Infusion rate (mL/hour) = 300 mg/hour / 8 mg/mL
Infusion rate (mL/hour) = 37.5 mL/hour




4
Calculations:
Desired dose: 1.2 million units
Available dose: 600,000 units/2 mL
To find the volume to administer, we can use the following formula:
Volume to administer = (Desired dose / Available dose) * Volume per dose
Volume to administer = (1,200,000 units / 600,000 units/mL) * 2 mL = 4 mL
Therefore, the nurse should administer 4 mL of the penicillin solution.




1.7
To find out how many mL the nurse should administer:
We can set up a proportion to solve for the unknown.
Given:
The prescription is for 1,000,000 units of penicillin G.
The available medication is 1,200,000 units/2 mL.
We can set up the proportion as follows:
1,000,000 units/ x mL = 1,200,000 units/2 mL
Solving for x gives us the volume in mL that the nurse should administer.
Cross-multiplying and solving for x:

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