NURS 6521 Advanced Pharmacology Final Exam Study Guide – Nursing Q&A

6521sAdvancedsPharmacologysFinal

Asnursesisscaringsforsansinfantsaftersassurgicalsprocedure.sAftersensuringstha
tsthesorderedsdosesissappropriatesforsthesinfant'ssagesandsweight,sthesnursesa
dministerssasnarcoticsanalgesicsintravenously.sWhensassessingsthesinfants1
5sminutesslater,sthesnursesnotessrespirationssofs22sbreaths/
minutesandsasheartsratesofs110sbeats/
minute.sThesinfantsissasleepsinsthesparent'ssarmssandsdoessnotsawakenswhen
svitalssignssaresassessed.sThesnursesunderstandssthatsthesesfindingssaresthesr

esultsof:s-sCORRECTsANSWER✔immaturitysofsthesblood-
brainsbarriersinsthesinfant.


Aschildswillsreceives750smgsofsansantibioticsfors10sdays.sTheschildsattendssd
ayscare.sThesdrugsmaysbesdosedsinsseveralswayssandsissavailablesinstwoscon
centrations.sWhichsdosingsregimenswillsthesnursesdiscussswithstheschild'ssp
rovider?s-
sCORRECTsANSWER✔500smg/5smLstos375smgsPOstwicesdaily




Parentssasksthesnurseswhysansover-the-
counterscoughssuppressantswithssedativessideseffectssissnotsrecommendedsf
orsinfants.sWhichsresponsesbysthesnursesisscorrect?s-
sCORRECTsANSWER✔"Infantssaresmoressusceptiblestoscentralsnervouss

systemseffectssthansaresadults."


Asnursescaringsforsas5-year-
oldschildsnotessthatstheschildshassdiscolorationsofsseveralsteeth.sWhenstakin
gsasmedicationshistory,sthesnurseswillsasksaboutswhichsgroupsofsmedication
s?s-sCORRECTsANSWER✔Tetracyclines

,Ansinfantshassallergiessandsoftensdevelopssaspruriticsrashswhensexposedstos
allergens.sThesinfant'ssparentssasksthesnursesaboutsusingsastopicalsantihista
mine.sWhatsshouldsthesnursestellsthem?s-
sCORRECTsANSWER✔Applyingsansantihistamine stosthesskinscanscauses

toxicitysinsthissagesgroup.


Ansinfantsissreceivingsasmedicationsthatshassasnarrowstherapeuticsrange.sTh
esnursesreviewssthesmedicationsinformationsandslearnssthatsthesdrugsissexcr
etedsbystheskidneys.sWhensgivingsthesmedication,sthesnurseswillsassesssthesi
nfantsfor:s-sCORRECTsANSWER✔signssofsdrugstoxicity.


Aspediatricsnursesissteachingsnursingsstudentsstoscalculatesmedicationsdose
ssforschildrensusingsasformulasbasedsonsbodyssurfacesarea.sWhichsstatement
sbysasnursingsstudentsindicatessunderstandingsofsthesteaching?s-

sCORRECTsANSWER✔"Thissformulashelpssapproximatesthesfirstsdose;s

othersdosessshouldsbesbasedsonsclinicalsobservations."


Aspediatricsnursesissteachingsnursingsstudentssaboutsmedicationsadministra
tionsinschildren.sWhichsstatementsbysasstudentsindicatessansunderstandingso
fsthesteaching?s-
sCORRECTsANSWER✔"Drugsseffective sinsadultssmaysnotsworksinschild

ren,sevensifsthesdosesissproportionalsforsweightsandssize."


Asnursesissteachingsnursingsstudentssaboutspediatricsmedicationsadministra
tion.sWhatswillsthesnursesincludeswhensdiscussingspediatricsdrugsresearch?
s-

,sCORRECTsANSWER✔Studiessshowedsassignificantspercentagesofsunan
ticipatedsandspotentiallyslethalssideseffectssinschildren.


Asprescribershassorderedsmedicationsforsasnewborn.sThesmedicationsisselim
inatedsprimarilysbyshepaticsmetabolism.sThesnursesexpectssthesprescriberst
o:s-sCORRECTsANSWER✔ordersasdosesthatsisslowersthansansadultsdose.


Thesparentssofsaschildswithsasthmasasksthesnurseswhystheirschildscansnotsuse
soralscorticosteroidssmoresoften,sbecausestheysaressoseffective.sThesnursesw

illsofferswhichsinformationsthatsisstruesforschildren?s-
sCORRECTsANSWER✔Chronicssteroid susescansinhibitsgrowth.




Aspatientswithsschizophreniasreceivessasdosesofsrisperidones[RisperdalsCon
sta]sIM.sThesnursesteachingsthisspatientsaboutsthissmedicationswillsmakesw
hichsstatement?s-
sCORRECTsANSWER✔"Youswillsneedstostakesansoralsantipsychoticsdru

gsfors3sweeks."


Aspatientswithsschizophreniasshowsssuicidalsbehaviors,sandsthesprovidersor
derssclozapines[Clozaril].sThesnursesteachessthesfamilysaboutsthesmedicatio
nsandsitsssideseffects.sWhichsstatementsbysasfamilysmembersindicatessasnee
dsforsfurthersteachingsaboutsthissdrug?s-
sCORRECTsANSWER✔"IfsthesANCsisslesssthans3000,sthesdrugswillsbesdi

scontinuedspermanently."


Aspatientsinswhomsdrugstherapyshassfailedsseveralstimessinsthespastsissread
mittedstosashospitalstosbeginstherapysforsschizophrenia.sWhatswillsthesnurses
dostoshelpsimprovesadherence?s-

, CORRECTsANSWER✔Teachsthespatientsaboutsdrugssideseffectssandsho
s

wstosmanagesthem.


AsnursesprovidessteachingsforsaspatientsaboutstosbeginstakingsansFGAsdrugs
forsschizophrenia.sWhichsstatementsbysthespatientsindicatessasneedsforsfurt
hersteachingsaboutssideseffectssofsthesesdrugs?s-
sCORRECTsANSWER✔"Drysmouthsandsconstipation saresuncommonswi

thsthissmedication."


AspatientstakingsansFGAsmedicationsdevelopssseveresparkinsonismsandsisst
reatedswithsamantadines[Symmetrel].sThesamantadinesisswithdrawns2smon
thsslater,sandsthesparkinsonismsreturns.sThesnurseswillsexpectsthesproviderst
o:s-sCORRECTsANSWER✔trysassecond-
generationsantipsychotics(SGA).


Whatsaresnegativessymptomssofsschizophrenia?sSelectsallsthatsapply.s-
sCORRECTsANSWER✔Poorsjudgment



Poorsself-care
Povertysofsspeech


AspatientsisstakingsansFGAsforsschizophrenia.sThesnursesnotessthatsthespati
entshasstroublesspeakingsandschewingsandsobservessslow,swormlike-
movementssofsthespatient'sstongue.sThesnursesrecognizesswhichsadverseseff
ectsinsthisspatient?s-sCORRECTsANSWER✔Tardivesdyskinesia


Asnursesandsasnursingsstudentsaresdiscussingsthesplansofscaresforsaspatientsw
ithsschizophrenia.sThespatient,swhoshassbeenstakingsashigh-