WGU Pharm OA TEST QUESTIONS WITH COMPLETE SOLUTIONS

WGU Pharm OA TEST QUESTIONS WITH
COMPLETE SOLUTIONS

1. A patient with chronic pain is prescribed fentanyl transdermal patches. Which
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of the following instructions should the nurse include in the patient's teaching?
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A. Apply the patch to the same site each time to ensure consistency.
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B. Change the patch every 72 hours and apply it to a new skin area.
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C. Remove the patch immediately if experiencing any itching at the application
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site.
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D. Place the patch directly over the painful area for optimal absorption. - CORRECT
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ANSWER✔✔-Answer: B. Change the patch every 72 hours and apply it to a new
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skin area.
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Rationale: Fentanyl patches should be changed every 72 hours and applied to a
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different skin area to avoid skin irritation and ensure effective drug absorption.
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A nurse is administering digoxin to a patient with heart failure. Which of the
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following assessment findings should cause the nurse to withhold the medication
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and notify the provider?
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A. Heart rate of 58 beats per minute.
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B. Blood pressure of 110/70 mmHg.
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C. Potassium level of 4.5 mEq/L.
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D. Respiratory rate of 18 breaths per minute. - CORRECT ANSWER✔✔-Answer: A.
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Heart rate of 58 beats per minute.
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, Rationale: Digoxin can slow the heart rate. If the heart rate is below 60 beats per
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minute, the nurse should withhold the medication and notify the provider due to
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the risk of bradycardia.
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A patient is receiving a continuous infusion of heparin for a pulmonary embolism.
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Which lab value should the nurse monitor to assess the effectiveness of the
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therapy?
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A. Platelet count
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B. Prothrombin time (PT)
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C. Partial thromboplastin time (PTT)
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D. Hematocrit - CORRECT ANSWER✔✔-Answer: C. Partial thromboplastin time (PTT)
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Rationale: The PTT is monitored to assess the therapeutic effect of heparin
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therapy. It helps to ensure that the patient is within the therapeutic range and
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avoids the risk of bleeding.
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A patient with type 2 diabetes mellitus is prescribed metformin. Which of the
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following instructions should the nurse provide to the patient?
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A. "Take this medication on an empty stomach for better absorption."
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B. "You may experience weight gain with this medication."
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C. "Avoid consuming alcohol while taking this medication."
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D. "If you miss a dose, double the next dose." - CORRECT ANSWER✔✔-Answer: C.
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"Avoid consuming alcohol while taking this medication."
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Rationale: Alcohol increases the risk of lactic acidosis in patients taking
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metformin. It is essential for patients to avoid alcohol to prevent adverse effects.
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