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WGU D441 Pharmacology | Complete Study Guide, Practice Questions, Answers & Objective Assessment (OA) Review

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Prepare for WGU D441: Pharmacology with this comprehensive study guide featuring detailed course notes, practice questions, answer explanations, and Objective Assessment (OA) review materials. Designed for Western Governors University nursing and healthcare students, this resource helps learners master essential pharmacology concepts and prepare confidently for assessments. This guide covers key D441 topics including pharmacokinetics, pharmacodynamics, medication administration, drug classifications, dosage calculations, adverse drug reactions, side effects, drug interactions, patient safety, medication monitoring, nursing considerations, therapeutic effects, contraindications, pharmacological treatment principles, and evidence-based medication management.

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WGU Pharmacology D441
WGU Pharmacology D441
Study online at https://quizlet.com/_hfed6e

1. A client receives a prescription for 200
ciprofloxacin 400 mg intravenously (IV)
every 12 hours to be infused over an
hour. The IV bag contains ciprofloxacin
400 mg in dextrose 5% in water (DW)
200 mL. The nurse should program the
infusion pump to deliver how many
mL/hr? (Enter numerical value only.)

2. A client with anemia secondary to .
chronic kidney disease (CKD) started D. Hemoglobin level
a prescription for epoetin alfa two
months ago. Which client finding best
indicates that the medication is effec-
tive?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to
11.2 mmol/L)

A. Reports of increased energy levels
and decreased fatigue.
B. Takes concurrent iron therapy with-
out adverse effects.
C. Food diary shows increased con-
sumption of iron-rich foods.
D. Hemoglobin level

3. The nurse administers naloxone to a A. Administer a second dose of naloxone.
client with opioid-induced respiratory
depression. One hour later, nursing as-
sessment reveals that the client has a
respiratory rate of 4 breaths/minute,


, WGU Pharmacology D441
WGU Pharmacology D441
Study online at https://quizlet.com/_hfed6e

oxygen saturation of 75%, and is un-
able to be aroused. Which action
should the nurse implement?

A. Administer a second dose of nalox-
one.
B. Determine Glasgow Coma Scale
score.
C. Initiate cardiopulmonary resuscita-
tion (CPR)
D. Prepare to assist with chest tube in-
sertion.

4. The healthcare provider prescribes D. Administer iodine one hour before PTU.
propylthiouracil (PTU) and Lugol's so-
lution, a strong iodine solution, for
a client with hyperthyroidism. How
should the nurse schedule the admin-
istration of these medications?

A. Offer both drugs together with a
meal.
B. Schedule both medications at bed-
time.
C. Give parental dose once every 24
hours.
D. Administer iodine one hour before
PTU.

5. The nurse is assessing a client who was B. Explore what the client means by the drug "is
recently diagnosed with Parkinson's not working."
disease and is taking carbidopa-lev-



, WGU Pharmacology D441
WGU Pharmacology D441
Study online at https://quizlet.com/_hfed6e

odopa. The client is concerned that the
medication is not working. Which inter-
vention should the nurse implement
first?

A. Ask if the dient's morning voids are
dark colored.
B. Explore what the client means by the
drug "is not working."
C. Evaluate the client for signs of dysk-
inesia.
D. Determine if the client is taking the
medication before meals.

6. A client who is taking dextroampheta- . Determine what time the dose is taken.
mine-amphetamine extended-release
tablets for attention deficit hyperactivi-
ty disorder (ADHD), reports about hav-
ing difficulty sleeping at night. Which
assessment is most important for the
nurse to obtain?

A. Determine what time the dose is tak-
en.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime rou-
tine.
D. Inquire about perceived anxiety.

7. A client receives a prescription for al- D. Double the dose if a dose is missed.
lopurinol. Which information provid-
ed by the client requires additional in-

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