NURS 6521 WEEK 5 QUIZ
Course NURS-6521N-37,Advanced Pharmacology.2018 Summer
Qtr 05/29-08/19-PT27
Test Week 5 - Quiz
Started 7/1/18 5:54 PM
Submitted 7/1/18 7:08 PM
Due Date 7/2/18 1:59 AM
Status Completed
Attempt 29 out of 30 points
Score
Time Elapsed 1 hour, 14 minutes out of 1 hour and 15 minutes
Instructions Please answer each question below and click Submit when
you have completed the Quiz.
Results Feedback
Displayed
• Question 1
1 out of 1 points
A nurse who provides care on an acute medicine unit has frequently
recommended the use of nicotine replacement gum for patients who
express a willingness to quit smoking during their admission or following
their discharge. For which of the following patients would nicotine gum
be contraindicated?
Response Nicotine in any dosage form should not be used in
Feedback: patients immediately after myocardial infarction, or in
those with life- threatening arrhythmias or severe or
worsening angina pectoris. Antibiotics, anticoagulants,
and renal failure are not contraindications for the use of
nicotine as an aid to smoking cessation.
• Question 2
1 out of 1 points
A 64-year-old-patient has been prescribed lorazepam (Ativan)
because of increasing periods of anxiety. The nurse should be
careful to assess for
Response The patient who has history of alcohol or substance abuse
Feedback: may be a poor candidate for lorazepam because the
patient is more likely to develop dependence on the drug.
Alcohol will also have an additive effect with lorazepam. A
diet high in fat and carbohydrates or nicotine use should
not affect the use of lorazepam.
• Question 3
1 out of 1 points
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
, Response Phenytoin reversibly binds to sodium channels while they
Feedback: are in the inactive state. This binding delays the return of
the channel to an active state. Because sodium can enter
the cell to initiate an action potential only when the
channels are active, the time between action potentials is
greatly lengthened, the neurons cannot fire at an excessive
rate, and excessive muscle contractions that occur in grand
mal-type seizures are prevented. Phenytoin does not
directly affect the function of calcium channels or levels of
GABA and glutamate.
• Question 4
0 out of 1 points
A patient has been admitted to the ICU because of multiple traumas due
to a motor vehicle accident. The physician has ordered propofol
(Diprivan) to be used for maintenance of sedation. Before administration
of propofol, a priority assessment by the nurse would be to check for a
history of
Response Propofol is relatively contraindicated in patients with a
Feedback: history of seizure disorders because they are at risk of
developing convulsions during the recovery phase. This
drug should be used with caution in patients with low blood
pressure because it can aggravate this condition. Also, it
should be used with caution in patients with increased
intraocular pressure because it can cause a substantial
reduction in cerebral perfusion. Because disorders of lipid
metabolism can be aggravated by the emulsion vehicle in
which propofol is delivered, it should be used with caution
in patients with diabetic hyperlipidemia.
• Question 5
1 out of 1 points
The wife of a patient who is taking haloperidol calls the clinic and reports
that her husband has taken the first dose of the drug and it is not having
a therapeutic effect. An appropriate response by the nurse would be
Response The nurse should instruct the wife to continue offering her
Feedback: husband the drug and that it will probably take several
days to reach its full therapeutic effect. The dosage would
not be increased, decreased, or discontinued.
• Question 6
1 out of 1 points
A 20-year-old man has begun treatment of the psychotic symptoms of
schizophrenia using olanzapine (Zyprexa). Which of the following
symptoms would be categorized as a negative symptom of
schizophrenia?
Course NURS-6521N-37,Advanced Pharmacology.2018 Summer
Qtr 05/29-08/19-PT27
Test Week 5 - Quiz
Started 7/1/18 5:54 PM
Submitted 7/1/18 7:08 PM
Due Date 7/2/18 1:59 AM
Status Completed
Attempt 29 out of 30 points
Score
Time Elapsed 1 hour, 14 minutes out of 1 hour and 15 minutes
Instructions Please answer each question below and click Submit when
you have completed the Quiz.
Results Feedback
Displayed
• Question 1
1 out of 1 points
A nurse who provides care on an acute medicine unit has frequently
recommended the use of nicotine replacement gum for patients who
express a willingness to quit smoking during their admission or following
their discharge. For which of the following patients would nicotine gum
be contraindicated?
Response Nicotine in any dosage form should not be used in
Feedback: patients immediately after myocardial infarction, or in
those with life- threatening arrhythmias or severe or
worsening angina pectoris. Antibiotics, anticoagulants,
and renal failure are not contraindications for the use of
nicotine as an aid to smoking cessation.
• Question 2
1 out of 1 points
A 64-year-old-patient has been prescribed lorazepam (Ativan)
because of increasing periods of anxiety. The nurse should be
careful to assess for
Response The patient who has history of alcohol or substance abuse
Feedback: may be a poor candidate for lorazepam because the
patient is more likely to develop dependence on the drug.
Alcohol will also have an additive effect with lorazepam. A
diet high in fat and carbohydrates or nicotine use should
not affect the use of lorazepam.
• Question 3
1 out of 1 points
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
, Response Phenytoin reversibly binds to sodium channels while they
Feedback: are in the inactive state. This binding delays the return of
the channel to an active state. Because sodium can enter
the cell to initiate an action potential only when the
channels are active, the time between action potentials is
greatly lengthened, the neurons cannot fire at an excessive
rate, and excessive muscle contractions that occur in grand
mal-type seizures are prevented. Phenytoin does not
directly affect the function of calcium channels or levels of
GABA and glutamate.
• Question 4
0 out of 1 points
A patient has been admitted to the ICU because of multiple traumas due
to a motor vehicle accident. The physician has ordered propofol
(Diprivan) to be used for maintenance of sedation. Before administration
of propofol, a priority assessment by the nurse would be to check for a
history of
Response Propofol is relatively contraindicated in patients with a
Feedback: history of seizure disorders because they are at risk of
developing convulsions during the recovery phase. This
drug should be used with caution in patients with low blood
pressure because it can aggravate this condition. Also, it
should be used with caution in patients with increased
intraocular pressure because it can cause a substantial
reduction in cerebral perfusion. Because disorders of lipid
metabolism can be aggravated by the emulsion vehicle in
which propofol is delivered, it should be used with caution
in patients with diabetic hyperlipidemia.
• Question 5
1 out of 1 points
The wife of a patient who is taking haloperidol calls the clinic and reports
that her husband has taken the first dose of the drug and it is not having
a therapeutic effect. An appropriate response by the nurse would be
Response The nurse should instruct the wife to continue offering her
Feedback: husband the drug and that it will probably take several
days to reach its full therapeutic effect. The dosage would
not be increased, decreased, or discontinued.
• Question 6
1 out of 1 points
A 20-year-old man has begun treatment of the psychotic symptoms of
schizophrenia using olanzapine (Zyprexa). Which of the following
symptoms would be categorized as a negative symptom of
schizophrenia?
