NURS 6521Midterm Spring Exam 2021/2022.

NURS 6521Midterm Spring Exam 2021/2022. A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? Selected Answer: "No, the drug dosage will likely stay the same." Question 2 1 out of 1 points A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that Selected Answer: she must be prepared to show identification when buying a drug that contains pseudoephedrine. Question 3 1 out of 1 points A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? Selected Answer: The parietal cells of the stomach have H2 receptors but not H1 receptors. Question 4 1 out of 1 points Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selected Answer: Gastrointestinal distress Question 5 1 out of 1 points Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? Selected Answer: The woman will be more susceptible to hypotension than a younger patient. Question 6 1 out of 1 points A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? Selected Answer: Taking several drugs simultaneously Question 7 1 out of 1 points A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to Selected Answer: remove the contact lenses before applying the drops. Question 8 1 out of 1 points A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to Selected Answer: omit the dose if the meal does not contain fat. Question 9 1 out of 1 points The APRN is seeing Mrs. Smith, age 77, who is here for follow up of hypertension, dyslipidemia, and depression. What should you consider during her follow-up? Selected Answer: Age-related changes in renal function are the main cause of adverse drug reactions Question 10 1 out of 1 points A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid Selected Answer: adrenal insufficiency. Question 11 1 out of 1 points A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Selected Answer: The amount of alcohol consumption Question 12 1 out of 1 points A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? Selected Answer: "Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation."