NURS 6521 - Advanced Pharmacology FINAL EXAM 2022 100% VERIFIED 35 | QUESTIONS AND ANSWERS.

NURS 6521 - Advanced Pharmacology FINAL EXAM 2022 100% VERIFIED 35 | QUESTIONS AND ANSWERS.  Question 1 0 out of 1 points A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following? Response Feedback: The nurse should monitor the patient's serum phosphate level because aluminum binds with phosphate. This can lower phosphate levels and cause an electrolyte imbalance. Blood glucose, urine specific gravity, and aspartate transaminase levels are not affected by this drug combination.  Question 2 1 out of 1 points Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? Response Feedback: Chemotherapeutic drugs that are most effective during a particular phase of the cycle are known as cell cycle– (or cell phase) specific, whereas drugs that act independently of a specific cell cycle (or cell phase) are cell cycle–nonspecific. Not all cell cycle–specific drugs achieve a synergistic effect with cell cycle–nonspecific drugs. These drugs are not named because of the particular sequence of cytotoxic events that they cause.  Question 3 1 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication Response Feedback: To maximize the therapeutic effect, diphenoxylate HCl with atropine sulfate is usually administered four times daily, which serves to help maintain a therapeutic drug level.  Question 4 0 out of 1 points A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? Response Feedback: The nurse should assess for the use of digoxin. Rabeprazole interacts with digoxin and increases its serum concentration. It is necessary to monitor for signs of digoxin toxicity when these drugs are given together. Morphine, levodopa, and dicyclomine hydrochloride can cause adverse interactions with metoclopramide.  Question 5 1 out of 1 points A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? Response Feedback: The nurse needs to closely monitor the patient for increased abdominal pain, nausea, fever, and vomiting. These symptoms are not indicative of excessive flatus, for which simethicone is prescribed, but indicate that the patient needs urgent medical attention for another condition. There is no risk for drug toxicity, anorexia, or increased urine output.  Question 6 0 out of 1 points A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction? Response Feedback: Although numbness of extremities, headache and lethargy, and toxic megacolon are possible adverse effect of diphenoxylate HCl with atropine sulfate therapy, urticaria would indicate an allergic reaction to the drug.