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Exam (elaborations)

Nurs 6401Midterm Exam Solution Material Latest Update

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NURS 6401MIDTERM EXAM SOLUTION MATERIAL LATEST UPDATE

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NURS 6401>MIDTERM EXAM SOLUTION
MATERIAL LATEST UPDATE
Question 1

1 out of 1 points



The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication
patient will take per day?

Selected Answer:

1500 mg

Answers: 500 mg

1000 mg



1500 mg

150 mg

Question 2

1 out of 1 points



A 20-year-old woman calls the clinic at 5 PM and reports to the Nurse Practitioner that she
forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose
at 8 PM. She wants to know what she should do. The Nurse Practitioner will instruct her to

Selected Answer:

forget about the morning dose and take the evening dose.

Answers: double her evening dose.

skip the evening dose and start back in the morning.



forget about the morning dose and take the evening dose.

take the morning dose now and the evening dose at the regular time.

Question 3

1 out of 1 points

, NURS 6401>MIDTERM EXAM SOLUTION
MATERIAL LATEST UPDATE
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage
patients to

Selected Answer:

take their medication at the prescribed times.

Answers: take their medication with meals.



take their medication at the prescribed

times. increase medication dosages if

necessary.

use alternative therapy to increase the effects of their medications.

Question 4

0 out of 1 points



Advanced practice nurse prescribing of scheduled medications is affected most by:



Selected
Answer:
Combined state medical / pharmacy / nursing prescribing board regulations



Answers:

Individual states laws regarding scheduled medications that can be prescribed
and for how long



DEA

Combined state medical / pharmacy / nursing prescribing board regulations



FDA

Question 5

,NURS 6401>MIDTERM EXAM SOLUTION
MATERIAL LATEST UPDATE
1 out of 1 points



A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The
nurse will instruct her to "test spray" the new metered-dose inhaler (MDI) three times before
using it to prevent which of the following?

Selected Answer:

Paradoxic acute bronchospasm

Answers: Anaphylactoid reaction

Asymptomatic elevated hepatic enzymes levels



Paradoxic acute bronchospasm

Symptomatic hepatitis with hyperbilirubinemia

Question 6

1 out of 1 points



A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control
her health problem. Verapamil achieves a therapeutic effect by

Selected
Answer:
inhibiting the movement of calcium ions across the cardiac muscle cell
membrane.

Answers: blocking adrenergic receptors and producing antisympathetic effects.



inhibiting the movement of calcium ions across the cardiac muscle cell
membrane.

decreasing sodium and potassium conduction.

weakening diastolic depolarization and the action potential duration.

Question 7

1 out of 1 points

, NURS 6401>MIDTERM EXAM SOLUTION
MATERIAL LATEST UPDATE
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the
emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever.
The best form of Tylenol to give the child, considering her presentation, would be

Selected Answer:

suppository.

Answers: liquid.

lozenge.

tablet.



suppository.

Question 8

0 out of 1 points



Which statement is FALSE regarding the treatment of hyperthyroidism?

Selected
Answer:
Long-acting beta-blocking agents are given as adjunctive therapy until
Propulthiouracil (PTU) or methimazole (Tapazole) restores the patient to
euthyroid

Answers: Since methimazole (Tapazole) is stronger than Propylthiouracil (PTU),
Methimazole should be initiated at 15 mg/day compared to 300 mg/day
for Propylthiouracil for treatment of mild disease



Propylthiouracil (PTU) reduces peripheral conversion of T4 to the more potent T3




Methimazole (Tapazole) is the drug of choice for pregnant or lactating

females. Long-acting beta-blocking agents are given as adjunctive therapy

until

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