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Exam (elaborations)

NURS 6521N Advanced Pharmocology Week 1 Graded A+

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The culture and sensitivity testing of a patient's wound exudate indicates that a specific antibiotic is necessary for treatment. The Untied States Pharmacopedia-National Formulary indicates that the drug in question is 96% protein bound. What are the implications of this fact? - Answer-Dosages of the drug must be large in order to be effective. The nurses assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? - Answer-I broke out in hives and got terribly itchy when I started a new prescription last year. Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take? - Answer-2 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? - Answer-How well a drug produces its desired effect A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patients medication regimen. Which of the patient's medications should prompt the patient to teach to avoid drinking grapefruit juice? - Answer-Atorvastatin (Lipitor) In order to promote therapeutic drug effects, the nurse should always encourage the patients to... - Answer-take their medications at the prescribed times. A home health nurse notes that there have been changes to a patients oral drug regimen. The nurse will closely monitor the new drug regimen to... - Answer-identify any changes in drug absorption that would change the drug effect. on 1 am rounds the nurse finds a patient awake and frustrated that she cannot sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later the nurse finds the patient out of bed, full of energy, cleaning her room. The nurse evaluates the patients response to a hypnotic as... - Answer-An idiosyncratic effect In light of her recent high blood pressure readings a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergenic blocker. What is the most likely rationalefor using two medications to address the patients hypertension? - Answer-Using the two drugs to treat a health problem may create a synergistic effect. A patient has a blood serum drug level of 50 units/ml. The drugs half life is 1 hour. If concentrations above 25 units/ml are toxic and no more of the drug is given, how long will it take for the blood level reach the nontoxic range? - Answer-1 hour

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NURS 6521N Advanced Pharmocology

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