NURS 676 Advanced Pharmacology Midterm Exam Question And Answers 2024/2025.

NURS 676 Advanced Pharmacology Midterm Exam (WCU) Question And Answers 2024/2025. A nurse works in a private hospital and needs to administer some narcotic drugsto one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Selected Answer: Narcotics to be used in the hospital are dispensed only with a written prescription. • @QUIZ 2 1 out of 1 points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Selected Answer: The drug will decrease in effectiveness • @QUIZ 3 1 out of 1 points A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selected Answer: Acute Pain, Headache, related to adverse effects of drug therapy • @QUIZ 4 1 out of 1 points A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of Selected Answer: nonpharmacologic interventions combined with an exercise program. • @QUIZ 5 1 out of 1 points A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selected Answer: Pain intensity, respiratory rate, and level of consciousness • @QUIZ 6 1 out of 1 points A patient has been prescribed an oral drug that is known to have a high firstpass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Selected Administering the drug intravenously rather than Answer: orally • @QUIZ 7 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Selected Answer: The drugs' generic names • @QUIZ 8 1 out of 1 points Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selected Answer: To ensure the safety of the public • @QUIZ 9 1 out of 1 points During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-thecounter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selected Answer: may cause nutrient deficiencies. • @QUIZ 10 1 out of 1 points A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Selected Answer: identify any changes in drug absorption that would change the drug effect. • @QUIZ 11 1 out of 1 points What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Selected Answer: Route • @QUIZ 12 1 out of 1 points A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of Selected Answer: an adrenergic antagonist. • @QUIZ 13 1 out of 1 points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selected Answer: Gastrointestinal distress • @QUIZ 14 0 out of 1 points A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? Selected Answer: Into the patient shoulder muscle using a small-gauge needle • @QUIZ 15 0 out of 1 points A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered Selected Answer: orally. • @QUIZ 16 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Selected Answer: swallow the tablet with milk or food. • @QUIZ 17 1 out of 1 points A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Selected Answer: Possible drug–drug interactions that might occur • @QUIZ 18 1 out of 1 points 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? Selected Answer: How well a drug produces its desired effect • @QUIZ 19 1 out of 1 points The nurse's 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? Selected Answer: "I broke out in hives and got terribly itchy when I started a new prescription last year." • @QUIZ 20 1 out of 1 points An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to Selected Answer: withdraw the drug gradually over a 2 to 3 week period. • @QUIZ 21 1 out of 1 points A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? Selected Answer: Muscle twitching • @QUIZ 22 1 out of 1 points The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? Selected Answer: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. • @QUIZ 23 1 out of 1 points A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selected Answer: Oropharyngeal Candida albicans infection • @QUIZ 24 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain @QUIZs to address. Check all that apply. Selected Answers: Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? • @QUIZ 25 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selected Answer: Mesalamin