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Final Exam: NUR2474/ NUR 2474 (Latest 2024/ 2025 Update) Pharmacology | Complete Review | Questions and Verified Answers| Grade A | 100% Correct- Rasmussen

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Final Exam: NUR2474/ NUR 2474 (Latest 2024/ 2025 Update) Pharmacology | Complete Review | Questions and Verified Answers| Grade A | 100% Correct- Rasmussen Q: Vitamin K Antagonist (ex: warfarin) or Anticoagulants (ex: heparin) ▪ Nursing Interventions: A patient has black, tarry stools. What do you do next? Answer: ▪ Hold the drug ▪ Check INR or aPTT ▪ Call the MD, this indicates internal bleeding Q: Your patient in the hospital is on both warfarin (blood thinner) and cephalexin (antibiotic). You notice no INR has been ordered. What do you do next? Answer: Ask provider to order an INR, we recognize the combo of these two medications can increase the risk for bleeding Q: Anticoagulants (ex: heparin) ▪ Which lab value do you use to monitor? Answer: ▪ aPTT normal range: 60-80 second Q: Anticoagulants (ex: heparin) ▪ Antidote Answer: protamine sulfate Q: Hormone Replacement Therapy (ex: estrogen/progestin combinations) ▪ This combination therapy puts the patient at risk for which diseases? Answer: ▪ DVT ▪ Ovarian CA ▪ Breast CA ▪ Lung CA ▪ Stroke (CVA) ▪ Heart Attack (MI) Q: Androgens (ex: testosterone) ▪ Where should testosterone gel be applied, and where should it be avoided? This will be a pick the wrong answer question Answer: Apply: ▪ upper arms ▪ shoulders ▪ torso ▪ abdomen Do not Apply: ▪ genitals Q: Androgens (ex: testosterone) ▪ Adverse Effects & Nursing Interventions for oral androgens Answer: ▪ jaundice ▪ call MD Q: Alpha-Adrenergic Antagonists (ex: doxazosin) ▪ Indications Answer: ▪ BPH, enlarged prostate Q: A male patient develops a large prostate. What medication would we put him on and why? Answer: Large prostate = BPH ▪ Alpha-Adrenergic Antagonists (ex: doxazosin) ▪ This medication has less sexual dysfunction side effects than the other BPH medications which makes it more desirable. Q: Pure Opioid Agonists (ex: morphine) ▪ A postoperative patient on morphine PCA has bradycardia, hypotension, respiratory depression, lethargy, reduced level of consciousness, and pinpoint pupils. What would you be prepared to administer? Answer: We recognize these are s/s of morphine overdose naloxone (Narcan) Q: Pure Opioid Agonists (ex: morphine) ▪ A postoperative patient is prescribed morphine q 4 hr IV. What do you assess before administering? Answer: ▪ check respiratory rate (r/t respiratory depression) ▪ promote fluid if they are not NPO (r/t constipation) ▪ foley catheter, I&O (r/t urinary retention) ▪ tell patient to call for help and not to get up so we can come help them ambulate (r/t fall risk) Q: A patient with chronic pain is on oxycontin and the medication is not working anymore. The patient has developed a tolerance. What should the nurse do next? Answer: talk to the MD about a dose increase Q: Antihistamines: 2nd Gen. (Nonsedating) H1 Antagonists (ex: fexofenadine, hydroxyzine) ▪ What food/substances should a patient avoid?

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Institution: Rasmussen College
Course: NUR 2474/ NUR2474 (NUR2474)

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Uploaded on: August 8, 2024
Number of pages: 35
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

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nur 2474 nur2474 latestnur 2474 nur
final exam nur2474 nur 2474 latest u
antihistamines 2nd gen nonsedating h1 antagoni
vitamin k antagonist ex warfarin or anticoagula
nur 2474nur2474nur 2474 nur2474

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Final Exam:INUR2474/INURI2474I
(LatestI2024/I2025IUpdate)IPharmacologyI|I
CompleteIReviewI|IQuestionsIandIVerifiedI
Answers|IGradeIAI|I100%ICorrect-
IRasmussen

Q:IVitaminIKIAntagonistI(ex:Iwarfarin)IorIAnticoagulantsI(ex:Iheparin)
▪INursingIInterventions:IAIpatientIhasIblack,ItarryIstools.IWhatIdoIyouIdoInext?

Answer:
▪IHoldItheIdrug
▪ICheckIINRIorIaPTT
▪ICallItheIMD,IthisIindicatesIinternalIbleeding

Q:IYourIpatientIinItheIhospitalIisIonIbothIwarfarinI(bloodIthinner)IandIcephalexinI(antibiotic)
.IYouInoticeInoIINRIhasIbeenIordered.IWhatIdoIyouIdoInext?

Answer:
AskIproviderItoIorderIanIINR,IweIrecognizeItheIcomboIofItheseItwoImedicationsIcanIincrease
ItheIriskIforIbleeding

Q:IAnticoagulantsI(ex:Iheparin)
▪IWhichIlabIvalueIdoIyouIuseItoImonitor?

Answer:
▪IaPTT

,normalIrange:I60-80Isecond

Q:IAnticoagulantsI(ex:Iheparin)
▪IAntidote

Answer:
protamineIsulfate

Q:IHormoneIReplacementITherapyI(ex:Iestrogen/progestinIcombinations)
▪IThisIcombinationItherapyIputsItheIpatientIatIriskIforIwhichIdiseases?

Answer:
▪IDVT
▪IOvarianICA
▪IBreastICA
▪ILungICA
▪IStrokeI(CVA)
▪IHeartIAttackI(MI)

Q:IAndrogensI(ex:Itestosterone)
▪IWhereIshouldItestosteroneIgelIbeIapplied,IandIwhereIshouldIitIbeIavoided?I

ThisIwillIbeIaIpickItheIwrongIanswerIquestion

Answer:
Apply:
▪IupperIarms
▪Ishoulders
▪Itorso
▪Iabdomen

,DoInotIApply:
▪Igenitals

Q:IAndrogensI(ex:Itestosterone)
▪IAdverseIEffectsI&INursingIInterventionsIforIoralIandrogens

Answer:
▪Ijaundice
▪IcallIMD

Q:IAlpha-AdrenergicIAntagonistsI(ex:Idoxazosin)
▪IIndications

Answer:
▪IBPH,IenlargedIprostate

Q:IAImaleIpatientIdevelopsIaIlargeIprostate.IWhatImedicationIwouldIweIputIhimIonIandIwh
y?

Answer:
LargeIprostateI=IBPH

▪IAlpha-AdrenergicIAntagonistsI(ex:Idoxazosin)

▪IThisImedicationIhasIlessIsexualIdysfunctionIsideIeffectsIthanItheIotherIBPHImedicationsIwhi
chImakesIitImoreIdesirable.

Q:IPureIOpioidIAgonistsI(ex:Imorphine)

, ▪IAIpostoperativeIpatientIonImorphineIPCAIhasIbradycardia,Ihypotension,IrespiratoryIdepressi
on,Ilethargy,IreducedIlevelIofIconsciousness,IandIpinpointIpupils.IWhatIwouldIyouIbeIprepared
ItoIadminister?

Answer:
WeIrecognizeItheseIareIs/sIofImorphineIoverdose

naloxoneI(Narcan)

Q:IPureIOpioidIAgonistsI(ex:Imorphine)
▪IAIpostoperativeIpatientIisIprescribedImorphineIqI4IhrIIV.IWhatIdoIyouIassessIbeforeIadmini
stering?

Answer:
▪IcheckIrespiratoryIrateI(r/tIrespiratoryIdepression)

▪IpromoteIfluidIifItheyIareInotINPOI(r/tIconstipation)

▪IfoleyIcatheter,II&OI(r/tIurinaryIretention)

▪ItellIpatientItoIcallIforIhelpIandInotItoIgetIupIsoIweIcanIcomeIhelpIthemIambulateI(r/tIfallIris
k)

Q:IAIpatientIwithIchronicIpainIisIonIoxycontinIandItheImedicationIisInotIworkingIanymore.I
TheIpatientIhasIdevelopedIaItolerance.IWhatIshouldItheInurseIdoInext?

Answer:
talkItoItheIMDIaboutIaIdoseIincrease

Q:IAntihistamines:I2ndIGen.I(Nonsedating)IH1IAntagonistsI(ex:Ifexofenadine,Ihydroxyzine)

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Final Exam: NUR2474/ NUR 2474 (Latest 2024/ 2025 Update) Pharmacology | Complete Review | Questions and Verified Answers| Grade A | 100% Correct- Rasmussen

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