ADVANCED PHARMACOLOGY FINAL
QUESTIONS AND ANSWERS
Asnursespractitionersisscaringsforsaspatientswhosissats28sweekssgestationsandsissreceivingster
butalines(Brethine)stoscontinuespretermslabor.sWhatsissthesfollowingsassessmentsparameter
ssshouldsthesnursesprioritize?
Maternalsbodystemperature?
Fetalsheartsrate
Correctsfetalsposition.
Fetalsbloodspressure.s-sans✔✔Fetalsheartsrate
As59-year-
oldsmanswithsasrecentshistorysofserectilesdysfunction,shassbeensassessedsandsprescribedssil
denafilsViagra.sWhensprovidingspatientseducationstosthissman,sthesnursesshouldstellshimswhi
chsofsthesfollowing.
YousmightsfindsthatsyoursfacesbecomessflushedsorsyousgetsasheadachesaftersyoustakesViagr
a
YousshouldstakesyoursViagrasatsthessamestimeseachsmorningsideallysonsansemptysstomach.
Makessuresthatsyousdon'tstakesanysothersprescriptionsmedication'sswhilesyou'resusingsViagr
a
IfsyousgetssomesheartspalpitationssorsdizzinesssaftersyoustakesViagra,sknowsthatsthississnorm
alsandswillspassswithstime.s-
sans✔✔Yousmightsfindsthatsyoursfacesbecomessflushed,sorsyousgetsasheadachesaftersyousta
kesViagra
Asmalespatientshassbeensbroughtstosthesemergencysdepartmentsduringsansepisodesofsstatu
ssepilepticus.sDiazepamsisstosbesadministeredsintravenously.sThesAPRNsWillshersto.
Avoidsthessmallsveinssinsthesdorsumsofstheshandsorstheswrist
Injectsthesdiazepamsverysquicklys15smgsins10stos15sseconds.
Administeredsaftersdeletingsthesdrugswithsgabapentinsinsintervenousssolution.
Injectsverysslowlysnosfastersthans100smg/min.s-
sans✔✔Avoidsthessmallsveinssofsthesdorsumsofstheshandsorstheswrist
Aspatientsreportsstosasclinicswithscomplaintssofsbreaststenderness,sasrightslumpysbreast,sand
snosbreastsdischarge.sThesbreaststendernesssoccurssprimarilysduringshersmenstrualscycle.s
Thesnursespractitionersprobablyssuspects.
Breastscancer.
Canceroussbreaststenderness.
Painsinsthesheart.
PMSs-sans✔✔Pms
,As34syearsoldsmaleshassbeensdiagnosedswithsTBsandswillsbesstartedsonsINHstherapy.sThesm
edicationshistorysrevealssthatshescurrentlystakessantacidssonsasregularsbasis.sThesnurseswill
sinstructsthespatientstostake.
AntacidssduringsthesdaysandsINHsonlysatsnight.
AntacidssbeforesmealssandsINHsonestostwoshourssaftersmeals.
INHsbeforesmealssandsantiacidssonestostwoshourssaftersmeals.
AntacidssnotslesssthansoneshoursbeforesorstwoshourssafterstakingsINHs-
sans✔✔Antacids,snotslesssthansoneshoursbeforesorstwo shourssafterstakingsINH
AlendronatesFosamaxsissprescribedsforsas67-year-
oldspostsmenopausalswoman.sInsorderstoshelpspreventsgastrointestinalsdistress,sthesnurses
willsadvisesthespatientstwo
Standsorssitsuprightsforsatsleasts30sminutessafterstakingsAllensdonate.
Avoidsdrinkingswaterswithsthesdrug
Liftsweightssinsthesgymsatsleastsfivestimessasweek.
TakescalciumsandsvitaminsDssupplements.s-
sans✔✔Standsupsorssitsuprightsforsatsleasts30sminutessafterstakingsAlendronate
Morphineshassbeensprescribedsforsas28syearsoldsmanswithsseverespainsduestosasbacksinjury.s
Thesnurseswillsadvisesthespatientstosavoid.
Alcohol.
VitaminsC
Fattysfoods
Dairysproducts.s-sans✔✔Alcohol
Aschildsisstakingspermethrinsforsheadslice.sThesnursespractitionerswillsinstructshersmotherstw
o
Washsyourshairsdailyswithsasgoodsshampoo.
Increasesyoursdailysintakesofsmilk.
Maximizestheschild'ssfluidsintake.
Stopsusingscreams,sornaments,sandsoilssonstheschildssskinsandsscalp.s-
sans✔✔Stopsusingscreams,sornaments,sandsoilssonstheschildsskinsandsscalp
Aspatientsisstakingsflavoxateshydrochloridesyoursresponsestoshelpscontrolsansoveractivesbla
dder.sOnsasfollowsupsvisitstosthesclinic,sthesnurseswillsquestionsthespatientsaboutswhichsofsthes
following?
Chronicsdiarrhea.
Dentalshygienespractices.
Headaches
Diets-sans✔✔Dentalshygienespractices
Aspatientshassbeensprescribedsoralstetracycline.sThesnurseswillsinstructsthespatientstostakest
hesdrug.
Onsansemptysstomachsoneshoursbeforesorstwoshourssafterstakingsanysmealssorsothersdrugs
Withsasmeal
Withsmilksorsfruitsjuice
, Atsthatstimesonly.s-
sans✔✔Onsansemptysstomach,soneshoursbeforesorstwo shourssafterstakingsanysmealssorsoth
ersdrugs
Asmalespatientshassbeensbroughtstosthesemergencysdepartmentsduringsansepisodesofsstatu
ssepilepticus.sDiazepamsisstosbesadministeredsintravenously.sThesAPRNswillsbessuresto.
Avoidsthessmallsthingssinsthesdorsumsofstheshandsorstheswrist.
Injectsthesdiazepamsverysquickly,s15smgsins10stos15sseconds.
Administersaftersdeletingsthesdrugswithsgabapentinsinsintravenousssolution.
Injectsverysslowlysnosfastersthans100smg/min..s-
sans✔✔Avoidsthessmallsveinssin sthesdorsumsofstheshandsorstheswrist
AsNursesPractitionersissprovidingspatientseducationstosas50syearsoldswomanswhosisstakingsm
ethotrexatesMTXsforsbreastscancer.sThesnurseswillsinstructsthespatientstosavoidswhichsofsthes
followingsdrugs.
Acetaminophen.
Salicylates.
Furosemide.
Digoxin.s-sans✔✔Salicylates
AsNursesPractitionersisscaringsforsaspatientswhosissats28sweekssgestationsandsissreceivingswr
appingsterbutalinestoscontrolspretermslabor.sWhichsofsthesfollowingsassessmentsparameters
shouldsthesnursesprioritize
Maternalsbodystemperature
FetalsheartsratesFHR
Correctsfetalsposition.
Fetalsbloodspressure.s-sans✔✔FetalsheartsratesFHR
Lilly,sthesnursespractitionersissseeingsMr.sReynoldsstoday.sSheswouldsrecognizesthatswhichs
ofsthesfollowingsissaspotentialsadversessideseffectssofsautonomicsanticholinergicsagents.
ReducedsGIMsmotility
Increasessymptomssofsbenignsprostheticshypertrophy.
Bradycardia.
Photosensitivity.s-sans✔✔ReducesG.I.smotility
Asthreesyearsoldsboyshassdevelopedsotitissmediasandsrequiressantibioticssinsorderstosincreas
estheschancesthatsthesboyswillstakesussprescribesmedication.sThesnursesshould.
Teachsthesboysaboutsthesfactsthatsheswillsfeelsmuchsbettersaftershestakesshissmedication.
Havesthesmothersholdstheschildsfirmlysandsseesthemsallsthesdrugssaresadministered
Offersaschoicesbetweensliquidsandschewablesmedicationsasspossible
InsertstosCentralsintravenoussline.s-
sans✔✔Offersaschoicesbetweensliquidsandschewablesmedicationsifspossible
Whichsofsthesfollowingsmedicationssissmostslikelystoscausesascardiacsarrhythmia?
Fluoxetine
Nefazodone
QUESTIONS AND ANSWERS
Asnursespractitionersisscaringsforsaspatientswhosissats28sweekssgestationsandsissreceivingster
butalines(Brethine)stoscontinuespretermslabor.sWhatsissthesfollowingsassessmentsparameter
ssshouldsthesnursesprioritize?
Maternalsbodystemperature?
Fetalsheartsrate
Correctsfetalsposition.
Fetalsbloodspressure.s-sans✔✔Fetalsheartsrate
As59-year-
oldsmanswithsasrecentshistorysofserectilesdysfunction,shassbeensassessedsandsprescribedssil
denafilsViagra.sWhensprovidingspatientseducationstosthissman,sthesnursesshouldstellshimswhi
chsofsthesfollowing.
YousmightsfindsthatsyoursfacesbecomessflushedsorsyousgetsasheadachesaftersyoustakesViagr
a
YousshouldstakesyoursViagrasatsthessamestimeseachsmorningsideallysonsansemptysstomach.
Makessuresthatsyousdon'tstakesanysothersprescriptionsmedication'sswhilesyou'resusingsViagr
a
IfsyousgetssomesheartspalpitationssorsdizzinesssaftersyoustakesViagra,sknowsthatsthississnorm
alsandswillspassswithstime.s-
sans✔✔Yousmightsfindsthatsyoursfacesbecomessflushed,sorsyousgetsasheadachesaftersyousta
kesViagra
Asmalespatientshassbeensbroughtstosthesemergencysdepartmentsduringsansepisodesofsstatu
ssepilepticus.sDiazepamsisstosbesadministeredsintravenously.sThesAPRNsWillshersto.
Avoidsthessmallsveinssinsthesdorsumsofstheshandsorstheswrist
Injectsthesdiazepamsverysquicklys15smgsins10stos15sseconds.
Administeredsaftersdeletingsthesdrugswithsgabapentinsinsintervenousssolution.
Injectsverysslowlysnosfastersthans100smg/min.s-
sans✔✔Avoidsthessmallsveinssofsthesdorsumsofstheshandsorstheswrist
Aspatientsreportsstosasclinicswithscomplaintssofsbreaststenderness,sasrightslumpysbreast,sand
snosbreastsdischarge.sThesbreaststendernesssoccurssprimarilysduringshersmenstrualscycle.s
Thesnursespractitionersprobablyssuspects.
Breastscancer.
Canceroussbreaststenderness.
Painsinsthesheart.
PMSs-sans✔✔Pms
,As34syearsoldsmaleshassbeensdiagnosedswithsTBsandswillsbesstartedsonsINHstherapy.sThesm
edicationshistorysrevealssthatshescurrentlystakessantacidssonsasregularsbasis.sThesnurseswill
sinstructsthespatientstostake.
AntacidssduringsthesdaysandsINHsonlysatsnight.
AntacidssbeforesmealssandsINHsonestostwoshourssaftersmeals.
INHsbeforesmealssandsantiacidssonestostwoshourssaftersmeals.
AntacidssnotslesssthansoneshoursbeforesorstwoshourssafterstakingsINHs-
sans✔✔Antacids,snotslesssthansoneshoursbeforesorstwo shourssafterstakingsINH
AlendronatesFosamaxsissprescribedsforsas67-year-
oldspostsmenopausalswoman.sInsorderstoshelpspreventsgastrointestinalsdistress,sthesnurses
willsadvisesthespatientstwo
Standsorssitsuprightsforsatsleasts30sminutessafterstakingsAllensdonate.
Avoidsdrinkingswaterswithsthesdrug
Liftsweightssinsthesgymsatsleastsfivestimessasweek.
TakescalciumsandsvitaminsDssupplements.s-
sans✔✔Standsupsorssitsuprightsforsatsleasts30sminutessafterstakingsAlendronate
Morphineshassbeensprescribedsforsas28syearsoldsmanswithsseverespainsduestosasbacksinjury.s
Thesnurseswillsadvisesthespatientstosavoid.
Alcohol.
VitaminsC
Fattysfoods
Dairysproducts.s-sans✔✔Alcohol
Aschildsisstakingspermethrinsforsheadslice.sThesnursespractitionerswillsinstructshersmotherstw
o
Washsyourshairsdailyswithsasgoodsshampoo.
Increasesyoursdailysintakesofsmilk.
Maximizestheschild'ssfluidsintake.
Stopsusingscreams,sornaments,sandsoilssonstheschildssskinsandsscalp.s-
sans✔✔Stopsusingscreams,sornaments,sandsoilssonstheschildsskinsandsscalp
Aspatientsisstakingsflavoxateshydrochloridesyoursresponsestoshelpscontrolsansoveractivesbla
dder.sOnsasfollowsupsvisitstosthesclinic,sthesnurseswillsquestionsthespatientsaboutswhichsofsthes
following?
Chronicsdiarrhea.
Dentalshygienespractices.
Headaches
Diets-sans✔✔Dentalshygienespractices
Aspatientshassbeensprescribedsoralstetracycline.sThesnurseswillsinstructsthespatientstostakest
hesdrug.
Onsansemptysstomachsoneshoursbeforesorstwoshourssafterstakingsanysmealssorsothersdrugs
Withsasmeal
Withsmilksorsfruitsjuice
, Atsthatstimesonly.s-
sans✔✔Onsansemptysstomach,soneshoursbeforesorstwo shourssafterstakingsanysmealssorsoth
ersdrugs
Asmalespatientshassbeensbroughtstosthesemergencysdepartmentsduringsansepisodesofsstatu
ssepilepticus.sDiazepamsisstosbesadministeredsintravenously.sThesAPRNswillsbessuresto.
Avoidsthessmallsthingssinsthesdorsumsofstheshandsorstheswrist.
Injectsthesdiazepamsverysquickly,s15smgsins10stos15sseconds.
Administersaftersdeletingsthesdrugswithsgabapentinsinsintravenousssolution.
Injectsverysslowlysnosfastersthans100smg/min..s-
sans✔✔Avoidsthessmallsveinssin sthesdorsumsofstheshandsorstheswrist
AsNursesPractitionersissprovidingspatientseducationstosas50syearsoldswomanswhosisstakingsm
ethotrexatesMTXsforsbreastscancer.sThesnurseswillsinstructsthespatientstosavoidswhichsofsthes
followingsdrugs.
Acetaminophen.
Salicylates.
Furosemide.
Digoxin.s-sans✔✔Salicylates
AsNursesPractitionersisscaringsforsaspatientswhosissats28sweekssgestationsandsissreceivingswr
appingsterbutalinestoscontrolspretermslabor.sWhichsofsthesfollowingsassessmentsparameters
shouldsthesnursesprioritize
Maternalsbodystemperature
FetalsheartsratesFHR
Correctsfetalsposition.
Fetalsbloodspressure.s-sans✔✔FetalsheartsratesFHR
Lilly,sthesnursespractitionersissseeingsMr.sReynoldsstoday.sSheswouldsrecognizesthatswhichs
ofsthesfollowingsissaspotentialsadversessideseffectssofsautonomicsanticholinergicsagents.
ReducedsGIMsmotility
Increasessymptomssofsbenignsprostheticshypertrophy.
Bradycardia.
Photosensitivity.s-sans✔✔ReducesG.I.smotility
Asthreesyearsoldsboyshassdevelopedsotitissmediasandsrequiressantibioticssinsorderstosincreas
estheschancesthatsthesboyswillstakesussprescribesmedication.sThesnursesshould.
Teachsthesboysaboutsthesfactsthatsheswillsfeelsmuchsbettersaftershestakesshissmedication.
Havesthesmothersholdstheschildsfirmlysandsseesthemsallsthesdrugssaresadministered
Offersaschoicesbetweensliquidsandschewablesmedicationsasspossible
InsertstosCentralsintravenoussline.s-
sans✔✔Offersaschoicesbetweensliquidsandschewablesmedicationsifspossible
Whichsofsthesfollowingsmedicationssissmostslikelystoscausesascardiacsarrhythmia?
Fluoxetine
Nefazodone
