NUR2474 Pharmacology FINAL EXAM (2)
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1. 1. The nurse is talking with a new mother about med- 3
ications that can be safely resumed now that she
is no longer pregnant. All the following medications
are contraindicated during pregnancy, but which one
may be ingested while breastfeeding without causing
known infant harm?
1. Lithium
2. Methotrexate
3. Ibuprofen
4. Nicotine
2. 2. Which statement by a client indicates an under- 1
standing of self-care precautions when taking war-
farin?
1. "My warfarin dose may need to be readjusted when
I take a course of antibiotics."
2. "I should expect pink urine due to metabolic
bi-products of the dye used in this
medication."
3. "Herbal remedies are fine, but I shouldn't take as-
pirin without consulting my provider."
4. "I should eat spinach to increase my iron count if
my INR goes below two."
3. 3. Male client tells the nurse he awakens once or 4
twice each night to video and has difficulty starting
his stream of urine. He describes these symptoms as
" annoying." The client provider examines him and
notes that the prostate is moderately enlarged. The
client is sexually active and tells the nurse that he
doesn't want to take any medication that will inter-
fere with sexual function. THe nurse anticipates the
provider will order which of the following?
1. Silodosin
2. A transurethral prostatectomy
, NUR2474 Pharmacology FINAL EXAM (2)
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3. Finasteride
4. Doxazosin
4. 4. A 50-year-old postmenopausal client who has had 2
a hysterectomy has moderate to severe hot flashes
and is discussing estrogen therapy with the nurse.
What will the nurse tell the client regarding the side
effect of estrogen therapy?
1. An estrogen progesterone product will increase
side effects
2. Transdermal preparations of estrogen therapy have
reduced side effects.
3. Side effects of estrogen therapy are uncommon
among women of her age.
4. An intravaginal preparation may be best.
5. 5. A Client has an infection caused by pseudomonas 2
aeruginosa, and the prescriber has ordered intra-
venous piperacillin and tobramycin. Why might the
nurse question this combination of antibiotics?
1. This combination causes tendon rupture.
2. Aminoglycosides are inactivated by penicillins.
3. Aminoglycosides alone are adequate against
pseudomonas. There is no need to risk penicillin al-
lergy.
4. Aminoglycosides increase the risk of penicillin al-
lergy.
6. 6. A client with bronchitis is taking trimethoprim/sul- 3
famethoxazole 160/800 mg orally, twice daily. Before
administering the third dose, the nurse observes the
client has a widespread rash, a temperature and a
heart rate of 100 beats/min. The client looks ill and re-
ports not feeling well. What is the nurse's response?
1. Request an order for intravenous trimethoprim/
sulfamethoxazole.
, NUR2474 Pharmacology FINAL EXAM (2)
Study online at https://quizlet.com/_fuab5q
2. Initiate probiotics.
3. Withhold the treatment and notify the provider of
the symptoms.
4. Administer the dose and request an order for an
antipyretic medication.
7. 7. A client with cancer has been taking an opioid anal- A
gesic four times daily for chronic pain and reports
needing increased doses for pain. What will the nurse
tell the client?
A - Over time, people can develop tolerance to opi-
oids. We can discuss this with your provider.
B- Take your medication more often to help control
the pain
C- You are addicted and should take a different med-
ication. We can discuss this with your provider.
D- The risk of respiratory depression increases over
time
8. 8, A client who is suffering from an acute gout B
attack wants to know how colchicine differs from
probenecid and allopurinol in its actions. Which of
these statements shows the need for further teaching
regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B-All of these medications should be taken concur-
rently during an acute attack, NSAID's should be
added for pain control.
C- Colchicine reduces inflammation caused by uric
acid
D- Probenecid facilitates the elimination of uric acid
in the nephrons
9. 9. The nurse understands that a bronchodilator would D
be most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent
Study online at https://quizlet.com/_fuab5q
1. 1. The nurse is talking with a new mother about med- 3
ications that can be safely resumed now that she
is no longer pregnant. All the following medications
are contraindicated during pregnancy, but which one
may be ingested while breastfeeding without causing
known infant harm?
1. Lithium
2. Methotrexate
3. Ibuprofen
4. Nicotine
2. 2. Which statement by a client indicates an under- 1
standing of self-care precautions when taking war-
farin?
1. "My warfarin dose may need to be readjusted when
I take a course of antibiotics."
2. "I should expect pink urine due to metabolic
bi-products of the dye used in this
medication."
3. "Herbal remedies are fine, but I shouldn't take as-
pirin without consulting my provider."
4. "I should eat spinach to increase my iron count if
my INR goes below two."
3. 3. Male client tells the nurse he awakens once or 4
twice each night to video and has difficulty starting
his stream of urine. He describes these symptoms as
" annoying." The client provider examines him and
notes that the prostate is moderately enlarged. The
client is sexually active and tells the nurse that he
doesn't want to take any medication that will inter-
fere with sexual function. THe nurse anticipates the
provider will order which of the following?
1. Silodosin
2. A transurethral prostatectomy
, NUR2474 Pharmacology FINAL EXAM (2)
Study online at https://quizlet.com/_fuab5q
3. Finasteride
4. Doxazosin
4. 4. A 50-year-old postmenopausal client who has had 2
a hysterectomy has moderate to severe hot flashes
and is discussing estrogen therapy with the nurse.
What will the nurse tell the client regarding the side
effect of estrogen therapy?
1. An estrogen progesterone product will increase
side effects
2. Transdermal preparations of estrogen therapy have
reduced side effects.
3. Side effects of estrogen therapy are uncommon
among women of her age.
4. An intravaginal preparation may be best.
5. 5. A Client has an infection caused by pseudomonas 2
aeruginosa, and the prescriber has ordered intra-
venous piperacillin and tobramycin. Why might the
nurse question this combination of antibiotics?
1. This combination causes tendon rupture.
2. Aminoglycosides are inactivated by penicillins.
3. Aminoglycosides alone are adequate against
pseudomonas. There is no need to risk penicillin al-
lergy.
4. Aminoglycosides increase the risk of penicillin al-
lergy.
6. 6. A client with bronchitis is taking trimethoprim/sul- 3
famethoxazole 160/800 mg orally, twice daily. Before
administering the third dose, the nurse observes the
client has a widespread rash, a temperature and a
heart rate of 100 beats/min. The client looks ill and re-
ports not feeling well. What is the nurse's response?
1. Request an order for intravenous trimethoprim/
sulfamethoxazole.
, NUR2474 Pharmacology FINAL EXAM (2)
Study online at https://quizlet.com/_fuab5q
2. Initiate probiotics.
3. Withhold the treatment and notify the provider of
the symptoms.
4. Administer the dose and request an order for an
antipyretic medication.
7. 7. A client with cancer has been taking an opioid anal- A
gesic four times daily for chronic pain and reports
needing increased doses for pain. What will the nurse
tell the client?
A - Over time, people can develop tolerance to opi-
oids. We can discuss this with your provider.
B- Take your medication more often to help control
the pain
C- You are addicted and should take a different med-
ication. We can discuss this with your provider.
D- The risk of respiratory depression increases over
time
8. 8, A client who is suffering from an acute gout B
attack wants to know how colchicine differs from
probenecid and allopurinol in its actions. Which of
these statements shows the need for further teaching
regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B-All of these medications should be taken concur-
rently during an acute attack, NSAID's should be
added for pain control.
C- Colchicine reduces inflammation caused by uric
acid
D- Probenecid facilitates the elimination of uric acid
in the nephrons
9. 9. The nurse understands that a bronchodilator would D
be most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent
