2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solutions|Already graded A+|Get it 100% correct.

2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solutions|Already graded A+|Get it 100% correct. Practice questions for this set Learn 1 / 7 Study with Learn Do not take the nitroglycerin and call 911 Taking the medications together can cause a serious drop in blood pressure leading to cardiovascular collapse. Choose matching term 1 A 70-year-old male calls a clinic complaining of chest pain that started after having sexual activity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3 mg on hand. How should the advanced practice registered nurse respond? 2 An advanced practice registered nurse (APRN) is reviewing the medications that will be commonly experienced with a new nurse to determine whether the drugs are safe for the patients. The new nurse is given a scenario where a patient is being prescribed sildenafil 25 mg po prn, a prototype drug for erectile dysfunction. Which patient may take this drug safely? 3 A female patient with essential hypertension is being treated with hydralazine 25 mg twice daily. The nurse assesses the patient and notes a heart rate of 96 beats per minute and a blood pressure of 110/72 mm Hg. What should the provider place an order for? 12/13/24, 9:56 AM 2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solu… Terms in this set (161) A patient presents to an emergency room complaining of palpitations and irregular heartbeat. The advanced practice registered nurse (APRN) places the patient on a cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide. How should the APRN recommend this medication be taken? YES With food or an empty stomach A 70-year-old male calls a clinic complaining of chest pain that started after having sexual activity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3 mg on hand. How should the advanced practice registered nurse respond? Do not take the nitroglycerin and call 911 Taking the medications together can cause a serious drop in blood pressure leading to cardiovascular collapse. 4 An advanced practice registered nurse is prescribing dobutamine for a patient in cardiogenic shock. Which outcome is expected when this drug is used? Reduces blood clots from forming Increases heart rate Dissolves blood clots that are present Decreases heart rate Don't know? 12/13/24, 9:56 AM 2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solu… A patient diagnosed with bipolar disorder who is in a mental health clinic is discussing the possibility of beginning lithium with an advanced practice registered nurse (APRN). The patient expresses understanding and wishes to proceed with treatment. The APRN explains to the patient that this medication requires specific lab monitoring and wants to draw baseline labs. The patient asks why the test is needed. Which explanation should the APRN provide to this patient? A baseline blood urea nitrogen (BUN) and creatinine (CREA) level needs to be drawn to assess kidney function prior to treatment. This drug can cause decreased renal function, and a baseline should be drawn for future comparison. An advanced practice registered nurse (APRN) is reviewing the medications that will be commonly experienced with a new nurse to determine whether the drugs are safe for the patients. The new nurse is given a scenario where a patient is being prescribed sildenafil 25 mg po prn, a prototype drug for erectile dysfunction. Which patient may take this drug safely? YES A 54-year-male with a medical history of hypertension, mild eczema, and previous history of a urolithiasis where all is well controlled and there are no current complications 12/13/24, 9:56 AM 2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solu… A 30-year-old patient presents to a primary care clinic with a history of anxiety. The advanced practice registered nurse reviews the mechanism of action by which many neuropharmacological agents act and decides to prescribe citalopram. What is the mechanism of action of this medication? YES Influences receptor activity on target cells Correct! This medication influences the activity in the receptors, and it targets cells. A patient is admitted with a diagnosis of Huntington disease. On admission, the patient exhibits uncontrolled twitching, difficulty walking, trouble swallowing, confusion, and memory loss. The advanced practice registered nurse (APRN) prescribes baclofen. What is the mechanism of action of this medication? NO Modulates the effects of glutamate at NMDA receptors YES Inhibits neurotransmitter GABA NO Halts the breakdown of acetylcholine by acetylcholinesterase Alters the synthesis and release of norepinephrine, serotonin, and dopamine Incorrect. Cholinesterase inhibitors prevent the breakdown of acetylcholine by acetylcholinesterase. They are used in patients with Alzheimer's. Correct! Huntington's disease involves a deficiency of the neurotransmitters acetylcholine and y- aminobutyric acid in the basal ganglia and extrapyramidal system. A 21-year-old patient accompanied by a parent comes to a clinic for an emergency visit with an advanced practice registered nurse (APRN) following a seizure. Upon interviewing the patient and the parent, the APRN determines that the seizure is classified by marked impairment of consciousness and is followed by a period of central nervous system (CNS) depression. Which type of seizure is this patient experiencing? Atonic NO Myoclonic YES Tonic-clonic Absence Incorrect. Myoclonic seizures consist of a sudden muscle contraction that lasts for just one second. Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion. This type of seizure can include muscle stiffness, loss of consciousness, and body jerking. 12/13/24, 9:56 AM 2024/25|WGU D116 Pharmacology || most recent version|Comprehensive questions and verified answers/accurate solu… A patient has been taking oral oxycodone every six hours for back pain during the past three years. The patient suddenly decides to stop taking the pain medication and is trying an alternative therapy without a clinician's approval. Which risk is of clinical concern? YES Physical dependence Correct! The patient suddenly stopping the medication will cause physical symptoms that can range from nausea to seizures. An advanced practice registered nurse has diagnosed a 44-year-old male with depression. A plan is developed to start treatment with medication. The patient has a history of sexual dysfunction and is concerned about taking medication that may worsen this condition. Which antidepressant has the benefit of enhancing libido? YES Bupropion Correct! Bupropion does not cause sexual dysfunction. This will help the patient with a history of sexual dysfunction. This will enhance the patient's libido, which will help with both depression and sexual dysfunction. A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The prescriber orders a nonspecific beta- agonist medication. Besides evaluating the patient for a reduction in respiratory distress, the nurse should monitor for which side effect? YES Tachycardia Correct! Beta-agonists are used for asthma because of their beta2 effects on bronchial smooth muscle, causing dilation. Beta1 effects cause tachycardia and hypertension. Beta receptors do not exert effects on the bladder