NURS 6521 Advanced Pharmacology Final Exam

Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? - Answer: "You might find that your face becomes flushed, or you get a headache after taking Viagra." - Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor which of the following? - Answer: Elevated prothrombin time - Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient - Answer: to complete the entire course of drug therapy. - Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abuse. In an emergency, a Schedule II drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. These are scheduled drugs - Answer: Schedule II - Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the drug's therapeutic effects, which of the following will the nurse include in instructions to the patient? - Answer: Take the drug for one whole week before coming in contact with allergens. - Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating, and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as - Answer: Magnesium Sulfate toxicity. - Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide to treat leukemia? - Answer: The patient's bone marrow function is significantly depressed. - Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist to explore their options. A nurse at the clinic should recognize that the woman may benefit from - Answer: clomiphene. - Question 9: A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids regularly. The nurse will instruct the patient: - Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. - Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using - Answer: Body Surface Area - Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib? -