nurs 6521 advanced pharmacology final exam

Question 1 1 out of 1 points • Question 4 1 out of 1 points 1 ant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recomm Selected Answer: tyleno l. • Question 2 1 out of 1 A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will cal Selected Answer: body surface area. • Question 3 A male patient has been brought to the emergency department during an episode of status epile Selected Answer: avoid the small veins in the dorsum of the hand or the wrist. A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Selected Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. A 33-year-old man has developed acute gouty arthritis. He Selected Answer: Dietary habits A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selected Answer: • Question 7 • Question 6 1 out of 1 points • Question 5 has been prescribed colchicine. Whe lOMoARcPSD| Downloaded by Boom Amor () • Question 8 1 out of 1 points • Question 9 1 out of 1 points • Question 11 1 out of 1 points Selected Answer: first thing in the morning. magnesium sulfate toxicity. A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? Selected Answer: Prostatic neoplasia A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selected Answer: inhibiting tumor growth by enhancing inflammation. • Question 10 1 A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. Th Selected Answer: whether the pregnant woman uses illegal substances. A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? Selected Answer: The patient's bone marrow function is significantly depressed. lOMoARcPSD| Downloaded by Boom Amor () • Question 13 0 out of 1 points • Question 14 1 out of 1 points • Question 15 1 out of 1 points • Question 16 1 out of 1 points Selected Answer: ventrogluteal muscle. A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin D An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selected Answer: vancomycin. A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selected Answer: stop using creams, ointments, and oils on the child's skin and scalp. A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Selected Answer: Acetaminophen • Question 12 1 out of 1 points 1 A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the lOMoARcPSD| Downloaded by Boom Amor () • Question 19 1 out of 1 points • Question 17 A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Becaus Selected Answer: food containing iron or calcium. • Question 18 A Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days Selected Answer: Neurotoxici ty An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Selected Answer: Ineffective Family Therapeutic Regimen Management • Question 20 A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small in Selected Answer: the increase in the neutrophil count is only transient. • Question 21 A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy te Selected Answer: Increased drug distribution resulting from hemodynamic changes lOMoARcPSD| Downloaded by Boom Amor () • Question 23 1 out of 1 points • Question 25 1 out of 1 points • Question 22 1 out of 1 points • Question 26 1 out of 1 points A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Selected Answer: Instruct the patient to lie on her left side during the infusion. A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapyinduced anemia. Which of the following will the nurse do with the unused portion of the drug? Selected Answer: Discard the unused portion of the drug. • Question 24 The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosa Selected Answer: put gloves on to protect herself. Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 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. This is scheduled drug Selected Answer: Schedule 2 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this lOMoARcPSD| Downloaded by Boom Amor () • Question 27 1 out of 1 points • Question 30 1 out of 1 points and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selected Answer: Anxiety related to perceived danger of drug therapy to fetus or infant A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to Selected Answer: stay well hydrated by drinking at least eight 8-oz glasses of water daily. • Question 28 A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives hi Selected Answer: Hepatic function • Question 29 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra) Selected Answer: "You might find that your face becomes flushed or you get a headache after you take Viagra." A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED)? Selected Answer: Exogenous testosterone • Question 31 1 ou A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will in Selected Answer: with a glass of water 1 hour before or 2 hours after a meal. lOMoARcPSD| Downloaded by Boom Amor () • Question 34 1 out of 1 points • Question 35 1 out of 1 points • Question 32 A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has ac Selected Answer: perform relaxation techniques after the treatments. • Question 33 A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. W Selected Answer: use sterile technique when applying the medication. A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? Selected Answer: The importance of vigilant hygiene for the boy and the other members of the family A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses? Selected Answer: Risk for Injury related to loss of vision or thrombotic events • Question 36 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told b Selected Answer: Hepatotoxicity • Question 37 A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan include lOMoARcPSD| Downloaded by Boom Amor () • Question 41 1 out of 1 points Selected Answer: Leukopen ia Sulconazole has been Selected Answer: once a day. • Question 39 A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this Selected Answer: Risk for Infection related to suppressed bone marrow function • Question 40 1 out of 1 p A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments sho Selected Answer: The peak and trough blood levels A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Selected Answer: drugs compete with the hormones of pregnancy for albuminbinding sites.