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NURS 676 ADVANCED PHARMACOLOGY
FINAL EXAM [LATEST UPDATED VERSION]
A young adult, previously healthy clinic patient has symptoms of pneumonia
including high fever and cough. Auscultation reveals rales in the left lower lobe. A
chest radiograph is normal. The patient is unable to expectorate sputum. Which
treatment is recommended for this patient? - ANS>> Empiric treatment with a
macrolide antibiotic
A patient who was initially treated as an outpatient for pneumonia and then
hospitalized for two weeks after no improvement continues to show no
improvement after several antibiotic regimens have been attempted. What is next
step? - ANS>> Informing dx bronchoscopy
A patient with asthma has been given three bronchodilator treatments but
continues to have wheezing and shortness of breath. The nurse caring for the
patient notes an oxygen saturation on 90% of room air. What condition is
indicated? - ANS>> notify patient's physician immediately
Which clinical findings are worrisome in a patient experiencing acute
bronchospasm, requiring immediate treatment? - ANS>> a silent chest after
wheezing, decreasing blood pressure, presence of urticarial rash
What symptoms in a patient with asthma indicates severe bronchospasm? -
ANS>> pausing to breath while attempting to talk
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A patient who has asthma calls the provider to report having a peak flow measure
of 75%, shortness of breath, wheezing, and cough. tells the provider that the
symptoms have not improved significantly after a dose of albuterol. the patient
uses an inhaled corticosteroid medication twice daily. What will provider
reccomend? - ANS>> administering two more doses of albuterol
An adult develops chronic cough with episodes of wheezing and shortness of
breath. the provider performs chest radiography and other tests and rules out
infection, upper respiratory, and GERD. Which test will the provider order initially
to evaluate the possibility of asthma as the cause of these symptoms? - ANS>>
Spirometry
a patient is seen in a clinic for an asthma exacerbation. the provider administers
three nebulizer treatments with little improvement, noting a pulse ox reading of
90% with 2L of oxygen. A peak flow assessment is 70%. what is the next step in
treating this patient? - ANS>> admit to the hospital with specialist consultation
A patient with a purulent skin and soft tissue infection. A hx reveals a previous
MRSA infection in a family member. THe clinician performs an incision and
drainage of the lesion and send a sample to the lab for culture. what is the next
step in treating this patient? - ANS>> prescribe oral clindamycin
a previously healthy patient has an area of inflammation on one leg which has
well demarcated borders and the presence of lymphangitis streaking. Based on
the symptoms what is initial treatment? - ANS>> Amox-clav
NURS 676 ADVANCED PHARMACOLOGY
FINAL EXAM [LATEST UPDATED VERSION]
A young adult, previously healthy clinic patient has symptoms of pneumonia
including high fever and cough. Auscultation reveals rales in the left lower lobe. A
chest radiograph is normal. The patient is unable to expectorate sputum. Which
treatment is recommended for this patient? - ANS>> Empiric treatment with a
macrolide antibiotic
A patient who was initially treated as an outpatient for pneumonia and then
hospitalized for two weeks after no improvement continues to show no
improvement after several antibiotic regimens have been attempted. What is next
step? - ANS>> Informing dx bronchoscopy
A patient with asthma has been given three bronchodilator treatments but
continues to have wheezing and shortness of breath. The nurse caring for the
patient notes an oxygen saturation on 90% of room air. What condition is
indicated? - ANS>> notify patient's physician immediately
Which clinical findings are worrisome in a patient experiencing acute
bronchospasm, requiring immediate treatment? - ANS>> a silent chest after
wheezing, decreasing blood pressure, presence of urticarial rash
What symptoms in a patient with asthma indicates severe bronchospasm? -
ANS>> pausing to breath while attempting to talk
, 2|Page
A patient who has asthma calls the provider to report having a peak flow measure
of 75%, shortness of breath, wheezing, and cough. tells the provider that the
symptoms have not improved significantly after a dose of albuterol. the patient
uses an inhaled corticosteroid medication twice daily. What will provider
reccomend? - ANS>> administering two more doses of albuterol
An adult develops chronic cough with episodes of wheezing and shortness of
breath. the provider performs chest radiography and other tests and rules out
infection, upper respiratory, and GERD. Which test will the provider order initially
to evaluate the possibility of asthma as the cause of these symptoms? - ANS>>
Spirometry
a patient is seen in a clinic for an asthma exacerbation. the provider administers
three nebulizer treatments with little improvement, noting a pulse ox reading of
90% with 2L of oxygen. A peak flow assessment is 70%. what is the next step in
treating this patient? - ANS>> admit to the hospital with specialist consultation
A patient with a purulent skin and soft tissue infection. A hx reveals a previous
MRSA infection in a family member. THe clinician performs an incision and
drainage of the lesion and send a sample to the lab for culture. what is the next
step in treating this patient? - ANS>> prescribe oral clindamycin
a previously healthy patient has an area of inflammation on one leg which has
well demarcated borders and the presence of lymphangitis streaking. Based on
the symptoms what is initial treatment? - ANS>> Amox-clav
