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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL||||LATEST VERSION!!!!

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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL||||LATEST VERSION!!!!

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LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 2ND EDITION ROSENTHAL||||LATEST
VERSION!!!!
Ch 7 Genetic and Genomic Considerations in Pharmacotherapeutics
13. A nurse is administering digoxin to a patient. To administer
medications so that the drug is as effective as possible, the nurse
needs to consider what?
B) Pharmacokinetics
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 58. Which
types of drugs taken by a pregnant patient are more likely to have
effects on a fetus?
c. Lipid-soluble drugs
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 59. A
patient in her second trimester of pregnancy tells the nurse she is
worried that a medication she took before knowing she was pregnant
might have harmed the fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was
pregnant.
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 60. A
patient who has just learned she is pregnant has stopped using a
prescription medication that she takes for asthma because she does
not want to harm her baby. What will the nurse tell her?
b. That her baby's health is dependent on hers
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 61. A
pregnant patient in active labor is admitted to the emergency
department. A toxicology screen and a physical assessment reveal that
the patient is an active heroin addict. The nurse who cares for the
neonate after delivery should anticipate which clinical manifestations?
c. A shrill cry and irritability


pg. 1

,Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 62. A
pregnant patient asks the nurse about the safe use of medications
during the third trimester. What will the nurse tell her about drugs
taken at this stage?
a. They may need to be given in higher doses if they undergo renal
clearance.
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 63. A
patient has just given birth to a baby boy with a cleft palate. The nurse
will review the patient's medication history with special emphasis on
drugs taken during which period?
b. During the first trimester
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 64. A nurse
is caring for a patient and her newborn immediately after delivery.
The patient's medication history includes prenatal vitamins throughout
pregnancy, one or two glasses of wine before knowing she was
pregnant, occasional use of an albuterol inhaler in her last trimester,
and intravenous morphine during labor. What will the nurse expect to
do?
b. Monitor the infant's respirations and prepare to administer naloxone
if needed.
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 65. A
woman who is breastfeeding her infant must take a prescription
medication for 2 weeks. The medication is safe, but the patient wants
to make sure her baby receives as little of the drug as possible. What
will the nurse tell the patient to do?
b. Take the medication immediately after breastfeeding
Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 66. A
nursing student asks the nurse why more is not known about the
teratogenic effects of maternal medication ingestion during
pregnancy. Which response by the nurse is correct?
a. "Clinical trials to assess this risk would put the fetus at risk."


pg. 2

, Ch 8 Drug Therapy During Pregnancy and Breast-Feeding 67. A nurse
is teaching a class to a group of pregnant patients. The nurse correctly
teaches that the highest risk of teratogen-induced gross malformations
exists during which time?
b. During the first trimester
Ch 9 Drug Therapy in Pediatric Patients 1. A nurse is caring for an
infant after a surgical procedure. After ensuring that the ordered dose
is appropriate for the infant's age and weight, the nurse administers a
narcotic analgesic intravenously. When assessing the infant 15
minutes later, the nurse notes respirations of 22 breaths/minute and a
heart rate of 110 beats/minute. The infant is asleep in the parent's arms
and does not awaken when vital signs are assessed. The nurse
understands that these findings are the result of:
b. immaturity of the blood-brain barrier in the infant.
Ch 9 Drug Therapy in Pediatric Patients 2. A child will receive 750
mg of an antibiotic for 10 days. The child attends day care. The drug
may be dosed in several ways and is available in two concentrations.
Which dosing regimen will the nurse discuss with the child's
provider?
d. 500 mg/5 mL to 375 mg PO twice daily
Ch 9 Drug Therapy in Pediatric Patients 3. Parents ask the nurse why
an over-the-counter cough suppressant with sedative side effects is not
recommended for infants. Which response by the nurse is correct?
c. "Infants are more susceptible to central nervous system effects than
are adults."
Ch 9 Drug Therapy in Pediatric Patients 4. A nurse caring for a 5-
year-old child notes that the child has discoloration of several teeth.
When taking a medication history, the nurse will ask about which
group of medications?
d. Tetracyclines



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