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Exam (elaborations)

ADVANCED PHARMACOLOGY WEEK 6 QUIZ| QUESTIONS & ANSWERS

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The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following? A patient in need of myocardial infarction prophylaxis has been ….sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? A 40-year-old woman with a diagnosis of fibromyalgia has been prescribe cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)? A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient’s care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient’s existing drug regimen? A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring? A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent.” Which of the following medications would the nurse question, if ordered? A 33-year-old man has developed acute gouty arthritis. He has been prescribe colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? A 34-year-old male patient is …methimazole (MMI). The nurse will advise him to report which of the following immediately? A nurse will instruct a patient taking allopurinol to take each dose A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in A patient with type 1 diabetes has been ….to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis has returned to the clinic for her regular 6-month visit. In the last couple of months, she has been having increasing periods of abdominal pain. The nurse suspects that this pain may be related to nurs 6521n week 6 quiz A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize A patient with diabetes has had a cough for 1 week and has been ….a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? A nurse has been ….to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribe. Before the drug therapy is …., the nurse will assess for which of the following? A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is nurs 6521n week 6 quiz A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse’s immediate attention? A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman’s nurse provide?

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Uploaded on
November 7, 2020
Number of pages
17
Written in
2020/2021
Type
Exam (elaborations)
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Questions & answers

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QUESTION 1
A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When
developing a care plan for this patient, which factor will be most important for the nurse to consider?
A.
Ethnicity
B.
Typical daily fluid intake
C.
Dietary habits
D.
Work environment
1 points Saved
QUESTION 2
A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?
A.
Risk for Injury related to CNS depressant effects
B.
Altered Nutrition, Less than Body Requirements, related to appetite suppression
C.
Diarrhea related to anticholinergic effects
D.
Impaired Swallowing related to increased muscle tone
1 points Saved
QUESTION 3
During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?
A.
The patient's environment
B.
The patient's diet
C.
The condition of the patient's nasal passages
D.
The condition of the patient's skin
1 points Saved
QUESTION 4
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?
A.
“This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time.”
B.
“You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”
C.
“We'll need to closely monitor your blood sugar levels for the next week.”
D.
“There's a small risk that you might experience some hallucinations in the first few days that you
begin taking this drug.”
1 points Saved
QUESTION 5
A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent.” Which of the following medications would the nurse question, if ordered?
A.
Metaxalone (Skelaxin)
B.
Orphenadrine (Norflex)
C.
Cyclobenzaprine (Flexeril)
D.
Methocarbamol (Robaxin)
1 points Saved
QUESTION 6
A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A.
Small doses of long-acting insulin administered four to five times daily
B.
Doses of basal insulin twice daily with regular insulin before each meal
C.
Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D.
Divided doses of intermediate-acting insulin every 2 hours, around the clock
1 points Saved
QUESTION 7 A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately?
A.
Vertigo
B.
Intolerance to cold
C.
Epigastric distress
D.
Loss of appetite
1 points Saved
QUESTION 8
A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following?
A.
Hirsutism
B.
History of taking anticoagulant drugs
C.
Allergy to seafood
D.
The patient's age
1 points Saved
QUESTION 9
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen?
A.
The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved.
B.
It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs.
C.
The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin.
D.
Gabapentin is contraindicated with the use of exogenous insulin.
1 points Saved
QUESTION 10

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