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WGU D116 PHARMACOLOGY PRE-ASSESSMENTv v v
STUDY PLAN EXAM || ACCURATE AND FREQUENTLY
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ASKED QUESTIONS AND 100% CORRECT ANSWERS||
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LATEST AND COMPLETE UPDATE WITH VERIFIED
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SOLUTIONS GRADED A+|| SURE PASS!!
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What factor can be attributed to limited prescriptive authority for APRNs?
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Inaccessibility of patient care
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Feedback:Limiting prescriptive authority for APRNs can create barriers to quality, v v v v v v v v v
affordable, and accessible patient care. It may also lead to poor collaboration
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among providers and higher health care costs.
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A patient reports that a medication prescribed for recurrent migraine headaches is
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not working. Which action should be taken first?
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Ask the patient about the number and frequency of tablets taken.
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Feedback:using the drug as ordered. Asking the patient to tell the nurse how many
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tablets are taken and how often helps the nurse determine compliance.
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A patient is receiving intravenous gentamicin. A serum drug test reveals toxic
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levels. The dosing is correct, and this medication has been tolerated by this patient in
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the past. Which could be a probable cause of the test result?
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The patient is taking another medication that binds to serum albumin
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Feedback:Gentamicin binds to albumin, but only weakly, and in the presence of v v v v v v v v v v v
another drug that binds to albumin, it can rise to toxic levels in blood serum.
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The nurse is administering morning medications. The nurse gives a patient multiple
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medications, two of which compete for plasma albumin receptor sites. As a result of
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this concurrent administration, the nurse can anticipate that what might occur?
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Select all that apply
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Binding of one or both agents will be reduced, Plasma levels of free drug will rise,
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The increase in free drug will intensify effects
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Feedback:When two drugs bind to the same site on plasma albumin, v v v v v v v v v v
coadministration of those drugs produces competition for binding. As a result,
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binding of one or both agents is reduced, causing plasma levels of free drug to
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rise.The increase in free drug can intensify the effect, but it usually undergoes
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rapid elimination. The increase in plasma levels of free drug is rarely sustained.
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A patient asks a nurse why a friend who is taking the same drug responds differently
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to that drug. The nurse knows that the most common variation in drug response is
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due to differences in each patient's:
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metabolism of drugs v v
Feedback:The most common source of genetic variation in drug response is related
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to alterations in drug metabolism and is determined by genetic codes for various
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drug-metabolizing isoenzymes.
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A patient with migraines is started on a beta blocker. The nurse explains the benefits
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of taking the medication for migraines. Which statement by the patient indicates an
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understanding of the medication's effects?
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“I need to take it every day to reduce the frequency of migraines.”
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Feedback:When taken prophylactically, medications such as beta blockers can v v v v v v v v
reduce the frequency of migraine attacks. They do not provide complete relief from
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migraines. They do not reduce the duration of migraines. They are not effective for
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treating a migraine once the migraine has begun
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A prescriber orders transdermal clonidine [Catapres TTS] for a patient with
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hypertension. What will the nurse teach this patient?
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To change the patch every week.
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Feedback: Transdermal patches are to be changed every 7 days. Medication
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administered by patch has the same therapeutic effect and adverse effects as that
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given by other routes, except that localized skin reactions may occur and are
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common with clonidine patches.
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A 25-year-old patient has been newly diagnosed with Parkinson disease, and the
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prescriber is considering using pramipexole [Mirapex]. Before beginning therapy
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with this drug, the nurse will ask the patient about:
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