Page | 1
NURS 6521N Advanced Pharmocology Week 1
Questions with Detailed Verified Answers
The culture and sensitivity testing of a patient's wound exudate indicates
that a specific antibiotic is necessary for treatment. The Untied States
Pharmacopedia-National Formulary indicates that the drug in question is
96% protein bound. What are the implications of this fact? Ans:—
Dosages of the drug must be large in order to be effective.
The nurses assessment of a community-dwelling adult suggests that the
client may have drug allergies that have not been previously
documented. What statement by the client would confirm this? Ans:—
I broke out in hives and got terribly itchy when I started a new
prescription last year.
Tylenol 325mg/tab, patient needs 650mg; how many tablets should the
patient take? Ans:— 2
A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he begin taking. Efficacy of a drug means
which of the following? Ans:— How well a drug produces its desired
effect
A patient with a variety of chronic health problems is being seen by her
nurse practitioner, who is currently reviewing the patients medication
regimen. Which of the patient's medications should prompt the patient to
teach to avoid drinking grapefruit juice? Ans:— Atorvastatin (Lipitor)
In order to promote therapeutic drug effects, the nurse should always
encourage the patients to... Ans:— take their medications at the
prescribed times.
A home health nurse notes that there have been changes to a patients
oral drug regimen. The nurse will closely monitor the new drug regimen
to... Ans:— identify any changes in drug absorption that would change
the drug effect.
, Page | 2
on 1 am rounds the nurse finds a patient awake and frustrated that she
cannot sleep. The nurse administers an ordered hypnotic to help the
patient sleep. Two hours later the nurse finds the patient out of bed, full
of energy, cleaning her room. The nurse evaluates the patients response
to a hypnotic as... Ans:— An idiosyncratic effect
In light of her recent high blood pressure readings a patient has been
started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-
adrenergenic blocker. What is the most likely rationale for using two
medications to address the patients hypertension? Ans:— Using the
two drugs to treat a health problem may create a synergistic effect.
A patient has a blood serum drug level of 50 units/ml. The drugs half life
is 1 hour. If concentrations above 25 units/ml are toxic and no more of
the drug is given, how long will it take for the blood level reach the
nontoxic range? Ans:— 1 hour
For which of the following patients would a nasogastric tube most likely
be considered to aid in the administration of medications? Ans:— A 78
year old man who is unable to swallow following an ischemic stroke
A 56 year old female patient has been admitted to the hospital with
chronic muscle spasms and has been prescribed a new medication to
treat spasms. She has a poorly documented allergy to eggs, synthetic
clothing, and perfumes. What is the priority action of the nurse to ensure
that prescribed medication does not experience an allergic reaction?
Ans:— Post an allergies notice on the front of the chart and document
the allergies in the appropriate area of the patients record.
5ml=____tsp Ans:— 1
A nurse who is responsible for administering medications should
understand that the goals of the MedWatch program are to (select all)
Ans:— b. facilitate reporting of adverse reactions of drugs
d. increase awareness of serious reactions caused by drugs or medical
devices
e. provide regular feedback about product safety
A patient who has ongoing pain issues has been prescribed Demerol
(meperidine) IM. How should the nurse administer this medication?
Ans:— Into the patients gleuteal using a large gauge needle
NURS 6521N Advanced Pharmocology Week 1
Questions with Detailed Verified Answers
The culture and sensitivity testing of a patient's wound exudate indicates
that a specific antibiotic is necessary for treatment. The Untied States
Pharmacopedia-National Formulary indicates that the drug in question is
96% protein bound. What are the implications of this fact? Ans:—
Dosages of the drug must be large in order to be effective.
The nurses assessment of a community-dwelling adult suggests that the
client may have drug allergies that have not been previously
documented. What statement by the client would confirm this? Ans:—
I broke out in hives and got terribly itchy when I started a new
prescription last year.
Tylenol 325mg/tab, patient needs 650mg; how many tablets should the
patient take? Ans:— 2
A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he begin taking. Efficacy of a drug means
which of the following? Ans:— How well a drug produces its desired
effect
A patient with a variety of chronic health problems is being seen by her
nurse practitioner, who is currently reviewing the patients medication
regimen. Which of the patient's medications should prompt the patient to
teach to avoid drinking grapefruit juice? Ans:— Atorvastatin (Lipitor)
In order to promote therapeutic drug effects, the nurse should always
encourage the patients to... Ans:— take their medications at the
prescribed times.
A home health nurse notes that there have been changes to a patients
oral drug regimen. The nurse will closely monitor the new drug regimen
to... Ans:— identify any changes in drug absorption that would change
the drug effect.
, Page | 2
on 1 am rounds the nurse finds a patient awake and frustrated that she
cannot sleep. The nurse administers an ordered hypnotic to help the
patient sleep. Two hours later the nurse finds the patient out of bed, full
of energy, cleaning her room. The nurse evaluates the patients response
to a hypnotic as... Ans:— An idiosyncratic effect
In light of her recent high blood pressure readings a patient has been
started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-
adrenergenic blocker. What is the most likely rationale for using two
medications to address the patients hypertension? Ans:— Using the
two drugs to treat a health problem may create a synergistic effect.
A patient has a blood serum drug level of 50 units/ml. The drugs half life
is 1 hour. If concentrations above 25 units/ml are toxic and no more of
the drug is given, how long will it take for the blood level reach the
nontoxic range? Ans:— 1 hour
For which of the following patients would a nasogastric tube most likely
be considered to aid in the administration of medications? Ans:— A 78
year old man who is unable to swallow following an ischemic stroke
A 56 year old female patient has been admitted to the hospital with
chronic muscle spasms and has been prescribed a new medication to
treat spasms. She has a poorly documented allergy to eggs, synthetic
clothing, and perfumes. What is the priority action of the nurse to ensure
that prescribed medication does not experience an allergic reaction?
Ans:— Post an allergies notice on the front of the chart and document
the allergies in the appropriate area of the patients record.
5ml=____tsp Ans:— 1
A nurse who is responsible for administering medications should
understand that the goals of the MedWatch program are to (select all)
Ans:— b. facilitate reporting of adverse reactions of drugs
d. increase awareness of serious reactions caused by drugs or medical
devices
e. provide regular feedback about product safety
A patient who has ongoing pain issues has been prescribed Demerol
(meperidine) IM. How should the nurse administer this medication?
Ans:— Into the patients gleuteal using a large gauge needle
