NURS6521 / NURS /2021 Quiz - Week 6/ MIDTERM GRADED A+

NURS6521 / NURS 6521 2020/2021 Quiz - Week 6/ MIDTERM GRADED A+ • Question 1 1 out of 1 points 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? Response Feedback: Uricosuric drugs such as allopurinol help to balance urate levels and thus prevent gout attacks. They do not influence the remodeling of synovial membrane, provide analgesia, or affect the metabolism of purines. • Question 2 1 out of 1 points 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? Response Feedback: During long-term desmopressin therapy, the nurse should periodically assess the patient's nasal passages because inappropriate administration of the drug may lead to nasal ulceration. Consequently, subsequent doses may be inadequate. General skin assessment, diet, and environment are also factors that need to be assessed, but these are not as important as assessing the patient's nasal passages. • Question 3 1 out of 1 points A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? Response Feedback: Since sulfinpyrazone inhibits antiplatelet action, it is important for the nurse to monitor the patient for signs of bleeding. It is also important to avoid administration of sulfinpyrazone with other drugs such as salicylates and anticoagulants (warfarin) that affect platelet aggregation. The drug does not pose a risk of hypothermia, hypotension, or renal dysfunction. • Question 4 1 out of 1 points 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? Response Feedback: The CNS depression that is associated with the use of cyclobenzaprine constitutes a risk for injury. The anticholinergic effects of the drug constitute a risk for constipation, not diarrhea. Nutrition and swallowing are not typically affected by the use of cyclobenzaprine.