NURS 6521 Week 5 Quiz - Question and Answers

NURS 6521 WEEK 5 QUIZ Course NURS-6521N-37,Advanced Pharmacology.2018 Summer Qtr 05/29-08/19-PT27 Test Week 5 - Quiz Started 7/1/18 5:54 PM Submitted 7/1/18 7:08 PM Due Date 7/2/18 1:59 AM Status Completed Attempt Score 29 out of 30 points Time Elapsed 1 hour, 14 minutes out of 1 hour and 15 minutes Instructions Please answer each question below and click Submit when you have completed the Quiz. Results Displayed Feedback A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? Response Feedback: Nicotine in any dosage form should not be used in patients immediately after myocardial infarction, or in those with life- threatening arrhythmias or severe or worsening angina pectoris. Antibiotics, anticoagulants, and renal failure are not contraindications for the use of nicotine as an aid to smoking cessation. A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for Response Feedback: The patient who has history of alcohol or substance abuse may be a poor candidate for lorazepam because the patient is more likely to develop dependence on the drug. Alcohol will also have an additive effect with lorazepam. A diet high in fat and carbohydrates or nicotine use should not affect the use of lorazepam. A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by