NURS 6521C – NURS 621D – NURS 6521N Final Exam Week 11 – Advanced Pharmacology

NURS 6521C – NURS 621D – NURS 6521N Final Exam Week 11 – Advanced Pharmacology • Question 1 0 out of 1 points A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Selected Blood sugar Answer: levels • Question 2 1 out of 1 points A 66-year-old woman has experienced a significant decline in herquality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Selected weekly subcutaneous Answer: injections. • Question 3 1 out of 1 points Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Selected Cleanse the wound of debris prior to applying the silver Answer: sulfadiazine • Question 4 1 out of 1 points A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should Selected offer a choice between liquid and chewable Answer: medications, if possible. • Question 5 1 out of 1 points A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Selected schedule an appointment to measure hemoglobin twice a Answer: week for at least 2 to 6 weeks. • Question 6 1 out of 1 points A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? Selected Protamine Answer: sulfate • Question 7 1 out of 1 points 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 APRN will monitor for which of the following? Selected Hepatotoxicity Answer: • Question 8 1 out of 1 points A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selected whether the pregnant woman uses illegal Answer: substances. • Question 9 1 out of 1 points The recommended treatment for trichomoniasis is Flagyl. Question 10 1 out of 1 points A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Selected Fetal heart rate Answer: (FHR) • Question 11 1 out of 1 points A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take Selected antacids not less than 1 hour before or 2 hours after Answer: taking INH. • Question 12 1 out of 1 points An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib? Selected The patient has chronic heart failure resulting in Answer: significant peripheral edema. • Question 13 1 out of 1 points A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? Selected The importance of vigilant hygiene for the boy and the Answer: other members of the family • Question 14 1 out of 1 points A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? Hepatic function Question 15 1 out of 1 points A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in Selected iron-rich foods such as beans and leafy green Answer: vegetables. • Question 16 1 out of 1 points A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia?