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ADVANCED PHARMACOLOGY WINTER QTR EXAM - WEEK 11

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ADVANCED PHARMACOLOGY WINTER QTR EXAM - WEEK 11 Exam Elaborations Questions & Answers Selected Answer: ventrogluteal muscle. Selected Answer: staining of permanent teeth. A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathyand a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Selected Answer: The use of dexrazoxane in conjunction with doxorubicin A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosisshould the nurse prioritize? Selected Answer: Risk for Infection related to suppressed bone marrow function A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findingswould have prompted the woman's care provider to prescribe a bisphosphonate? Selected Answer: Low bone density and a family history of osteoporosis Selected Answer: Agranulocytosis The recommended treatment for trichomoniasis is Selected Answer: Flagyl. A Nurse Practitioner educator who coordinates the staff education on an oncology unitis conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selected Answer: Targeted therapies have the potential to damage cancerous cellswhile leaving normal body cells less affected. An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the followingactions? Selected Dispose of intravenous lines used for chemotherapy administration in a covered trash can in the patient's room. Answer: Selected Answer: on an empty stomach 1 hour before or 2 hours after taking anymeals or other drugs. A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the followingwill the nurse include in instructions to the patient? Selected Answer: Take the drug for one full week before coming in contact with allergens An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside herhome. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? Selected Answer: Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height,and weight, the nurse will prepare the patient for an Selected Answer: electrocardiogram (ECG). An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warmwater and a cloth. What nursing diagnosis is most appropriate in this situation? Selected Answer: Ineffective Family Therapeutic Regimen Management

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