NURS 6521 Midterm Exam

NURS 6521 Midterm Exam 2023 Walden University NURS 6521 Midterm Exam: Advanced Pharmacology: Walden University (FOR 100% CORRECT ANSWER CHECK THE LAST PAGE) 1. Which of the following patients demonstrates the clearest indication for treatment with prednisone? A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of emphysema B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to leukemia D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE inhibitor 2. A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is consid- erably higher than the parenteral dose and understands that this due to A) passive diffusion. B) active transport. C) glomerular filtration. D) firstpass effect. 3. A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse lOMoARcPSD| effects of this drug therapy? A) Monitor the patient's bleeding time B) Check the patient's blood glucose levels C) Record baseline vital signs D) Monitor the IV site for redness, swelling, or pain 4. A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a recent diagnosis of amyotrophic lateral sclerosis. The nurse will priori- tize assessment for which of the following? A) Weight gain B) Constipation C) Increased energy D) Di zz in es s 5. A cardiac care nurse is monitoring a patient who is receiving lidocaine (Xylocaine) per IV infusion pump for an acute ventricular arrhythmia associated with an acute MI. Which of the following patient manifesta- tions would cause the nurse to notify the physician immediately? A) Confusion B) Headache C) Nausea D) L eg cra lOMoARcPSD| mps A 6. A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will A) add the reconstituted vial of medication to a 1,000 mL IV bag. B) shake the vial vigorously to mix the medication for reconstitution. C) administer the initial IV bolus over approximately 60 seconds. D) use the reconstituted solution within a 36- hour period. C 7. A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? A) Increased urination B) Muscle twitching C) Hair loss D) Incr eased thirst B 8. A nurse is caring for a patient who has just been diagnosed with Parkinson disease. The patient does not understand how the medication ordered, carbidopalevodopa, is going to help her condition. Which of the following is the correct response by the nurse? A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for several months." B) "This drug will change the immune processes in your body to help lOMoARcPSD| NURS 6521 Midterm Exam / NURS6521 Midterm Exam (Latest): Advanced Pharmacology: Walden University Walden NURS 6521 Midterm Exam / Walden NURS6521 Midterm Exam (Latest): Advanced Pharmacology 9. Which of the following patients demonstrates the clearest indication for treatment with prednisone? E) A 66-year-old woman whose history of smoking has culminated in a diagnosis of emphysema F) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers G) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to leukemia H) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE inhibitor 10. A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is consid- erably higher than the parenteral dose and understands that this due to E) passive diffusion. F) active transport. G) glomerular filtration. H) firstpass effect. 11. A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. lOMoARcPSD| What is the best nursing intervention to minimize the adverse effects of this drug therapy? E) Monitor the patient's bleeding time F) Check the patient's blood glucose levels G) Record baseline vital signs H) Monitor the IV site for redness, swelling, or pain 12. A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a recent diagnosis of amyotrophic lateral sclerosis. The nurse will priori- tize assessment for which of the following? E) Weight gain F) Constipation G) Increased energ