NursingStudyHub

NURS 6521N Advanced Pharmacology

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by

Liu
in

 

  1. Black cohosh is an herb that is commonly used for:
    • Selected Answer: Menopausal symptoms (correct answer)
  2. A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug?
    • Selected Answer: That the infant’s skin has greater permeability than that of an adult (correct answer)
  3. 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?
    • Selected Answer: Hepatic function (correct answer)
  4. A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug?
    • Selected Answer: A 19-year-old male receiving radiotherapy (correct answer)
  5. A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and 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 (correct answer)
  6. Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect?
    • Selected Answer: Irregular vaginal bleeding for the first few months (correct answer)
  7. A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?
    • Selected Answer: Potassium level
  8. A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that:
    • Selected Answer: Asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.
  9. A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?
    • Selected Answer: “You might find that your face becomes flushed or you get a headache after you take Viagra.” (correct answer)
  10. 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 Answer: Iron-rich foods such as beans and leafy green vegetables. (correct answer)
  11. A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining:
    • Selected Answer: A baseline complete blood count. (correct answer)
  12. A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential. The nurse will inform the patient that during sibutramine therapy she should:
    • Selected Answer: Use adequate contraception. (correct answer)
  13. A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?
    • Selected Answer: “Lately, I have to get up three or four times a night to go to the bathroom.” (correct answer)
  14. A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?
    • Selected Answer: Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. (correct answer)
  15. A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include:
    • Selected Answer: Uterine tachysystole. (correct answer)
  16. A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to:
    • Selected Answer: Avoid the small veins in the dorsum of the hand or the wrist. (correct answer)
  17. A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?
    • Selected Answer: A 48-year-old Caucasian man who has adult-onset diabetes. (correct answer)
  18. All insects have an FDA black box warning regarding:
    • Selected Answer: Potential for causing life-threatening G.I. bleed.
  19. A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to:
    • Selected Answer: Stay well hydrated by drinking at least eight 8-oz glasses of water daily. (correct answer)
  20. A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?
    • Selected Answer: Increased drug distribution resulting from hemodynamic changes. (correct answer)
  21. What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy?
    • Selected Answer: Alpha blockers (correct answer)
  22. Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication?
    • Selected Answer: Ethanol withdrawal (correct answer)
  23. Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65-year-old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?
    • Selected Answer: Impairment of renal function (correct answer)
  24. The Nurse Practitioner knows that Buproprion use (Wellbutrin, Zyban) is contraindicated in which of the following instances?
    • Selected Answer: In conjunction with a MAOI (monoamine oxidase inhibitor) (correct answer)
  25. How is hydrocodone eliminated from the body?
    • Selected Answer: Liver (correct answer)
  26. The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is?
    • Selected Answer: No laboratory monitoring required (correct answer)
  27. The NP is prescribing a medication for a six-month-old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication?
    • Selected Answer: Elixir (correct answer)
  28. An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on:
    • Selected Answer: The permeability of fungal cell walls. (correct answer)
  29. A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize?
    • Selected Answer: The peak and trough blood levels (correct answer)
  30. A 21-year-old has been placed on risperidone. Monitoring for risperidone includes:
    • Selected Answer: Excessive weight gain (correct answer)
  31. A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?
    • Selected Answer: Drink plenty of water every day (correct answer)
  32. Terazosin (Hytrin) is classified under which of the following drug classes:
    • Selected Answer: Alpha blockers (correct answer)