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NUR 6521 Quiz Solution Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of:

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NUR 6521 Quiz Solution

  1. Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of:
    • Cardiac arrhythmias (correct answer)
  2. A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend:
    • Tylenol (correct answer)
  3. 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:
    • Electrocardiogram (ECG) (correct answer)
  4. 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?
    • Protamine sulfate (correct answer)
  5. A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects:
    • PMS (correct answer)
  6. A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug:
    • First thing in the morning (correct answer)
  7. Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
    • PTT (correct answer)
  8. Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The practitioner would teach the patient that while he is taking this medication, it is important to:
    • Take special precautions around women of childbearing age (correct answer)
  9. A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor:
    • Plasma concentrations regularly (correct answer)
  10. A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up. Which action would the family nurse practitioner take?
    • Determine blood pressure (BP) with patient lying down, standing, and sitting (correct answer)
  11. A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the:
    • Ventrogluteal muscle (correct answer)
  12. A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
    • Liver function (correct answer)
  13. A 21-year-old has been placed on risperidone. Monitoring for risperidone includes:
    • Excessive weight gain (correct answer)
  14. A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications?
    • Heparin (correct answer)
  15. When a NP chooses a benzodiazepine to treat anxiety, the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is:
    • Alprazolam (Xanax) (correct answer)
  16. A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?
    • Urinary elimination patterns (correct answer)
  17. What schedule class of drug is Hydrocodone?
    • II (correct answer)
  18. Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically?
    • Nephrotoxicity and hepatotoxicity (correct answer)
  19. A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide?
    • “Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.” (correct answer)
  20. A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to:
    • Take the vitamins at least 2 hours before or after taking ciprofloxacin (correct answer)
  21. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to:
    • Perform relaxation techniques after the treatments. (correct answer)
  22. A nurse practitioner is educating a patient on the use of a nicotine patch for smoking cessation. What should the nurse emphasize about the use of this product?
    • It should be applied to a clean, dry, non-hairy area of the skin. (correct answer)
  23. A 7-year-old patient with cystic fibrosis is admitted with a severe lung infection. The patient has been placed on gentamicin. The nurse practitioner will monitor for what specific adverse effect associated with this medication?
    • Ototoxicity (correct answer)
  24. Which of the following drug classes is used to treat hyperlipidemia and requires monitoring of liver function tests (LFTs)?
    • Statins (correct answer)
  25. A 28-year-old male is taking loratadine (Claritin) for seasonal allergies. The nurse practitioner understands that this medication is classified as a:
    • Second-generation antihistamine (correct answer)
  26. A 60-year-old male with type 2 diabetes has been prescribed metformin. The nurse practitioner advises the patient that an advantage of this medication is that it:
    • Decreases hepatic glucose production (correct answer)
  27. A nurse practitioner is assessing a patient who is taking warfarin (Coumadin) for atrial fibrillation. What should the nurse monitor to evaluate the effectiveness of this therapy?
    • INR (correct answer)
  28. A 32-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  29. A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient’s history, the nurse would be sure to discuss with the woman the use of:
    • Calcium supplements (correct answer)
  30. A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
    • Dietary habits (correct answer)
  31. 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?
    • Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. (correct answer)
  32. A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient?
    • Anxiety related to perceived danger of drug therapy to fetus or infant (correct answer)