NURS 6521 Advanced Pharmacology Question and answer. 2022.Latest edition.
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Course
NURS 6521
Institution
NURS 6521
Question 1
A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?
1 out of 1 points
Response Feedback:
The most common adverse effects of allopurinol include pruritus, maculopapular rash, nause...
the cns depression that is associated with the use of cyclobenzaprine constitutes a risk for injury
cyclobenzaprine flexeril
vitamin c is contraindicated with most antiarthritic and antigout drugs b
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• Question 1
1 out of 1 points
A nurse will monitor which of the following when assigned to a patient
taking allopurinol for chronic gout who visits the clinic every 2 months?
Response
Feedback: The most common adverse effects of allopurinol include
pruritus, maculopapular rash, nausea and vomiting, elevated
liver function tests, and acute gout symptoms. Blood sugar
levels, blood pressure, and body temperature are not
associated with adverse effects of allopurinol.
• Question 2
1 out of 1 points
A 70-year-old woman who is on long-term ibuprofen therapy for
osteoarthritis has returned to the clinic for her regular 6-month visit. In
the last couple of months, she has been having increasing periods of
abdominal pain. The nurse suspects that this pain may be related to
Response
Feedback During long-term ibuprofen therapy, especially in patients
: older than 60 years, the nurse needs to closely monitor for
peptic ulcer disease or gastritis that can lead to
gastrointestinal bleeding or even bowel perforation. These
events can occur at any time, with or without warning.
Ibuprofen may also cause excessive or abnormal bleeding,
especially in patients with anemia, but it is not known to cause
anemia. Interstitial nephritis is one of the less common renal
toxicities associated with ibuprofen as is constipation.
• Question 3
1 out of 1 points
A nurse is caring for a patient who has been diagnosed with
hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before
the drug therapy is started, the nurse will assess for which of the
following?
Response
Feedback If the patient is taking anticoagulant drugs, there is a risk of a
: drug–drug interaction with levothyroxine that can result in an
increased risk of bleeding. Therefore, the nurse should assess
the patient's medical record and drug history. Bleeding times
such as INR, PR, and PTT should be closely monitored if it is
necessary for the two drugs to be given together. There is no
evidence that an allergy to seafood, the patient's age, or
hirsutism, which is excessive hair growth, would need to be
assessed in this case.
• Question 4
1 out of 1 points
A nurse is caring for a 61-year-old man who has had a severe attack of
, gout while in the hospital for food poisoning. The nurse administers
colchicine intravenously in order to
Response
Feedback The patient is given colchicine intravenously to avoid
: aggravating his gastrointestinal tract. Giving the drug
intravenously may ensure quick distribution of the drug, but
considering the patient's food poisoning, the main objective
would be to avoid aggravating the gastrointestinal tract and
symptoms that the patient already has. Giving the drug
intravenously does not prevent infection, bleeding, or
depressed bone marrow function.
• Question 5
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Response
Feedback: Gabapentin is not metabolized and is excreted unchanged in
the urine. Therefore, it is important to monitor renal
function. Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
• Question 6
1 out of 1 points
A nurse is teaching a patient about his newly prescribed drug, colchicine,
for gout. The nurse will instruct the patient to avoid which of the
following foods?
Response
Feedback: High consumption of meat products and seafood increases
the risk of hyperuricemia, which is the root cause of gout.
Purine-rich vegetables do not increase the risk of
hyperuricemia, and a high dairy intake is actually protective.
• Question 7
1 out of 1 points
A male patient with a diagnosis of relapsing-remitting multiple sclerosis is
in the clinic to discuss with the nurse the possibility of self-administration
of glatiramer. During the patient education session for self-administration,
the nurse will emphasize
Response
Feedback: Since administration of glatiramer is by subcutaneous
injection only, the nurse will teach the patient to rotate
injection sites. Appropriate sites for the patient would
include the thigh, stomach, and upper arm.
• Question 8
1 out of 1 points
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