NURS 6521 Advanced Pharmacology Final Exam

Selected Answer: tyleno l. Selected Answer: body surface area. Selected Answer: avoid the small veins in the dorsum of the hand or the wrist. A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Selected Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. Selected Answer: Dietary habits A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selected Answer: Selected Answer: first thing in the morning. magnesium sulfate toxicity. A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? Selected Answer: Prostatic neoplasia A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selected Answer: inhibiting tumor growth by enhancing inflammation. Selected Answer: whether the pregnant woman uses illegal substances. A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? Selected Answer: The patient's bone marrow function is significantly depressed. Selected Answer: ventrogluteal muscle. A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin D An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selected Answer: vancomycin. Selected Answer: stop using creams, ointments, and oils on the child's skin and scalp. A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Selected Answer: Acetaminophen Selected Answer: food containing iron or calcium. Selected Answer: Neurotoxici ty