NURS 6521 / NURS6521 Advanced Pharmacology Midterm Exam A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of t he drug, which of the following should the nurse suggest? Selected Answer: Take it on an empty stomach, 1 ...
•
A patient with bronchial asthma is prescribed a sustained-release preparation of
theophylline. To help minimize the adverse effects of the drug, which of the following
should the nurse suggest?
Selected Take it on an empty stomach, 1 hour before or 2 hours after meals
Answer:
• Question 2
0 out of 1 points
The most effective therapy for a patient who is H. pylori positive with a gastric ulcer
is:
Selected Amoxicillin, Metronidazole, and
Answer: Bismuth
• Question 3
1 out of 1 points
A diabetic patient being treated for obesity tells the Nurse Practitioner that he is
having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse
effects would need the Nurse Practitioner's immediate attention?
Selected Increased blood
Answer: glucose
• Question 4
1 out of 1 points
A Nurse Practitioner is a member of a research team that is exploring unique
differences in responses to drugs that each individual possesses, based on genetic
make-up. This area of study is called
Selected pharmacogenom
Answer: ics.
• Question 5
1 out of 1 points
An older adult who lives in a long-term care facility has recently begun taking
losartan (Cozaar) for the treatment of hypertension. The nurse who provides
care for this resident should recognize that this change in the resident's
medication regimen make create a risk for
Selected falls.
Answer:
• Question 6
1 out of 1 points
A 39-year-old African-American male is 25 pounds overweight and has been
diagnosed with hypertension after three consecutive above-normal blood
pressure readings. The most likely initial drug therapy for this patient will be
, Selected a diuretic.
Answer:
• Question 7
1 out of 1 points
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He
has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of
the following actions should the nurse do first when he complains of chest pain?
Selected Administer a tablet under his tongue and repeat the action in 5
Answer: and 10 minutes if the pain has not subsided
• Question 8
1 out of 1 points
A Nurse Practitioner working for a drug company is involved in phase III drug
evaluation studies. Which of the following might the Nurse Practitioner be
responsible for during this stage of drug development?
Selected Administering investigational drugs to
Answer: patients
• Question 9
1 out of 1 points
After a recent history of shortness of breath that has become increasingly
severe, a woman has been prescribed ipratropium by MDI while she undergoes
a diagnostic workup. What patient teaching should the nurse provide to this
patient?
Selected "Make sure that you take this at the scheduled times, regardless
Answer: of whether you feel short of breath."
• Question 10
1 out of 1 points
Which of the following patients is most likely to benefit from the administration of
an adrenergic agonist?
Selected A man who is in cardiogenic shock following a myocardial
Answer: infarction
• Question 11
1 out of 1 points
A 73-year-old woman has scheduled an appointment with her nurse practitioner
to discuss her recurrent constipation. The woman states that she experiences
constipation despite the fact that she takes docusate on a daily basis and
performs cleansing enemas several times weekly. How should the nurse best
respond to this patient's statements?
Selected "Taking too many laxatives can make your bowels dependent on
Answer: them, making you more susceptible to constipation."
, • Question 12
1 out of 1 points
A Nurse Practitioner who provides care in a busy clinic is aware of the high incidence
and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics
in many patients. Treatment of high cholesterol using statins would be
contraindicated in which of the following patients?
Selected An obese male client who is a heavy alcohol user and who has
Answer: cirrhosis of the liver
• Question 13
1 out of 1 points
During a clinic visit, a patient complains of having frequent muscle cramps in her
legs. The nurse's assessment reveals that the patient has been taking over-the-
counter laxatives for the past 7 years. The nurse informed the patient that
prolonged use of laxatives
Selected may cause nutrient deficiencies.
Answer:
• Question 14
0 out of 1 points
The lower respiratory system utilizes a number of different mechanisms that
confer protection and maintain homeostasis. Which of the following
physiological processes protects the lower respiratory system?
Selected The carina, where the trachea bifurcates into two bronchi, closes
Answer: off the lower airway in response to noxious stimuli.
• Question 15
1 out of 1 points
A 70-year-old man who enjoys good health began taking low-dose aspirin
several months ago based on recommendations that he read in a magazine
article. During the man's most recent visit to his care provider, routine blood
work was ordered and the results indicated an unprecedented rise in the man's
serum creatinine and blood urea nitrogen (BUN) levels. How should a nurse
best interpret these findings?
Selected The man may be experiencing nephrotoxic effects of aspirin
Answer:
• Question 16
1 out of 1 points
The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient
with asthma. What instructions would be correct to provide the patient?
Selected "This is a long acting medication for your asthma and should be
Answer: used once every 12 hours"
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