NURS 6521 Week 11 Final Exam / NURS6521 Week 11
Final Exam : Advanced Pharmacology: Walden University
(Verified Answers)
Question: 2 of 50
A nurse is caring for a client who reports using the herbal medication garlic along with
prescribed warfarin. The nurse should identify that which of the following is a potential adverse
effect of taking both of these products concurrently?
Increased ecchymosis
The nurse should identify that ecchymosis occurs when there is bleeding under the skin. Additionally, the nurse
should recognize that garlic has antiplatelet effects that can result in bleeding. When taken concurrently with an
anticoagulant, such as warfarin, there is an increased risk for bleeding.
Question: 3 of 50
A nurse is caring for a client who has HIV and a prescription for nevirapine. The nurse should monitor
the client for which of the following manifestations as an adverse reaction to nevirapine?
Rash
The nurse should monitor the client’s skin for a rash as an adverse reaction to nevirapine. A rash can lead to a
severe reaction, such as Stevens-Johnson syndrome. If a rash develops, the nurse should notify the provider.
Question: 4 of 50
A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives
the following prescription: "Diphenhydramine 50 mg by mouth once, one hour prior to transfusion." The
nurse should identify this as which of the following types of prescription?
Single prescription
Single prescriptions are also referred to as one-time prescriptions. Single prescriptions differ from stat
prescriptions because they are implemented at a specified time, such as prior to a procedure or on call to
surgery. Unlike standing prescriptions, they are used for a single instance, rather than for an ongoing period of
time. Diphenhydramine administered prior to transfusion of blood reduces the risk of an allergic reaction.
Question: 5 of 50
A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for
tadalafil. Which of the following client statements indicates an understanding of the teaching?
, "This medication can decrease my blood pressure."
The client should understand that tadalafil can cause hypotension. The nurse should instruct the client not to
take this medication with nitrates because this can cause a sudden drop in blood pressure.
Question: 6 of 50
A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the
following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
Creatinine
The nurse should monitor creatinine, BUN, and urine output for a client who is receiving
gentamicin, an aminoglycoside antibiotic. Gentamicin is an aminoglycoside that has both
nephrotoxic and ototoxic adverse effects.
Question: 7 of 50
A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which
of the following client statements indicates an understanding of the teaching?
"I will have my blood checked to monitor the medication levels."
The client should have serum phenytoin levels tested to maintain therapeutic blood levels and
MY ANSWER
prevent toxicity. Therapeutic phenytoin levels range from 10 to 20 mcg/mL. Once a safe and
therapeutic dosage level is established, the client should continue to adhere to the prescribed
dosage schedule and continue routine monitoring.
Question: 8 of 50
A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of
the following findings should indicate to the nurse that the medication is effective?
The client's 24 hr urine output is 1,256 mL.
Desmopressin is effective for the treatment of diabetes insipidus, a disorder of the posterior
pituitary gland in which large amounts of dilute urine are produced due to a deficiency in
vasopressin. The action of desmopressin causes reabsorption of water and a decrease in urine
, volume. A urine output of 1,256 mL over 24 hr is within the expected reference range and indicates
the medication is effective.
Question: 9 of 50
A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin.
Which of the following instructions should the nurse include in the teaching?
"You should notify your provider if you experience facial swelling."
A hypersensitivity reaction, such as angioedema, can be life-threatening. Therefore, the nurse
should instruct the client to report manifestations such as swelling of the face, lips, tongue, or
throat to the provider.
Questi on 10 l oaded rati onals provi ded
Question: 10 of 50
A nurse is assessing a group of clients. Which of the following findings is the priority to report to the
provider?
A client who is receiving continuous IV lidocaine and has a respiratory rate of 10/min
Lidocaine is used to treat ventricular dysrhythmias. A decreased respiratory rate is a manifestation
of lidocaine toxicity. Therefore, a client who is receiving lidocaine and has a decreased respiratory
rate is unstable and this finding is the highest priority to report to the provider.
Question: 11 of 50
A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level of 3.1
mEq/L. Which of the following findings should the nurse expect?
Depressed deep tendon reflexes
A potassium level of 3.1 mEq/L is lower than the expected reference range of 3.5 to 5 mEq/L and is
an indication of hypokalemia. The nurse should expect depressed deep tendon reflexes in a client
who has hypokalemia.
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