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FINAL D116 PRACTICE TEST (WGU) QUESTIONS WITH CORRECTLY SOLVED ANSWERS!!
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FINAL D116 PRACTICE TEST (WGU) QUESTIONS WITH CORRECTLY SOLVED ANSWERS!!
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FINAL D116 PRACTICE TEST (WGU) QUESTIONS WITH CORRECTLY SOLVED ANSWERS!!A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which action should the prescriber take initially? Answer - d. Arrange to schedule an appointment with the patient.
Feedback: Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is important to verify the patient's adherence to the drug regimen and determine the current dosage of medication and pain level; however, this can be
accomplished by scheduling an appointment and evaluating the patient in person.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding would be most concerning to the provider? Answer - b. The patient drinks two glasses of wine every night.
Feedback: Patients taking metronidazole should be educated not to drink alcohol to prevent a disulfiram-like reaction. It would be concerning that the patient drinks wine daily. History of a yeast infection may indicate increased risk for recurrence with administration of an antimicrobial. A family history of cervical cancer is not related to administration of metronidazole. Unemployment can indicate lack of insurance coverage, which may limit the patient's ability to purchase medications; however, generic metronidazole is one of the less expensive medications.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital discharge. Which action by the provider will best support the patient's ability to effectively manage medication therapy? Answer - c. Asking the patient to demonstrate how to measure and administer insulin
Feedback: Because insulin must be given correctly to control symptoms and prevent an overdose, it is most important for the patient to know how to measure and administer it. Asking for a demonstration of technique is the best way to determine whether the patient has understood the teaching. The other teaching points are important as well, but they are not as critical.
A patient reports that a medication prescribed for recurrent migraine headaches is not working. Which action is the prescriber's priority when addressing the patient's concern? Answer - b. Ask the patient about the number and frequency of tablets taken.
Feedback: When evaluating the effectiveness of a drug, it is important to determine how often the patient is using the drug. Asking the patient to identify how many tablets are taken and how often helps the provider determine effective dosages and adherence to the medication regimen. The patient has already stated that the medication is not working; the actual level of pain may determine the degree to which it is not working, but it does not help the provider to determine why it is not working. The assessment process should gather as much information about compliance, symptoms, and drug effectiveness as possible before enacting a change in treatment. Biofeedback may be an effective adjunct to treatment, but it should not be recommended without complete information about drug effectiveness.
The drug manual states that older adult patients are at increased risk for hepatotoxicity. Which action is most important when prescribing this medication to an
80-year-old patient? Answer - d. Obtaining baseline liver function studies
Feedback: The drug manual indicates that this drug increases risk of hepatotoxicity for elderly patients. Getting information about liver function before giving the drug establishes baseline data that can be compared with posttreatment data to determine whether the drug is affecting the liver. Taking the correct dose at the correct interval may minimize risk, but without baseline information, the effects cannot be determined. Drugs are not routinely contraindicated for an increased risk of adverse effects
A patient with bipolar disorder is prescribed daily lithium. Which action is most important for the provider to take in order to determine if the therapeutic level is maintained? Answer - . Order periodic laboratory testing
Feedback: Therapeutic serum levels are determined through periodic laboratory testing. Preadministration blood work may be necessary to obtain baseline status prior to initiating treatment, but it will not determine therapeutic levels. Scheduling medication administration at regular intervals will help to ensure medication is absorbed and metabolized predictably, but it will not determine therapeutic blood levels. Assessing the patient for signs and symptoms of toxicity will help to determine
if the therapeutic level has been exceeded, not maintained.
When prescribing lovastatin, what will a provider advise to decrease the risk of developing muscle toxicity? Answer - B. Substitute grapefruit juice with orange juice.
Feedback: Grapefruit juice can inhibit the metabolism of certain drugs including statins like lovastatin. The juice raises drug levels decreasing the intestinal metabolism of the drug resulting in increased drug levels which increases the risk for
adverse effects such as muscle toxicity. Taking the drug with an anti-inflammatory drug and avoiding exercise after administration are not supported by science. Monitoring AST and ALT detects liver toxicity, not muscle toxicity.
The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical
pain. What instruction will the prescriber include regarding alcohol intake? Answer - A. "You should avoid drinking alcohol while you are taking the pain medication I've ordered."
Feedback: Combining a hepatotoxic drug with other hepatotoxic agents increases the risk of hepatotoxicity. When even therapeutic doses of acetaminophen are taken with alcohol, the acetaminophen can cause liver damage. Patients should be cautioned not to drink alcohol; even two drinks with acetaminophen can produce this effect. Hydrocodone does not contribute to hepatotoxicity. Ibuprofen is not indicated
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