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Pharm Final 100 Questions With Correct Answers

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Pharm Final 100 Questions With Correct Answers 1. A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication? a. Edema and hematuria b. Blurred vision and edema c. Urinary ...

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  • October 20, 2024
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©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



Pharm Final 100 Questions With Correct
Answers


1. A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects. The nurse

should identify which of the following findings as an adverse effect of this medication?

a. Edema and hematuria

b. Blurred vision and edema

c. Urinary retention and abdominal pain


d. Hypertension and headache - answer✔D.


Hypertension and headache.

2. A patient with Parkinson's disease is taking levodopa/carbidopa [Sinemet] and reports

occasional periods of loss of drug effect lasting from minutes to several hours. The nurse

questions the patient further and discovers that these episodes occur at different times related to

the medication administration. The nurse will contact the provider to discuss:

a. administering a catechol-O-methyltransferase (COMT) inhibitor, such as entacapone.

b. adding the DA-releasing agent amantadine to the regimen.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


c. giving a direct-acting dopamine agonist.


d. shortening the dosing interval of levodopa/carbidopa. - answer✔A


This patient is describing abrupt loss of effect, or the "off" phenomenon, which is treated with

entacapone or another COMT inhibitor. Amantadine is used to treat dyskinesias. A direct-acting

dopamine agonist is useful for gradual loss of effect, which occurs at the end of the

dosing interval as the dose is wearing off. Shortening the dosing interval does not help with

abrupt loss of effect.

3. A patient with atrial fibrillation is receiving warfarin [Coumadin]. The nurse notes that the

patient's INR is 2.7. Before giving the next dose of warfarin, the nurse will notify the provider

and:

a. administer the dose as ordered.

b. request an order to decrease the dose.

c. request an order to give vitamin K (phytonadione).


d. request an order to increase the dose. - answer✔A


This patient has an INR in the appropriate range, which is 2 to 3 for most patients and 2.5 to

3.5 for some, so no change in warfarin dosing is necessary. It is not correct to request an order

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


to either decrease or increase the dose of warfarin. It is not necessary to give vitamin K, which is

an antidote for warfarin toxicity.

4. A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital for

treatment of a urinary tract infection. The prescriber has ordered intravenous ciprofloxacin

[Cipro]. Before administering the third dose of this drug, the nurse reviews the bacterial culture

report and notes that the causative organism is Escherichia coli. The bacterial sensitivity report is

pending. The patient complains of right ankle pain. What will the nurse do?

a. Withhold the dose of ciprofloxacin and notify the provider of the patient's

symptoms.

b. Instruct the patient to exercise the right foot and ankle to minimize the pain.

c. Question the patient about the consumption of milk and any other dairy products.


d. Request an order to increase this patient's dose of glucocorticoids. - answer✔A


A rare but serious adverse effect associated with fluoroquinolones is tendon rupture, and those

at highest risk are children, patients older than 60 years, transplant patients, and any patients

taking glucocorticoids. Any pain in either heel should be reported and the drug should be

discontinued. Patients should be instructed not to exercise until tendonitis has been ruled out.

Dairy products can reduce the absorption of ciprofloxacin, so this is not a concern with this

patient. Because the pain may be caused by tendonitis associated with ciprofloxacin, it is not

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


correct to request an increase in the glucocorticoid dosing.

5. A patient who is an opioid addict has undergone detoxification with buprenorphine [Subutex]

and has been given a prescription for buprenorphine with naloxone [Suboxone]. The patient

asks the nurse why the drug was changed. Which response by the nurse is correct?

a. "Suboxone has a lower risk of abuse."

b. "Suboxone has a longer half-life."

c. "Subutex causes more respiratory depression."


d. "Subutex has more buprenorphine." - answer✔A


The combination of buprenorphine and naloxone [Suboxone] discourages intravenous abuse,

because with IV use, the naloxone precipitates withdrawal; this effect does not occur with

sublingual dosing [Subutex]. Suboxone does not differ from Subutex in terms of drug halflife.

Subutex does not cause more respiratory depression and does not contain more

buprenorphine.

6. A clinic patient who has been taking a glucocorticoid for arthritis for several months remarks

to the nurse, "It's a good thing my symptoms are better, because my mother has been quite ill,

and I have to take care of her." The patient's blood pressure is 100/60 mm Hg. The nurse will

report this to the provider and ask about:

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