WGU D116 Practice Final Test Questions And Answers With Verified Updates
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Course
WGU D116
Institution
WGU D116
WGU D116 Practice Final Test Questions And Answers With Verified Updates
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which action should the prescriber take initially?
d. Arrange to schedule an appointment with the patient.
Feedback: Schedule II medica...
WGU D116 Practice Final Test Questions And
Answers With Verified Updates
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which action
should the prescriber take initially?
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?
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?
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?
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?
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?
. Order periodic laboratory testing
Feedback: Therapeutic serum levels are determined through periodic laboratory testing.
Proadministration 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?
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.
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The provider prescribes hydrocodone with acetaminophen for a patient's postsurgical pain. What
instruction will the prescriber include regarding alcohol intake?
A. “You should avoid drinking alcohol while you are taking the pain medication I’ve ordered.”
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