NURS 6521 (Advanced Pharmacology)
EXAM QUESTIONS AND ANSWERS
COMPLETE RATED A WALDEN UNIVERSITY.
It is determined that a patient, who is in a hepatic coma, needs a laxative.
Lactulose is prescribed. Which of the following should the nurse monitor to
assess the efficacy of the lactulose therapy?
Correct Answer -Blood ammonia levels
A nurse 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
Correct Answer -pharmacodynamics.
A nurse has been invited to speak to a support group for persons with
movement disorders and their families. Which of the following statements
by the nurse addresses the chronic nature of these diseases and the
relevant drug therapies?
Correct Answer -"Drugs do not cure these disorders; they instead enhance
quality of life."
A patient on 5-FU calls the clinic and reports that he has between five and
seven loose bowel movements daily. The nurse will instruct the patient to
Correct Answer -notify the clinic if the stools are black or if there is evidence
of
blood.
,An adult patient who has been diagnosed with a rectal tumor is scheduled to
begin treatment with cisplatin. The nurse has conducted patient teaching
about the possibility of nausea and vomiting. In order to reduce the patient's
risk of severe nausea, the nurse should
Correct Answer -administer a combination of antiemetics prior to the
administration of the drug.
A nurse is assessing a female patient who is taking diphenoxylate HCl with
atropine sulfate. Which of the following would lead the nurse to suspect that
she is experiencing an allergic reaction?
Correct Answer -Urticaria (hives)
Following an assessment by her primary care provider, a 70-year-old
resident of an assisted living facility has begun taking daily oral doses of
levothyroxine.
Which of the following assessment findings should prompt the nurse to
withhold
a scheduled dose of levothyroxine?
Correct Answer -The resident's apical heart rate is 112 beats/minute with a
regular rhythm
A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed
cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What
nursing diagnosis should the nurse prioritize when updating the nursing care
plan for this patient?
Correct Answer -Risk for Injury related to CNS depressant effects
, A homeless man who is well known to care providers at the local hospital
has been admitted to the emergency department after having a seizure
outside a mall. The man is known to be a heavy alcohol user and is
malnourished with a
very low body mass index. How are this patient's characteristics likely to
influence possible treatment with phenytoin?
Correct Answer -The patient's protein deficit will likely increase the levels of
the
free drug in his blood.
A clinic nurse is following a 9-year-old boy who is taking somatropin. Which
of
the following will the nurse monitor periodically?
Correct Answer -Height
A Native American man who lives a traditional lifestyle is scheduled to have
heart surgery. The tribal chief has requested that the tribe's medicine man
perform a ritual before the patient goes to surgery. The nurse's response to
this
request should be
Correct Answer -As long as the ritual does not interfere with the patient's
preoperative care, it will be okay.
A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse
knows that at that dosage, the patient will need to be carefully monitored for
Correct Answer -dizziness
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