NURS 676 Advanced Pharmacology – APRN NURS 676 Advanced Pharmacology – APRN MIDTERM EXAM LATEST 2024 100% ACCURATE SUMMER -FALL (WCU ) NEW A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for Selected Answer: nitrate tolerance. Selected Answer: potential adverse effects of the drugs that Mr. Nguyen will be taking. Selected Answer: Bismuth, Metronidazole, Omeprazole, and Tetracycline Selected Answer: hypertension. Selected Answer: adrenal insufficiency. The APRN is treating a 56 year old male with diagnosed atrial fibrillation. He is complaining of being light headed. His vital signs are BP 100/68 HR 144 RR 22. The best choice of medication to treat this patient is: • Question 6 1 out of 1 points • Question 5 1 out of 1 points A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid • Question 4 1 out of 1 points A 60-year-old African -American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of • Question 2 1 out of 1 points Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about • Question 3 1 out of 1 points The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: NURS 676 Advanced Pharmacology – APRN • Question 10 1 out of 1 points • Question 11 1 out of 1 points Selected Answer: Beta blocker such as Metoprolol Selected Answer: Electrolyte levels Selected Answer: Gastrointestinal distress Selected Answer: It can be combined with an inhaled corticosteroid to improve asthma control A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which of the patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice? Selected Answer: Atorvastatin (Lipitor) A Nurse Practitioner is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? • Question 9 1 out of 1 points Which of the following is TRUE about long acting beta agonist use in asthma patients? • Question 8 1 out of 1 points Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? • Question 7 1 out of 1 points A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? NURS 676 Advanced Pharmacology – APRN • Question 12 1 out of 1 points • Question 13 1 out of 1 points • Question 14 1 out of 1 points • Question 15 1 out of 1 points Selected Answer: Wear appropriate clothing and sunscreen whenever he is in direct sunlight A 66-year-old woman has a complex medical history that includes poorly - controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of Selected Answer: hyperkalemia. A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin -converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? Selected Answer: Serum potassium levels During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolo nged use of laxatives Selected Answer: may cause nutrient deficiencies. The Nurse Practitioner is conducting a medication reconciliation of a new resident of a long -term care facility. The Nurse Practitioner notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? Selected Answer: To balance urate concentration and prevent gout attacks • Question 16 1 out of 1 points NURS 676 Advanced Pharmacology – APRN • Question 19 1 out of 1 points • Question 18 1 out of 1 points A Nurse Practitioner is providing discharge planning for a 45 -year-old woman who has a prescription for oral albuterol. The Nurse Practitioner will question the patient about her intake of which of the following? A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of Selected Answer: a CNS reflex that is initiated by receptors in the nasal cavities. Answer: Selected Answer: Coffe e A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it Selected Answer: inhibits cholesterol syntheses. Selected Answer: Take it on an empty stomach, 1 hour before or 2 hours after meals Selected ototoxicit y. • Question 21 1 out of 1 points A Nurse Practitioner is caring for a 78-year-old patient with renal insufficiency and chronic heart failure who is receiving rapid infusions of high -dose furosemide. It will be a priority for the Nurse Practitioner to monitor for • Question 20 1 out of 1 points A patient with bronchial asthma is prescribed a sustained -release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? • Question 17 1 out of 1 points A patient has been prescribed a Scheduled 5 drug, an example of this drug is Selected Antitussives
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