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6521 Advanced Pharmacology Final
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6521 Advanced Pharmacology Final
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6521 Advanced Pharmacology Final234. A nurse is providing education to a group of patients regarding
amphetamines. To evaluate the group's understanding, the nurse asks a
participant what effects amphetamines would have on her. The participant
✅✅
shows that she understands the effects of these drugs if she gives which
answers? Select all that apply. - -"Amphetamines suppress the
perception of pain."
"Amphetamines increase the heart rate."
"Amphetamines elevate mood."
A 12-year-old female patient is admitted to the hospital before sinus surgery.
The nurse preparing to care for this patient notes that the admission
✅✅
hemoglobin is 10.2 gm/dL, and the hematocrit is 32%. The nurse will ask the
child's parents which question about their daughter? - -"Has she begun
menstruating?"
A 12-year-old male patient diagnosed with hypogonadism will begin
✅✅
testosterone injections. What will the nurse include when teaching the family
about this therapy? - -Injections are given every 2 to 4 weeks for 3 to 4
years.
A 14-year-old male patient has not begun puberty. His parents tell the nurse
that their son does not want to go to school, because he gets teased. The
nurse learns that the boy's father did not begin puberty until age 16 years.
Laboratory tests on this child do not reveal true hypogonadism. What will the
✅✅
nurse tell these parents when they ask what can be done for their son? -
-"A limited course of androgen therapy may be prescribed, but it is not
necessary."
A 14-year-old male patient who plays football is admitted to the hospital. The
nurse notes that the patient has short stature for his age according to a
standard growth chart. The patient is muscular, has a deep voice, and needs
✅✅
to shave. The nurse notifies the provider of these findings. Which test will the
nurse expect the provider to order? - -Liver function tests and serum
cholesterol
A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, and
bacteriuria greater than 100,000/mL of urine. Which are the most likely
,diagnosis and treatment? - ✅✅ -Uncomplicated lower urinary tract infection
treatable with short-course therapy
✅✅
A 30-year-old male patient reports having two to four urinary tract infections a
year. What will the nurse expect to teach this patient? - -"You will need to
take a low dose of medication for 6 months to prevent infections."
A 50-year-old female patient asks a nurse about taking aspirin to prevent
heart disease. The patient does not have a history of myocardial infarction.
✅✅
Her cholesterol and blood pressure are normal, and she does not smoke.
What will the nurse tell the patient? - -There is most likely no protective
benefit for patients her age.
A 50-year-old postmenopausal patient who has had a hysterectomy has
moderate to severe vasomotor symptoms and is discussing estrogen therapy
✅✅
(ET) with the nurse. The patient is concerned about adverse effects of ET. The
nurse will tell her that: - -transdermal preparations have fewer side
effects.
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? -
-Withhold the dose of ciprofloxacin and notify the provider of the
patient'ssymptoms.
A child has been taking SD methylphenidate [Ritalin], 10 mg at 0800 and 1200
and 5 mg at 1600, for 2 months. The parents tell the nurse that the child
sometimes misses the noon dose while at school. The child's appetite is
✅✅
normal. The teacher has reported a slight improvement in hyperactivity and
impulsivity. What will the nurse do? - -Ask the prescriber whether this
child could be given methylphenidate [Concerta].
A child has received amoxicillin [Amoxil] for three previous ear infections, but
a current otitis media episode is not responding to treatment. The nurse caring
✅✅
for this child suspects that resistance to the bacterial agent has occurred by
which microbial mechanism? - -Drug inactivation
,A child has ringworm of the scalp. A culture of the lesion reveals a
✅✅
dermatophytic infection. The nurse teaching the child's parents about how to
treat this infection will include which statement? - -"Your child will need to
take this oral medication for 6 to 8 weeks."
A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The
✅✅
prescriber orders a central nervous system stimulant. Which statement by the
child's parent indicates a need for further teaching? - -"This drug will
make him less impulsive while he's at school."
A child will begin taking methylphenidate [Ritalin] for
✅✅
attention-deficit/hyperactivity disorder. Important baseline information about
this patient will include: - -height and weight.
A child will receive 750 mg of an antibiotic for 10 days. The child attends day
care. The drug may be dosed in several ways and is available in two
✅✅
concentrations. Which dosing regimen will the nurse discuss with the child's
provider? - -500 mg/5 mL to 375 mg PO twice daily
A child with an ear infection is not responding to treatment with amoxicillin
✅✅
[Amoxil]. The nurse will expect the provider to order: -
-amoxicillin-clavulanic acid [Augmentin].
A child with otitis media has had three ear infections in the past year. The child
has just completed a 10-day course of amoxicillin [Amoxil] with no
improvement. The parent asks the nurse why this drug is not working,
✅✅
because it has worked in the past. What will the nurse tell the patient? -
-"The bacteria have synthesized penicillinase."
A clinic nurse is assessing an adolescent male patient who has been receiving
androgen therapy for hypogonadism via a transdermal patch. The patient's
✅✅
last clinic visit was 4 weeks earlier. Which part of the interval history is of most
concern to the nurse? - -Five-pound weight gain
A female patient has come to the STD clinic and has been diagnosed with a
✅✅
Trichomonas vaginalis infection. What education should be provided to this
patient? - -Male partners should always be treated, even if they are
asymptomatic
, A female patient who has hepatitis C is being treated with pegylated interferon
✅✅
alpha and ribavirin [Ribasphere]. It will be important for the nurse to teach this
patient that: - -she will need a monthly pregnancy test during her
treatment.
A hospitalized patient who is given one dose of flurazepam continues to show
drowsiness the next day. A nursing student asks the nurse the reason for this,
✅✅
because the drug's half-life is only 2 to 3 hours. Which response by the nurse
is correct? - -"When this drug is metabolized, the resulting compound
has longer-lasting effects."
A male patient with hepatitis C will begin triple drug therapy with pegylated
interferon alpha 2a [Pegasys], ribavirin [Ribasphere], and boceprevir
✅✅
[Victrelis]. The patient tells the nurse that his wife is pregnant. What will the
nurse tell him? - -Boceprevir is contraindicated in males whose partners
are pregnant.
✅✅
A neonate is born to a patient who reports taking venlafaxine [Effexor XR].
The nurse caring for the infant will observe the infant for: - -irritability,
tremor, and respiratory distress.
A newborn infant has been given erythromycin ophthalmic ointment as a
routine postpartum medication. The infant's mother learns that she has a C.
✅✅
trachomatis infection and asks the nurse if her baby will need to be treated.
Which response by the nurse is correct? - -"Your baby will need to be
treated with oral erythromycin."
A nurse and a nursing student are discussing the plan of care for a patient
with schizophrenia. The patient, who has been taking a high-potency FGA for
2 months, has become restless and constantly needs to be in motion. Which
✅✅
statement by the student indicates a need for further education? -
-"Because this may be an exacerbation of psychosis, the provider may
increase the dose of the FGA."
A nurse assisting a nursing student with medications asks the student to
✅✅
describe how penicillins (PCNs) work to treat bacterial infections. The student
is correct in responding that penicillins: - -disrupt bacterial cell wall
synthesis.
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