NURS 2474 PHARMACOLOGY FINAL EXAM
QUESTIONS AND DETAILED ANSWERS
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A prescriber has ordered medication for a newborn that is
eliminated primarily by hepatic metabolism. What would the
nurse expect the prescriber to order?
A. Order a dose that is higher than an adult dose
B. Discontinue the drug after one or two treatments
C. Increase the frequency of medication dosing
D. Order a dose that is lower than an adult dose
D. Order a dose that is lower than an adult dose
A nurse is reviewing a client's health record and notes that the
client
experienced permanent extrapyramidal effects caused by a
previous
medication. The nurse should recognize that the medication
affected
which of the following systems in the client?
,2
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
Central nervous. C. CORRECT: Realize that extrapyramidal
effects are
movement disorders that can be caused by a number of central
nervous
system medications (traditional/FGA antipsychotic
medications).
When administering medication to infants, it is essential to
remember which of the following?
A. Oral medications are contraindicated in infants
B. Infants are more sensitive to medications that act on the CNS
C. Immaturity of renal function in infancy causes infants to
excrete drugs less efficiently
D. Infants have immature livers, which slow drug metabolism
E. Breastfeeding infants are more likely to develop toxicity when
given lipid-soluble drugs
B. Infants are more sensitive to medications that act on the CNS
C. Immaturity of renal function in infancy causes infants to
excrete drugs less efficiently
D. Infants have immature livers, which slow drug metabolism
,3
E. Breastfeeding infants are more likely to develop toxicity when
given lipid-soluble drugs
The nurse is caring for a pregnant client recently diagnosed with
hypothyroidism. The client tells the nurse she does not want to
take medication while she is pregnant. What should be the
nurse's response?
A. Neuropsychological deficits in the fetus can occur if the
condition is not treated
B. No treatment is required if the client is experiencing
symptoms
C. No danger to the fetus exists until the third trimester
Hypothyroidism is a normal effect of pregnancy and usually is of
no consequence
Neuropsychological deficits in the fetus can occur if the
condition is not treated
estrogen therapy in postmenopausal women
women take due to vaginal dryness, hot flashes, painful sex,
prevent bone loss when older
A nurse educator is reviewing medication metabolism at an in-
service
, 4
presentation. Which of the following factors should the
educator include
as a reason to administer lower medication dosages?
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Hypertension
C. Liver failure. Liver failure decreases metabolism and thus
increases the
concentration of a medication. This requires decreasing the
dosage.
A nurse is teaching a client about transdermal patches. Which
of the
following statements should the nurse identify as an indication
that the
Does client understand?
A. "It doesn't matter if I clean the site before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
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