NR-565 Advanced Pharmacology Fundamentals Final Exam Question Bank / NR-565 Advanced Pharmacology Fundamentals Final Exam Questions & Answers Study Set
A patient is prescribed ondansetron 30 minutes before initiation of
chemotherapy. The patient reports that the ondansetron did not work as well
as it had previously. What action will the prescriber take?
Correct Answer:
Prescribe dexamethasone to be given with the ondansetron
A patient receives ondansetron and dexamethasone for chemotherapy-
induced nausea and vomiting (CINV). The patient states that the drugs
provide relief during and immediately after chemotherapy, but that
significant nausea and vomiting occur several days after each chemotherapy
treatment. What action will the prescriber take to address this outcome?
Correct Answer:
Suggest adding aprepitant to the medication regimen.
A patient who experiences motion sickness plans to go on a cruise. The
prescriber orders transdermal scopolamine [transderm scop]. The patient
asks why an oral agent is not ordered. What response will the provider give
to explain the benefit of a transdermal preparation?
Correct Answer:
This form has less anticholinergic effects than the oral form.
,A patient plans to perform missionary work in a region with poor drinking
water. The provider gives the patient a prescription for ciprofloxacin to take
on the trip. What instructions will the prescriber discuss with this patient?
Correct Answer:
Use the drug if symptoms develop and are severe or do not improve in a few
days.
A patient reports a 6-month history of daily episodes of recurrent, crampy
abdominal pain followed by diarrhea that usually relieves the pain. The
patient undergoes a colonoscopy, for which the findings are normal. What
will the provider discuss with the patient?
Correct Answer:
Keeping a food, stress, and symptom diary
A provider discusses the use of immunosuppressants for the treatment of
inflammatory bowel disease (IBD) with a patient. Which statement by the
patient indicates understanding of the teaching?
Correct Answer:
Cyclosporine can be used to induce remission of IBD>
A patient with Crohn disease will receive an initial infusion of infliximab. The
prescriber explains how this drug works to treat this disease. Which
statement by the patient indicates a need for further teaching?
Correct Answer:
This drug sometimes provides a complete cure of inflammatory bowel
disease.
,The parent of a child with cerebral palsy reports that the child has pebble-
like stools most of the time and seems uncomfortable if several days have
passed between stools. The nurse will suggest that the parent discuss which
medication with the child's provider?
Correct Answer:
Polyethylene glycol
A patient has been taking psyllium two to three times daily for several days
but has not passed a stool. What initial action will the prescriber take when
the patient reports abdominal pain?
Correct Answer:
Palpate the patient's abdomen and auscultate for bowel sounds.
Which new diagnosis would prompt the provider to discontinue a PRN order
for magnesium hydroxide?
Correct Answer:
Renal failure
An older adult patient takes an opioid analgesic right after a hip ORIF. Which
medication will the provoider prescribe to prevent constipation?
Correct Answer:
Docusate sodium.
, A provider has a routine order for sodium phosphate as a bowel cleanser
before a patient's colonoscopy. The lab report shows that the patient's
creatinine clearance and blood urea nitrogen are both elevated. What will
the provider do in response to these lab results?
Correct Answer:
Prescribe polyethylene glycol and electrolytes (PEG-ELS) instead.
A patient reports taking an oral bisacodyl laxative for several years. What
instructions will the provider give the patient to guide the discontinuation of
the laxative?
Correct Answer:
Stop taking the laxative immediately and expect no stool for several days.
A patient with a history of chronic alcohol use has been admitted to the unit
with a diagnosis of cirrhosis. Admission laboratory reports show that the
patient's ammonia level is elevated at 218 ug/dL. What medication will the
provider prescribe to address the lab result?
Correct Answer:
Lactulose
A patient who has been taking Senna for several days notes that their urine
is yellowish brown. What response will the prescriber provide when the
patient expresses concern about this change?
Correct Answer:
It is an expected, harmless effect of Senna.
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