2022- Walden University NURS 6630 Pharma wk 10 quiz
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Walden University NURS 6630 Pharma wk 10 quiz
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Walden University NURS 6630 Pharma wk 10 quiz
Walden University NURS 6630 Pharma week 10 quiz
· 1
1 out of 1 points
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should...
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk
is safe for her baby. If her treatment cannot be discontinued, what should the nurse
recommend?
Response A breast-feeding woman who is receiving any radioactive compounds should
Feedback: pump her breasts during the time that breast milk is radioactive and discard the
milk into a biohazard container designed for radioactive materials. Breast-
feeding can resume when the drug is stopped and the breast milk contains no
radioactivity. It is not the role of the nurse to recommend alternative
medication.
1 Question 2
1 out of 1 points
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What
advice should the nurse provide to this patient?
Response An important nursing intervention is teaching about signs and symptoms of
Feedback: potential complications of estrogen and progestin contraceptives. These may
include headaches, vision changes or pain in the calves, abdomen or chest and
should be reported promptly. The use of oral contraceptives does not preclude
future pregnancy. There is not a 10 to 12 week time span between the initiation
of oral contraceptives use and the prevention of pregnancy.
1 Question 3
1 out of 1 points
A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline
(Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions
will the nurse take to decrease the risk of hypotension and promote circulation to the fetus?
Response In a patient receiving terbutaline, the nurse should closely monitor the patient's
Feedback: pulse rate and blood pressure. In addition, to increase placental perfusion, the
nurse should have the patient lie on her left side during the infusion. This will
help minimize the risk for hypotension and promote circulation to the fetus.
Palpitations are a common adverse effect of the drug and should be reported
but are unrelated to hypotension and fetal circulation. The nurse should advise
the patient to limit her fluid intake during the infusion because of possible
fluid overload. However, this, too, is unrelated to hypotension and fetal
, circulation.
1 Question 4
1 out of 1 points
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine
(Detrol). What patient teaching should the nurse provide to this woman?
Response The anticholinergic effects of tolterodine can cause dry mouth; headaches are
Feedback: another common adverse effects. Tolterodine is not associated with alterations
in cardiac function and it is not contraindicated with hormone therapy.
Hematuria is a pathological finding that would warrant follow up.
1 Question 5
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the following will the nurse
advise the patient is a common adverse effect of estrogen therapy?
Response The nurse will advise the patient that common adverse effects include
Feedback: breakthrough bleeding, changes in menstrual flow, dysmenorrhea,
premenstrual-like syndrome, headache, nausea and vomiting, bloating,
abdominal cramps, chloasma, and photosensitivity. Migraine headaches,
dizziness, and changes in libido are less common adverse effects.
1 Question 6
1 out of 1 points
A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-
existing medical condition. She is consumed with fear that her baby will be born with a
physical deformity or a congenital anomaly but knows that she has to take the medication.
She talks constantly about this and is unable to sleep most nights. Which of the following is
the most appropriate nursing diagnosis for this patient is?
Response The nurse has assessed that the patient is anxious and fearful that her baby will
Feedback: suffer because of her drug therapy.The nurse should work with the mother to
design a plan of care to help decrease the mother's anxiety. Even though the
other nursing diagnoses are plausible, the most appropriate nursing diagnosis
is anxiety related to perceived danger of drug therapy to fetus or infant.
1 Question 7
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