NURS 6200: Unit 3 Review Questions (Pharmacology) Questions with Correct Answers
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Course
RN- Nursing
Institution
RN- Nursing
The nurse has instructed a patient diagnosed with human immunodeficiency virus (HIV) on the use of zidovudine. Which patient statement demonstrates a need for additional teaching?
a. "I do not have to worry about taking the medication on an empty stomach or not."
b. "I do not need to use condom...
NURS 6200: Unit 3 Review Questions (Pharmacology)
Questions with Correct Answers
The nurse has instructed a patient diagnosed with human
immunodeficiency virus (HIV) on the use of zidovudine. Which patient
statement demonstrates a need for additional teaching?
a. "I do not have to worry about taking the medication on an empty
stomach or not."
b. "I do not need to use condoms as long as I take my medication as
prescribed."
c. "I may get a headache from this medication."
d. "I might have difficulty sleeping with this medication." Correct
Answer ✓✓ b. "I do not need to use condoms as long as I take my
medication as prescribed."
Antiretroviral agents do not stop the transmission of HIV, and patients
need to continue standard precautions. Zidovudine (Retrovir, AZT) is
not known for causing headaches or producing insomnia and does not
require being taken with food.
A patient diagnosed with human immunodeficiency virus (HIV) is in her
first trimester of pregnancy. The nurse will teach this patient about
which medication?
a. Delavirdine
b. Nevirapine
,c. Efavirenz
d. Zidovudine Correct Answer ✓✓ b. Nevirapine
Nevirapine may be used as an alternative therapy for women who are
pregnant, especially in the first trimester of pregnancy. The other drug
choices are not recommended for pregnant patients.
A patient is receiving antiretroviral therapy (ART). Which outcome
should the nurse identify as indicating a therapeutic response to the
medication therapy?
a. CD4 T-cell increase
b. Increased immune system functioning
c. Decreased T-cell reactivity
d. Elevation of HIV RNA levels Correct Answer ✓✓ a. CD4 T-cell
increase
The expected outcome of ART is a suppression of HIV RNA levels and
CD4 T-cell increases in patients. Elevated HIV RNA levels, decreased
T-cell reactivity, and increased immune system functioning are not
indicative of a therapeutic response to medication therapy.
Which intervention is a priority for a patient who is taking antiretrioviral
therapy(ART)?
a. Teach adherence to the medication regimen.
,b. Refer the patient for preventive care measures.
c. Teach hand washing to the patient.
d. Increase fluids to 2400 mL/day. Correct Answer ✓✓ a. Teach
adherence to the medication regimen.
Although all of these interventions should be carried out, teaching
adherence to the regimen is the highest priority.
The health care provider is considering placing the patient on ritonavir.
The patient tells the nurse that the patient has recently been diagnosed
with type 2 diabetes mellitus. What is the nurse's priority action?
a. Instruct the patient to keep an accurate glucose log.
b. Notify the health care provider of the new information.
c. Instruct the patient to monitor blood sugars more often.
d. Notify the pharmacist that a larger dose will be needed. Correct
Answer ✓✓ b. Notify the health care provider of the new information.
The health care provider should be notified of this new information.
Patients with diabetes mellitus or hyperglycemia may experience an
exacerbation of their condition during ritonavir treatment.
The patient has been started on stavudine (d4T). After taking the drug
for 3 days, the patient contacts the nurse to report the onset of muscle
pain and weakness. What is the nurse's priority action?
, a. Reassure the patient that this is an expected side effect of the
medication.
b. Instruct the patient to hold doses of the medication until further
notice.
c. Reassure the patient that the symptom is time-limited and will resolve.
d. Instruct the patient to self-medicate with an NSAID medication.
Correct Answer ✓✓ b. Instruct the patient to hold doses of the
medication until further notice.
The patient should not take any more doses of the medication until the
health care provider can evaluate the patient. Muscle pain and weakness
may be related to lactic acidosis, a serious side effect of the medication.
The nurse's scope of practice does not allow for adjusting the patient's
medication regimen.
The nurse recognizes that compliance with antiretroviral therapy(ART)
regimens is often problematic for patients. What level of compliance is
needed to help ensure ongoing success with this therapy?
a. 50%
b. 80%
c. 95%
d. 65% Correct Answer ✓✓ c. 95%
Adherence challenges are common with any drug therapy, but ART
presents a greater challenge because patients are asked to achieve an
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