WGU D116 Advanced Pharmacology for the Advanced Practice Nurse Exam | Study Questions and Answers | Latest 2024
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WGU D116 Advanced Pharmacology
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WGU D116 Advanced Pharmacology
WGU D116 Advanced Pharmacology for the Advanced Practice Nurse Exam | Study Questions and Answers | Latest 2024
WGU D116 Advanced Pharmacology for the Advanced Practice Nurse Exam | Study Questions and Answers | Latest 2024
WGU D116 Advanced Pharmacology for the Advanced Practice Nurse Ex...
WGU D116 Advanced Pharmacology for the
Advanced Practice Nurse Exam | Study
Questions and Answers | Latest 2024
A patient administers interferon beta-1a SQ [Rebif] 22 mcg/0.5 mL
three times each week. The patient calls the nurse to report
unrelieved itching and erythema at the injection site, despite the
use of topical hydrocortisone for several weeks. What will the
nurse tell this patient to do?
a) Apply ice to the injection site before and after the injection.
b) Ask the provider to reduce the dose of interferon beta to 8.8
mcg/0.2 mL.
c) Discuss using a prescription-strength hydrocortisone product
with the provider.
d) Take oral diphenhydramine [Benadryl].
d) Take oral diphenhydramine [Benadryl].
A patient has received an initial dose of glatiramer acetate
[Copaxone] for relapsing-remitting multiple sclerosis. The nurse
notes that the patient appears flushed and anxious and has
urticaria. The patient reports palpitations, chest pain, and a feeling
,of laryngeal constriction. What will the nurse do?
a) Obtain an order for epinephrine to treat a hypersensitivity
reaction.
b) Prepare to provide cardiorespiratory support.
c) Report a possible cardiotoxic episode to the provider.d.
d) Stay with the patient until this self-limiting episode passes.
d) Stay with the patient until this self-limiting episode passes.
A patient who stopped taking teriflunomide [Aubagio] 1 year prior
tells the nurse that she has just found out she is pregnant. Which
action by the nurse is correct?
a) Contact the provider to obtain an order for serum drug levels.
b) Reassure the patient that her fetus should be safe.
c) Suggest that she consider an abortion.
d) Tell her that she will not be able to nurse her baby when it is
born.
a) Contact the provider to obtain an order for serum drug levels.
A patient is about to begin therapy with fingolimod [Gilenya] to
treat multiple sclerosis. The nurse learns that the patient has not
had chickenpox or the varicella zoster virus (VZV) vaccine. What
will the nurse do?
,a) Advise the patient to avoid individuals with chickenpox.
d) Give the VZV vaccine with the initial dose of fingolimod.
c) Give the VZV vaccine and tell the patient to begin using
fingolimod in 1 month.
d) Obtain an order for a VZV antibody test.
d) Obtain an order for a VZV antibody test.
A nurse provides teaching for a 25-year-old patient who will
receive mitoxantrone [Novantrone] for worsening relapsing-
remitting multiple sclerosis. Which statement by the patient
indicates a need for further teaching?
a) "I may experience cardiac side effects several years after
receiving this drug."
b) "I should report fever, chills, cough, and hoarseness
immediately."
c) "I will need an infusion of this medication once weekly."
d) "I will need a liver function test and a pregnancy test before
each dose."
c) "I will need an infusion of this medication once weekly."
*** is given every 3 months
, A patient who has recently begun taking interferon beta reports
feeling depressed. Which action by the nurse is correct?
Notify the provider of these symptoms
A patient has begun taking dimethyl fumarate [Tecfidera] to treat
relapsing MS and calls the clinic to report flushing of the skin with
itching and burning sensations. What will the nurse recommend to
this patient?
a) "Take a non-enteric-coated aspirin 30 minutes before each
dose."
b) "The provider will order an antihistamine to treat this symptom."
c) "Try taking the medication on an empty stomach."
d) "You should notify the provider immediately."
a) "Take a non-enteric-coated aspirin 30 minutes before each
dose."
Immunomodulator drugs have shown effectiveness for
what? (Select all that apply.)
a) Preventing the development of MS
b) Primary progressive MS
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