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WGU D441 (Latest 2024/ 2025 Update) Medical Dosage Calculations and Pharmacology |Qs & As| 100% Correct| Grade A (Verified Answers) $11.99   Add to cart
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WGU D441 (Latest 2024/ 2025 Update) Medical Dosage Calculations and Pharmacology |Qs & As| 100% Correct| Grade A (Verified Answers)
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WGU D441 (Latest 2024/ 2025 Update) Medical Dosage Calculations and Pharmacology |Qs & As| 100% Correct| Grade A (Verified Answers) Q: Which anxiolytic drug promotes antagonistic activity at both the serotonin and dopamine receptors? 1. Buspirone 2. Alprazolam 3. Lorazepam 4. Amitriptyli...

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  • October 23, 2024
  • 75
  • 2024/2025
  • Exam (elaborations)
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  • d441 medical dosage calculations and pharmacology
  • wgu medical dosage calculations and pharmacology
  • wgu d441 latest update medical dosage calculatio
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WGUlD441l(LatestlUpdate)lMedicallDosagel
CalculationslandlPharmacology |Qsl&lAs|l
100%lCorrect|lGradelAl(VerifiedlAnswers)

Q:lWhichlanxiolyticldruglpromoteslantagonisticlactivitylatlbothlthelserotoninlandldopaminelre
ceptors?
1.lBuspirone
2.lAlprazolam
3.lLorazepam
4.lAmitriptyline


Answer:
1.lBuspironelislanlanxiolyticldrug,lwhichlhaslagonistlactivitylatlbothlthelserotoninlandldopamin
elreceptorsltolexertlitslantianxietyleffect.lAlprazolamlislalbenzodiazepinelthatlislcommonlylused
laslanlanxiolytic.lTheldruglelicitslitsleffectslbylincreasinglthelactivityloflgamma-
aminobutyriclacidl(GABA)lreceptorslthatlblocklnerveltransmissionlinlthelcentrallnervouslsyste
m.lLorazepamlislanlintermediate-
actinglbenzodiazepinelthatlincreaseslthelactivityloflthelGABAlreceptors.lAmitriptylinelislthelm
ostlcommonlylusedltricycliclantidepressant.




Q:lAlpatientldiagnosedlwithlanlanxietyldisorderlhaslbeenlusingllorazepamlbutlfindslthelsidele
ffectlofldrowsinessltolbelinterferinglwithllife.lWhichlanxiolyticlmedicationslmightlbelalbetterlo
ptionlforlthislpatient?
1.lBuspirone
2.lAlprazolam
3.lChlordiazepoxide
4.lHydroxyzinelhydrochloridelsalt


Answer:
1.lBuspironelislalthird-
generationlanxiolyticlthatlhasltheladvantageloflbeinglbothlnonsedatinglandlnon-habit-
forming.lAlprazolam,lchlordiazepoxide,landlhydroxyzinelhydrochloridelsaltlarelsedativeslaslwel
llaslanxiolytics.

,Q:lAlpatientlwholhasldepressionlislprescribedlduloxetine.lWhichltestslwilllthelnurselsuggestlt
olthelproviderlbeforeltheltherapylislstarted?
1.lRenallfunctionltest
2.lLiverlfunctionltest
3.lCompletelbloodlcount
4.lCompletelurinelexamination


Answer:
2.lDuloxetineltendsltolcauselliverltoxicity;lthereforelalliverlfunctionltestlshouldlbeldonelbeforel
startingltheltherapy.lRenallfunctionltestslmaylnotlbelimportantlbecauseltheldrugldoeslnotlaffectlt
helfunctionloflthelkidneys.lCompletelbloodlcountlandlurinelexaminationlareldoneltolgetlbaselin
elvaluesloflthelbiochemicallparameters,lbutltheselarelnotlimportantltoldeterminelthelprogresslofl
theltherapy.




Q:lAlpatientlwithlattentionldeficitlhyperactivityldisorderlislprescribedlanloralldoselofldiazepa
m.lWhatlislthelmaximumldoselofltheldruglthatlthelpatientlwouldlreceivelinlalday?lRecordlyourl
answerlusinglalwholelnumber.l_____lmglofldiazepamlperlday40


Answer:
30
Theloralldoselofldiazepamlforlalpatientlisl2ltol10lmgltwoltolthreeltimeslperlday.lThereforelthel
maximumldoselofltheldruglthelpatientlwouldlreceivelinlaldaylwouldlbel10lmgl×l3ltimesl=l30lm
g/day.




Q:lWhichlmood-stabilizingldrugslarelusedltoltreatlbipolarldisorder?lSelectlalllthatlapply.
1.lBupropion
2.lImipramine
3.lIsocarboxazid
4.lOxcarbazepine
5.lLithiumlcarbonate


Answer:
4,l5

,Moodlstabilizerslareldrugslthatlarelusedltoltreatlthelcyclesloflmania,lhypomania,landldepression
lbylregulatinglthelmetabolismloflcatecholamines.lExamplesloflmoodlstabilizerslincludeloxcarba
zepinelandllithiumlcarbonate.lImipraminelislaltricycliclantidepressant,lnotlalmoodlstabilizer.lItli
slalsecond-
lineltherapeuticldruglforlbipolarldisorders.lBupropionlislaldruglthatlislcategorizedlunderlalmisce
llaneouslgrouplandlislusedlforltheltreatmentlofldepression.lIsocarboxazidlislalmonoamineloxida
selinhibitorlusedlforltheltreatmentlofldepression.




Q:lThelnurselislassessinglalpatientlwholislprescribedlalbenzodiazepine.lWhenlreviewinglthelp
atient'slhistory,lwhatlmaylthelnurselask?
1.l"Havelyoulundergonelanylsurgery?"
2.l"Havelyouleverlexperiencedltrauma?"
3.l"Arelyoultakinglorallcontraceptives?"
4.l"Arelyoultakinglcalciumlsupplements?"


Answer:
3.lDuringlthelassessment,lthelnurselshouldlasklthelpatientlaboutltheluseloflorallcontraceptives.l
Orallcontraceptiveslinteractlwithlbenzodiazepines,lresultinglinlreducedleliminationloflbenzodiaz
epines.lThislincreaseslthelserumlconcentrationsloflbenzodiazepineslandlthuslcauseslsevereldepr
essionloflthelcentrallnervouslsystem.lSurgerylandltraumalarelnotlcontraindicationslforladministe
ringlbenzodiazepineltolalpatient.lCalciumlsupplementsldolnotlinteractlwithlbenzodiazepines.




Q:lAlpatientldiagnosedlwithldepressionlislstartedlonlaltricycliclantidepressantl(TCA)lafterlfail
ureltolimprovelsymptomslonlalselectivelserotoninlreuptakelinhibitor.lThelnurselshouldlincludel
whichlteachinglpointlwhenleducatinglthelpatientlaboutlthelnewlmedication?
1.lTherelarelnolcontraindicationsltolthislmedication.
2.lThelmedicationlislsafe;litlhaslbeenlusedllongerlthanlmanylothers.
3.lTherelislalrisklofltoxicitylwhenlthislmedicationlisltakenlwithlalcohol.
4.lThislclassloflmedicationslhaslnolotherluselandlislonlylforldepression


Answer:
3.lTherelislanlincreasedlrisklofltoxicitylandlalhighlrateloflmorbiditylwithlTCAslwhenltakenlwit
hlalcohol.

, Q:lThelnurselnotesllithiumlonlalpatient'sldruglhistoryluponladmission.lWhichlconditionlwould
lthelnurselsuspectlthatlthislpatientlhaslbeenldiagnosedlwith?
1.lBipolarldisorder
2.lAbsencelseizures
3.lParanoidlschizophrenia
4.lObsessive-compulsiveldisorder


Answer:
1.lLithiumlislanlantimanicldruglusedltoltreatlmaniclepisodeslassociatedlwithlbipolarldisorder.lT
herapeuticleffectsloflthelmoodlstabilizerllithiumlareldecreasedlmanialandlstabilizationloflthelpat
ient'slmood.lLithiumlislnotlusedltoltreatlabsencelseizures,lparanoidlschizophrenia,lorlobsessive-
compulsiveldisorder.




Q:lAlpatientlislbeinglswitchedlfromlamitriptylineltolcitalopram.lWhichlstatementlmadelbylthe
lpatientlreflectslunderstandingloflpatientleducation?
1.l"IlcanljustlstopltakinglmylElavillandlstartltakinglthelCelexalaslordered."
2.l"IlwilllnotlgetlasldizzylwhenlIlchangelpositionslafterlIlswitchlmedications."
3.l"Theldoctorlislswitchinglmeltolthislmedicationlbecauselitlisllesslexpensivelbutljustlasleffectiv
e."
4.l"IlwilllneedltollimitlmylintakeloflcheeselwhenltakinglCelexaltolpreventlalriselinlmylbloodlpr
essure."


Answer:
2.lCitalopram,lalselectivelserotoninlreuptakelinhibitorl(SSRI),lproduceslminimallanticholinergic
landlcardiovascularlsideleffects.lAgedlcheeselshouldlbelavoidedlbylpatientsltakinglmonoaminel
oxidaselinhibitors,lnotlSSRIs.




Q:lWhichlinstructionldoeslalnurselprovideltolalpatientlwholisltakinglalselectivelserotoninlreup
takelinhibitorl(SSRI)?
1.l"Changelpositionslfrequently."
2.l"Avoidlfoodslorlbeverageslrichlinltyramine."
3.l"Avoidlhotlbaths,lsaunas,landlhotlclimates."
4.l"Increaselthelintakelofldietarylfiberlsupplements."


Answer:

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