NR-565 Advanced Pharmacology Fundamentals Final Exam Question Bank / NR-565 Advanced Pharmacology Fundamentals Final Exam Questions & Answers Study Set
NR-565 Advanced Pharmacology Fundamentals NR565 Final Exam Question Bank A patient is prescribe d 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 a fter 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 p atient? 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 teach ing? 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 indic ates 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 l ab 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 Ans wer: Lactulose A patient who has been taking Senna for several days notes that their urine is yellowish brown. What respons e 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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