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Pharm Final Exam Bank 3/3-70 questions with correct answers Rated A+

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Pharm Final Exam Bank 3/3-70 questions with correct answers Rated A+/Pharm Final Exam Bank 3/3-70 questions with correct answers Rated A+/Pharm Final Exam Bank 3/3-70 questions with correct answers Rated A+

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Pharm Final Exam Bank 3/3
A nurse caring for a patient who is undergoing a third round of chemotherapy is
preparing to administer ondansetron (Zofran) 30 minutes before initiation of the
chemotherapy. The patient tells the nurse that the ondansetron did not work as
well the last time as It had the first time. What will the nurse do?


A) Administer the ondansetron at the same time as the chemotherapy.
B) Contact the provider to suggest using high-dose intravenous dolasetron
(Anzemet).
C) Request an order to administer dexamethasone with the ondansetron.
D) Suggest to the provider that loperamide (Lomotil) be given with the
ondansetron. - correct answer C) Request an order to administer dexamethasone
with the ondansetron.
A pregnant patient who is taking ondansetron (Zofran) for morning sickness tells
the nurse she is experiencing headache and dizziness. What will the nurse tell
her?


A) It is not safe to take this drug during pregnancy.
B) These are common side effects of ondansetron.
C) She should stop taking the ondansetron immediately.
D) She should report these adverse effects to her provider. - correct answer B)
These are common side effects of ondansetron.
A patient is being treated for chemotherapy-induced nausea and vomiting (CINV)
with ondansetron (Zofran) and dexamethasone. The patient reports getting relief
during and immediatefy after chemotherapy but has significant nausea and
vomiting several days after each chemotherapy treatment. What will the nurse
do?


A) Contact the provider to discuss increasing the dose of ondansetron.

,Pharm Final Exam Bank 3/3
B) Suggest giving prolonged doses of dexamethasone.
C) Suggest adding aprepitant (Emend) to the medication regimen.
D) Tell the patient to ask the provider about changing the ondansetron to
aprepitant. - correct answer C) Suggest adding aprepitant (Emend) to the
medication regimen.
A patient is receiving intravenous promethazine (Phenergan) 25 mg for
postoperative nausea and vomiting. What is an important nursing action when
giving this drug?


A) Giving the dose as an IV push over 3 to 5 minutes
B) Infusing the dose with microbore tubing and an infusion pump
C) Observing the IV insertion site frequently for patency
D) Telling the patient to report dry mouth and sedation - correct answer C)
Observing the IV insertion site frequently for patency
A nursing student is discussing with a nurse the plan of care for a patient about to
undergo a third round of chemotherapy with cisplatin. Which statement by the
nursing student about the treatment of CINV is correct?


A) "Aprepitant (Emend) will be necessary to treat CINV caused by cisplatin."
B) "Antiemetics are most effective if given just as the chemotherapy is finished."
C) "Lorazepam probably would not be helpful for this patient."
D) "This patient will need intravenous antiemetics for best effects." - correct
answer A) "Aprepitant (Emend) will be necessary to treat CINV caused by
cisplatin."
A patient who is in her first trimester of pregnancy asks the nurse to recommend
nonpharmaceuticai therapies for morning sickness. What will the nurse suggest?

, Pharm Final Exam Bank 3/3
A) Avoiding fatty and spicy foods
B) Consuming extra clear fluids
C) Eating three meals daily
D) Taking foods later in the day - correct answer A) Avoiding fatty and spicy foods
A patient who experiences motion sickness is about to go on a cruise. The
prescriber orders transdermal scopolamine (Transderm Scop). The patient asks
the nurse why an oral agent is not ordered. The nurse will explain that the
transdermal preparation:


A) can be applied as needed at the first sign of nausea.
B) has less intense anticholinergic effects than the oral form.
C) is less sedating than the oral preparation.
D) provides direct effects, because it is placed close to the vestibular apparatus of
the ear. - correct answer B) has less intense anticholinergic effects than the oral
form.
A nurse explains to a nursing student why opiold antidiarrheal medications are
classified as drugs with little or no abuse potential. Which statement by the
student indicates·a need for further teaching?


A) "Formulations for the treatment of diarrhea have very short half-lives."
B) "Opioid antidiarrheal drugs contain other drugs with unpleasant side effects at
higher doses."
C) "Some opioid antidiarrheal drugs do not cross the blood-brain barrier."
D) "Some opioid antidiarrheal medications are not water soluble and cannot be
given parenterally." - correct answer A) "Formulations for the treatment of
diarrhea have very short half-lives."

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