Nurs 6521 Advanced Pharmacology Midterm Exam Guide Latest 2022-2023, Study notes of Nursing

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Nurs 6521 Advanced Pharmacology Midterm

Exam Guide Latest 2022- 2023

Question 1

1 out of 1 points A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? Selected Answer: Drink plenty of water every day

- Question 2 1 out of 1 points A patient develops diarrhea secondary to antibiotic therapy. He is to receive two tablets of diphenoxylate HCl with atropine sulfate (Lomotil) orally as needed for each loose stool. The nurse should inform him that he may experience Selected Answer: dizziness. - Question 3 1 out of 1 points A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated? Selected Answer: Glaucoma - Question 4 1 out of 1 points A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Selected Answer: Liver function tests - Question 5 1 out of 1 points

A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are Selected Answer: signs of peripheral neuritis.

- Question 6 1 out of 1 points A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it Selected Answer: inhibits cholesterol syntheses. - Question 7 1 out of 1 points A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for Selected Answer: a history of current or past alcohol use. - Question 8 1 out of 1 points Which of the following affects drug distribution throughout the body? Selected Answer: Protein binding - Question 9 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Selected Answer: Narcotics to be used in the hospital are dispensed only with a written prescription.

- Question 10 0 out of 1 points A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) Does not sleepiness in the morning, Headache Selected Answers: It is available in both quick-onset and continuous-release oral forms. - Question 11 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Selected Answer: swallow the tablet with milk or food. - Question 12 1 out of 1 points A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction? Selected Answer: Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patient's record - Question 13 1 out of 1 points Tylenol 325 mg/tablet, patient needs 650 mg; how many tables should patient take? Selected Answer: 2 - Question 14 1 out of 1 points

A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be Selected Answer: suppository.

- Question 15 1 out of 1 points Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? Selected Answer: A bulk-forming (fiber) laxative - Question 16 1 out of 1 points A clinic nurse is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? Selected Answer: Coordinate bone density testing for the patient. - Question 17 1 out of 1 points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

Selected Answer: Vitamin B

- Question 18 1 out of 1 points A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan Selected Answer: has a shorter half-life than morphine.

- Question 19 1 out of 1 points A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein- bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to Selected Answer:

polypharmacy decreasing the number of available protein-

binding sites.

- Question 20 1 out of 1 points Following an assessment by her primary care provider, a 70 - year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? Selected Answer: The resident's apical heart rate is 112 beats/minute with a regular rhythm - Question 21 1 out of 1 points A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by Selected Answer: increasing the effects of the neurotransmitter GABA. - Question 22 1 out of 1 points A 72 - year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due to Selected Answer: decreased hepatic function.

- Question 23 1 out of 1 points A patient has been prescribed a Scheduled 5 drug, an example of this drug is Selected Answer: Antitussives - Question 24 1 out of 1 points A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? Selected Answer: Monitor glucose levels closely - Question 25 1 out of 1 points A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to Selected Answer: notify the clinic if the stools are black or if there is evidence of blood. - Question 26 0 out of 1 points A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking : an elixir Selected Answer: a tablet. - Question 27 1 out of 1 points A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)

Selected Answers: provide regular feedback about product safety issues. facilitate the reporting of adverse reactions of drugs. increase awareness of serious reactions caused by drugs or medical devices.

- Question 28 1 out of 1 points A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)? Selected Answer: Constipation - Question 29 1 out of 1 points An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? Selected Answer: Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain - Question 30 1 out of 1 points An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Selected Answer: Intravenous infusion. - Question 31 1 out of 1 points

A 66-year-old woman has a complex medical history that includes poorly- controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of Selected Answer: hyperkalemia.

- Question 32 1 out of 1 points A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to Selected Answer: decreased blood flow to tissues and muscles. - Question 33 1 out of 1 points An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined that the drug is no longer needed. The nurse at the facility will plan to Selected Answer: withdraw the drug gradually over a 2 to 3 week period. - Question 34 1 out of 1 points A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)? Selected Answer: A 35 - year-old man who is having difficulty falling asleep, but once asleep can stay asleep - Question 35 1 out of 1 points A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing

interventions would best promote medication adherence? Selected Answer: Place pills in a daily or weekly pillbox organized according to hours of the day or mealtimes.

- Question 36 1 out of 1 points A clinic nurse has been assigned a 49 - year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to Selected Answer: monitor the patient's blood pressure. - Question 37 0 out of 1 points A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a ; LOWER DOSE Selected Answer: weight-based protocol dose. - Question 38 1 out of 1 points A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition? Selected Answer: Assess the reasons behind the patient's poor nutritional status - Question 39 1 out of 1 points The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity?

Selected Answer: A decrease in urine output

- Question 40 1 out of 1 points A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? Selected Answer: "Quitting smoking will significantly increase the chance that this drug will heal your ulcer." - Question 41 1 out of 1 points A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following measures should the nurse suggest? Selected Answer: Encouraging the patient to change her diet and exercise habits - Question 42 1 out of 1 points Morphine has been prescribed for a 28 - year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Selected Answer: alcohol. - Question 43 1 out of 1 points A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? Selected Answer: Possible drug–drug interactions that might occur - Question 44

0 out of 1 points A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that "puts me at risk of becoming physically dependent." Which of the following medications would the nurse question, if ordered? ) Cyclobenzaprine (Flexeril) Selected Answer: Orphenadrine (Norflex)

- Question 45 1 out of 1 points A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective adjunct in the treatment of diarrhea. For which of the following patients could the administration of this drug be potentially harmful? Selected Answer: An 80 - year-old man who has diarrhea secondary to Clostridium difficile infection - Question 46 1 out of 1 points A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Selected Answer: Phenelzine (Nardil) - Question 47 1 out of 1 points A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's Selected Answer: blood pressure.

- Question 48 1 out of 1 points Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Selected Answer: Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. - Question 49 1 out of 1 points A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be Selected Answer: "As long as the ritual does not interfere with the patient's preoperative care, it will be okay." - Question 50 1 out of 1 points A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? Selected Answer: Digoxin - Question 51 1 out of 1 points Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug

Selected Answer: Schedule 2

- Question 52 1 out of 1 points A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? Selected Answer: Increased abdominal pain and vomiting - Question 53 1 out of 1 points The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? Selected Answer: "I broke out in hives and got terribly itchy when I started a new prescription last year." - Question 54 1 out of 1 points During long-term desmopressin therapy in a 48 - year-old woman, it will be most important for the nurse to assess which of the following? Selected Answer: The condition of the patient's nasal passages - Question 55 1 out of 1 points The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? Selected Answer: Albuterol - Question 56

1 out of 1 points A 58 - year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? Selected Answer: Digoxin immune fab

- Question 57 1 out of 1 points In order to promote therapeutic drug effects, the nurse should always encourage patients to Selected Answer: take their medication at the prescribed times. - Question 58 1 out of 1 points A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness of the patient's drug therapy? Selected Answer: Vascular impairment - Question 59 1 out of 1 points A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? Selected Answer: It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. - Question 60

1 out of 1 points A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse should instruct her to do which of the following? Selected Answer: Drink plenty of fluids

- Question 61 1 out of 1 points A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of Selected Answer: an adrenergic antagonist. - Question 62 0 out of 1 points To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication 4 X DAILY Selected Answer: twice a day. - Question 63 0 out of 1 points A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately? sk the patient to report immediately if he notices decreased cardiac rate, intolerance to cold, or weight gain. Selected Answer: Vertigo - Question 64 1 out of 1 points A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient's compromised renal function will likely

Selected Answer: increase the half-life of medications that are metabolized by the kidneys.

- Question 65 1 out of 1 points The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be Selected Answer: "Continue the prescribed dose. It may take several days to work." - Question 66 1 out of 1 points A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring? Selected Answer: Renal function - Question 67 1 out of 1 points A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction? Selected Answer: Urticaria - Question 68 1 out of 1 points A nurse at a large, university hospital has been informed that a drug trial will be taking place that may involve several patients in the hospital over the next several months. What is the nurse's most likely role in this drug testing process? Selected Answer: Administering the investigational drug to patients - Question 69 1 out of 1 points

A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? Selected Answer: Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided

- Question 70 1 out of 1 points An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for Selected Answer: falls. - Question 71 1 out of 1 points Which of the following patients should be advised by the nurse to avoid over-the- counter cold and allergy preparations that contain phenylephrine? Selected Answer: A 47 - year-old female with hypertension - Question 72 1 out of 1 points A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered Selected Answer: transdermally. - Question 73 1 out of 1 points Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about Selected Answer: potential adverse effects of the drugs that Mr. Nguyen will be

taking.

- Question 74 1 out of 1 points A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to Selected Answer: identify any changes in drug absorption that would change the drug effect. - Question 75 1 out of 1 points A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive Selected Answer: a higher-than-normal dose of drugs that bind to acid glycoproteins. - Question 76 1 out of 1 points Children age 6 to 11 are recommended to start with what dosage of Allegra? Selected Answer: 30 mg twice a day - Question 77 1 out of 1 points A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of Selected Answer: a CNS reflex that is initiated by receptors in the nasal cavities. - Question 78 1 out of 1 points A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of

the drug, the nurse will give the patient which of the following instructions? Selected Answer: Wear appropriate clothing and sunscreen whenever he is in direct sunlight

- Question 79 1 out of 1 points A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? Selected Answer: Height - Question 80 1 out of 1 points The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any "bad side effects" that she should be aware of. Which of the following statements should underlie the nurse's response? Selected Answer: Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects. - Question 81 1 out of 1 points A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? Selected Answer: Risk for Injury related to CNS depressant effects - Question 82 1 out of 1 points A patient has been prescribed a histamine- 2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? Selected The parietal cells of the stomach have H2 receptors but not H

Answer: receptors.

- Question 83 1 out of 1 points A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? Selected Answer: Blood pressure - Question 84 1 out of 1 points A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? Selected Answer: Late afternoon - Question 85 1 out of 1 points Frequent episodes of exercise-related chest pain have caused a 79 - year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? Selected Answer: The woman will be more susceptible to hypotension than a younger patient. - Question 86 1 out of 1 points A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? Selected Answer: National Provider Identification (NPI) - Question 87

1 out of 1 points A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? Selected Answer: "This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue."

- Question 88 1 out of 1 points A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to Selected Answer: administer oxygen therapy. - Question 89 1 out of 1 points A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Selected Answer: C-II drug. - Question 90 1 out of 1 points A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the nurse to monitor? Selected Answer: Potassium levels - Question 91 1 out of 1 points A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident's current drugs because

Selected Answer: there is a potential for confusion and miscommunication if proprietary names are used.

- Question 92 1 out of 1 points A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient? Selected Answer: BP: 170/98, P:110, R: 20 - Question 93 1 out of 1 points 5 ml = tsp Selected Answer: 1 - Question 94 1 out of 1 points A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states Selected Answer: Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed. - Question 95 1 out of 1 points A patient has a blood serum drug level of 50 units/mL. The drug's half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range? Selected Answer: 1 hour - Question 96 1 out of 1 points

An older adult patient with a history of Alzheimer's disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient's cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient? Selected Answer: An immediate release opioid analgesic tablet

- Question 97 1 out of 1 points A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will Selected Answer: compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider. - Question 98 1 out of 1 points A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication? Selected Answer: "Place this under your tongue and let it dissolve there." - Question 99 1 out of 1 points A 70-year-old woman is starting on an acidic drug. The nurse is aware that food and nutrient intake can affect drug excretion by changing the urinary pH. About which of the following will the nurse question the patient concerning her diet? Selected Answer: The amount of meat and vegetables - Question 100 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.

Selected Answers: Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug?

- Question 101 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes