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NURS 6521 FINAL EXAM -with 100% verified solutions 2024-2025
Typology: Exams
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1 out of 1 points A Nurse Practitioner is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of Selecte d Answer : marijuan a.
points A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selecte d Answer : place the patch on the back, abdomen, upper arms, or thighs.
points A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug Selecte d Answer : on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.
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
Selecte d Answer: alcohol.
- Question
points The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Selecte d Answer : put gloves on to protect herself.
- Question
points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selecte d Answer : ventrogluteal muscle.
- Question
points A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to Selecte d Answer : both the boy and his mother regarding all medication issued.
- Question
points A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Selecte d Answer : magnesium sulfate toxicity.
- Question
points A Nurse Practitioner 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? Selecte d Answer : Drink plenty of water every day
- Question
points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selecte d Answer : Nephrotoxicity and neurotoxicity
- Question 11
1 out of 1 points A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Selecte d Answer : By inactivating clotting factors and thus stopping the coagulation cascade
- Question
points
A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered Selecte d Answer : through a central line.
- Question
points A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? Selecte d Answer : Risk for Injury related to allergic reactions
- Question
points A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? Selecte d Answer : "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued."
- Question
points A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life- threatening infection. Which of the following would be most important for the nurse to monitor? Selecte d Answer : Infiltration, edema, or phlebitis at the infusion site
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A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication Selecte d Answer : with high-fat meals.
- Question
points A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? Selecte d Answer : Elevated prothrombin time
- Question
points A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? Selecte d Answer : The patient has a diagnosis of type 2 diabetes and takes oral antihyperglycemics.
- Question
points A 36-year-old patient comes to the clinic and tells the nurse practitioner that she suspects that she is pregnant. During the initial assessment, the nurse practitioner learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? Selecte d Answer : Phenytoin (Dilantin)
- Question
points A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor Selecte d Answer : liver enzymes monthly.
- Question
points A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year- old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to Selecte d Answer : stay well hydrated by drinking at least eight 8-oz glasses of water daily.
- Question
points Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selecte d Answer : Headaches and chest pain
- Question
points
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate? Selecte d Answer : "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"
- Question
points A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect? Selecte d Answer : Increased cardiac conduction
- Question
points A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because Selecte d Answer : the patient is at greater risk for high serum levels of the drug.
- Question
points A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? Selecte d Answer : Cardiovascular complications
- Question
points A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a
result, the care team should be cautious when concurrently administering other medications that may cause Selecte d Answer : ototoxicity or nephrotoxicity.
- Question
points A patient is receiving long-term clindamycin therapy for a life- threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selected a baseline complete blood count.
Answer:
- Question 29 1 out of 1 points A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should Selecte d Answer : use sterile technique when applying the medication. - Question
points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selecte d Answer : Vitamin D
- Question
points A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selecte d Answer : inhibiting tumor growth by enhancing inflammation.
- Question
points A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Selecte d Answer
M a lignant melanoma
- Question
points A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Selecte d Answer: tyleno l.
- Question 34
0 out of 1 points A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED)? Selecte d Answer : Sildenafil (Viagra)
- Question 35 The recommended treatment for trichomoniasis is 1 out of 1 points Selecte d Answer: Flagyl. - Question
points A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Selecte d Answer : Take the drug for one full week before coming in contact with allergens
- Question
points A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selecte d Answer : Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.
- Question
points A Nurse Practitioner is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?
Selecte d Answer : "I am on the middle school track team."
- Question
points The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selecte d Answer :
mg
- Question 40
1 out of 1 points A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause Selecte d Answer : staining of permanent teeth.
- Question
points A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug Selecte d Answer : with a glass of water 1 hour before or 2 hours after a meal.
- Question
points Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Selecte d Answer : Cleanse the wound of debris prior to applying the silver sulfadiazine
- Question
points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selecte d Answer : The peak and trough blood levels
- Question
points A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is Selecte d Answer : an allergic response.
- Question
points A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity?
Selecte d Answer : A drug harms microbes without harming human cells.
- Question
points A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Selecte d Answer : electrocardiogram (ECG).
- Question
points A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Selecte d Answer : The efficacy of most narrow-spectrum antibiotics has not been proven.
- Question
points A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take Selecte d Answer : antacids before meals and INH 1 or 2 hours after meals.
- Question
points A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient?
Selecte d Answer : The use of dexrazoxane in conjunction with doxorubicin
- Question
points A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that Selecte d Answer : asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.
- Question 51
1 out of 1 points A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selecte d Answer : hypercholesterolemia .
- Question
points A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Selecte d Answer : Where the medications will be stored
- Question
points A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to Selecte d Answer: use an alternative form of birth control, if taking an oral contraceptive.
- Question
points A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Selecte d Answer : Instruct the patient to lie on her left side during the infusion.
- Question 55
1 out of 1 points A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selecte d Answer : perform relaxation techniques after the treatments.
- Question
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A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? Selecte d Answer : Vancomycin
- Question
points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selecte d Answer: after a meal.
- Question 58 A 29-year-old woman who is morbidly obese has recently begun a 1 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of Selecte d Answer : caffeine. - Question
points A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? Selecte d Answer : Increased drug distribution resulting from hemodynamic changes
- Question
points A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be
sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? Selecte d Answer : The importance of vigilant hygiene for the boy and the other members of the family
- Question
points A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug
Selecte d Answer : first thing in the morning.
- Question
points A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selecte d Answer : phytoestrogens.
- Question
points A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include Selecte d Answer : metabol ic alkalosis .
- Question
points A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Selecte d Answer : weekly subcutaneous injections.
- Question
points An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment
with amphotericin B. How should the nurse most safely administer this drug? Selecte d Answer : Infuse the drug over 2 to 4 hours into a central line using an infusion pump
- Question
points Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim?
Selecte d Answer : "Have you noticed any bleeding in your gums or cheeks?"
- Question
points A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Selecte d Answer : food containing iron or calcium.
- Question
points Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by Selecte d Answer : slowing the infusion.
- Question
points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selecte d Answer : That the infant's skin has greater permeability than that of an adult
- Question
points A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? Selecte d Answer: