NURS 6521-Midterm Exam advanced pharmacology-with 100% verified answers-2024-2025.docx, Exams of Nursing

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NURS 6521-Midterm Exam advanced

pharmacology-with 100% verified

answers-2024-

• Question 1^1 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? Selecte d Answer : Narcotics to be used in the hospital are dispensed only with a written prescription.

• Question

2 1 out of 1

points A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Selecte d Answer : The drug will decrease in effectiveness

• Question

3 1 out of 1

points A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selecte d Answer : Acute Pain, Headache, related to adverse effects of drug therapy

• Question

4 1 out of 1

points A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

Selecte d Answer : nonpharmacologic interventions combined with an exercise program.

- Question

5 1 out of 1

points A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selecte d Answer : Pain intensity, respiratory rate, and level of consciousness

- Question

6 1 out of 1

points A patient has been prescribed an oral drug that is known to have a high first- pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Selected Administering the drug intravenously rather than

What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? Selecte d Answer : Route

- Question

12 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

Selecte d Answer : an adrenergic antagonist.

- Question

13 1 out of 1

points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Selecte d Answer : Gastrointestinal distress

- Question

14 0 out of 1

points A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication? Selecte d Answer : Into the patient shoulder muscle using a small-gauge needle

- Question

15 0 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 Selecte d Answer : orally.

- Question

16 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 Selecte d Answer

following ? Selecte d Answer : How well a drug produces its desired effect

- Question

19 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? Selecte d Answer : "I broke out in hives and got terribly itchy when I started a new prescription last year."

- Question

20 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 Selecte d Answer : withdraw the drug gradually over a 2 to 3 week period.

- Question

21 1 out of 1

points A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately? Selecte d Answer : Muscle twitching

- Question

22 1 out of 1

points The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis.

Which of the following physiological processes protects the lower respiratory system? Selecte d Answer : Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed.

- Question

23 1 out of 1

points A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Selecte d Answer : Oropharyngeal Candida albicans infection

- Question

28 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? Selecte d Answer : Intravenous infusion.

- Question 29

1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's Selecte d Answer : use of alcohol.

- Question

30 1 out of 1

points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should Selecte d Answer : administer carbohydrates.

- Question

31 1 out of 1

points A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to Selecte d Answer : avoid aggravating the gastrointestinal tract.

- Question

32 1 out of 1

points A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome? Selecte d Answer : The patient develops muscle rigidity and a sudden, high fever.

- Question

33 1 out of 1

points A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various

Selecte d Answer : Late afternoon

- Question

35 1 out of 1

points A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods? Selecte d Answer : Shrimp

- Question

36 1 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 Selecte d Answer : lower-than-normal dose.

- Question

37 1 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 Selecte d Answer : an elixir.

- Question

38 1 out of 1

points A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because Selecte d Answer:

secretions may be retained.

- Question

39 1 out of 1

points A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to Selecte d Answer : rebound bronchoconstriction.

Selecte d Answer : pork.

- Question

44 1 out of 1

points A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication?

Selecte d Answer : Dizziness

- Question

45 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 Selecte d Answer : polypharmacy decreasing the number of available protein- binding sites.

- Question

46 1 out of 1

points An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? Selecte d Answer : An oral antidepressant that the patient has been taking daily for several years

- Question

47 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? Selecte d Answer : 1 hour

- Question

48 1 out of 1

points

Selecte d Answer : an antagonistic effect.

- Question

50 1 out of 1

points In order to promote therapeutic drug effects, the nurse should always encourage patients to Selecte d Answer : take their medication at the prescribed times.

- Question

51 1 out of 1

points A 57-year-old male patient who has been prescribed doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking aspirin or drugs that contain aspirin because it may Selecte d Answer : promote bleeding.

- Question

52 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? Selecte d Answer : The amount of meat and vegetables

- Question

53 1 out of 1

points A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that Selecte d Answer:

opti mu m relief of anxiety usually occurs after 3 to 4 weeks of treatment.

- Question

54 1 out of 1

points A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selecte d Answer : Dietary habits

- Question

55 1 out of 1

points