Nurse6521 Pharmacology Midterm Exam, Exams of Nursing

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- 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? Selec ted Answ er: 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? Selec ted Answ er: 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

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following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Selec ted Answ er: 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 Selec ted Answ er: 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? Selec ted Answ er: 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

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following measures has the potential to increase the amount of the free drug that is available to body cells?

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Selec ted Answ er: Administering the drug intravenously rather than orally

- Question 7 1 out of 1 points A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? Selec ted Answ er: The drugs' generic names - Question 8 1 out^ of^1 points Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selec ted Answ er: To ensure the safety of the public - Question 9 1 out of 1 points

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During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the- counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives Selec ted Answ er: may cause nutrient deficiencies.

- Question 10 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: - Question 11 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 Selec ted Answer:

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falls.

- Question 12 0 out of 1 points A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? Selec ted Answ er: White blood cell nadir - Question 13 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? Selec ted Answ er: Monitor glucose levels closely - Question 14 1 out^ of^1 points To maximize the therapeutic effect of diphenoxylate

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HCl with atropine sulfate, the nurse will instruct the patient to take the medication Selec ted Answ er: four times a day.

- Question 15 1 out of 1 points A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease?

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Selec ted Answ er: Infliximab (Remicade)

- Question 16 1 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.) Select ed Answ ers: The drug does not cause sleepiness in the morning. One of the most common adverse effects of the drug is headache. It is available in both quick-onset and continuous-release oral forms. - Question 17 1 out of 1 points A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to Selec ted Answ er: administer oxygen therapy.

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- Question 18 1 out of 1 points Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) Select ed Answ ers: Antibiotics A PPI - Question 19 1 out of 1 points On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic as Selec ted Answ er: an idiosyncra tic response. - Question 20 1 out of 1

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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 Selec ted Answ er: Schedule 2

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0 out of 0 point s identify any changes in drug absorption that would change the drug effect.

- 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? Selec ted Answ er: 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? Selec ted Answ er: Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed.

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- 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?

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Selec ted Answ er: Oropharyngeal Candida albicans infection

- Question 24 1 out of 1 points A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. Select ed Answ ers: 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 25 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Selec ted Answer:

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- Question 26 1 out^ of^1 points A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? Selec ted Answ er: Administering investigational drugs to patients - Question 27 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? Selec ted Answ er: Vitamin B - Question 28 1 out of 1 points

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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?

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Selec ted Answ er: 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 Selec ted Answ er: 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 Selec ted Answ er: administer carbohydrates. - Question 31 1 out of 1

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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 Selec ted Answ er: 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? Selec ted Answ er: 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 times during her life. Which of the following strategies should the nurse

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prioritize in order to minimize the potential of adverse drug effects during the patient's stay in the hospital? Selec ted Answ er: Monitor the patient vigilantly for signs and symptoms of potentially adverse drug effects

- Question 34

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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? Selec ted Answ er: 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? Selec ted Answ er: 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

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Selec ted Answ er: 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 Selec ted Answ er: 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 Selec ted Answ er: secretions may be retained. - Question 39

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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

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student that overuse of albuterol can lead to Selec ted Answ er: rebound bronchoconstriction.

- Question 40 1 out of 1 points These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug Selec ted Answ er: Schedule 3 - Question 41 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

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apply.) Select ed Answ ers: 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 42 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? Selec ted Answ er: Risk for Injury related to CNS depressant effects - Question 43 1 out^ of^1 points A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to

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Selec ted Answ er: pork.

- Question 44 1 out of 1 points

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