NURS 6521 FINAL EXAM 2020 100% correct answers, Exams of Nursing

Download NURS 6521 FINAL EXAM 2020 100% correct answers and more Exams Nursing in PDF only on Docsity! 1 NURS 6521: Advanced Pharmacology final exam Question 1 A nurse 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? Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. Question 2 Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Low blood pressure Vaginal burning Question 3 A 12-year-old boy is being discharged from the hospital after … 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 both the boy and his mother regarding all medication issued. Question 4 A 30-year-old African-American woman tested positive for …and is prescribed … The nurse will plan the patient’s care to include close monitoring of the drug therapy because the patient is at greater risk for high serum levels of the drug. Question 6 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? Take the drug for 1 full week before coming in contact with allergens. 2 Question 7 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of cardiac arrhythmias. Question 8 A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the 5 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? Where the medication will be stored Question 19 A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to Immature liver and kidney function in infants and children. Question 20 A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity Question 21 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Hypertensive crisis Question 22 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 orange-tinged urine. staining of permanent teeth. sleep deprivation. deep muscle pain. Question 23 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 .. 6 Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible. Cleanse the wound of debris prior to applying the silver sulfadiazine 7 Question 24 A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately? Muscle pain or tingling Question 25 An immunocompromised 7-year-old child was recently discharged home with a … for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, … Caregiver Ineffective Family Therapeutic Regimen Management Question 26 A patient’s current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the ? The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin. The drug is able to adapt its pharmacokinetics to the etiology of the patient’s cancer. Question 27 A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common? Breakthrough bleeding Question 28 A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? 10 Hypertension Question 44 A patient is pregnant and is at 7 weeks’ gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be 11 “Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy because it does not cross into the placenta.” Question 58 A female patient is prescribed oprelvekin therapy to treat thrombocytopenia. Which of the following should the nurse continuously monitor to determine the efficacy and duration of the ? Fluid retention/weight gain Question 59 Which of the following is critical to helping prevent development of resistant strains of microbes? Maintain the optimum duration of the antimicrobial agent Question 60 A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is … The clinician suspects a bacterial, rather than viral, etiology. How will the patient’s pregnancy affect the potential use …? The use of ciprofloxacin is contraindicated in pregnancy Question 68 A 56-year-old woman will soon begin treatment of her …. What patient teaching should the nurse provide to this woman? you might find that you get a dry mouth or a headache but this does not mean it has to be discontinued Question 69 A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching? Penicillin interferes with synthesis of the bacteria cell wall. Question 70 A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patch for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? 12 A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. Question 71 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication that may be prescribed as a patch and which may cause dry mouth. 15 A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity 4 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? Elevated prothrombin time 5 During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Consult the prescriber for discontinuation of the drug 6 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 through a central line. 7 A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Salicylates 8 A 54-year-old male patient with small-cell lung cancer is receiving etoposide. The nurse will carefully monitor for which of the following? Hypotension 9 A 63-year-old male patient has just begun treatment with IV paclitaxel. About 10 minutes into the infusion, the nurse becomes concerned about a possible anaphylactic reaction to the drug because the patient is experiencing dyspnea. 10 16 A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? Leukopenia 17 11 A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? “It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions.” 12 A 56-year-old man with a diagnosis of colorectal cancer has been told by his oncologist that chemotherapy will have the benefit of shrinking the man's tumor prior to bowel resection surgery. This patient's physician is describing neoadjuvant therapy. 13 An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? Cells that have a rapid mitotic rate 14 Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? They affect cancerous cells during a particular phase of cellular reproduction. 15 An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Prime the IV tubing with an approved IV solution rather than with the drug itself. A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching? Penicillin interferes with synthesis of the bacteria cell wall. 2 Which of the following statements by a patient indicates to the nurse that additional teaching concerning the use of antimicrobials is needed?