Advanced Pharmacology verified and guaranteed pass
A 38-year-old pregnant patient admits to the Nurse Practitioner that she is an alcoholic and
... [Show More] has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with a high-pitched cry microcephaly an electrolyte imbalance
thrombocytopenia - microcephaly
An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant
Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with
ciprofloxacin clindamycin vancomycin
an antistaphylococcic penicillin - vancomycin
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?
Potassium level
Creatinine clearance
Serum albumin level
Prothrombin time - creatinine clearance
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy?
Excess fluid volume related to potential effects of drug therapy
Hypercalcemia related to drug therapy, immobility, and breast cancer
Sexual dysfunction related to erectile dysfunction
Prostatic neoplasia - prostatic neoplasia
Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include:
Acetaminophen suppository
"baby" aspirin
Ibuprofen suppository
Alternating acetaminophen and ibuprofen - alternating acetaminophen and ibuprofen
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
weekly subcutaneous injections daily, oral administration
weekly administration of an enteric coated tablet
daily, outpatient intravenous therapy - weekly subcutaneous injections
Phenytoin decreases folic acid absorption by
altering in the pH of the stomach
Increasing gastric emptying time
Inhibiting intestinal enzymes require for folic acid absorption
Chelation of the folic acid into inactive ingredients - inhibiting intestinal enzymes require for folic acid absorption
Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
Tremors
Vomiting
Tinnitus
Black, tarry stools - Vomiting
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 antacids during the day and INH only at night antacids before meals and INH 1 or 2 hours after meals INH before meals and antacids 1 or 2 hours after meals
antacids not less than 1 hour before or 2 hours after taking INH - antacids not less than 1 hour before or 2 hours after taking INH
The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication?
They will no longer have dreams
they could feel a bit of nausea, but this will resolve in about a week or so
They Will have excessive flatus
They may have insomnia but only for about a week - they may have insomnia but only for about a week
The nurse practitioner, Jill, is deciding what medication to put her patient on. She recognizes that the mechanism of action of triptans is as: a Selective serotonin receptor agonist
A dopamine antagonist
A vasoconstrictor
An inhibitor of leukotriene synthesis - a selective serotonin receptor agonist
When planning care for a patient who is receiving filgrastim (Neupogen) for a non-myeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) The patient will not develop an infection
The patient will not experience bone pain
The patient will be able to self-administer filgrastim at home
The patient will not develop febrile neutropenia
The patient will not retain fluid - The patient will not develop an infection
The patient will not experience bone pain
The patient will be able to self-administer filgrastim at home
The patient will not develop febrile neutropenia
What is the best initial treatment plan for a sleep disorder in the older adult patient?
Medicate with amitriptyline (Elavil)
Medicate with trazodone (Desyrel)
Decrease noise and light in the environment
Discuss the importance of naps daily - Decrease noise and light in the environment
A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a lifethreatening infection. Which of the following would be most important for the nurse to monitor? Increased heart rate
Breathlessness
Infiltration, edema, or phlebitis at the infusion site
Nausea and vomiting - Infil [Show Less]