NURS 6521N Week 11 final exam pharmocology Question 1 1 out of 1 points
Which of the following would the nurse include in a teaching plan about the
... [Show More] signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
Selected Answer:
Headaches and chest pain Question 2 1 out of 1 points
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with
Selected Answer:
microcephaly. Question 3 1 out of 1 points
A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication
Selected Answer:
once a day. Question 4 1 out of 1 points
A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?
Selected Answer:
A 48-year-old Caucasian man who has adult-onset diabetes Question 5 1 out of 1 points
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?
Selected Answer:
"Lately, I have to get up three or four times a night to go to the bathroom."
Question 6 1 out of 1 points
After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from
Selected clomiphene.Answer:
Question 7
1 out of 1 points
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?
Selected
Answer:
Cells that have a rapid mitotic rate
Question 8
1 out of 1 points
A middle-aged patient has received a diagnosis of GI stromal tumor following an
extensive diagnostic workup. Imatinib has been recommended as a component
of the patient's drug regimen. What patient education should the nurse provide
to this patient?
Selected
Answer:
"It's important that you let us know if you develop any
significant swelling or puffiness."
Question 9
1 out of 1 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
Selected
Answer:
both the boy and his mother regarding all medication
issued.
Question 10
1 out of 1 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
Selected
Answer:
ototoxicity or nephrotoxicity.
Question 11
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
Selected
Answer:
perform relaxation techniques after the treatments.
Question 12
1 out of 1 points
A nurse 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
Selected
Answer:
marijuana.
Question 13
1 out of 1 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?
Selected
Answer:
Infiltration, edema, or phlebitis at the infusion
site
Question 14
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary
care physician has made dosage adjustments to minimize adverse effects and
prevent toxicity. The nurse should make sure
Selected
Answer:
that serum levels of the drug are being monitored.
Question 15
1 out of 1 points
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?
Selected
Answer:
Vaginal burning
Question 16
1 out of 1 points
A 36-year-old patient comes to the clinic and tells the nurse that she suspects
that she is pregnant. During the initial assessment, the nurse 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?
Selected
Answer:
Phenytoin (Dilantin)
Question 171 out of 1 points
A male patient with a medical background tells the nurse that he is not satisfied
with the oral synthetic testosterone that has been prescribed for him and he
would like to try a natural form of oral testosterone. Which of the following would
be an appropriate response by the nurse?
Selected
Answer:
"Natural testosterone undergoes a high first-pass effect and is
not used orally."
Question 18
0 out of 1 points
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?
Selected
Answer:
Sexual dysfunction related to erectile dysfunction
Question 19
1 out of 1 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?
Selected
Answer:
Where the medications will be stored
Question 20
1 out of 1 points
A 22-year-old woman has given birth to an infant who exhibits the signs and
symptoms of maternal cocaine use during pregnancy. These signs and
symptoms are a result of what pathophysiological effect of opioid use during
pregnancy?
Selected
Answer:
Vasoconstriction leading to reduced placental blood flow
Question 21
1 out of 1 points
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain
along with a local disease flare. The nurse interprets this as an indication of
which of the following?
Selected
Answer:
The tumor responding to treatment
Question 22
0 out of 1 points
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 oprelvekin therapy?
Selected
Answer:
Weight gain
Question 23
1 out of 1 points
The clinical nurse educator who oversees the emergency department in a
children's hospital has launched an awareness program aimed at reducing drug
errors. What measure addresses the most common cause of incorrect doses in
the care of infants and children?
Selected
Answer:
Having nurses check their math calculations with a colleague
before administering a drug.
Question 24
1 out of 1 points
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the
following assessment findings would most strongly indicate that treatment has
been effective?
Selected
Answer:
The patient's hemoglobin level is 11
g/dL
Question 25
1 out of 1 points
A patient has been scheduled to begin treatment with rituximab for non-
Hodgkin's lymphoma. The nurse who will administer this drug should
understand that it targets
Selected
Answer:
specific antigens on the surface of malignant B cells.
Question 26
1 out of 1 points
A 15-year-old boy has been diagnosed with bone cancer after several months of
fatigue and pain. What question should the nurse include in an assessment
when trying to minimize the potential for adverse drug reactions?
Selected
Answer:
"Do you ever use alcohol or drugs?"
Question 27
1 out of 1 points
A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2
diabetes mellitus. In light of the man's lack of success with weight loss programsin the past, his care provider has prescribed sibutramine (Meridia). What
instructions should the nurse consequently provide to this patient?
Selected
Answer:
"Take this drug once each day on an empty stomach."
Question 28
1 out of 1 points
A 49-year-old farmer who normally enjoys good health has become seriously ill
in recent days and the results of an extensive diagnostic work up have resulted
in a diagnosis of histoplasmosis. The patient has been admitted to the hospital
and has begun treatment with amphotericin B. The nurse who is providing care
for the patient should prioritize which of the following diagnostic results during
his course of treatment?
Selected
Answer:
Electrolytes, blood urea nitrogen, and creatinine
Question 29
1 out of 1 points
A patient has just received her first dose of imatinib and the nurse on the
oncology unit is amending the patient's care plan accordingly. What nursing
diagnosis is most appropriate in light of this addition to the patient's drug
regimen?
Selected
Answer:
Risk for Infection related to bone marrow
suppression
Question 30
1 out of 1 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?
Selected
Answer:
Risk for Injury related to allergic
reactions
Question 31
0 out of 1 points
Which of the following nursing actions is most important in achieving successful
antimicrobial therapy with vancomycin?
Selected
Answer:
Monitor serum drug level
Question 32
1 out of 1 points
A woman who is in the second trimester of her first pregnancy has been
experiencing frequent headaches and has sought advice from her nursepractitioner about safe treatment options. What analgesic can the nurse most
safely recommend?
Selected
Answer:
Acetaminophen
Question 33
1 out of 1 points
A patient receiving high-dose cisplatin therapy exhibits symptoms of
hypomagnesemia. Which of the following should the nurse suggest to help
offset the magnesium losses from the cisplatin therapy?
Selected
Answer:
Consuming chocolates
Question 34
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
Selected
Answer:
use sterile technique when applying the
medication.
Question 35
0 out of 1 points
An immunocompromised 7-year-old child was recently discharged home with a
peripherally-inserted central line (PIC line) 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, the mother states that
she has been removing the PIC dressing daily and washing the site with warm
water and a cloth. What nursing diagnosis is most appropriate in this situation?
Selected
Answer:
Knowledge Deficit
Question 36
1 out of 1 points
A 21-year-old female has a history of irregular menses. She recently became
sexually active, and would like to begin taking oral contraceptives (OCs). The
nurse practitioner recognizes that most likely this patient would benefit from
taking which category of OCs.
Selected
Answer:
Monophasic
Question 37
1 out of 1 points
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurseshould
Selected Answer:
offer a choice between liquid and chewable medications, if possible.
Question 38 1 out of 1 points
A nurse 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?
Selected Answer:
"I am on the middle school track team." Question 39 1 out of 1 points
A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to
Selected Answer:
continue using birth control for at least 12 months.
Question 40 1 out of 1 points
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also
Selected Answer:
perform light-weight exercises and go for walks. Question 41 1 out of 1 points
A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? Selected Answer:
Low bone density and a family history of osteoporosis Question 42 1 out of 1 points
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?
Selected Answer:
"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." [Show Less]