Pharmacy NURS-652, Questions with accurate answers, graded A+

Document Content and Description Below

Pharmacy NURS-652, Questions with accurate answers, graded A+ Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided - ✔✔A 62-year-old man... is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? increased HR and decrease BP - ✔✔An expected outcome for a patient who has just taken sublingual nitroglycerin should be 10 mg - ✔✔A patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? Nitrate tolerance - ✔✔A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for ... Blood pressure - ✔✔A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? Dizziness - ✔✔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? crush the capsule and ask the patient to inhale the vapors - ✔✔A 45-year-old man enters the emergency department complaining of chest pain. The nurse has an order to administer amyl nitrite. The nurse will... keep the tablets in the original dark bottle. - ✔✔A patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to... don a pair of gloves - ✔✔A nurse has an order to apply nitroglycerin topically, twice a day. The nurse's initial action will be to... have the patient go into his house and sit or lie down - ✔✔A patient calls the clinic and reports that he is having chest pain. The patient states that ì'm scared that I am going to die and I've been pacing up and down my driveway.î After calming the patient, the initial instruction by the nurse would be to... The patient's angina may necessitate the use of a calcium channel blocker - ✔✔A recent episode of chest pain while doing yard work prompted a 70-year-old man to seek care and he has been subsequently diagnosed with chronic stable angina. The nurse should recognize what guiding principle in the treatment of this patient's angina? The woman will be more susceptible to hypotension than a young patient. - ✔✔Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? Acute Pain, headache, related to adverse effects of drug therapy - ✔✔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? Put your patch on a part of your skin that doesn't have too much hair on it. - ✔✔A man has left his most recent visit to his primary care provider with a new prescription for a transdermal nitroglycerin patch. What patient education should the nurse provide to this patient? Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. - ✔✔Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Determine if the drug is going to make you drowsy before you drive. - ✔✔A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation. - ✔✔A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? 15 to 30 minutes. - ✔✔A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in she must be prepared to show identification when buying a drug that contains pseudoephedrine. - ✔✔A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that A 79-year-old male with cardiomegaly - ✔✔A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? Monitor glucose levels closely - ✔✔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? An oral antidepressant that the patient has been taking daily for several years - ✔✔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? Integrating the new drug into the patient's existing schedule promotes adherence. - ✔✔A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? Late afternoon - ✔✔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? C-11 drug - ✔✔A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a ... a higher-than-normal dose of drugs that bind to acid glycoproteins. - ✔✔A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive... inhibits cholesterol synthesis - ✔✔A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it... Albuterol Sulfate - ✔✔The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? protein binding - ✔✔Which of the following affects drug distribution throughout the body? respiratory rate, depth, and rhythm. - ✔✔Before the administration of morphine to a 65-year-old man who has cancer, the initial action of the nurse would be to check the patient's Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. - ✔✔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? "I broke out in hives and got terribly itchy when I started a new prescription last year." - ✔✔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? A 78-year-old man who is unable to swallow following an ischemic stroke - ✔✔For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? constipation - ✔✔A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)? fatigue - ✔✔A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in increased blood pressure - ✔✔A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? decreasing the influx of sodium into neurons. - ✔✔A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by [Show More]

Last updated: 1 year ago

Preview 1 out of 16 pages