NURS 6521 Week 11 Final Exam / NURS6521 Week 11 Final Exam : Advanced Pharmacology: Walden University (Verified Answers)

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Question 1 1 out of 1 points A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the follow... ing will the nurse include in an explanation? Response Feedback : Increased absorption of topical drugs is common in pediatric patients because children have a greater body surface area and a child's skin exhibits greater permeability. Increased absorption of topical drugs can result in adverse effects that do not occur in adult patients. Erratic blood flow would affect an intramuscular or subcutaneous route of drug administration. Gastric pH would not affect topical absorption.  Question 2 1 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? Response Feedback : An inability to safely and effectively manage the child's drug regimen is evident by the mother's actions that likely introduced microorganisms into the child's vasculature. A knowledge deficit likely contributed to this problem, but the essence of the situation is the parent's mismanagement of the IV line.  Question 3 1 out of 1 points A nurse working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using Response Feedback : Body surface area is the external surface of the body expressed in square meters. The ratio of body surface area to weight is inversely proportional to length. Drug calculation using body surface area is more accurate than using the weight of the child alone. The methods of using the child's age in months and years are no longer recommended to calculate drug dosages for pediatric patients.  Question 4 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  Question 5 1 out of 1 points A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? Response Feedback: The nurse should evaluate the patient's hepatic function. Severe hepatotoxicity can occur from overuse of acetaminophen. Significant interferences do not occur in the kidney, heart, or lungs with acetaminophen.  Question 6 1 out of 1 points A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects  Question 7 1 out of 1 points A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Response Feedback : In addition to baseline physical data including height, weight, and vital signs, the nurse should prepare the patient for an ECG. This would be important for ruling out any cardiovascular abnormalities that CNS stimulants might exacerbate, especially in this patient who is 7 years old. An EMG measures the electrical activity of muscle and is used to differentiate between neuropathy and myopathy. This test is not indicated in this patient. An EEG is a recording of the electrical activity of the brain and is used to help identify a focus of disturbance in the brain. An EEG may be performed to evaluate narcolepsy, sleeping patterns, and sleep apnea. However, it would not be indicated in this patient with ADHD. EPS is similar to a cardiac catheterization and can monitor the entire conduction system with mapping of normal and abnormal pathways of the heart. This test would not be needed unless the patient had a serious cardiac condition.  Question 8 1 out of 1 points A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following? Response In neonates, there is a possible association between the use of Feedback : caffeine and the development of necrotizing enterocolitis. All preterm neonates treated with caffeine should be monitored for the development of gastric related adverse effects such as abdominal distension, vomiting, and bloody stools. Sinus tachycardia and diarrhea are adverse effects of caffeine, and hyperglycemia can indicate intolerance or overdose of caffeine.  Question 9 1 out of 1 points The recommended treatment for trichomoniasis is  Question 10 1 out of 1 points A patient asks the nurse practitio [Show More]

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