NURS-6521, Advanced Pharmacology 2020 /2021 / Review Test Submission: Exam - Week 7 Course NURS-6521, Advanced Pharmacology.2020/2021

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Review Test Submission: Exam - Week 7 Course NURS-6521, Advanced Pharmacology.2020 Summer • Question 1 A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year histo... ry of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? • Question 2 You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to call the clinic if which symptoms are experienced? • Question 3 A clinic Nurse Practitioner is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? • Question 4 Your patient is on Atorvastatin 40 mg daily, and presents for their routine follow up appointment. They complain of extreme fatigue, muscle aches, and dark colored urine. What is your best course of action given presentation? • Question 5 The first drugs typically used to treat the symptoms of an allergic reaction or allergic rhinitis are: • Question 6 Glucocorticoids affect the metabolism of carbohydrates, protein, and fats. • Question 7 Mr. Lastinger was prescribed warfarin sodium (Coumadin). You advise him to avoid eating large amounts of leafy green vegetables because: • Question 8 The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? • Question 9 A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? • Question 10 A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's • Question 11 The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the • Question 12 Metformin (Glucophage) acts by: • Question 13 Some first-generation antihistamines are used: • Question 14 A Nurse Practitioner is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? • Question 15 Susie is a 40 year old female with Type 2 Diabetes. She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication. Her medication list is as follows: Victoza (liraglutide) 1.8 mg SC daily Metformin 500mg p.o. Twice a Day Glyburide 5 mg p.o. Twice a day Lisinopril 10mg p.o. dailo Which medication most likely is contributing to her hypoglycemic episodes • Question 16 Autonomic drugs have little effect when administered: • Question 17 A patient on valproic acid may experience which of the following symptoms? • Question 18 Which of the following is a side effect or precaution associated with ACE inhibitors? • Question 19 Mr. Johnson is an 80 year old male who is on Digoxin therapy. The Nurse Practitioner knows they should monitor the older adult patient for which of the most common adverse reactions of digoxin? • Question 20 The recommended range for maintaining serum theophylline levels is: • Question 21 During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives • Question 22 A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by • Question 23 The Nurse Practitioner is following up on a patient who is experiencing acute asthma problems. Albuterol (Proventil) by metered-dose inhaler (MDI) has been ordered as treatment. Which patient response would indicate to the family nurse practitioner that the patient understands how to take the medication? • Question 24 The anticoagulant drug that acts as a vitamin K antagonist is: • Question 25 A 34-year-old male patient is prescribed methimazole (MMI). The Nurse Practitioner will advise him to report which of the following immediately? • Question 26 A Nurse Practitioner is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the Nurse Practitioner should be aware that • Question 27 Ms. Neely was placed on fluoxetine about 8 weeks ago and is doing well on the medication. When initially prescribed the medication, she asks you about the common side effects of this type of medication. Which choice below is correct? • Question 28 The Elderly are at high risk of Adverse Drug Reactions due to: • Question 29 Mr. Contreras is a 64-year-old patient with Type 2 diabetes. He has recently been diagnosed with hypertension. Which antihypertensive drug is the recommended choice to treat hypertension in patients with diabetes? • Question 30 Which of the following statements best defines how a chemical becomes termed a drug? • Question 31 Advanced practice nurse prescribing of scheduled medications is affected most by: • Question 32 An adult male comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of asthma and coronary artery disease. He was recently diagnosed with hypertension. Examination reveals no jugular vein distention and no productive cough. Breath sounds are present, but expiratory wheezes are noted bilaterally, and he denies any chest pain. His vital signs are pulse of 74 beats/min, respirations of 32 breaths/min, and BP of 160/100 mm Hg. His current medications are albuterol (Proventil) inhaler 2 puffs every 4 hours prn for wheezing, nitroglycerin transdermal patch, and propranolol (Inderal) 60 mg PO bid. What is the best treatment for this patient? • Question 33 Which of the following statements accurately describes digoxin? • Question 34 Typical adverse reactions to oral calcium-channel blockers include: • Question 35 Ms. Simpson has a known history of asthma. She is on Theophylline daily. The NP contemplates giving her an antibiotic for her respiratory infection. The NP knows that which choice below could elevate theophylline levels? • Question 36 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 • Question 37 A male patient who is hypertensive takes Hydrochlorothiazide for his blood pressure . He presents with red, painful swelling of the great toe. In addition to treating gout, you recognize that you may need to: • Question 38 Which effect does the Nurse Practitioner expect may occur when using cholinergic agonists? • Question 39 Which of the following is a potential adverse side effect of autonomic-anticholinergic agents? • Question 40 A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? • Question 41 A possible side effect from the use of nifedipine (Procardia XL) is: • Question 42 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 • Question 43 Jillian is a Nurse Practitioner. She recognizes that Nurse Practitioner prescriptive authority Is regulated by: • Question 44 Successful treatment for an adult patient with Helicobacter pylori (H. pylori)-induced peptic ulcer disease requires therapy with which regimen? • Question 45 The Nurse Practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching? • Question 46 A common side effect of metformin (Glucophage) therapy is: • Question 47 Biguanides control hyperglycemia in type 2 diabetes primarily by acting at which organ? • Question 48 Which of the following oral medications is the safest to use during pregnancy? • Question 49 A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? • Question 50 60-year-old male presents to your office with a history of seizure disorder. The patient states that he has been taking valproic acid. Which of the following is a known potential adverse effect of valproic acid? • Question 51 A patient who is a steroid-dependent asthmatic is started on a beclomethasone inhaler. Which should be part of patient education? • Question 52 A patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. The patient has been started on a treatment regimen that includes levothyroxine. Select the dosage regimen that is most appropriate for a mean replacement dosage. • Question 53 Which of the following is a contraindication for antimuscarinic drugs? • Question 54 Which medication class is recognized for the treatment of moderate to severe dementia? [Show More]

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