NUR.211 - Pharm Questions and 100% Verified Correct Answers Latest Update 2024-2025 Guaranteed A+ . A 50-year-old man has been taking prednisone as part of treatment for bronchitis. He notices that the dosage of the medication decreases. During a follow-up office visit, he asks the nurse why he must continue the medication and why he cannot just stop taking it now that he feels better. What is the rationale behind the tapering dosages?
- Sudden discontinuation of this medication may result in adrenal insufficiency.
- The patient would experience withdrawal symptoms if the drug were discontinued
abruptly.
- Cushing's syndrome may develop as a reaction to a sudden drop in serum cortisone
levels.
- When the symptoms have started to disappear, lower dosages are needed. -
CORRECT ANSWER: a. Sudden discontinuation of this medication may result in
adrenal insufficiency.
. The nurse would correctly identify the method of action of isoniazid (INH) as which of the following?
- Inhibiting protein synthesis.
- Inhibiting mycobacterial ATP synthase
- Altering cell wall synthesis
d. Its method of action is unknown. - CORRECT ANSWER: c. Altering cell wall
synthesis
. When caring for a patient with a diagnosis of myasthenia gravis, the nurse can expect to see which drug ordered for the symptomatic treatment of this disease?
- Bethanechol
- Tacrine
- Donepezil
d. Pyridostigmine - CORRECT ANSWER: d. Pyridostigmine
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A child with human immunodeficiency virus (HIV) infection is receiving zidovudine.Which finding indicates to the nurse that the child may be experiencing an adverse effect from the medication?
1.The child complains of pain in his lower legs.
2.The child's skin is pale and he child is feeling tired.
3.The child has some swelling in the hands and around the ankles.
4.The child is clinging to his parents and won't allow them to leave. - CORRECT
ANSWER: 2
Human immunodeficiency virus (HIV) can cause acquired immunodeficiency syndrome, which is a viral disease that destroys T cells, thereby increasing susceptibility to infection and malignancy. Zidovudine effectively interferes with HIV replication but can cause bone marrow suppression. Anemia occurs most commonly after 4 to 6 weeks of therapy. Hematology studies need to be monitored for anemia and granulocytopenia.Tiredness and a pale color could indicate that the child is anemic. Complaints of pain is not associated with the medication but can be associated with the diagnosis; swelling is not usually a characteristic of the infection but could be an indication of an underlying problem. If the child is clinging to the parents, this could indicate fear but is not associated with an adverse effect of the medication.
A client admitted to the hospital is taking zidovudine. The nurse monitors the client for which adverse effect of the medication?
1.Colitis
2.Ototoxicity
3.Neurotoxicity
4.
Visual disturbances - CORRECT ANSWER: 3
Human immunodeficiency virus (HIV) can cause acquired immunodeficiency syndrome, which is a viral disease that destroys T cells, thereby increasing susceptibility to infection and malignancy. Zidovudine is a nucleoside reverse transcriptase inhibitor that is used in combination with other antiretroviral agents to treat human immunodeficiency virus (HIV) infections. Adverse effects include anemia, granulocytopenia, and 2 / 4
neurotoxicity as evidenced by ataxia, fatigue, lethargy, and nystagmus. Seizures can also occur. Colitis, ototoxicity, and visual disturbances are not adverse effects of this medication.
A client diagnosed with active tuberculosis has been prescribed a combination of isoniazid and rifampin for treatment. The nurse teaches the client to perform which action?
1.Report any change in urine color.
2.Take both medications with food.
3.Take both medications together once a day.
4.
Expect to take the medications for 2 to 3 weeks. - CORRECT ANSWER: 3
Rifampin in combination with isoniazid prevents the emergence of medication-resistant organisms. This combination, taken together daily, eliminates the tubercle bacilli from the sputum and improves clinical status. Rifampin produces a harmless red-orange color in all body fluids and should be taken along with the isoniazid 1 hour before or 2 hours after eating to maximize absorption. The treatment regimen is maintained for at least 6 months for effectiveness, and the therapeutic effect may be evident in 2 to 3 weeks.
A client has been administered cyclobenzaprine for the management of muscle spasms in the cervical spine. The client is experiencing drowsiness, dizziness, and dry mouth.How should the nurse interpret these findings?
1.Represent an allergic reaction to the medication
2.Are related to the problem with the cervical spine
3.Are the most common side effects of this medication
4.Are dose related, so the client should cut the medication dose in half - CORRECT
ANSWER: 3
Drowsiness, dizziness, and dry mouth are the most common side effects of cyclobenzaprine, and these side effects usually diminish with continued therapy. This medication is a centrally acting skeletal muscle relaxant used in the management of 3 / 4
muscle spasm that accompanies a variety of conditions. The remaining options are incorrect.
A client has been prescribed benztropine. The nurse should assess for which gastrointestinal (GI) problems as a side or adverse effect of this medication?
1.Diarrhea
2.Dry mouth
3.Increased appetite
4.
Hyperactive bowel sounds - CORRECT ANSWER: 2
This medication is classified as an anticholinergic medication and is used to treat Parkinson's disease. Common GI side effects of benztropine therapy include constipation, dry mouth, and nausea. An adverse effect is ileus. These effects are the result of the anticholinergic properties of the medication.
A client has been prescribed cyclobenzaprine for the treatment of painful muscle spasms accompanying a herniated intervertebral disk. The nurse should withhold the medication and question the prescription if the client has a concurrent prescription for which medication?
1.Ibuprofen
2.Furosemide
3.Valproic acid
4.
Tranylcypromine - CORRECT ANSWER: 4
The client should not receive cyclobenzaprine if the client has taken monoamine oxidase inhibitors such as tranylcypromine or phenelzine within the last 14 days.Otherwise, the client could experience hyperpyretic crisis, seizures, and possibly death.The medications in the remaining options are not contraindicated.
A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication?
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