NURS 6521 Advanced Pharmacology Final Exam Questions and Correct Correct Answerwers Guaranteed A+ At First Attempt
- A nurse is providing education to a group of patients regarding amphetamines. To
evaluate the group's understanding, the nurse asks a participant what effects amphetamines would have on her. The participant shows that she understands the effects of these drugs if she gives which Correct Answerwers? Select all that apply. - Correct Answer "Amphetamines suppress the perception of pain." "Amphetamines increase the heart rate." "Amphetamines elevate mood."
A 12-year-old female patient is admitted to the hospital before sinus surgery. The nurse preparing to care for this patient notes that the admission hemoglobin is 10.2 gm/dL, and the hematocrit is 32%. The nurse will ask the child's parents which question about their daughter? - Correct Answer "Has she begun menstruating?"
A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What will the nurse include when teaching the family about this therapy? - Correct Answer Injections are given every 2 to 4 weeks for 3 to 4 years.
A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not want to go to school, because he gets teased. The nurse learns that the boy's father did not begin puberty until age 16 years. Laboratory tests on this child do not reveal true hypogonadism. What will the nurse tell these parents when they ask what can be done for their son? - Correct Answer "A limited course of androgen therapy may be prescribed, but it is not necessary."
A 14-year-old male patient who plays football is admitted to the hospital. The nurse notes that the patient has short stature for his age according to a standard growth chart.The patient is muscular, has a deep voice, and needs to shave. The nurse notifies the provider of these findings. Which test will the nurse expect the provider to order? - Correct Answer Liver function tests and serum cholesterol
A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, and bacteriuria greater than 100,000/mL of urine. Which are the most likely diagnosis and treatment? - Correct Answer Uncomplicated lower urinary tract infection treatable with short-course therapy
A 30-year-old male patient reports having two to four urinary tract infections a year.What will the nurse expect to teach this patient? - Correct Answer "You will need to take a low dose of medication for 6 months to prevent infections."
A 50-year-old female patient asks a nurse about taking aspirin to prevent heart disease. The patient does not have a history of myocardial infarction. Her cholesterol 1 / 3
and blood pressure are normal, and she does not smoke. What will the nurse tell the patient? - Correct Answer There is most likely no protective benefit for patients her age.
A 50-year-old postmenopausal patient who has had a hysterectomy has moderate to severe vasomotor symptoms and is discussing estrogen therapy (ET) with the nurse.The patient is concerned about adverse effects of ET. The nurse will tell her that: - Correct Answer trCorrect Answerdermal preparations have fewer side effects.
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital for treatment of a urinary tract infection. The prescriber has ordered intravenous ciprofloxacin [Cipro]. Before administering the third dose of this drug, the nurse reviews the bacterial culture report and notes that the causative organism is Escherichia coli.The bacterial sensitivity report is pending. The patient complains of right ankle pain.What will the nurse do? - Correct Answer Withhold the dose of ciprofloxacin and notify the provider of the patient'ssymptoms.
A child has been taking SD methylphenidate [Ritalin], 10 mg at 0800 and 1200 and 5 mg at 1600, for 2 months. The parents tell the nurse that the child sometimes misses the noon dose while at school. The child's appetite is normal. The teacher has reported a slight improvement in hyperactivity and impulsivity. What will the nurse do? - Correct Answer Ask the prescriber whether this child could be given methylphenidate [Concerta].
A child has received amoxicillin [Amoxil] for three previous ear infections, but a current otitis media episode is not responding to treatment. The nurse caring for this child suspects that resistance to the bacterial agent has occurred by which microbial mechanism? - Correct Answer Drug inactivation
A child has ringworm of the scalp. A culture of the lesion reveals a dermatophytic infection. The nurse teaching the child's parents about how to treat this infection will include which statement? - Correct Answer "Your child will need to take this oral medication for 6 to 8 weeks."
A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The prescriber orders a central nervous system stimulant. Which statement by the child's parent indicates a need for further teaching? - Correct Answer "This drug will make him less impulsive while he's at school."
A child will begin taking methylphenidate [Ritalin] for attention-deficit/hyperactivity disorder. Important baseline information about this patient will include: - Correct Answer height and weight.
A child will receive 750 mg of an antibiotic for 10 days. The child attends day care. The drug may be dosed in several ways and is available in two concentrations. Which dosing regimen will the nurse discuss with the child's provider? - Correct Answer 500 mg/5 mL to 375 mg PO twice daily 2 / 3
A child with an ear infection is not responding to treatment with amoxicillin [Amoxil].The nurse will expect the provider to order: - Correct Answer amoxicillin-clavulanic acid [Augmentin].
A child with otitis media has had three ear infections in the past year. The child has just completed a 10-day course of amoxicillin [Amoxil] with no improvement. The parent asks the nurse why this drug is not working, because it has worked in the past. What will the nurse tell the patient? - Correct Answer "The bacteria have synthesized penicillinase."
A clinic nurse is assessing an adolescent male patient who has been receiving androgen therapy for hypogonadism via a trCorrect Answerdermal patch. The patient's last clinic visit was 4 weeks earlier. Which part of the interval history is of most concern to the nurse? - Correct Answer Five-pound weight gain
A female patient has come to the STD clinic and has been diagnosed with a Trichomonas vaginalis infection. What education should be provided to this patient? - Correct Answer Male partners should always be treated, even if they are asymptomatic
A female patient who has hepatitis C is being treated with pegylated interferon alpha and ribavirin [Ribasphere]. It will be important for the nurse to teach this patient that: - Correct Answer she will need a monthly pregnancy test during her treatment.
A hospitalized patient who is given one dose of flurazepam continues to show drowsiness the next day. A nursing student asks the nurse the reason for this, because the drug's half-life is only 2 to 3 hours. Which response by the nurse is correct? - Correct Answer "When this drug is metabolized, the resulting compound has longer- lasting effects."
A male patient with hepatitis C will begin triple drug therapy with pegylated interferon alpha 2a [Pegasys], ribavirin [Ribasphere], and boceprevir [Victrelis]. The patient tells the nurse that his wife is pregnant. What will the nurse tell him? - Correct Answer Boceprevir is contraindicated in males whose partners are pregnant.
A neonate is born to a patient who reports taking venlafaxine [Effexor XR]. The nurse caring for the infant will observe the infant for: - Correct Answer irritability, tremor, and respiratory distress.
A newborn infant has been given erythromycin ophthalmic ointment as a routine postpartum medication. The infant's mother learns that she has a C. trachomatis infection and asks the nurse if her baby will need to be treated. Which response by the nurse is correct? - Correct Answer "Your baby will need to be treated with oral erythromycin."
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