NURS 6521N FINAL EXAM 1 – QUESTION AND
ANSWERS
Question 1
1 out of 1 points
Which of the following would the nurse include in a teaching plan about the signs and
symptoms of thrombophlebitis and thromboembolism that should be reported by a
patient taking estrogen?
Response Pain in the groin, headaches, dizziness, and chest pain are symptoms
Feedback of thrombophlebitis and thromboembolism, which are two common
: adverse effects of taking estrogen. Cholestatic jaundice is an adverse
effect of estrogen. Amenorrhea is an indication for progesterone
therapy. Breast tenderness is an adverse effect of progesterone.
Question 2
1 out of 1 points
A nurse is instructing a 19-year-old female patient on the use of fluconazole for
candida vaginitis. A teaching priority will be to
Response A teaching priority would be to tell the patient to use another form of
Feedback birth control if she was taking an oral contraceptive. Fluconazole may
: decrease the effectiveness of oral contraceptives. Taking an antiemetic
or antidiarrheal for adverse GI effects would be an appropriate
instruction for this drug. The nurse should also instruct the patient to
take aspirin instead of acetaminophen for relief of minor discomforts
because acetaminophen has the potential to damage the liver and
kidneys. Taking the drug with food is recommended if the patient
experiences GI distress. All of these instructions are important, but not
as important as making sure that the patient does not inadvertently
become pregnant while on the medication.
Question 3
1 out of 1 points
A nurse is working in a women's hospital where she is caring for a new mother who
is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been
ordered. The nurse will observe for which of the following?
Response The nurse will monitor the patient's blood pressure for possible
Feedback hypertension. Adverse effects of bethanechol are the same as with
: pilocarpine, which are hypertension, tachycardia, bronchiolar spasm,
pulmonary edema, salivation, sweating, and nausea and vomiting.
Bradycardia and decreased salivation are not identified adverse
effects. If the drug is taken with a ganglionic blocking agent, a
decrease in blood pressure could result.
Question 4
1 out of 1 points
, A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the drug
Response The expected benefits of the drug are obtained only when the drug is
Feedback taken first thing in the morning with a glass of water, at least 30
: minutes before taking other drugs, food, or beverages. Taking the drug
with coffee or juice limits its absorption. After taking the drug, the
patient should remain in an upright position to facilitate drug delivery to
the stomach; therefore, taking the drug at bedtime is not advisable.
Question 5
1 out of 1 points
A nurse is caring for a patient who is at 28 weeks' gestation and is receiving
terbutaline (Brethine) to control preterm labor. Which of the following assessment
parameters should the nurse prioritize?
Response When a patient is taking terbutaline, the nurse should closely monitor
Feedback the maternal heart rate, the FHR, and the maternal blood pressure and
: fluid status. The fetal position may be determined to assess the
chances of successful delivery and the need to induce labor, but is not
related to taking terbutaline.
Question 6
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy, and
it may pose a risk to both the mother and the fetus. The primary care physician has
made dosage adjustments to minimize adverse effects and prevent toxicity. The
nurse should make sure
Response If prolonged drug use is necessary and poses a risk to the woman or
Feedback the fetus, the pregnant woman and the fetus need to be monitored for
: both therapeutic and adverse effects of drug therapy. Serum levels of
the drug should be monitored to detect elevations that may lead to
adverse effects and the need for dosage adjustments. The FDA would
not need to be informed that the woman is receiving drug therapy. At
this point, with the patient already taking the drug, it is not necessary to
check the FDA category of the drug. The use of nonpharmacologic
alternatives is a good idea but would not be as critical as monitoring
drug levels.
Question 7
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she cannot
continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture
depicting drug molecules crossing the placental membrane and entering into the fetal
circulation. The nurse tells the patient that the main reason this happens is because
Response Drugs may compete with the hormones of pregnancy for albumin-
Feedback binding sites, which may result in a larger amount of unbound (or free)
ANSWERS
Question 1
1 out of 1 points
Which of the following would the nurse include in a teaching plan about the signs and
symptoms of thrombophlebitis and thromboembolism that should be reported by a
patient taking estrogen?
Response Pain in the groin, headaches, dizziness, and chest pain are symptoms
Feedback of thrombophlebitis and thromboembolism, which are two common
: adverse effects of taking estrogen. Cholestatic jaundice is an adverse
effect of estrogen. Amenorrhea is an indication for progesterone
therapy. Breast tenderness is an adverse effect of progesterone.
Question 2
1 out of 1 points
A nurse is instructing a 19-year-old female patient on the use of fluconazole for
candida vaginitis. A teaching priority will be to
Response A teaching priority would be to tell the patient to use another form of
Feedback birth control if she was taking an oral contraceptive. Fluconazole may
: decrease the effectiveness of oral contraceptives. Taking an antiemetic
or antidiarrheal for adverse GI effects would be an appropriate
instruction for this drug. The nurse should also instruct the patient to
take aspirin instead of acetaminophen for relief of minor discomforts
because acetaminophen has the potential to damage the liver and
kidneys. Taking the drug with food is recommended if the patient
experiences GI distress. All of these instructions are important, but not
as important as making sure that the patient does not inadvertently
become pregnant while on the medication.
Question 3
1 out of 1 points
A nurse is working in a women's hospital where she is caring for a new mother who
is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been
ordered. The nurse will observe for which of the following?
Response The nurse will monitor the patient's blood pressure for possible
Feedback hypertension. Adverse effects of bethanechol are the same as with
: pilocarpine, which are hypertension, tachycardia, bronchiolar spasm,
pulmonary edema, salivation, sweating, and nausea and vomiting.
Bradycardia and decreased salivation are not identified adverse
effects. If the drug is taken with a ganglionic blocking agent, a
decrease in blood pressure could result.
Question 4
1 out of 1 points
, A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the drug
Response The expected benefits of the drug are obtained only when the drug is
Feedback taken first thing in the morning with a glass of water, at least 30
: minutes before taking other drugs, food, or beverages. Taking the drug
with coffee or juice limits its absorption. After taking the drug, the
patient should remain in an upright position to facilitate drug delivery to
the stomach; therefore, taking the drug at bedtime is not advisable.
Question 5
1 out of 1 points
A nurse is caring for a patient who is at 28 weeks' gestation and is receiving
terbutaline (Brethine) to control preterm labor. Which of the following assessment
parameters should the nurse prioritize?
Response When a patient is taking terbutaline, the nurse should closely monitor
Feedback the maternal heart rate, the FHR, and the maternal blood pressure and
: fluid status. The fetal position may be determined to assess the
chances of successful delivery and the need to induce labor, but is not
related to taking terbutaline.
Question 6
1 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy, and
it may pose a risk to both the mother and the fetus. The primary care physician has
made dosage adjustments to minimize adverse effects and prevent toxicity. The
nurse should make sure
Response If prolonged drug use is necessary and poses a risk to the woman or
Feedback the fetus, the pregnant woman and the fetus need to be monitored for
: both therapeutic and adverse effects of drug therapy. Serum levels of
the drug should be monitored to detect elevations that may lead to
adverse effects and the need for dosage adjustments. The FDA would
not need to be informed that the woman is receiving drug therapy. At
this point, with the patient already taking the drug, it is not necessary to
check the FDA category of the drug. The use of nonpharmacologic
alternatives is a good idea but would not be as critical as monitoring
drug levels.
Question 7
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she cannot
continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture
depicting drug molecules crossing the placental membrane and entering into the fetal
circulation. The nurse tells the patient that the main reason this happens is because
Response Drugs may compete with the hormones of pregnancy for albumin-
Feedback binding sites, which may result in a larger amount of unbound (or free)
