Exam (elaborations) Pharmacology Midterm Exam (All Answers Correct)

Exam (elaborations) Pharmacology Midterm Exam (All Answers Correct) A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to Selected Answer: assess heart rate. Question 2 1 out of 1 points Correct A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention? Selected Answer: To convert the patient's atrial fibrillation to normal sinus rhythm Question 3 1 out of 1 points Correct A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? Selected Answer: Frequent assessment of the patient's cardiac status Question 4 1 out of 1 points Correct A 70-year-old woman with a history of atrial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse's admission assessment, the nurse realizes that the patient Pharmacology Midterm Exam (All Answers Correct) has been taking ginkgo biloba supplements in addition to her prescribed warfarin, a combination that has resulted in bleeding. What nursing diagnosis should the nurse identify when planning this patient's care? Selected Answer: Risk for Injury related to drug interactions of vitamins, herbs, or food intake with prescribed drug therapy Question 5 1 out of 1 points Correct 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? Selected Answer: Oropharyngeal Candida albicans infection Question 6 1 out of 1 points Correct A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? Selected Answer: Pain intensity, respiratory rate, and level of consciousness Question 7 1 out of 1 points Correct A nurse is administering drugs to a 70-year-old patient who has a reduced plasma albumin level. When assessing the patient for therapeutic outcomes of drug therapy, the nurse will also be careful to observe for Selected Answer: possible drug toxicity. Question 8 1 out of 1 points Correct A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? Selected Answer: Risk for Injury related to CNS depressant effects Question 9 0 out of 1 points Incorrect The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? Selected Answer: To achieve pain relief in joints affected by gout Question 10 1 out of 1 points Correct Which of the following affects drug distribution throughout the body? Selected Answer: Protein binding Question 11 0 out of 1 points Incorrect A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? Selected Answer: Before lunch Question 12 1 out of 1 points Correct A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will Selected Answer: use nonverbal language. Question 13 1 out of 1 points Correct Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about Selected Answer: potential adverse effects of the drugs that Mr. Nguyen will be taking. Question 14 0 out of 1 points Incorrect A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? Selected Answer: Heart rate Question 15 1 out of 1 points Correct A nurse is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the nurse assess before beginning drug therapy? Selected Answer: Serum potassium levels Question 16 0 out of 1 points Incorrect A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that Selected Answer: drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves. Question 17 1 out of 1 points Correct A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is Selected Answer: hypotension. Question 18 0 out of 1 points Incorrect Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Selected Answer: Ranolazine confers protection from myocardial infarction but does not relieve symptoms of angina. Question 19 0 out of 1 points Incorrect A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? Selected Answer: Dehydration Question 20 0 out of 1 points Incorrect A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is Selected Answer: intramuscular. Question 21 0 out of 1 points Incorrect A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? Selected Answer: H2RAs have a longer duration of action and fewer adverse effects than H1RAs. Question 22 1 out of 1 points Correct A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will Selected Answer: compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider. Question 23 1 out of 1 points Correct Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? Selected Answer: The resident's apical heart rate is 112 beats/minute with a regular rhythm Question 24 1 out of 1 points Correct A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of Selected Answer: hypertension. Question 25 0 out of 1 points Incorrect A 72-year-old m