Course NURS-6521N Advanced Pharmacology
Test Week 6 -Quiz
Started 7/7/19
Submitted 7/7/19
Status Completed
Attempt 30 out of 30 points
Score
Time Elapsed 47 minutes out of 1 hour and 15 minutes
Instructions Please answer each question below and click Submit when you have completed
the Quiz.
Results Feedback
Displayed
Question 1
1 out of 1 points
A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food
poisoning. The nurse administers colchicine intravenously in order to
m
er as
Response The patient is given colchicine intravenously to avoid aggravating his gastrointestinal
co
Feedback: tract. Giving the drug intravenously may ensure quick distribution of the drug, but
eH w
considering the patient's food poisoning, the main objective would be to avoid aggravating
the gastrointestinal tract and symptoms that the patient already has. Giving the drug
o.
intravenously does not prevent infection, bleeding, or depressed bone marrow function.
rs e
ou urc
Question 2
1 out of 1 points
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis.
o
The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk
aC s
to the patient is
vi y re
Response Tizanidine (Zanaflex) has been associated with hypotension, which could be a safety risk,
Feedback: especially if the patient is also taking an antihypertensive drug. Constipation, dry mouth,
and fatigue are common adverse effects that do not pose a safety risk.
ed d
Question 3
ar stu
1 out of 1 points
A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of
the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?
is
Response To promote the absorption of regular insulin, one anatomic area should be selected for
Th
Feedback: subcutaneous injections. Serial locations within that anatomic area are then chosen to
rotate the exact injection site. Injection sites should not be rotated by using different
anatomic areas each day, because this would substantially change the absorption of the
insulin and the patient's blood glucose levels. Using one injection site regularly may lead
sh
to lipodystrophy. Regular insulin is administered about 30 to 60 minutes before eating a
meal, not after.
Question 4
1 out of 1 points
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic
pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The
patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug
This study source was downloaded by 100000822557155 from CourseHero.com on 04-02-2021 07:35:27 GMT -05:00
https://www.coursehero.com/file/43117474/NURS-6521-Week-6-Quiz-Feedbackdocx/
, likely to influence the management of the patient's existing drug regimen?
Response Gabapentin is unusual in that it does not interact with other drugs and does not alter the
Feedback: serum concentrations of other anticonvulsants. Consequently, it is unnecessary to modify
the patient's existing drug regimen. Regular assessment of renal function is necessary in
patients with diabetes, but this is not a consequence of the use of gabapentin.
Question 5
1 out of 1 points
A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant).
What special instructions should the nurse include in the patient teaching for this situation?
Response Special instructions need to be given to patients with diabetes when they are prescribed
Feedback: syrups. A diabetic patient needs to monitor glucose levels closely because syrups contain
high levels of sugars, which can cause elevated glucose levels. Increased gastrointestinal
tract infections are not directly related to diabetic patients taking cough syrups. Noting the
time that a medication is taken and good hand-washing are always important, but are not
specific considerations for a diabetic patient taking cough syrup.
Question 6
m
er as
1 out of 1 points
To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the
co
eH w
patient regains consciousness, the nurse should
o.
Response While it is important to monitor a patient for nausea and vomiting and help him or her into
Feedback: rs e
a more comfortable position, it is most important to administer supplemental
ou urc
carbohydrates as soon as the patient becomes conscious. Administering supplemental
carbohydrates serves to restore liver glycogen and prevent secondary hypoglycemia.
Calcium supplements are not necessary in this situation.
o
Question 7
aC s
1 out of 1 points
vi y re
A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout
who visits the clinic every 2 months?
Response The most common adverse effects of allopurinol include pruritus, maculopapular rash,
ed d
Feedback: nausea and vomiting, elevated liver function tests, and acute gout symptoms. Blood sugar
ar stu
levels, blood pressure, and body temperature are not associated with adverse effects of
allopurinol.
Question 8
is
1 out of 1 points
Th
A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the
following should be the priority for monitoring?
Response Gabapentin is not metabolized and is excreted unchanged in the urine. Therefore, it is
sh
Feedback: important to monitor renal function. Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
Question 9
1 out of 1 points
A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the
nurse monitor periodically?
Response Somatropin is used for the long-term treatment of pediatric patients who have growth
This study source was downloaded by 100000822557155 from CourseHero.com on 04-02-2021 07:35:27 GMT -05:00
https://www.coursehero.com/file/43117474/NURS-6521-Week-6-Quiz-Feedbackdocx/
Test Week 6 -Quiz
Started 7/7/19
Submitted 7/7/19
Status Completed
Attempt 30 out of 30 points
Score
Time Elapsed 47 minutes out of 1 hour and 15 minutes
Instructions Please answer each question below and click Submit when you have completed
the Quiz.
Results Feedback
Displayed
Question 1
1 out of 1 points
A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food
poisoning. The nurse administers colchicine intravenously in order to
m
er as
Response The patient is given colchicine intravenously to avoid aggravating his gastrointestinal
co
Feedback: tract. Giving the drug intravenously may ensure quick distribution of the drug, but
eH w
considering the patient's food poisoning, the main objective would be to avoid aggravating
the gastrointestinal tract and symptoms that the patient already has. Giving the drug
o.
intravenously does not prevent infection, bleeding, or depressed bone marrow function.
rs e
ou urc
Question 2
1 out of 1 points
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis.
o
The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk
aC s
to the patient is
vi y re
Response Tizanidine (Zanaflex) has been associated with hypotension, which could be a safety risk,
Feedback: especially if the patient is also taking an antihypertensive drug. Constipation, dry mouth,
and fatigue are common adverse effects that do not pose a safety risk.
ed d
Question 3
ar stu
1 out of 1 points
A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of
the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?
is
Response To promote the absorption of regular insulin, one anatomic area should be selected for
Th
Feedback: subcutaneous injections. Serial locations within that anatomic area are then chosen to
rotate the exact injection site. Injection sites should not be rotated by using different
anatomic areas each day, because this would substantially change the absorption of the
insulin and the patient's blood glucose levels. Using one injection site regularly may lead
sh
to lipodystrophy. Regular insulin is administered about 30 to 60 minutes before eating a
meal, not after.
Question 4
1 out of 1 points
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic
pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The
patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug
This study source was downloaded by 100000822557155 from CourseHero.com on 04-02-2021 07:35:27 GMT -05:00
https://www.coursehero.com/file/43117474/NURS-6521-Week-6-Quiz-Feedbackdocx/
, likely to influence the management of the patient's existing drug regimen?
Response Gabapentin is unusual in that it does not interact with other drugs and does not alter the
Feedback: serum concentrations of other anticonvulsants. Consequently, it is unnecessary to modify
the patient's existing drug regimen. Regular assessment of renal function is necessary in
patients with diabetes, but this is not a consequence of the use of gabapentin.
Question 5
1 out of 1 points
A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant).
What special instructions should the nurse include in the patient teaching for this situation?
Response Special instructions need to be given to patients with diabetes when they are prescribed
Feedback: syrups. A diabetic patient needs to monitor glucose levels closely because syrups contain
high levels of sugars, which can cause elevated glucose levels. Increased gastrointestinal
tract infections are not directly related to diabetic patients taking cough syrups. Noting the
time that a medication is taken and good hand-washing are always important, but are not
specific considerations for a diabetic patient taking cough syrup.
Question 6
m
er as
1 out of 1 points
To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the
co
eH w
patient regains consciousness, the nurse should
o.
Response While it is important to monitor a patient for nausea and vomiting and help him or her into
Feedback: rs e
a more comfortable position, it is most important to administer supplemental
ou urc
carbohydrates as soon as the patient becomes conscious. Administering supplemental
carbohydrates serves to restore liver glycogen and prevent secondary hypoglycemia.
Calcium supplements are not necessary in this situation.
o
Question 7
aC s
1 out of 1 points
vi y re
A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout
who visits the clinic every 2 months?
Response The most common adverse effects of allopurinol include pruritus, maculopapular rash,
ed d
Feedback: nausea and vomiting, elevated liver function tests, and acute gout symptoms. Blood sugar
ar stu
levels, blood pressure, and body temperature are not associated with adverse effects of
allopurinol.
Question 8
is
1 out of 1 points
Th
A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the
following should be the priority for monitoring?
Response Gabapentin is not metabolized and is excreted unchanged in the urine. Therefore, it is
sh
Feedback: important to monitor renal function. Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
Question 9
1 out of 1 points
A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the
nurse monitor periodically?
Response Somatropin is used for the long-term treatment of pediatric patients who have growth
This study source was downloaded by 100000822557155 from CourseHero.com on 04-02-2021 07:35:27 GMT -05:00
https://www.coursehero.com/file/43117474/NURS-6521-Week-6-Quiz-Feedbackdocx/
