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NURS 6521N NURS-6521N-14, Advanced Pharmacology. Final Exam - Week 11 2019 Winter Qtr 11/25-02/16-PT27

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NURS 6521N NURS-6521N-14, Advanced Pharmacology. Final Exam - Week 11 2019 Winter Qtr 11/25-02/16-PT27 Selected Answer: ventrogluteal muscle. Selected Answer: staining of permanent teeth. A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Selected Answer: The use of dexrazoxane in conjunction with doxorubicin A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? Selected Answer: Risk for Infection related to suppressed bone marrow function A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? Selected Answer: Low bone density and a family history of osteoporosis A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The APRN will monitor for which of the following? Selected Answer: Agranulocytosis The recommended treatment for trichomoniasis is Selected Answer: Flagyl. A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Selected Dispose of intravenous lines used for chemotherapy administration in a covered trash can in the patient's room. Answer: Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs. A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Selected Answer: Take the drug for one full week before coming in contact with allergens An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? Selected Answer: Twice-daily doses of long-acting morphine, with short- acting morphine available for breakthrough pain A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Selected Answer: electrocardiogram (ECG). An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Selected Answer: Ineffective Family Therapeutic Regimen Management A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin B A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? Selected Answer: Respiratory difficulty A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to Selected Answer: take the vitamins at least 2 hours before or after taking ciprofloxacin. Selected Answer: alcohol. A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? Selected Answer: Leukope nia

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NURS 6521N NURS-6521N-14, Advanced Pharmacology.
Final Exam - Week 11
2019 Winter Qtr 11/25-02/16-PT27




• Question 1
1 out of 1 points
A 5-year-old boy needs an IM injection. The least painful and most effective
injection site would be the

Selected ventrogluteal muscle.
Answer:

• Question 2
1 out of 1 points
A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse
will be sure to inform the parents that this drug could cause

Selected staining of permanent teeth.
Answer:

• Question 3
1 out of 1 points
A 51-year-old female patient has been receiving doxorubicin
(Adriamycin) for metastatic breast cancer. Her medical record
indicates she has cardiomyopathy and a cumulative dose of 300
mg/m2 of doxorubicin. Which of the following measures would help
limit the severity of the cardiomyopathy in this patient?
Selected
The use of dexrazoxane in conjunction with doxorubicin
Answer:

,• Question 4
1 out of 1 points
A patient with non-Hodgkin's lymphoma (NHL) will be starting a
course of doxorubicin shortly. When planning this patient's care, what
nursing diagnosis should the nurse prioritize?
Selected
Risk for Infection related to suppressed bone marrow
Answer:
function

• Question 5
1 out of 1 points
A Nurse Practitioner is performing patient education for a woman who has just
been prescribed a bisphosphonate. Which of the following diagnostic and history
findings would have prompted the woman's care provider to prescribe a
bisphosphonate?

Selected Low bone density and a family history of
Answer: osteoporosis

• Question 6
0 out of 1 points
A 13-year-old patient has juvenile arthritis. He has recently had oral
surgery and was told by the surgeon to take aspirin for the pain. The
APRN will monitor for which of the following?

Selected Agranulocytosis
Answer:

• Question 7
1 out of 1 points
The recommended treatment for trichomoniasis is
Selected
Flagyl.
Answer:

• Question 8
1 out of 1 points
A Nurse Practitioner educator who coordinates the staff education on an oncology
unit is conducting an inservice on targeted therapies. What potential benefit of
targeted therapies should the nurse highlight in this education session?

Selected Targeted therapies have the potential to damage cancerous cells
Answer: while leaving normal body cells less affected.

• Question 9
0 out of 1 points
An oncology nurse is aware of the risks for injury that exist around the
preparation, transportation, and administration of chemotherapeutic
agents. In order to reduce these risks of injury, the nurse should take
which of the following actions?
Selected Dispose of intravenous lines used for
chemotherapy administration in a covered trash
can in the patient's room.

, Answer:

• Question 10
1 out of 1 points
A patient has been prescribed oral tetracycline. The nurse will instruct the patient
to take the drug
Selected on an empty stomach 1 hour before or 2 hours after
Answer: taking any meals or other drugs.

• Question 11
1 out of 1 points
A 16-year-old boy is prescribed cromolyn sodium nasal spray to
treat a nasal allergy. To maximize the therapeutic effects of the
drug, which of the following will the nurse include in instructions to
the patient?
Selected
Take the drug for one full week before coming in
Answer:
contact with allergens

• Question 12
1 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement
surgery) after falling and breaking her hip on the stairs outside her
home. The woman's pain in the time since her injury has been severe,
and her care team has been treating it with morphine. Which of the
following administration schedules is most likely to control the
patient's pain?

Selected Twice-daily doses of long-acting morphine, with short-
Answer: acting morphine available for breakthrough pain

• Question 13
1 out of 1 points
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient
who is to be started on dextroamphetamine for ADHD. After obtaining vital signs,
height, and weight, the nurse will prepare the patient for an

Selected electrocardiogram
Answer: (ECG).

• Question 14
1 out of 1 points
An immunocompromised 7-year-old child was recently discharged
home with a peripherally-inserted central line (PIC line) for home
antibiotic therapy. He has now been brought to the emergency
department by his mother and father with signs and symptoms of
line sepsis. Upon questioning, the mother states that she has been
removing the PIC dressing daily and washing the site with warm
water and a cloth. What nursing diagnosis is most appropriate in this
situation?
Selected
Ineffective Family Therapeutic Regimen Management
Answer:

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