NURS6521N28,AdvancedPharmacology,Exam -Week7Mi
dter
m
(2020)
Qu
esti
on:ANu r
sePract
it
ionerexpl
ainst
oap a
tie
ntthatni
tr
ogly
cer
in
pat
chesshou
ld..
.
a
ppl
iedinth
emor ni
nga n
d. .
.i
nt h
ee v
eni
ng.Thismedic
ati
on
s
chedul
ereduce
sthepotenti
alfor
:NURS6521N2 8
Qu
esti
on:A45-
year
-ol
dma nwh oisac on
str
uct
ionworkerhas
b
een.
..wi
thh
ype
rli
pi
demi
aan
dha
sbe
en.
..l
ova
sta
tin
.Th
e
n
urs
ewi
l
lad
vis
eth
epa
tie
ntt
o
Qu
e stion:Themo s
te ffecti
veth erapyforap at
ie ntwh oisH. p yl
ori posi
ti
ve
withag ast
riculceris:
Qu
e stion:Ap at
ientwi t
hc lass-IVCHFh asame di
c ati
onr e gime nc onsist
ing
ofme top r
olol(Lop r
ess or)
,e nalapri
l(Vasot
e c),andf uros emid e( Lasi
x)
.
I
na d
d i
tiontor egular
lya sses si
n gthepati
en tsh eartra t
e ,then urse
shouldp ri
oriti
zea sses smen toft h
ep at
ient
's: NURS6 52 1N2 8
Qu
e stion:A5 8-
y ea
r-oldma nis...d i
cycl
omine( Be n
ty l
)fori rr
itableb owel
syndrome .Inwh icho fthef ollowingcondi
tionsi sd i
c yclomi net her
apy
con t
raindic
a ted?
Qu
e stion:Ap at
ientisint hec l
inicfors eas
onal all
erg i
cr hinit
is.Lor atadi
ne
(Clari
tin)
i
s. ..
.Wh i
choft hefollowings t
ateme nt
swill t
hen urs ein clu
d ewh e
n
providi
n gpa ti
ente ducation
con c
e r
n i
ngt hi
sd rug?
Qu
e stion:TheAPRNi sp rescri
b i
n game di
cat
iont hatis. ..toi nduce
hep a
tice nzyme s.Wh ate f
fec tshouldyoua nti
c i
pa t
e ?NURS6 52 1N2 8
Qu
e stion:Ap at
ientc ome stot hec li
nicaski
ngf orh elptoq uitdri
n king
alcohol.Sheh asa2 1-yearh i
s t
oryofh eav
yd r
inkinga n dis. .
.ab out
develop i
ngc ir
rhos i
soft heliver.Thep at
ienta gr
e est ota ked i
s ulf
iram
(Antabu se)
. Then ursewi l
ltea chthep a
tie
n tthatt hec omb i
nationof
alcohol andAn tabusewi llcau sewh i
chofth efollowin g?NURS6 521N28
Qu
e stion:Ap at
ienth asb een...lova s
tati
nforah ighc h olesterollev el
.The
nurse'steach i
ngp lanwi l
linclud eab as
icex pl
a nati
onofh owt h edrug
, pr
od ucesi tstherap e
u ti
ce ffect
.Th enu r
sewi l
le xpl
a i
nthatlovastat
in
l
owe rsch olesterollevelsb ecauseit
Qu
e sti
on:Wh i
choft h efollowingp at
ientsismo s
tlikelytobenefit
f
romt hea dministrat
iono fana dr
e ner
g i
ca gonist?NURS6 521N
28
Qu
e sti
on:Ng uyen, age7 1,wi l
lsoonb e...homef romt hehospital
a f
tera
successfu lc oron ar
ya rteryb ypassg r
a f
t( CABG) .Du r
ingp ati
ent
educati
o na bou th isd rugr egime n,Mr .Ng uye n'
sn urses h
ou l
d
pr
iori
tizet eacha bo u
t: NURS6 521N2 8
Qu
e sti
on:A7 0-year-
oldma nwh oenjoysgoodh eal
thb egantakinglow-dose
aspi
rins everalmo nt
h sa go...onr e
comme ndationsth a
th ereadina
ma gazi
n ea rti
cl
e .Duringt hema n'smos trecentv is
ittohisca r
ep r
ovider
,
r
ou t
ineb loodwor kwa sor d e
reda ndthere sul
ts...anu nprecedent
edrise
i
nt hema n '
ss erumc r
e ati
n i
nea ndb l
oodu rean i
trogen(BUN)l evel
s.How
shouldan urseb estinterpretthesefindi
n gs?
Qu
e sti
on:A6 2y earoldma l
ewh oha damy oc ardi
al i
nfarct
ionon eyearagois
being. ..
f
orh yperten si
on .Wh i
c hme di
cati
onh asth ebeste videnceinmor t
ali
ty
r
ed ucti
on ?
Qu
e sti
on:ANu rsePr acti
tione ri
sp r
o vi
dingc arefora7 1-year
-oldwoma n
whowa s...redtoe mig ratefromMe xi
cot otheUn i
tedStates6mon ths
ago.Earli
e rthiswe ek, t
h ewoma nsli
pp edwh il
eg etti
ngo f
fab usa nd
f
racturedh e rhi
p .Hows hou l
dt h
ewoma n '
sn urseb estexemp l
if
yc ul
tur
al
comp et
e ncei nth ecareo ft hi
spa ti
ent?NURS6 52 1N2 8
dter
m
(2020)
Qu
esti
on:ANu r
sePract
it
ionerexpl
ainst
oap a
tie
ntthatni
tr
ogly
cer
in
pat
chesshou
ld..
.
a
ppl
iedinth
emor ni
nga n
d. .
.i
nt h
ee v
eni
ng.Thismedic
ati
on
s
chedul
ereduce
sthepotenti
alfor
:NURS6521N2 8
Qu
esti
on:A45-
year
-ol
dma nwh oisac on
str
uct
ionworkerhas
b
een.
..wi
thh
ype
rli
pi
demi
aan
dha
sbe
en.
..l
ova
sta
tin
.Th
e
n
urs
ewi
l
lad
vis
eth
epa
tie
ntt
o
Qu
e stion:Themo s
te ffecti
veth erapyforap at
ie ntwh oisH. p yl
ori posi
ti
ve
withag ast
riculceris:
Qu
e stion:Ap at
ientwi t
hc lass-IVCHFh asame di
c ati
onr e gime nc onsist
ing
ofme top r
olol(Lop r
ess or)
,e nalapri
l(Vasot
e c),andf uros emid e( Lasi
x)
.
I
na d
d i
tiontor egular
lya sses si
n gthepati
en tsh eartra t
e ,then urse
shouldp ri
oriti
zea sses smen toft h
ep at
ient
's: NURS6 52 1N2 8
Qu
e stion:A5 8-
y ea
r-oldma nis...d i
cycl
omine( Be n
ty l
)fori rr
itableb owel
syndrome .Inwh icho fthef ollowingcondi
tionsi sd i
c yclomi net her
apy
con t
raindic
a ted?
Qu
e stion:Ap at
ientisint hec l
inicfors eas
onal all
erg i
cr hinit
is.Lor atadi
ne
(Clari
tin)
i
s. ..
.Wh i
choft hefollowings t
ateme nt
swill t
hen urs ein clu
d ewh e
n
providi
n gpa ti
ente ducation
con c
e r
n i
ngt hi
sd rug?
Qu
e stion:TheAPRNi sp rescri
b i
n game di
cat
iont hatis. ..toi nduce
hep a
tice nzyme s.Wh ate f
fec tshouldyoua nti
c i
pa t
e ?NURS6 52 1N2 8
Qu
e stion:Ap at
ientc ome stot hec li
nicaski
ngf orh elptoq uitdri
n king
alcohol.Sheh asa2 1-yearh i
s t
oryofh eav
yd r
inkinga n dis. .
.ab out
develop i
ngc ir
rhos i
soft heliver.Thep at
ienta gr
e est ota ked i
s ulf
iram
(Antabu se)
. Then ursewi l
ltea chthep a
tie
n tthatt hec omb i
nationof
alcohol andAn tabusewi llcau sewh i
chofth efollowin g?NURS6 521N28
Qu
e stion:Ap at
ienth asb een...lova s
tati
nforah ighc h olesterollev el
.The
nurse'steach i
ngp lanwi l
linclud eab as
icex pl
a nati
onofh owt h edrug
, pr
od ucesi tstherap e
u ti
ce ffect
.Th enu r
sewi l
le xpl
a i
nthatlovastat
in
l
owe rsch olesterollevelsb ecauseit
Qu
e sti
on:Wh i
choft h efollowingp at
ientsismo s
tlikelytobenefit
f
romt hea dministrat
iono fana dr
e ner
g i
ca gonist?NURS6 521N
28
Qu
e sti
on:Ng uyen, age7 1,wi l
lsoonb e...homef romt hehospital
a f
tera
successfu lc oron ar
ya rteryb ypassg r
a f
t( CABG) .Du r
ingp ati
ent
educati
o na bou th isd rugr egime n,Mr .Ng uye n'
sn urses h
ou l
d
pr
iori
tizet eacha bo u
t: NURS6 521N2 8
Qu
e sti
on:A7 0-year-
oldma nwh oenjoysgoodh eal
thb egantakinglow-dose
aspi
rins everalmo nt
h sa go...onr e
comme ndationsth a
th ereadina
ma gazi
n ea rti
cl
e .Duringt hema n'smos trecentv is
ittohisca r
ep r
ovider
,
r
ou t
ineb loodwor kwa sor d e
reda ndthere sul
ts...anu nprecedent
edrise
i
nt hema n '
ss erumc r
e ati
n i
nea ndb l
oodu rean i
trogen(BUN)l evel
s.How
shouldan urseb estinterpretthesefindi
n gs?
Qu
e sti
on:A6 2y earoldma l
ewh oha damy oc ardi
al i
nfarct
ionon eyearagois
being. ..
f
orh yperten si
on .Wh i
c hme di
cati
onh asth ebeste videnceinmor t
ali
ty
r
ed ucti
on ?
Qu
e sti
on:ANu rsePr acti
tione ri
sp r
o vi
dingc arefora7 1-year
-oldwoma n
whowa s...redtoe mig ratefromMe xi
cot otheUn i
tedStates6mon ths
ago.Earli
e rthiswe ek, t
h ewoma nsli
pp edwh il
eg etti
ngo f
fab usa nd
f
racturedh e rhi
p .Hows hou l
dt h
ewoma n '
sn urseb estexemp l
if
yc ul
tur
al
comp et
e ncei nth ecareo ft hi
spa ti
ent?NURS6 52 1N2 8
