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NURS-6521C-1/NURS-6521D-1/NURS-6521N-1-Advanced Pharmacology2020 Winter Qtr 11/25-02/16-PT27

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nd has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? Selected Answer: Infliximab (Remicade) Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) Selected Answers: Antibiotics A PPI A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Selected Answer: Phenelzine (Nardil) Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process? Selected Answer: To ensure the safety of the public A 70-year-old man who enjoys good health began taking low-dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his care provider, routine blood work was ordered and the results indicated an unprecedented rise in the man's serum creatinine and blood urea nitrogen (BUN) levels. How should a nurse best interpret these findings? Selected Answer: The man may be experiencing nephrotoxic effects of aspirin A Nurse Practitioner who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? Selected A patient with a history of angina who experienced a non-ST Answer: wave myocardial infarction A Nurse Practitioner is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? Selected Answer: History of taking anticoagulant drugs The APRN is treating a 56 year old male with diagnosed atrial fibrillation. He is complaining of being light headed. His vital signs are BP 100/68 HR 144 RR 22. The best choice of medication to treat this patient is: Selected Answer: 4. Beta blocker such as Metoprolol The APRN would use what class of medication to manage COPD? Selected Answer: Short-acting and long acting inhaled beta2 agonists 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: Blood pressure An unconscious patient has been brought to the hospital, and the Nurse Practitioner has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Selected Answer: Intravenous infusion. A Nurse Practitioner has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the

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NURS-6521C-1/NURS-6521D-1/NURS-6521N-1-Advanced
Pharmacology2020 Winter Qtr 11/25-02/16-PT27




Due Date 1/13/20
Status Completed
Attempt 92 out of 100 points
Score
Time 2 hours, 0 minute out of 2 hours
Elapsed
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results Submitted Answers, Incorrectly Answered Questions
Displayed
• Question 1
1 out of 1 points
In order to promote therapeutic drug effects, the Nurse Practitioner should
always encourage patients to


Selected Answer: take their medication at the prescribed times.

• Question 2
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 likely to influence the management of the patient's existing drug regimen?
Selected
Answer: It is unlikely to influence the patient's other medications because
gabapentin does not interact with other drugs.
• Question 3
1 out of 1 points

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
• Question 4 regular rhythm
1 out of 1 points

The lower respiratory system utilizes a number of different mechanisms that
confer protection and maintain homeostasis. Which of the following physiological
processes protects the lower respiratory system?

, Selected Cilia sweep foreign material and mucus upward toward the
Answer: trachea and larynx where they can then be swallowed.
• Question 5
1 out of 1 points
A 62-year-old man has been prescribed lovastatin. The Nurse Practitioner will
instruct the patient to take the medication
Selected Answer: at bedtime.
• Question 6
1 out of 1 points
A Nurse Practitioner who provides care for older adults is aware of the high
incidence of drug interactions in this population. When educating a group of
seniors about the prevention of drug interactions, the Nurse Practitioner should
encourage them to


Selected consult their care provider before taking new over-the-counter
Answer: medications.
• Question 7
1 out of 1 points

A Nurse Practitioner is teaching an older adult patient about polypharmacy. Which
of the following statements best describe this term?
Selected Answer: Taking several drugs simultaneously
• Question 8
1 out of 1 points

A diabetic patient being treated for obesity tells the Nurse Practitioner that he is
having adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the Nurse Practitioner's immediate attention?

Selected Answer: Increased blood glucose
• Question 9
1 out of 1 points

A 22 year old patient is transitioning from oral agents to insulin. He will be taking
20 units of lantus at bedtime and regular insulin before meals. What instructions
should the NP provide about the timing and dose of regular insulin?



Selected Take 1 unit of regular insulin for each 10 grams of carbohydrate to
Answer: be consumed 15 minutes before each meal
• Question 10
1 out of 1 points

Topical inhaled alpha adrenergic blocking agents or nasal vasoconstricting
decongestants should not be used chronically (>5 days) because they can cause

, Selected Answer: rebound rhinitis/congestion


• Question 11
1 out of 1 points
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma
are being taught about their son's medication regimen by the nurse. The nurse is
currently teaching the parent's about the appropriate use of a "rescue drug" for
acute exacerbations of their son's asthma. What drug should the nurse suggests
the parents to use in these situations?

Selected Answer: Albuterol
• Question 12
0 out of 1 points
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect
by
Selected
Answer: blocking adrenergic receptors and producing antisympathetic
effects.
• Question 13
1 out of 1 points

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: Late afternoon
• Question 14
0 out of 1 points

A child with sinusitis has been on antibiotics for seven days and his symptoms are
not improving. All of the following are options to prescribe for the patient now
EXCEPT:


Selected Answer: Amoxicillin/clavulanic acid

• Question 15
1 out of 1 points

The Nurse Practitioner's assessment of a community-dwelling adult suggests that
the client may have drug allergies that have not been previously documented.
What statement by the client would confirm this?


Selected "I broke out in hives and got terribly itchy when I started a new
Answer: prescription last year."
• Question 16
1 out of 1 points

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