NURS 6521N Pharmacology Final Exam 2021.

Question 1 A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder  Question 2 Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selected Answer: Headaches and chest pain  Question 3 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in Selected Answer: iron-rich foods such as beans and leafy green vegetables.  Question 4 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Selected Answer: Ciprofloxacin  Question 5 A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? Selected Answer: A 19-year-old male receiving radiotherapy  Question 6 A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? Selected Answer: Drink plenty of water every day  Question 7 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Selected Answer: Reduce dose by 50% for 3 to 4 days  Question 8 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of Selected Answer: cardiac arrhythmias.  Question 9 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selected Answer: a baseline complete blood count.  Question 10 Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Selected Answer: Impairment of renal function  Question 11 The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? Selected Answer: Give the medication through a straw to decrease the staining of the teeth.  Question 12 A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selected Answer: perform relaxation techniques after the treatments.  Question 13 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 Answer: staining of permanent teeth.  Question 14 The NP is prescribing A medication for six month old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication? Selected Answer: Rectal suppository