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NURS-6521N-43,Advanced Pharmacology.2020 Spring Qtr 02/24-05/17-PT27 Week 11 .....96% CORRECT

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The patient has chronic heart failure resulting in significant peripheral edema. Selected Answer: Take the drug for one full week before coming in contact with allergens Selected Answer: Neurotoxici ty Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Selected Answer: Cleanse the wound of debris prior to applying the silver sulfadiazine Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. Selected Answer: through a central line. A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selected Answer: hypercholesterolemia. Selected Answer: perform light-weight exercises and go for walks. Selected Answer: Headaches and chest pain A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? Selected Answer: The use of ciprofloxacin is contraindicated in pregnancy. A 36-year-old patient comes to the clinic and tells the nurse practitioner that she suspects that she is pregnant. During the initial assessment, the nurse practitioner learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? Selected Answer: Phenytoin (Dilantin) Selected Answer: Liver function A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin- resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? Selected Answer: Vancomycin A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure Selected Answer: that serum levels of the drug are being monitored. Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Selected Answer: Vaginal burning Selected Answer: with high-fat meals. Selected Answer: Creatinine clearance Selected Answer: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. Selected Answer: A 62-year-old male with cancer

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Course NURS-6521N-43,Advanced Pharmacology.2020
Spring Qtr 02/24-05/17-PT27
Test Exam - Week
11 Started
Submitted
Due Date 5/11/20 1:59
AM Status Completed
Attempt Score 96 out of 100 points
Time Elapsed 1 hour, 44 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you
have completed the Exam.
Results Submitted Answers, Incorrectly Answered Questions
Displaye
d
• Question 1
1 out of 1 points
A 20-year-old female patient is receiving topical clindamycin for
acne vulgaris. She develops a rash and urticaria along with severe
itching where the medication is applied. The nurse will formulate
which of the following nursing diagnoses for the patient?
Selected
Answer: Risk for Injury related to
allergic reactions

• Question 2
1 out of 1 points
A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive
pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that
accompanies pregnancy?
Selected Increased drug distribution resulting from
Answer: hemodynamic changes

• Question 3
1 out of 1 points
A patient has been admitted to the critical care unit with a
diagnosis of peritonitis that has necessitated treatment with
gentamicin. As a result, the care team should be cautious when
concurrently administering other medications that may cause
Selected
Answer: ototoxicity or nephrotoxicity.

• Question 4
1 out of 1 points
A nurse practitioner orders 150 mg of oral fluconazole for a
patient with vulvovaginal candidiasis. The patient should
expect to take medication

, Selected once a day.
Answer:

• Question 5
1 out of 1 points
A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy.
Which of the following statements most accurately describes selective toxicity?

Selected A drug harms microbes without
Answer: harming human cells.

• Question 6
1 out of 1 points
A male patient is trying to decide if he should use finasteride
(Proscar) to treat benign prostatic hypertrophy (BPH). When
providing information about the drug, the nurse will include which of
the following as a risk associated with finasteride therapy?
Selected
Answer: Prostatic neoplasia

• Question 7
1 out of 1 points
During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet
count to be 92,000 cells/mm3. The nurse should do which of the following?


Selected Consult the prescriber for discontinuation of the drug
Answer:

• Question 8
1 out of 1 points
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 a baseline complete blood count.
Answer:

• Question 9
1 out of 1 points
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by
this patient most likely indicated a need for this drug?


Selected "Lately, I have to get up three or four times a night
Answer: to go to the bathroom."
• Question 10

, 1 out of 1 points
A Nurse Practitioner is explaining to a pregnant 21-year-old college student why
she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a
picture depicting drug molecules crossing the placental membrane and entering
into the fetal circulation. The nurse tells the patient that the main reason this
happens is because

Selected
drugs compete with the hormones of pregnancy for albumin-
Answer: binding sites.

• Question 11
1 out of 1 points
A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The
nurse will calculate the drug dosage by using


Selected body surface
Answer: area.

• Question 12
1 out of 1 points
A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication
history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to
take

Selected antacids not less than 1 hour before or 2
Answer: hours after taking INH.

• Question 13
1 out of 1 points
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam
reveals trichomonas vaginalis. The nurse practitioner is aware that


Selected asymptomatic women are diagnosed with
Answer: trichomoniasis by a routine pap smear.

• Question 14
1 out of 1 points
A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy,
including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of
laboratory test results?

Selected Serum alanine transaminase, aspartate
Answer: transaminase, and bilirubin

• Question 15
1 out of 1 points

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