NURS 6521 / NURS6521 Final Exam: Advanced Pharmacology | Already Graded A| Question and Answers | Latest 2022 / 2023

NURS 6521 / NURS6521 Final Exam: Advanced Pharmacology | Already Graded A| Question and Answers | Latest 2022 / 2023 1. 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? ~ Answer: Vancomycin 2. A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching? ~ Answer: Penicillin interferes with synthesis of the bacteria cell wall. 3. A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? ~ Answer: Cardiovascular complications 4. A nurse 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? ~ Answer: Respiratory difficulty 5. A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to ~ Answer: complete the entire course of drug therapy 6. A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? ~ Answer: The patient has unstable angina and uses a nitroglycerin patch 7. A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? ~ Answer: Fetal heart rate (FHR) 8. 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? ~ Answer: Risk for Infection related to suppressed bone marrow function 9. A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that ~ Answer: body fluids such as urine, saliva, tears, and sputum may become discolored 10. A nurse is administering rituximab to a patient via the IV route. The nurse will set the IV pump at 50 mghour for the first half hour of the initial infusion. If there are not apparent reactions after 30 minutes of the infusion, the nurse will increase the dosage every 30 minutes by 50 mghour until the maximum infusion rate reaches which of the following? ~ Answer: 400 mghour 11. A nurse 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 ~ Answer: Body surface area 12. A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? ~ Answer: "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells." 13. A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following?