NURS 6521 Week-10 Quiz, NURS 6521
Advanced Pharmacology
Question 1
1 out of 1 points
A nurse is working with a 16-year-old pregnant teen and assessing for
behavior that may put the baby at risk. The most important assessment
the nurse can make is
Selected B.
Answer: whether the pregnant woman uses illegal
substances.
Correct B.
Answer:
whether the pregnant woman uses illegal
substances.
Response Adolescents are prone to experimentation with various
Feedback:
substances, both legal and nonlegal; assessments related to
this phenomenon are important during pregnancy. Insurance
coverage, exercise, and dietary habits are considered less
important.
Question 2
1 out of 1 points
A nurse is providing patient education to a 50-year-old woman who is
taking methotrexate (MTX) for breast cancer. The nurse will instruct the
patient to avoid which of the following drugs?
Selected D.
Answer: Salicylat
es
Correct D.
Answer:
Salicylat
es
Response Because MTX is secreted by the renal tubules, certain drugs that
Feedback
:
follow the same pathway, such as salicylates, sulfonamides,
phenytoin, and penicillin, may compete with MTX excretion,
resulting in accumulation and increased toxicity. Therefore, if
these drugs cannot be avoided, they should be discontinued 2
days before and restarted 2 days after MTX therapy.
Acetaminophen, furosemide, and digoxin do not cause drug–
drug interactions with MTX.
Question 3
, 1 out of 1 points
A nurse is caring for a 46-year-old female patient who is taking paclitaxel
for ovarian cancer. Two or three days after the infusion of the drug, the
nurse must closely monitor for which of the following?
Selected A.
Answer: Neurotoxic
ity
Correct A.
Answer:
Neurotoxic
ity
Response Neurotoxicity is a major problem associated with paclitaxel
Feedback:
therapy, and close monitoring is needed. Neurotoxicity
generally begins 2 to 3 days after the infusion. Cardiotoxicity is
observed in less than 1% of patients. The drug is not known to
cause constipation or asthma.
Question 4
1 out of 1 points
A 51-year-old female patient has been receiving doxorubicin (Adriamycin)
for metastatic breast cancer. Her medical record indicates she has
cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin.
Which of the following measures would help limit the severity of the
cardiomyopathy in this patient?
Selected A.
Answer: The use of dexrazoxane in conjunction with
doxorubicin
Correct A.
Answer:
The use of dexrazoxane in conjunction with
doxorubicin
Response Dexrazoxane, a cardioprotectant, is recommended to reduce the
Feedback
:
severity and incidence of cardiomyopathy associated with
doxorubicin for women with metastatic breast cancer who
received a cumulative dose of 300 mg/m2. Meticulous monitoring
or multiplying daily doses would not reduce the severity and
incidence of cardiomyopathy as effectively as using
dexrazoxane, and reducing the dosage is not advisable.
Question 5
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common adverse effect of
estrogen therapy?
Selected B.
Answer: Breakthrough
, bleeding
Correct B.
Answer:
Breakthrough
bleeding
Response The nurse will advise the patient that common adverse effects
Feedback
:
include breakthrough bleeding, changes in menstrual flow,
dysmenorrhea, premenstrual-like syndrome, headache, nausea
and vomiting, bloating, abdominal cramps, chloasma, and
photosensitivity. Migraine headaches, dizziness, and changes in
libido are less common adverse effects.
Question 6
1 out of 1 points
A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug
Selected B.
Answer: first thing in the
morning.
Correct B.
Answer:
first thing in the
morning.
Response The expected benefits of the drug are obtained only when the
Feedback
:
drug is taken first thing in the morning with a glass of water, at
least 30 minutes before taking other drugs, food, or beverages.
Taking the drug with coffee or juice limits its absorption. After
taking the drug, the patient should remain in an upright position
to facilitate drug delivery to the stomach; therefore, taking the
drug at bedtime is not advisable.
Question 7
1 out of 1 points
The nurse recognizes that the potential for teratogenic drug effects is not
static throughout the prenatal and postnatal periods. The potential for
teratogenic effects is highest during
Selected A.
Answer: the first 2 months of
pregnancy.
Correct A.
Answer:
the first 2 months of
pregnancy.
Response The critical period of organogenesis, during which the major
Feedback
:
fetal organs form, is from implantation up to approximately day
58 to 60 after conception. If drugs that cause teratogenic effects
Advanced Pharmacology
Question 1
1 out of 1 points
A nurse is working with a 16-year-old pregnant teen and assessing for
behavior that may put the baby at risk. The most important assessment
the nurse can make is
Selected B.
Answer: whether the pregnant woman uses illegal
substances.
Correct B.
Answer:
whether the pregnant woman uses illegal
substances.
Response Adolescents are prone to experimentation with various
Feedback:
substances, both legal and nonlegal; assessments related to
this phenomenon are important during pregnancy. Insurance
coverage, exercise, and dietary habits are considered less
important.
Question 2
1 out of 1 points
A nurse is providing patient education to a 50-year-old woman who is
taking methotrexate (MTX) for breast cancer. The nurse will instruct the
patient to avoid which of the following drugs?
Selected D.
Answer: Salicylat
es
Correct D.
Answer:
Salicylat
es
Response Because MTX is secreted by the renal tubules, certain drugs that
Feedback
:
follow the same pathway, such as salicylates, sulfonamides,
phenytoin, and penicillin, may compete with MTX excretion,
resulting in accumulation and increased toxicity. Therefore, if
these drugs cannot be avoided, they should be discontinued 2
days before and restarted 2 days after MTX therapy.
Acetaminophen, furosemide, and digoxin do not cause drug–
drug interactions with MTX.
Question 3
, 1 out of 1 points
A nurse is caring for a 46-year-old female patient who is taking paclitaxel
for ovarian cancer. Two or three days after the infusion of the drug, the
nurse must closely monitor for which of the following?
Selected A.
Answer: Neurotoxic
ity
Correct A.
Answer:
Neurotoxic
ity
Response Neurotoxicity is a major problem associated with paclitaxel
Feedback:
therapy, and close monitoring is needed. Neurotoxicity
generally begins 2 to 3 days after the infusion. Cardiotoxicity is
observed in less than 1% of patients. The drug is not known to
cause constipation or asthma.
Question 4
1 out of 1 points
A 51-year-old female patient has been receiving doxorubicin (Adriamycin)
for metastatic breast cancer. Her medical record indicates she has
cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin.
Which of the following measures would help limit the severity of the
cardiomyopathy in this patient?
Selected A.
Answer: The use of dexrazoxane in conjunction with
doxorubicin
Correct A.
Answer:
The use of dexrazoxane in conjunction with
doxorubicin
Response Dexrazoxane, a cardioprotectant, is recommended to reduce the
Feedback
:
severity and incidence of cardiomyopathy associated with
doxorubicin for women with metastatic breast cancer who
received a cumulative dose of 300 mg/m2. Meticulous monitoring
or multiplying daily doses would not reduce the severity and
incidence of cardiomyopathy as effectively as using
dexrazoxane, and reducing the dosage is not advisable.
Question 5
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common adverse effect of
estrogen therapy?
Selected B.
Answer: Breakthrough
, bleeding
Correct B.
Answer:
Breakthrough
bleeding
Response The nurse will advise the patient that common adverse effects
Feedback
:
include breakthrough bleeding, changes in menstrual flow,
dysmenorrhea, premenstrual-like syndrome, headache, nausea
and vomiting, bloating, abdominal cramps, chloasma, and
photosensitivity. Migraine headaches, dizziness, and changes in
libido are less common adverse effects.
Question 6
1 out of 1 points
A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug
Selected B.
Answer: first thing in the
morning.
Correct B.
Answer:
first thing in the
morning.
Response The expected benefits of the drug are obtained only when the
Feedback
:
drug is taken first thing in the morning with a glass of water, at
least 30 minutes before taking other drugs, food, or beverages.
Taking the drug with coffee or juice limits its absorption. After
taking the drug, the patient should remain in an upright position
to facilitate drug delivery to the stomach; therefore, taking the
drug at bedtime is not advisable.
Question 7
1 out of 1 points
The nurse recognizes that the potential for teratogenic drug effects is not
static throughout the prenatal and postnatal periods. The potential for
teratogenic effects is highest during
Selected A.
Answer: the first 2 months of
pregnancy.
Correct A.
Answer:
the first 2 months of
pregnancy.
Response The critical period of organogenesis, during which the major
Feedback
:
fetal organs form, is from implantation up to approximately day
58 to 60 after conception. If drugs that cause teratogenic effects
