NURS 6521 PHARMACOLOGY FINAL EXAM 2023

NURS 6521 PHARMACOLOGY FINAL EXAM 2023 Black cohosh is an herb that is commonly used for ANS: • Question 2 Menopausal symptoms A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? ANS: • Question 3 That the infant's skin has greater permeability than that of an adult A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? ANS: • Question 4 Hepatic function 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? ANS: • Question 5 A 19-year-old male receiving radiotherapy 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? ANS: • Question 6 The use of dexrazoxane in conjunction with doxorubicin Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? ANS: • Question 7 Irregular vaginal bleeding for the first few months A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? ANS: • Question 8 Potassium level 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 ANS: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. • Question 9 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? ANS: "You might find that your face becomes flushed or you get a headache after you take Viagra." • Question 10 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 ANS: iron-rich foods such as beans and leafy green vegetables. • Question 11 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining ANS: a baseline complete blood count. • Question 12 A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should ANS: use adequate contraception. • Question 13 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? ANS: "Lately, I have to get up three or four times a night to go to the bathroom." • Question 14 A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend? ANS: Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. • Question 15 A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include ANS: uterine tachysystole. • Question 16 A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to ANS: avoid the small veins in the dorsum of the hand or the wrist. • Question 17 A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? ANS: A 48-year-old Caucasian man who has adultonset diabetes • Question 18 All insects have an FDA black box warning regarding . . . . . .