NUR 2474 PHARMACOLOGY FINAL
EXAM | NUR2474 PHARMACOLOGY
FINAL EXAM | EXPERT VERIFIED
SOLUTION|| 2024|25|| FOR PASS!!
A patient is to begin taking phenytoin (Dilantin) for seizures. The patient tells the nurse that she is taking
oral contraceptives. What will the nurse tell the patient?
a. She may need to increase her dose of phenytoin while taking oral contraceptives.
b. She should consider a different form of birth control while taking phenytoin.
c. She should remain on oral contraceptives, because phenytoin causes birth defects.
d. She should stop taking oral contraceptives, because they reduce the effectiveness of phenytoin.
b. She should consider a different form of birth control while taking phenytoin.
A nurse is completing a discharge plan for a 24-year-old patient who will begin taking phenytoin. Which
information is important to teach this patient?
a. She may stop taking the drug when she is seizure free for a year.
b. Taking the medication will ensure that she no longer has seizures.
c. She may need to discontinue the drug if serious side effects occur.
d. She should be sure to use an effective contraceptive method.
d.She should be sure to use an effective contraceptive method.
A patient who has had abdominal surgery has been receiving morphine sulfate via a patient-controlled
analgesia (PCA) pump. The nurse assesses the patient and notes that the patient's pupils are dilated and
that the patient is drowsy and lethargic. The patient's heart rate is 84 beats per minute, the respiratory
,rate is 10 breaths per minute, and the blood pressure is 90/50 mm Hg. What will the nurse do?
a. Discuss possible opiate dependence with the patient's provider.
b.Encourage the patient to turn over and cough and take deep breaths.
,c.Note the effectiveness of the analgesia in the patient's chart.
d.Prepare to administer naloxone and possibly ventilatory support.
d.Prepare to administer naloxone and possibly ventilatory support
A patient with cancer has been taking an opioid analgesic four times daily for several months and
reports needing increased doses for pain. What will the nurse tell the patient?
a. PRN dosing of the drug may be more effective.
b. The risk of respiratory depression increases over time.
c. The patient should discuss increasing the dose with the provider.
d. The patient should request the addition of a benzodiazepine to augment pain relief.
c. The patient should discuss increasing the dose with the provider.
A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe
the infant closely for:
a.congenital anomalies.
b.excessive crying and sneezing.
c.respiratory depression.
d.tremors and hyperreflexia.
c.respiratory depression.
A postoperative patient has received an epidural infusion of morphine sulfate. The patient's respiratory
rate decreases to 8 breaths per minute, and he has a decreased level of consciousness and miosis.
Which medication would the nurse anticipate administering?
a. Naloxone (Narcan)
, b. Acetylcysteine (Mucomyst)
c.Methylprednisolone (Medrol)
d.Physostigmine (Antilirium)
a.Naloxone (Narcan)
A patient is brought to the emergency department by friends, who report finding the patient difficult to
awaken. The friends report removing two fentanyl transdermal patches from the patient's arm. On
admission to the emergency department, the patient has pinpoint pupils and a respiratory rate of 6
breaths per minute. A few minutes after administration of naloxone, the respiratory rate is 8 breaths per
minute and the patient's pupils are dilated. The nurse recognizes these symptoms as signs of:
a.a mild opioid overdose.
b.decreased opioid drug levels.
c.improved ventilation.
d.worsening hypoxia.
d.worsening hypoxia.
A nurse is administering morphine sulfate to a postoperative patient. Which are appropriate routine
nursing actions when giving this drug? (Select all that apply.)
a.Counting respirations before and after giving the medication
b.Encouraging physical activity and offering increased fluids
c.Monitoring the patient's blood pressure closely for hypertension
d.Palpating the patient's lower abdomen every 4 to 6 hours
e. Requesting an order for methylnaltrexone (Relistor) to prevent constipation
a.Counting respirations before and after giving the medication
b.Encouraging physical activity and offering increased fluids
d. Palpating the patient's lower abdomen every 4 to 6 hours
EXAM | NUR2474 PHARMACOLOGY
FINAL EXAM | EXPERT VERIFIED
SOLUTION|| 2024|25|| FOR PASS!!
A patient is to begin taking phenytoin (Dilantin) for seizures. The patient tells the nurse that she is taking
oral contraceptives. What will the nurse tell the patient?
a. She may need to increase her dose of phenytoin while taking oral contraceptives.
b. She should consider a different form of birth control while taking phenytoin.
c. She should remain on oral contraceptives, because phenytoin causes birth defects.
d. She should stop taking oral contraceptives, because they reduce the effectiveness of phenytoin.
b. She should consider a different form of birth control while taking phenytoin.
A nurse is completing a discharge plan for a 24-year-old patient who will begin taking phenytoin. Which
information is important to teach this patient?
a. She may stop taking the drug when she is seizure free for a year.
b. Taking the medication will ensure that she no longer has seizures.
c. She may need to discontinue the drug if serious side effects occur.
d. She should be sure to use an effective contraceptive method.
d.She should be sure to use an effective contraceptive method.
A patient who has had abdominal surgery has been receiving morphine sulfate via a patient-controlled
analgesia (PCA) pump. The nurse assesses the patient and notes that the patient's pupils are dilated and
that the patient is drowsy and lethargic. The patient's heart rate is 84 beats per minute, the respiratory
,rate is 10 breaths per minute, and the blood pressure is 90/50 mm Hg. What will the nurse do?
a. Discuss possible opiate dependence with the patient's provider.
b.Encourage the patient to turn over and cough and take deep breaths.
,c.Note the effectiveness of the analgesia in the patient's chart.
d.Prepare to administer naloxone and possibly ventilatory support.
d.Prepare to administer naloxone and possibly ventilatory support
A patient with cancer has been taking an opioid analgesic four times daily for several months and
reports needing increased doses for pain. What will the nurse tell the patient?
a. PRN dosing of the drug may be more effective.
b. The risk of respiratory depression increases over time.
c. The patient should discuss increasing the dose with the provider.
d. The patient should request the addition of a benzodiazepine to augment pain relief.
c. The patient should discuss increasing the dose with the provider.
A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe
the infant closely for:
a.congenital anomalies.
b.excessive crying and sneezing.
c.respiratory depression.
d.tremors and hyperreflexia.
c.respiratory depression.
A postoperative patient has received an epidural infusion of morphine sulfate. The patient's respiratory
rate decreases to 8 breaths per minute, and he has a decreased level of consciousness and miosis.
Which medication would the nurse anticipate administering?
a. Naloxone (Narcan)
, b. Acetylcysteine (Mucomyst)
c.Methylprednisolone (Medrol)
d.Physostigmine (Antilirium)
a.Naloxone (Narcan)
A patient is brought to the emergency department by friends, who report finding the patient difficult to
awaken. The friends report removing two fentanyl transdermal patches from the patient's arm. On
admission to the emergency department, the patient has pinpoint pupils and a respiratory rate of 6
breaths per minute. A few minutes after administration of naloxone, the respiratory rate is 8 breaths per
minute and the patient's pupils are dilated. The nurse recognizes these symptoms as signs of:
a.a mild opioid overdose.
b.decreased opioid drug levels.
c.improved ventilation.
d.worsening hypoxia.
d.worsening hypoxia.
A nurse is administering morphine sulfate to a postoperative patient. Which are appropriate routine
nursing actions when giving this drug? (Select all that apply.)
a.Counting respirations before and after giving the medication
b.Encouraging physical activity and offering increased fluids
c.Monitoring the patient's blood pressure closely for hypertension
d.Palpating the patient's lower abdomen every 4 to 6 hours
e. Requesting an order for methylnaltrexone (Relistor) to prevent constipation
a.Counting respirations before and after giving the medication
b.Encouraging physical activity and offering increased fluids
d. Palpating the patient's lower abdomen every 4 to 6 hours
