NURS 6521 / NURS6521 Advanced Pharmacology
Midterm Exam | Question and Answers | Latest
/ Scored 99/100 | Guaranteed Pass
• Question 1
1 out of 1 points
A patient with a recent diagnosis of acute renal failure has a long-standing seizure
disorder which has been successfully controlled for several years with antiseizure
medications. The nurse should recognize that the patient's compromised renal
function will likely
Response Impaired
renal function will increase the half-life of drugs that Feedback:
are metabolized by the kidneys. This does not necessarily render such
medications ineffective and it does not decrease the first-pass effect. IV
administration will not compensate for the patient's impaired renal function.
• Question 2
1 out of 1 points
A patient is treated with an antibiotic for an infection in his leg. After 2
days of taking the antibiotic, the patient calls the clinic and reports that he has a
rash all over his body. The nurse is aware that a rash can be an adverse effect of
an antibiotic and can be either a biologic, chemical, or physiologic action of the
drug, which is an example of
Response Pharmacodynamics is the biologic, chemical, and physiologic
Feedback actions of a particular drug within the body and the study of
:
how those actions occur, including adverse effects. It is how the drug
affects the body. The pharmacodynamics of a drug is responsible for its
therapeutic effects and sometimes its adverse effects.
Pharmacotherapeutics refers to the desired, therapeutic effect of the
drug. Pharmacokinetics is the changes that occur to the drug while it is
inside the body.
Pharmacogenetics is the study of how genetic variables affect the
pharmacodynamics of a drug in a specific patient.
• Question 3
1 out of 1 points
A home health nurse notes that there have been changes to a patient's oral drug
regimen. The nurse will closely monitor the new drug regimen to
Response Changes in the drug regimen may cause changes in drug
Feedback absorption and thereby decrease the anticipated drug effect.
:
This decrease is due to the prevention of binding and loss of absorption
and overall drug effectiveness. A change in the drug regimen would not
help a nurse to track the route of metabolism or determine the speed
of chelation. If any adverse effect were to occur as a result of a drug
, NURS 6521 / NURS6521 Advanced Pharmacology
Midterm Exam | Question and Answers | Latest
/ Scored 99/100 | Guaranteed Pass
regimen change, it would not necessarily be immunotoxicity; it could
also be nephrotoxicity, ototoxicity, or cardiotoxicity.
• Question 4
1 out of 1 points
The culture and sensitivity testing of a patient's wound exudate indicates that a
specific antibiotic is necessary for treatment. The United States Pharmacopeia–
National Formulary indicates that the drug in question is 96% protein bound. What
are the implications of this fact?
ResponseA drug that is 96% protein bound has only 4% of ingested Feedback:
molecules free and active, a fact that is likely to necessitate a high dose of the
drug. This does not result in rapid absorption and/or excretion and does not
indicate a need for increased protein intake.
• Question 5
0 out of 1 points
A patient has been prescribed several drugs and fluids to be given intravenously.
Before the nurse starts the intravenous administration, a priority assessment of
the patient will be to note the
Response Baseline body weight and height, heart rate, and blood pressure
Feedback are all important considerations during the assessment of a
:
patient. However, if a patient has to be given drugs intravenously, it
is important to inspect the skin for rashes, moles, or sores, so those
areas can be avoided as an insertion or injection site.
• Question 6
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with chronic
muscle spasms and has been prescribed a new medication to treat the spasms.
She has a poorly documented allergy to eggs, synthetic clothes, and perfumes.
What is the priority action of the nurse to ensure that prescribed medication does
not experience an allergic reaction? Response The nurse should post an allergies
notice on the front of the
Feedback chart and document the allergies in the appropriate area of the
:
patient's record; this will allow continuous access of the dietary staff
and the other members of the health care team to the information and
serve to limit errors. The prescriber would always ask the patient
about her allergies before prescribing a new medication. The patient is
not having an allergic reaction, so treating her for an allergic reaction
is unnecessary. If the allergies are documented in the appropriate area
Midterm Exam | Question and Answers | Latest
/ Scored 99/100 | Guaranteed Pass
• Question 1
1 out of 1 points
A patient with a recent diagnosis of acute renal failure has a long-standing seizure
disorder which has been successfully controlled for several years with antiseizure
medications. The nurse should recognize that the patient's compromised renal
function will likely
Response Impaired
renal function will increase the half-life of drugs that Feedback:
are metabolized by the kidneys. This does not necessarily render such
medications ineffective and it does not decrease the first-pass effect. IV
administration will not compensate for the patient's impaired renal function.
• Question 2
1 out of 1 points
A patient is treated with an antibiotic for an infection in his leg. After 2
days of taking the antibiotic, the patient calls the clinic and reports that he has a
rash all over his body. The nurse is aware that a rash can be an adverse effect of
an antibiotic and can be either a biologic, chemical, or physiologic action of the
drug, which is an example of
Response Pharmacodynamics is the biologic, chemical, and physiologic
Feedback actions of a particular drug within the body and the study of
:
how those actions occur, including adverse effects. It is how the drug
affects the body. The pharmacodynamics of a drug is responsible for its
therapeutic effects and sometimes its adverse effects.
Pharmacotherapeutics refers to the desired, therapeutic effect of the
drug. Pharmacokinetics is the changes that occur to the drug while it is
inside the body.
Pharmacogenetics is the study of how genetic variables affect the
pharmacodynamics of a drug in a specific patient.
• Question 3
1 out of 1 points
A home health nurse notes that there have been changes to a patient's oral drug
regimen. The nurse will closely monitor the new drug regimen to
Response Changes in the drug regimen may cause changes in drug
Feedback absorption and thereby decrease the anticipated drug effect.
:
This decrease is due to the prevention of binding and loss of absorption
and overall drug effectiveness. A change in the drug regimen would not
help a nurse to track the route of metabolism or determine the speed
of chelation. If any adverse effect were to occur as a result of a drug
, NURS 6521 / NURS6521 Advanced Pharmacology
Midterm Exam | Question and Answers | Latest
/ Scored 99/100 | Guaranteed Pass
regimen change, it would not necessarily be immunotoxicity; it could
also be nephrotoxicity, ototoxicity, or cardiotoxicity.
• Question 4
1 out of 1 points
The culture and sensitivity testing of a patient's wound exudate indicates that a
specific antibiotic is necessary for treatment. The United States Pharmacopeia–
National Formulary indicates that the drug in question is 96% protein bound. What
are the implications of this fact?
ResponseA drug that is 96% protein bound has only 4% of ingested Feedback:
molecules free and active, a fact that is likely to necessitate a high dose of the
drug. This does not result in rapid absorption and/or excretion and does not
indicate a need for increased protein intake.
• Question 5
0 out of 1 points
A patient has been prescribed several drugs and fluids to be given intravenously.
Before the nurse starts the intravenous administration, a priority assessment of
the patient will be to note the
Response Baseline body weight and height, heart rate, and blood pressure
Feedback are all important considerations during the assessment of a
:
patient. However, if a patient has to be given drugs intravenously, it
is important to inspect the skin for rashes, moles, or sores, so those
areas can be avoided as an insertion or injection site.
• Question 6
1 out of 1 points
A 56-year-old female patient has been admitted to the hospital with chronic
muscle spasms and has been prescribed a new medication to treat the spasms.
She has a poorly documented allergy to eggs, synthetic clothes, and perfumes.
What is the priority action of the nurse to ensure that prescribed medication does
not experience an allergic reaction? Response The nurse should post an allergies
notice on the front of the
Feedback chart and document the allergies in the appropriate area of the
:
patient's record; this will allow continuous access of the dietary staff
and the other members of the health care team to the information and
serve to limit errors. The prescriber would always ask the patient
about her allergies before prescribing a new medication. The patient is
not having an allergic reaction, so treating her for an allergic reaction
is unnecessary. If the allergies are documented in the appropriate area
