WGU D116 Pharmacology ||2024-2025 most recent
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correct.
A 21-year-old patient Atonic
accompanied by a parent NO
comes to a clinic for an Myoclonic
emergency visit with an YES Tonic-
advanced practice clonic
registered nurse (APRN) Absence
following a seizure. Upon Incorrect. Myoclonic seizures consist of a sudden muscle
interviewing the patient and contraction that lasts for just one second.
the parent, the APRN Correct! A tonic-clonic seizure is a type of seizure that
determines that the is also called a convulsion. This type of seizure can
seizure is include muscle stiffness, loss of consciousness, and
classified by marked body jerking.
impairment of
consciousness and is
followed by a period of
central nervous system
(CNS)
depression.
Which type of seizure is
this patient
experiencing?
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A patient has been taking YES Physical dependence
oral oxycodone every six Correct! The patient suddenly stopping the medication
hours for back pain during will cause physical symptoms that can range from
the past three years. The nausea to seizures.
patient suddenly decides to
stop taking the pain
medication and is trying an
alternative therapy without
a clinician's approval.
Which risk is of clinical
concern?
An advanced practice YES Bupropion
registered nurse has
diagnosed a 44-year-old Correct! Bupropion does not cause sexual dysfunction.
male with This will help the patient with a history of sexual
depression. A plan is dysfunction. This will enhance the patient's libido, which
developed to start
will help with both depression and sexual
treatment with medication.
dysfunction.
The patient has a history of
sexual dysfunction and is
concerned about taking
medication that may
worsen this condition.
Which antidepressant has
the benefit of enhancing
libido?
A patient is wheezing and YES Tachycardia
short of breath. The nurse
assesses a heart rate of 88 Correct! Beta-agonists are used for asthma because
beats per minute, a of their beta2 effects on bronchial smooth muscle,
respiratory rate of 24 breaths causing dilation. Beta1 effects cause tachycardia
per minute, and a blood and hypertension. Beta receptors do not exert
pressure of 124/78 mm Hg. effects on the bladder.
The prescriber orders a
nonspecific beta-agonist
medication.
Besides evaluating the
patient for a reduction in
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respiratory distress, the
nurse should monitor for
which side effect?
YES Physostigmine
A patient is experiencing Correct! Physostigmine is the drug of choice for
toxic side effects from treating poisoning from atropine and other drugs that
atropine, including cause muscarinic blockade. Donepezil is used to
delirium and treat
hallucinations. Which Alzheimer disease. Edrophonium is used to distinguish between a
myasthenic crisis
medication should the and a cholinesterase inhibitor overdose. Neostigmine
provider administer? does not cross the blood-brain barrier and would not
effectively treat this patient's central nervous system
(CNS)
symptoms.
allow a reduced dose of the anesthetic
A patient brought to the
Correct! Epinephrine prolongs absorption of the
emergency department
anesthetic because it is an alpha1 agonist. It is
requires sutures. The
frequently combined with a local anesthetic for this
prescriber orders a local
purpose so the
anesthetic with amount of anesthetic required may be reduced. Local anesthetics
do not induce
epinephrine.
The epinephrine is ordered to hypertension; therefore, epinephrine would not be
_____________________ _. needed to prevent it. Epinephrine does not act as an
antiemetic and would not reduce anesthetic-induced
nausea.
Epinephrine is not used to reduce the pain of an injection.
A patient has been Increase the dose of
diagnosed with Parkinson carbidopa Discuss the
disease (PD) and begins "on-off" phenomenon
treatment with Reevaluate the
carbidopa. After several diagnosis
months of therapy, the NO Add a dopamine agonist
Incorrect. Adding a dopamine agonist is not indicated.
patient reports no change
in symptoms.
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As the provider, you should
do which of the following?
A patient presents to an YES With food or an empty stomach
emergency room
complaining of palpitations
and irregular heartbeat.
The advanced practice
registered nurse (APRN)
places the patient on a
cardiac monitor and
observes atrial
fibrillation. The APRN
orders dofetilide. How
should the APRN
recommend this
medication be taken?
A 70-year-old male calls a Do not take the nitroglycerin and call 911
clinic
complaining of chest pain Taking the medications together can cause a serious
that started after having drop in blood pressure leading to cardiovascular
sexual activity. He took collapse.
sildenafil 50 mg about
eight hours ago. He has
nitroglycerin 0.3 mg on hand.
How should the
advanced practice
registered nurse
respond?
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