NURS 6521 Week 1 Quiz, NURS 6521 Week 2 Quiz, NURS 6521 Week 3 Quiz, NURS 6521 Week 4 Quiz, NURS 6521 Week 5 Quiz, NURS 6521 Week 6 Quiz, NURS 6521 Week 7 Quiz & NURS 6521 Week 8, 9, 10, 11 Quiz (2 Latest Versions of Each Quiz)

NURS 6521 Week 1 Quiz, NURS 6521 Week 2 Quiz, NURS 6521 Week 3 Quiz, NURS 6521 Week 4 Quiz, NURS 6521 Week 5 Quiz, NURS 6521 Week 6 Quiz, NURS 6521 Week 7 Quiz & NURS 6521 Week 8, 9, 10, 11 Quiz (2 Latest Versions of Each Quiz) NURS 6521N Week 1 Quiz, NURS 6521N Week 2 Quiz, NURS 6521N Week 3 Quiz, NURS 6521N Week 4 Quiz, NURS 6521N Week 5 Quiz, NURS 6521N Week 6 Quiz, NURS 6521N Week 7 Quiz, NURS 6521N Week 8, 9, 10, 11 Quiz ( 2 Latest Versions of Each Quiz) NURS6521 Week 1 Quiz, NURS6521 Week 2 Quiz, NURS6521 Week 3 Quiz, NURS6521 Week 4 Quiz, NURS6521 Week 5 Quiz, NURS6521 Week 6 Quiz, NURS6521 Week 7 Quiz, NURS6521 Week 8, 9, 10, 11 Quiz ( 2 Latest Versions of Each Quiz) NURS6521N Week 1 Quiz, NURS6521N Week 2 Quiz, NURS6521N Week 3 Quiz, NURS6521N Week 4 Quiz, NURS6521N Week 5 Quiz, NURS6521N Week 6 Quiz, NURS6521N Week 7 Quiz, NURS6521N Week 8, 9, 10, 11 Quiz ( 2 Latest Versions of Each Quiz) NURS 6521 Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 Quiz (2 Latest VERSIONS of Each Quiz)/ NURS 6521N Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 Quiz: Advanced Pharmacology NURS6521 Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 Quiz (2 Latest VERSIONS of Each Quiz)/ NURS6521N Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 Quiz : Advanced Pharmacology NURS 6521N Week 1 Quiz / NURS6521 Week 1 Quiz (2 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 1 Quiz / Walden University NURS6521 Week 1 Quiz (2 Latest Versions) Question 1 The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? Question 2 A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication? Question 3 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? Question 4 In order to promote therapeutic drug effects, the nurse should always encourage patients to Question 5 A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.) Question 6 Which of the following statements best defines how a chemical becomes termed a drug? Question 7 A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate? Question 8 An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication? Question 9 A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of Question 10 0 out of 1 points A patient has a blood serum drug level of 50 units/mL. The drug's half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range? Question 11 A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient's stay in the hospital? Question 12 A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which of the patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice? Question 13 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 Question 14 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 Question 15 Talwin given in combination with Vistaril diminishes the adverse effects of nausea caused by the Talwin. This drug interaction affecting the pharmacodynamics of the Talwin is Question 16 A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy? Question 17 A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells? Question 18 30 ml = _______________tbsp Question 19 A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be Question 20 Which of the following affects drug distribution throughout the body? Question 21 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 Question 22 A nurse is instructing a patient concerning a newly prescribed drug. Which of the following should be included to help improve patient compliance and safety? Question 23 An older adult patient with a history of Alzheimer's disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient's cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient? Question 24 In response to a patient's nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback? Question 25 For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? Question 26 A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of Question 27 A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing interventions would best promote medication adherence? Question 28 A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. The nurse understands the potential adverse effects of this drug and would consequently prioritize which of the following nursing diagnoses? Question 29 A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by Question 30 An elderly patient with a history of congestive heart failure has been admitted to hospital with failure to thrive and admission blood work reveals a hemoglobin level of 6.9 g/dL. The care team has consequently administered two units of packed red blood cells, but auscultation of the client's lungs now reveals diffuse crackles. Administration of what drug is likely to resolve the patient's pulmonary edema? Question 31 An elderly man has been admitted to a residential care facility and the nurse has conducted a medication reconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier. The nurse recognizes this drug as being an antiandrogen and is consequently justified in presuming that the man has a history of what disease? Question 32 A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration? Question 33 A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following measures should the nurse suggest? Question 34 A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is Question 35 An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for Question 36 Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Question 37 A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse would be sure to instruct the patient to Question 38 A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? Question 39 A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition? Question 40 A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to NURS 6521N Week 2 Quiz / NURS6521 Week 2 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 2 Quiz / Walden University NURS6521 Week 2 Quiz (3 Latest Versions) Question 1 A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that A. drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves. B. she must be prepared to show identification when buying a drug that contains pseudoephedrine. C. pseudoephedrine is being phased out of the marketplace in order to combat illegal use. D. under the Combat Methamphetamine Abuse Act, pseudoephedrine now requires a prescription. 1 points Question 2 A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a A. weight-based protocol dose. B. higher-than-normal dose. C. lower-than-normal dose. D. child's dose. 1 points Question 3 A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will A. Provide instructions pertaining to each medication the patient is currently taking and then add the medications ordered during the hospitalization. B. explain to the patient the pharmacokinetics of each drug he will be taking in the hospital. C. compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider. D. determine the best pharmacy for the patient to buy his medications. 1 points Question 4 Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? A. A 52-year-old male with adult-onset diabetes B. A 62-year-old male with gout C. A 47-year-old female with hypertension D. A 17-year-old female with symptoms of an upper respiratory infection 1 points Question 5 A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess A. body temperature. B. blood pressure. C. fluid intake. D. skin changes. 1 points Question 6 A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. A. Is there a need for the drug in treating the presenting problem? B. Is this the best drug for the presenting problem? C. Can the patient take the prescribed drug? D. None of the above. 1 points Question 7 A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug? A. The pharmacokinetics of the drug B. The therapeutic effects and possible adverse effects C. The cost of the drug D. Where to purchase the medication 1 points Question 8 What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? A. Dose B. Route C. Frequency D. Trade name of the drug 1 points Question 9 A patient has been prescribed a Scheduled 5 drug, an example of this drug is A. Antianxiety B. Narcotic Analgesics C. Barbituates D. Antitussives 1 points Question 10 A nurse is providing a patient with a list of drugs as a part of the patient's plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs? A. The drugs' biologic names B. The drugs' chemical names C. The drugs' trade names D. The drugs' generic names 1 points Question 11 These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug A. Schedule 1 B. Schedule 2 C. Schedule 3 D. Schedule 4 1 points Question 12 A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called A. pharmacotherapeutics. B. pharmacoeconomics. C. pharmacodynamics. D. pharmacogenomics. 1 points Question 13 A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development? A. Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat B. Administering investigational drugs to patients C. Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug D. Working with animals who are given experimental drugs 1 points Question 14 A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states A. Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed. B. Consult with several pharmacists to determine the cost of each drug. C. educate the patient to discard syringes in recycle bin D. consult with the physician concerning choice of medications for the patient. 1 points Question 15 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? A. 500 mg B. 1000 mg C. 1500 mg D. 150 mg 1 points Question 16 Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug A. Schedule 1 B. Schedule 2 C. Schedule 3 D. Schedule 4 1 points Question 17 A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by A. consulting a drug guide for compatibility. B. identifying the patient by checking the armband and asking the patient to state his name. C. questioning the patient concerning allergies. D. washing his or her hands before handling the medications. 1 points Question 18 Which of the following serves to protect the public by ensuring the purity of a drug and its contents? A. Federal legislation B. United States Adopted Names Council C. Nursing drug guides D. American Pharmaceutical Association 1 points Question 19 A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery. The nurse's response to this request should be A. “I don't think that will help, but you have the right to perform the ritual.” B. “I'm sorry, but that will not be possible.” C. “I will need to inform the doctor and see if he will allow this.” D. “As long as the ritual does not interfere with the patient's preoperative care, it will be okay.” 1 points Question 20 A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will A. use nonverbal language. B. exaggerate her mouth movements. C. speak loudly. D. seak fast. 1 points Question 21 A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a A. C-IV drug. B. C-II drug. C. C-III drug. D. C-I drug. 1 points Question 22 A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident's current drugs because A. documentation of trade names for drugs requires permission from the manufacturer. B. there is a potential for confusion and miscommunication if proprietary names are used. C. drugs with generic names are prescribed and used differently than proprietary drugs. D. proprietary names of drugs can vary from state to state. 1 points Question 23 A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal? A. National Provider Identification (NPI) B. Centers for Medicare & Medicaid Services (CMS) C. Health Insurance Portability and Accountability Act of 1996 (HIPPA) D. None of the above 1 points Question 24 A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive A. the recommended normal dose of drugs that bind to acid glycoproteins. B. a higher-than-normal dose of drugs that bind to acid glycoproteins. C. a lower-than-normal dose of drugs that bind to acid glycoproteins. D. one half the recommended dose of drugs that bind to acid glycoproteins. 1 points Question 25 Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this? A. Schedule 1 B. Schedule 2 C. Schedule 3 D. Schedule 4 NURS 6521N Week 3 Quiz / NURS6521 Week 3 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 3 Quiz / Walden University NURS6521 Week 3 Quiz (3 Latest Versions) Question 1 A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? A. A 32-year-old female with cardiomegaly B. A 25-year-old male with congestive heart failure and atrial fibrillation C. A 79-year-old male with cardiomegaly D. A 42-year-old female with a third heart sound 1 points Question 2 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are A. signs of peripheral neuritis. B. an adverse effect of the diuretic. C. an idiosyncratic reaction to clonidine. D. a result of new onset diabetes. 1 points Question 3 Which of the following patients is most likely to benefit from the administration of an adrenergic agonist? A. A woman who has been admitted with a suspected ischemic stroke B. A woman who is in labor and may require a caesarean section C. A man who has a diagnosis of primary hypertension D. A man who is in cardiogenic shock following a myocardial infarction 1 points Question 4 A patient is diagnosed with heart failure and is started on digoxin. On the second day of therapy, lab values, the ECG results, and the patient's symptoms indicate that the medication is not producing a therapeutic effect. An appropriate nursing action would be to A. seek orders to increase the dosage. B. continue to administer the drug as ordered. C. insist that another drug should be ordered in addition to the digoxin. D. seek orders to discontinue digoxin and start another drug. 1 points Question 5 A patient is brought to the emergency department in hypertensive crisis. Nitroprusside is administered intravenously. The patient experiences diaphoresis and dizziness. Which of the following is the appropriate action by the nurse? A. Give the nitroprusside at the ordered rate B. Ask the prescriber to reduce the dose C. Obtain an order for naloxone D. Slow the rate of the infusion 1 points Question 6 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD). His drug therapy includes lovastatin. Because the patient has a history of severe renal disease, the nurse will assess for which of the following? A. Increase in the statin tolerance level B. Decrease in plasma concentration of lovastatin C. Increase in plasma concentration of lovastatin D. Decrease in LDL 1 points Question 7 A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? A. Close monitoring of the patient's electrolyte levels B. Supervision of the patient when performing activities of daily living C. Checking the patient's blood glucose levels before each meal and at bedtime D. Frequent assessment of the patient's cardiac status 1 points Question 8 A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? A. A female client who had a laparoscopic cholecystectomy (gall bladder removal) earlier this year B. A resident of a long-term care facility whose Alzheimer disease is being treated with donepezil (Aricept) C. An obese male client who is a heavy alcohol user and who has cirrhosis of the liver D. A 72-year-old man who has emphysema and a 55-pack-year history of cigarette smoking 1 points Question 9 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's A. exercise tolerance. B. blood pressure. C. cognition. D. intake and output. 1 points Question 10 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered A. subcutaneously. B. orally. C. transdermally. D. intravenously. 1 points Question 11 A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention? A. To convert the patient's atrial fibrillation to normal sinus rhythm B. To treat sinus bradycardia accompanied by hypotension C. To treat the patient's ventricular tachycardia D. To resolve the patient's uncompensated heart failure 1 points Question 12 A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? A. Blood urea nitrogen (BUN) B. Urinary output C. Blood pressure D. Heart rate 1 points Question 13 A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? A. The man's chest sounds are clear and his ankle edema is lessened. B. The man's glomerular filtration rate and creatinine levels are within reference ranges. C. The man's potassium and sodium levels remain with reference ranges. D. The man's heart rate is between 60 and 70 beats per minute with a regular rhythm. 1 points Question 14 An expected outcome for a patient who has just taken sublingual nitroglycerin should be A. increased heart rate and decreased blood pressure. B. decreased heart rate and increased blood pressure. C. increased heart rate and increased blood pressure. D. decreased heart rate and decreased blood pressure. 1 points Question 15 A nurse is responsible for patient education for a 48-year-old woman who has been prescribed colestipol. The nurse will instruct the patient to take the medication A. two hours before a meal. B. after a meal. C. at bedtime. D. before a meal. 1 points Question 16 A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to A. measure urine output. B. assess heart rate. C. check blood glucose level. D. monitor respiratory rate. 1 points Question 17 A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will A. administer the initial IV bolus over approximately 60 seconds. B. add the reconstituted vial of medication to a 1,000 mL IV bag. C. shake the vial vigorously to mix the medication for reconstitution. D. use the reconstituted solution within a 36-hour period. 1 points Question 18 A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments? A. Level of consciousness and pain level B. Oxygen saturation and respiratory rate C. Temperature and respiratory rate D. Heart rate and blood pressure 1 points Question 19 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? A. Ask the patient to lie back and try to relax B. Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided C. Call the physician D. Have the patient swallow a tablet every 5 minutes for 15 minutes 1 points Question 20 A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for A. toxic effects. B. adverse effects. C. nitrate tolerance. D. nitrate dependence. 1 points Question 21 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by A. binding LDL to HDL. B. inhibiting the synthesis of cholesterol. C. oxidizing cholesterol to bile acids. D. mitigating the harmful effects of atherosclerosis by promoting vasodilation. 1 points Question 22 A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.) A. Heart rate B. Oxygen saturation C. Blood pressure D. Respiratory rate E. Temperature 1 points Question 23 The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any “bad side effects” that she should be aware of. Which of the following statements should underlie the nurse's response? A. The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. B. Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects. C. The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. D. Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. 1 points Question 24 A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely A. increase the synergistic effect of the drug. B. decrease the amount of circulating blood sent through the kidneys. C. increase the serum creatinine level. D. decrease drug absorption in the blood. 1 points Question 25 A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to A. monitor the patient's respiratory rate. B. weigh the patient. C. monitor the patient's blood pressure. D. question the patient about her dietary intake. NURS 6521N Week 3 Quiz / NURS6521 Week 3 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 3 Quiz / Walden University NURS6521 Week 3 Quiz (3 Latest Versions) Question 1 A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? A. A 32-year-old female with cardiomegaly B. A 25-year-old male with congestive heart failure and atrial fibrillation C. A 79-year-old male with cardiomegaly D. A 42-year-old female with a third heart sound 1 points Question 2 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are A. signs of peripheral neuritis. B. an adverse effect of the diuretic. C. an idiosyncratic reaction to clonidine. D. a result of new onset diabetes. 1 points Question 3 Which of the following patients is most likely to benefit from the administration of an adrenergic agonist? A. A woman who has been admitted with a suspected ischemic stroke B. A woman who is in labor and may require a caesarean section C. A man who has a diagnosis of primary hypertension D. A man who is in cardiogenic shock following a myocardial infarction 1 points Question 4 A patient is diagnosed with heart failure and is started on digoxin. On the second day of therapy, lab values, the ECG results, and the patient's symptoms indicate that the medication is not producing a therapeutic effect. An appropriate nursing action would be to A. seek orders to increase the dosage. B. continue to administer the drug as ordered. C. insist that another drug should be ordered in addition to the digoxin. D. seek orders to discontinue digoxin and start another drug. 1 points Question 5 A patient is brought to the emergency department in hypertensive crisis. Nitroprusside is administered intravenously. The patient experiences diaphoresis and dizziness. Which of the following is the appropriate action by the nurse? A. Give the nitroprusside at the ordered rate B. Ask the prescriber to reduce the dose C. Obtain an order for naloxone D. Slow the rate of the infusion 1 points Question 6 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD). His drug therapy includes lovastatin. Because the patient has a history of severe renal disease, the nurse will assess for which of the following? A. Increase in the statin tolerance level B. Decrease in plasma concentration of lovastatin C. Increase in plasma concentration of lovastatin D. Decrease in LDL 1 points Question 7 A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? A. Close monitoring of the patient's electrolyte levels B. Supervision of the patient when performing activities of daily living C. Checking the patient's blood glucose levels before each meal and at bedtime D. Frequent assessment of the patient's cardiac status 1 points Question 8 A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients? A. A female client who had a laparoscopic cholecystectomy (gall bladder removal) earlier this year B. A resident of a long-term care facility whose Alzheimer disease is being treated with donepezil (Aricept) C. An obese male client who is a heavy alcohol user and who has cirrhosis of the liver D. A 72-year-old man who has emphysema and a 55-pack-year history of cigarette smoking 1 points Question 9 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's A. exercise tolerance. B. blood pressure. C. cognition. D. intake and output. 1 points Question 10 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered A. subcutaneously. B. orally. C. transdermally. D. intravenously. 1 points Question 11 A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention? A. To convert the patient's atrial fibrillation to normal sinus rhythm B. To treat sinus bradycardia accompanied by hypotension C. To treat the patient's ventricular tachycardia D. To resolve the patient's uncompensated heart failure 1 points Question 12 A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? A. Blood urea nitrogen (BUN) B. Urinary output C. Blood pressure D. Heart rate 1 points Question 13 A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is contributing to a therapeutic effect? A. The man's chest sounds are clear and his ankle edema is lessened. B. The man's glomerular filtration rate and creatinine levels are within reference ranges. C. The man's potassium and sodium levels remain with reference ranges. D. The man's heart rate is between 60 and 70 beats per minute with a regular rhythm. 1 points Question 14 An expected outcome for a patient who has just taken sublingual nitroglycerin should be A. increased heart rate and decreased blood pressure. B. decreased heart rate and increased blood pressure. C. increased heart rate and increased blood pressure. D. decreased heart rate and decreased blood pressure. 1 points Question 15 A nurse is responsible for patient education for a 48-year-old woman who has been prescribed colestipol. The nurse will instruct the patient to take the medication A. two hours before a meal. B. after a meal. C. at bedtime. D. before a meal. 1 points Question 16 A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to A. measure urine output. B. assess heart rate. C. check blood glucose level. D. monitor respiratory rate. 1 points Question 17 A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will A. administer the initial IV bolus over approximately 60 seconds. B. add the reconstituted vial of medication to a 1,000 mL IV bag. C. shake the vial vigorously to mix the medication for reconstitution. D. use the reconstituted solution within a 36-hour period. 1 points Question 18 A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments? A. Level of consciousness and pain level B. Oxygen saturation and respiratory rate C. Temperature and respiratory rate D. Heart rate and blood pressure 1 points Question 19 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? A. Ask the patient to lie back and try to relax B. Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided C. Call the physician D. Have the patient swallow a tablet every 5 minutes for 15 minutes 1 points Question 20 A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for A. toxic effects. B. adverse effects. C. nitrate tolerance. D. nitrate dependence. 1 points Question 21 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient's cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by A. binding LDL to HDL. B. inhibiting the synthesis of cholesterol. C. oxidizing cholesterol to bile acids. D. mitigating the harmful effects of atherosclerosis by promoting vasodilation. 1 points Question 22 A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.) A. Heart rate B. Oxygen saturation C. Blood pressure D. Respiratory rate E. Temperature 1 points Question 23 The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any “bad side effects” that she should be aware of. Which of the following statements should underlie the nurse's response? A. The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. B. Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects. C. The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. D. Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. 1 points Question 24 A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely A. increase the synergistic effect of the drug. B. decrease the amount of circulating blood sent through the kidneys. C. increase the serum creatinine level. D. decrease drug absorption in the blood. 1 points Question 25 A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to A. monitor the patient's respiratory rate. B. weigh the patient. C. monitor the patient's blood pressure. D. question the patient about her dietary intake. NURS 6521N Week 4 Quiz / NURS6521 Week 4 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 4 Quiz / Walden University NURS6521 Week 4 Quiz (3 Latest Versions) Question 1 A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient A. prefers a high-calorie diet. B. has a high coffee intake. C. is a 56-year-old man. D. has a history of pneumonia. 1 points Question 2 A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He has been prescribed theophylline by his family doctor. What effect will the patient's smoking status have on the therapeutic use of theophylline? A. The patient may require higher doses of theophylline than a nonsmoker B. Theophylline may be contraindicated due to the risk of an anaphylactoid reaction C. The patient may require administration of an inhaled bronchodilator before each dose of theophylline D. The patient will require serial blood testing to ensure a safe serum level of theophylline 1 points Question 3 The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a “rescue drug” for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? A. Beclomethasone B. Acetylcysteine C. Theophylline D. Albuterol 1 points Question 4 A nurse is assigned to a patient who is receiving IV aminophylline. The nurse is aware that the IV infusion rate should be A. no more than 25 mg/minute. B. not less than 15 mg/minute. C. no more than 100 mg/minute. D. not less than 10 mg/minute. 1 points Question 5 A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? A. Phenelzine (Nardil) B. Calcium supplements C. Metformin (Glucophage) D. Metoprolol (Lopressor) 1 points Question 6 A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? A. “You should take the medication twice a day.” B. “Determine if the drug is going to make you drowsy before you drive.” C. “Be sure to take this medication on a full stomach.” D. “This drug has to be taken every 4 to 6 hours.” 1 points Question 7 A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? A. Need for additional bronchodilation B. Hypersensitivity to povidone C. Signs of an active lung infection D. Enlarged prostate gland 1 points Question 8 A college student has presented the campus medical clinic complaining of cold symptoms that he has been experiencing for the past 2 weeks. He tells the nurse that he has been taking OTC decongestants twice daily since the onset of the cold. What teaching point should the nurse provide to this student? A. “You can probably expect to get relief within the next few days or a week at the longest.” B. “You might find yourself more congested than ever as your body compensates for your use of these drugs.” C. “It's best to take small doses of decongestants several times daily rather than two larger doses each day.” D. “Over-the-counter decongestants don't normally work; you'll likely need to get a prescription for something more effective.” 1 points Question 9 A female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following? A. The amount of tea or soft drinks she has during the day B. The number of cups of coffee she has during the day C. The amount of water she drinks every day D. The amount of grapefruit or orange juice she has during the day 1 points Question 10 A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? A. “This schedule will enable you to lose weight.” B. “This schedule will decrease the cost of your medication.” C. “This schedule will be more convenient for you.” D. “This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue.” 1 points Question 11 A 54-year-old male patient with small-cell lung cancer is receiving etoposide. The nurse will carefully monitor for which of the following? A. Hypoglycemia B. Hypertension C. Tachycardia D. Hypotension 1 points Question 12 A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? A. “It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions.” B. “It's likely best to begin taking herbal remedies after you've completed this round of chemotherapy.” C. “Unfortunately, your current chemotherapy program will likely preclude the use of herbs.” D. “If that's something in which you and your family see potential benefit, I'd encourage you to pursue it.” 1 points Question 13 Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? A. Increased blood glucose B. Urinary retention C. Gastrointestinal distress D. Increased blood pressure 1 points Question 14 A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? A. Asymptomatic elevated hepatic enzymes levels B. Anaphylactoid reaction C. Symptomatic hepatitis with hyperbilirubinemia D. Paradoxic acute bronchospasm 1 points Question 15 A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to A. stop wearing the contact lenses during the pilocarpine therapy. B. apply the contact lenses and wait 5 minutes before applying the drops. C. remove the contact lenses before applying the drops. D. apply the drops directly on the contact lenses. 1 points Question 16 A 57-year-old male patient who has been prescribed doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking aspirin or drugs that contain aspirin because it may A. cause extravasation injury. B. cause acute nausea and vomiting. C. cause a radiation recall reaction. D. promote bleeding. 1 points Question 17 A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do. The nurse will instruct her to A. skip the evening dose and start back in the morning. B. forget about the morning dose and take the evening dose. C. take the morning dose now and the evening dose at the regular time. D. double her evening dose. 1 points Question 18 A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in A. 60 minutes. B. 15 to 30 minutes. C. 5 minutes. D. 10 minutes. 1 points Question 19 A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate nursing action would be to A. remove any residual drug from the patient's face. B. slow the administration of acetylcysteine and administer diphenhydramine if ordered. C. stop the administration of acetylcysteine. D. dilute the acetylcysteine solution. 1 points Question 20 A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid A. gastrointestinal problems. B. adrenal insufficiency. C. menstrual irregularities. D. hypokalemia. 1 points Question 21 A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? A. The amount of alcohol consumption B. The amount of fatty foods eaten daily C. The amount of salt intake D. The number of cigarettes smoked per day 1 points Question 22 A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his “puffers”. In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to A. severe anticholinergic effects. B. permanent liver damage. C. community-acquired pneumonia. D. rebound bronchoconstriction. 1 points Question 23 A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because A. serotonin syndrome may result. B. persistent coughing may develop. C. respiratory secretions may be thickened. D. secretions may be retained. 1 points Question 24 A nurse is providing patient education to a 42-year-old man who has been prescribed dextromethorphan (Robitussin). The patient is a crane operator for a local construction company. The nurse's assessment reveals that the patient is a smoker and has diabetes. The most important safety consideration while the nurse is designing a plan of care for this patient would be the fact that he is A. a diabetic. B. 42 years of age. C. a crane operator. D. a smoker. 1 points Question 25 A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? A. Take it with a meal B. Take it on an empty stomach, 1 hour before or 2 hours after meals C. Take it with foods containing xanthines, such as caffeine D. Increase the drug dosage up to 50% 1 points Question 26 A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? A. Oropharyngeal Candida albicans infection B. Suppression of the hypothalamic-pituitary-adrenal axis C. Delayed growth D. Hypotension 1 points Question 27 After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient? A. “Make sure that you take this at the scheduled times, regardless of whether you feel short of breath.” B. “It's important that you perform deep breathing exercises before and after taking ipratropium.” C. “You should think of this as an 'emergency drug', and it should only be used when you experience symptoms.” D. “Most people find that ipratropium cures their lung disease within a few months.” 1 points Question 28 Children age 6 to 11 are recommended to start with what dosage of Allegra? A. 30 mg twice a day B. 65 mg twice a day C. 120 mg twice a day D. 240 mg once a day 1 points Question 29 A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? A. Headache B. Dyspepsia C. Muscle cramps D. Throat irritation 1 points Question 30 A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of A. stimulation of goblet cells and mast cells by the presence of microorganisms. B. elevated CO2 levels that are detected by chemoreceptors in the large vessels. C. a CNS reflex that is initiated by receptors in the nasal cavities. D. a reflex that is caused when irritants come into contact with cilia. NURS 6521N Week 5 Quiz / NURS6521 Week 5 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University Walden University NURS 6521N Week 5 Quiz / Walden University NURS6521 Week 5 Quiz (3 Latest Versions) Question 1 A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine? A. A client who is morbidly obese and who has a sedentary lifestyle B. A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg C. A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily D. A client who has type 1 diabetes and who practices poor glycemic control 1 points Question 2 A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan A. has a shorter half-life than morphine. B. causes the respiratory rate to decrease. C. combined with morphine, increases the physiologic action of the morphine. D. has less strength in each dose than do individual doses of morphine. 1 points Question 3 A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that A. intravenous lidocaine may be preferable to topical application. B. pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site. C. there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin. D. lidocaine must be potentiated with another anesthetic in order to achieve pain control. 1 points Question 4 A patient has been hospitalized for treatment of substance abuse after being arrested and jailed for the past 24 hours. The patient is experiencing severe muscle and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal. Which of the following drug classes is the most likely cause of these severe and potentially fatal withdrawal symptoms? A. Amphetamines B. Opioids C. Benzodiazepines D. Sedative–hypnotic drugs 1 points Question 5 A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of A. no nursing action unless the patient experiences a “bad trip.” B. drug therapy with bromocriptine (Parlodel). C. nonpharmacologic interventions combined with an exercise program. D. aggressive respiratory assistance 1 points Question 6 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments? A. Respiratory rate, seizure activity, and electrolytes B. Liver function studies, pain intensity, and blood glucose level C. Respiratory rate, pain intensity, and mental status D. Pain intensity, respiratory rate, and level of consciousness 1 points Question 7 A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by A. simultaneously potentiating the effects of GABA and inhibiting reuptake. B. decreasing t