NURS 6521N Week 3 Quiz / NURS6521 Week 3 Quiz (3 NEW Versions,75 Q/A):Walden University

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.