NURS 6521N Week 5 Quiz / NURS6521 Week 5 Quiz (3 NEW Versions,90 Q/A):Walden University

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 the influx of sodium into neurons.

C.

by slowing the function of calcium channels within the neurological system.

D.

increasing the levels of available glutamate.

1 points  

Question 8

A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated?

A.

A patient whose pulmonary embolism was treated with a heparin infusion

B.

A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing

C.

A patient who received treatment for kidney failure due to an overdose of acetaminophen

D.

A patient with a history of angina who experienced a non-ST wave myocardial infarction

1 points  

Question 9

A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in

A.

acute renal failure.

B.

cognitive deficits.

C.

liver damage.

D.

gastrointestinal distress.

1 points  

Question 10

A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA) but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse best respond to this patient's concerns?

A.

“If you do become addicted, we'll make sure to provide you with the support and resources necessary to help you with your recovery.”

B.

“It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction.”

C.

“It's important that you accept that your current need to control your pain is more important than fears of becoming addicted.”

D.

“You don't need to worry. It's actually not true that you can get addicted to the medications we use in a hospital setting.”

1 points  

Question 11

A 4-year-old child is brought to the emergency department by her mother. The mother reports that the child has been vomiting, and the nurse notes that the child's face is flushed and she is diaphoretic. The mother thinks that the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which of the following drugs would be administered?

A.

Cevimeline

B.

Acetylcholine

C.

Nicotine

D.

Atropine

1 points  

Question 12

A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety?

A.

SSRIs have a more rapid therapeutic effect.

B.

SSRIs do not require serial blood tests during therapy.

C.

SSRIs generally have fewer adverse effects.

D.

SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.

1 points  

Question 13

A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately

A.

32 hours.

B.

12 hours.

C.

6 hours.

D.

24 hours.

1 points  

Question 14

Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?

A.

Alprazolam (Xanax)

B.

Lorazepam (Ativan)

C.

Diazepam (Valium)

D.

Buspirone (BuSpar)

1 points  

Question 15

A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?

A.

Auditory hallucinations

B.

Lack of interest in normal activities

C.

Visual hallucinations

D.

Delusional thinking

1 points  

Question 16

A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?

A.

A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep

B.

A 46-year-old man who receives an antidepressant and needs a sleep aid

C.

A 20-year-old woman who will take the drug about once a week

D.

A 52-year-old woman who needs to fall asleep quickly and stay asleep all night

1 points  

Question 17

A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to

A.

provide an emesis basin.

B.

administer epinephrine.

C.

administer oxygen therapy.

D.

assess the patient's psychosocial status.

1 points  

Question 18

An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain?

A.

Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain

B.

A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m.

C.

Scheduled doses of short-acting morphine q1h around the clock

D.

Alternating doses of long-acting morphine with short-acting morphine

1 points  

Question 19

Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid

A.

dairy products.

B.

fatty foods.

C.

vitamin C.

D.

alcohol.

1 points  

Question 20

A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that

A.

she will report this to the physician immediately.

B.

optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment.

C.

it may take up to 6 months for the drug to relieve her anxiety.

D.

the drug is not going to work for her and the medication needs to be changed.

1 points  

Question 21

A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies

A.

withdrawal.

B.

drug tolerance.

C.

addiction.

D.

dependence.

1 points  

Question 22

A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?

A.

The patient develops muscle rigidity and a sudden, high fever.

B.

The patient demonstrates a significant increase in agitation after being given haloperidol.

C.

The patient develops yellowed sclerae and intense pruritis (itchiness).

D.

The patient complains of intense thirst and produces copious amounts of urine.

1 points  

Question 23

A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for

A.

current nicotine use.

B.

a history of current or past alcohol use.

C.

a diet high in fat.

D.

a diet high in carbohydrates.

1 points  

Question 24

A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to

A.

administer after diluting the drug with gabapentin in intravenous solution.

B.

inject the diazepam very quickly, 15 mg in 10 to15 seconds.

C.

inject very slowly, no faster than 100 mg/minute.

D.

avoid the small veins in the dorsum of the hand or the wrist.

1 points  

Question 25

A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of

A.

low blood pressure.

B.

increased intraocular pressure.

C.

diabetic hyperlipidemia.

D.

seizure disorders.

1 points  

Question 26

A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

A.

1.7 mEq/L

B.

0.6 mEq/L

C.

0.3 mEq/L

D.

1.2 mEq/L

1 points  

Question 27

A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)

A.

The drug should not be used for longer than 1 month.

B.

It is available in both quick-onset and continuous-release oral forms.

C.

One of the most common adverse effects of the drug is headache.

D.

The drug does not cause sleepiness in the morning.

E.

It should be taken 1 hour to 90 minutes before going to bed.

1 points  

Question 28

A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?

A.

Increased urination

B.

Hair loss

C.

Increased thirst

D.

Muscle twitching

1 points  

Question 29

The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be

A.

“I'll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.”

B.

“I'll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.”

C.

“Continue the prescribed dose. It may take several days to work.”

D.

“I'll ask the nurse practitioner if the dosage can be increased.”

1 points  

Question 30

A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize?

A.

Risk for Constipation related to decreased gastrointestinal peristalsis

B.

Risk for Injury related to drug–drug interactions or drug–nutrient interactions

C.

Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine

D.

Risk for Infection related to immunosuppressive effects of phenelzine