NURS 6521N Week 6 Quiz / NURS6521 Week 6 Quiz (3 NEW Versions,90 Q/A):Walden University

NURS 6521N Week 6 Quiz / NURS6521 Week 6 Quiz (3 Latest Versions): Advanced Pharmacology: Walden University

Walden University NURS 6521N Week 6 Quiz / Walden University NURS6521 Week 6 Quiz (3 Latest Versions)

QUESTION 1

1.    A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's

A.

potassium level.

B.

use of alcohol.

C.

use of salt in his diet.

D.

blood pressure.

1 points   

QUESTION 2

1.    A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?

A.

Blood sugar levels

B.

Blood pressure

C.

Body temperature

D.

Liver function tests

1 points   

QUESTION 3

1.    A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?

A.

Diarrhea related to anticholinergic effects

B.

Risk for Injury related to CNS depressant effects

C.

Impaired Swallowing related to increased muscle tone

D.

Altered Nutrition, Less than Body Requirements, related to appetite suppression

1 points   

QUESTION 4

1.    A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following?

A.

The patient's age

B.

History of taking anticoagulant drugs

C.

Allergy to seafood

D.

Hirsutism

1 points   

QUESTION 5

1.    A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?

A.

Typical daily fluid intake

B.

Dietary habits

C.

Ethnicity

D.

Work environment

1 points   

QUESTION 6

1.    A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?

A.

Take the tablets before bedtime

B.

Drink plenty of water every day

C.

Avoid red meat

D.

Avoid high-fat foods

1 points   

QUESTION 7

1.    During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?

A.

The patient's diet

B.

The condition of the patient's nasal passages

C.

The condition of the patient's skin

D.

The patient's environment

1 points   

QUESTION 8

1.    A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in

A.

heart palpitations.

B.

chest pain.

C.

breathing difficulties.

D.

fatigue.

1 points   

QUESTION 9

1.    A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically?

A.

Antidiuretic hormone (ADH) levels

B.

Water retention

C.

Height

D.

Dehydration

1 points   

QUESTION 10

1.    A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions?

A.

Have a complete blood cell count done weekly

B.

Wear appropriate clothing and sunscreen whenever he is in direct sunlight

C.

Decrease the dosage if any adverse effect is experienced

D.

Eat a high-protein diet

1 points   

QUESTION 11

1.    A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?

A.

“Persons of all cultures are treated similarly and respond in similar ways to treatment.”

B.

“Drugs do not cure these disorders; they instead enhance quality of life.”

C.

“Drugs used to treat these disorders always pose a risk of severe liver and kidney dysfunction.”

D.

“Drug therapy can consist of one or more drugs to eliminate the symptoms of these diseases.”

1 points   

QUESTION 12

1.    A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

A.

Vitamin A

B.

Vitamin C

C.

Vitamin B

D.

Vitamin D

1 points   

QUESTION 13

1.    A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?

A.

Select one injection site for regular insulin injections and use it exclusively.

B.

Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycle.

C.

Select one anatomic area for regular insulin injections and then use serial locations within that area.

D.

Administer the medication 30 to 60 minutes after a meal.

1 points   

QUESTION 14

1.    A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?

A.

Bleeding

B.

Renal dysfunction

C.

Hypotension

D.

Hypothermia

1 points   

QUESTION 15

1.    The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug?

A.

To potentiate the metabolism of dietary purines

B.

To balance urate concentration and prevent gout attacks

C.

To promote the remodeling of damaged synovium

D.

To achieve pain relief in joints affected by gout

1 points   

QUESTION 16

1.    A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?

A.

Prothrombin time and partial thromboplastin time

B.

Alanine aminotransferase and total bilirubin levels

C.

Urine specific gravity

D.

Follicle-stimulating hormone levels

1 points   

QUESTION 17

1.    Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?

A.

The resident received her annual influenza vaccination the previous day

B.

The resident had a fall during the night while transferring from her bed to her bathroom

C.

The resident's apical heart rate is 112 beats/minute with a regular rhythm

D.

The resident has not eaten breakfast because of a recent loss of appetite

1 points   

QUESTION 18

1.    A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring?

A.

Respiratory function

B.

Renal function

C.

Hepatic function

D.

Cardiac function

1 points   

QUESTION 19

1.    A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to

A.

ensure quick distribution of the drug.

B.

avoid aggravating the gastrointestinal tract.

C.

minimize the risk of depressed bone marrow function.

D.

prevent the risk of infection or bleeding.

1 points   

QUESTION 20

1.    A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?

A.

“You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”

B.

“We'll need to closely monitor your blood sugar levels for the next week.”

C.

“There's a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.”

D.

“This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time.”

1 points   

QUESTION 21

1.    A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize

A.

the need to avoid crushing the tablet.

B.

the need to use only the thigh muscle for the drug injection site.

C.

the need to place the tablet under the tongue.

D.

the need to rotate the injection site of the drug.

1 points   

QUESTION 22

1.    A nurse will instruct a patient taking allopurinol to take each dose

A.

before a meal.

B.

after a meal.

C.

first thing in the morning.

D.

at night.

1 points   

QUESTION 23

1.    To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should

A.

administer carbohydrates.

B.

monitor for nausea and vomiting.

C.

position the patient in the side-lying position.

D.

administer calcium supplements.

1 points   

QUESTION 24

1.    A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is

A.

hypotension.

B.

fatigue.

C.

dry mouth.

D.

constipation.

1 points   

QUESTION 25

1.    A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to

A.

crush the tablet before swallowing.

B.

avoid drinking milk for 3 hours after swallowing the tablet.

C.

swallow the tablet with milk or food.

D.

swallow the tablet whole.

1 points   

QUESTION 26

1.    A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention?

A.

Increased blood glucose

B.

Dry eyes

C.

Jittery feeling

D.

Decreased libido

1 points   

QUESTION 27

1.    A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen?

A.

It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs.

B.

The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin.

C.

The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved.

D.

Gabapentin is contraindicated with the use of exogenous insulin.

1 points   

QUESTION 28

1.    A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of

A.

weekly administration of an enteric coated tablet.

B.

weekly subcutaneous injections.

C.

daily, outpatient intravenous therapy.

D.

daily, oral administration .

1 points   

QUESTION 29

1.    A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?

A.

Shrimp

B.

Milk

C.

Green beans

D.

Eggs

1 points   

QUESTION 30

1.    A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

A.

Before lunch

B.

Late afternoon

C.

Bedtime

D.

After breakfast