NURS 6521N WALDEN UNIVERSITY MIDTERM RETAKE ADVANCED PHARMACOLOGY EXAM - WEEK 7 EXAM

WALDEN UNIVERSITY | MIDTERM RETAKE | (2021) Advanced Pharmacology Exam Week 7

MIDTERM RETAKE

ADVANCED

PHARMACOLOGY EXAM -

WEEK 7 EXAM

Exam Elaborations Questions & Answers

A 70-year-old man who enjoys good health began taking low-dose aspirin

several months ago based on recommendations that he read in a magazine

article. During the man's most recent visit to his care provider, routine blood

work was ordered and the results indicated an unprecedented rise in the

man's serum creatinine and blood urea nitrogen (BUN) levels. How should a

nurse best interpret these findings?

Selected

Answer:

The man may be experiencing nephrotoxic effects of

aspirin

A patient comes to the clinic asking for help to quit drinking alcohol. She has

a 21-year history of heavy drinking and is worried about developing cirrhosis

of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will

teach the patient that the combination of alcohol and Antabuse will cause

which of the following?

Selected

Answer:

Nausea

A Nurse Practitioner is caring for a patient who is diabetic and has been

diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,

captopril, has been prescribed for her. Which of the following should the Nurse

Practitioner assess before beginning drug therapy?

• Question 3

1 out of 1 points

• Question 2

1 out of 1 points

Selected

Answer:

Serum potassium

levels

The APRN is prescribing a medication that is known to induce hepatic enzymes.

What effect should you anticipate?

Selected

Answer:

Induction increases the rate of metabolism, thereby

decreasing serum levels of drug

A patient is being treated for respiratory infection. He is a recovering alcoholic

and has impaired liver function. The nurse will instruct the patient to be

especially cautious when taking

Selected

Answer:

an elixir.

A 45-year-old man who is a construction worker has been diagnosed with

hyperlipidemia and has been prescribed lovastatin. The nurse will advise the

patient to

Selected

Answer:

avoid prolonged exposure to sunlight.

A patient is taking gabapentin (Neurontin) for spasticity associated with

multiple sclerosis. Which of the following should be the priority for monitoring?

Selected

Answer:

Renal function

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?

Selected

Answer:

Triglyceride levels

• Question 9

• Question 8

1 out of 1 points

• Question 7

1 out of 1 points

• Question 6

1 out of 1 points

• Question 5

1 out of 1 points

• Question 4

1 out of 1 points

1 out of 1 points

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

Selected

Answer:

swallow the tablet with milk or food.

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

Selected

Answer:

decreasing the influx of sodium into neurons.

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?

Selected

Answer:

The resident had a fall during the night while transferring

from her bed to her bathroom

A 56-year-old female patient has been admitted to the hospital with chronic

muscle spasms and has been prescribed a new medication to treat the

spasms. She has a poorly documented allergy to eggs, synthetic clothes, and

perfumes. What is the priority action of the nurse to ensure that prescribed

medication does not experience an allergic reaction?

Selected

Answer:

Post an allergies notice on the front of the chart and

document the allergies in the appropriate area of the patient's

record

The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient

with asthma. What instructions would be correct to provide the patient?

Selected

Answer:

"This is a long acting medication for your asthma and should

be used once every 12 hours"

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