NURS 6521N Week 7 Quiz (2018): Advanced Pharmacology

NURS 6521N Week 7 Quiz (2018): Advanced Pharmacology: Walden UniversityQuestion 1A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that isA.low in sodium and potassium.B.low in proteins.C.low in sodium, high in potassium.D.high in iron.1 points Save AnswerQUESTION 2A patient who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the patient’s nausea byA.raising the pH of the patient’s gastric contents.B.stimulating the motility of the patient’s upper GI tract.C.blocking the effect of histamine at H2 receptors.D.eradicating H. Pylori bacteria from the patient’s stomach.1 points Save AnswerQUESTION 3A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy’s diagnosis?A.LubiprostoneB.MesalamineC.Bismuth subsalicylateD.Docusate1 points Save AnswerQUESTION 4Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs?A.They follow a specific sequence of cytotoxic events in order to achieve cell death.B.They affect cancerous cells and normal body cells in a similar manner.C.They achieve a synergistic effect when administered in combination with cell cycle–nonspecific drugs.D.They affect cancerous cells during a particular phase of cellular reproduction.1 points Save AnswerQUESTION 5A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment?A.Avoid OTC antacids for the duration of treatmentB.Carefully assess the patient for infectionsC.Teach the patient strategies for dealing with headachesD.Advocate for intravenous, rather than oral, administration1 points Save AnswerQUESTION 6A patient is taking cholestyramine. The nurse will assess for which of the following common adverse effects of the drug?A.HeadacheB.Abdominal painC.IndigestionD.Constipation1 points Save AnswerQUESTION 7A patient develops diarrhea secondary to antibiotic therapy. He is to receive two tablets of diphenoxylate HCl with atropine sulfate (Lomotil) orally as needed for each loose stool. The nurse should inform him that he may experienceA.bradycardia.B.dizziness.C.muscle aches.D.increase in appetite.1 points Save AnswerQUESTION 8A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient’s drug therapy?A.Increased urine outputB.AnorexiaC.Drug toxicityD.Increased abdominal pain and vomiting1 points Save AnswerQUESTION 9A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction?A.Toxic megacolonB.UrticariaC.Numbness of extremitiesD.Headache and lethargy1 points Save AnswerQUESTION 10A clinic nurse is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient’s safety, which of the following would be a priority nursing action?A.Monitor the patient for the development of diarrhea.B.Emphasize that the drug should not be crushed or chewed.C.Coordinate bone density testing for the patient.D.Teach the patient to take omeprazole 1 hour before meals.1 points Save AnswerQUESTION 11A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be toA.take orlistat in one dose at breakfast.B.take orlistat and multivitamins together.C.omit the dose if the meal does not contain fat.D.omit the dose if the meal does not contain protein.1 points Save AnswerQUESTION 12A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)?A.Breathlessness and hypotensionB.HyperthyroidismC.ConstipationD.Impaired cardiac function1 points Save AnswerQUESTION 13A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective adjunct in the treatment of diarrhea. For which of the following patients could the administration of this drug be potentially harmful?A.A man who has experienced diarrhea shortly after beginning tube feeding through a nasogastric tubeB.A woman who has experienced severe diarrhea associated with influenzaC.An 80-year-old man who has diarrhea secondary to Clostridium difficile infectionD.A 60-year-old woman who tends to get diarrhea during periods of intense stress1 points Save AnswerQUESTION 14A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient’s safety. Which of the following would be an appropriate nursing diagnosis?A.Diarrhea related to adverse effects of drug therapyB.Acute Pain related to adverse drug effects, headacheC.Potential Complication: Electrolyte Imbalance related to hypophosphatemia, secondary to drug therapyD.Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations1 points Save AnswerQUESTION 15A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe isA.irritability.B.heart palpitations.C.headache.D.dry mouth.1 points Save AnswerQUESTION 16A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related toA.ragweed.B.pollen.C.pork.D.shellfish.1 points Save AnswerQUESTION 17A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn’t seem to help at all.” How should the nurse best respond to this patient’s statement?A.“Prilosec won’t really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.”B.“A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.”C.“It could be that Prilosec isn’t the right drug for you, so it would be best to talk this over with your care provider.”D.“Prilosec will help your heartburn but it’s not designed to provide immediate relief of specific episodes of heartburn.”1 points Save AnswerQUESTION 18A 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?A.DiarrheaB.BradycardiaC.NauseaD.Slight headache1 points Save AnswerQUESTION 19A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?A.“I wouldn’t advise it. You may experience severe constipation.”B.“No, the two drugs will work against each other.”C.“Sure, you may take an antacid with ranitidine.”D.“Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.”1 points Save AnswerQUESTION 20A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose. What desired outcomes should the nurse associate with this drug order?A.Patient will express an understanding of his current bowel regimen.B.Patient will express relief from constipation.C.Patient will have formed bowel movements that do not contain frank or occult blood.D.Patient will have three to four loose bowel movements each day.1 points Save AnswerQUESTION 21A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient’s drug history to determine if the patient is taking which of the following drugs?A.LevodopaB.Dicyclomine hydrochlorideC.MorphineD.Digoxin1 points Save AnswerQUESTION 22A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient?A.“Quitting smoking will significantly increase the chance that this drug will heal your ulcer.”B.“Take each dose of ranitidine with an antacid of your choice.”C.“This drug will help to eliminate the bacteria in your stomach that caused your ulcer.”D.“You should eat several small meals each day rather than three larger meals.”1 points Save AnswerQUESTION 23A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract?A.H2 receptors in the upper GI tract outnumber H1 receptors by a factor of 2:1.B.H2RAs may be administered orally and in an outpatient environment but H1RAs require intravenous administration.C.H2RAs have a longer duration of action and fewer adverse effects than H1RAs.D.The parietal cells of the stomach have H2 receptors but not H1 receptors.1 points Save AnswerQUESTION 24A 22-year-old male college senior has lived with a diagnosis of Crohn’s disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn’s disease?A.Tositumomab plus 131I (Bexxar)B.Eculizumab (Soliris)C.Infliximab (Remicade)D.Muromonab-CD3 (Orthoclone OKT3)1 points Save AnswerQUESTION 25A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient’s statements?A.“Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation.”B.“I’ll refer you to a specialist because it could be that you have a disease affecting your bowels or stomach.”C.“Try using a different over-the-counter laxative and see that if you resolves your problem.”D.“Because we become more prone to constipation as we age, you’ll likely need to increase the number of stool softeners you take.”1 points Save AnswerQUESTION 26Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse’s first suggestion?A.Bismuth subsalicylateB.A bulk-forming (fiber) laxativeC.A hyperosmotic laxativeD.A stimulant laxative1 points Save AnswerQUESTION 27A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with atropine sulfate. Which of the following instructions would be important for self-administration of this drug?A.Take the drug with fruit juiceB.Take the drug with a mealC.Decrease the dosage when the number of stools decreasesD.Continue therapy until the physician discontinues the drug1 points Save AnswerQUESTION 28A 48-year-old woman who works as an office manager is prescribed metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be sure to assess the patient forA.tachycardia.B.anemia.C.hypotension.D.depression.1 points Save AnswerQUESTION 29To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medicationA.once a day.B.twice a day.C.four times a day.D.every 2 hours.1 points Save AnswerQUESTION 30A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle?A.Cardiac eventsB.MyelosuppressionC.Nausea and vomitingD.White blood cell nadir1 points Save AnswerQUESTION 31A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following?A.Urine specific gravityB.Aspartate transaminase levelsC.Blood glucose levelD.Serum phosphate level1 points Save AnswerQUESTION 32A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated?A.HypertensionB.Diabetes mellitusC.GlaucomaD.Rheumatoid arthritis1 points Save AnswerQUESTION 33A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient toA.avoid protein-rich foods.B.notify the clinic if the stools are black or if there is evidence of blood.C.avoid grapefruit and grapefruit juice.D.treat the diarrhea with OTC medications.1 points Save AnswerQUESTION 34Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy?A.Metallic tasteB.Increased appetiteC.FatigueD.Hair loss1 points Save AnswerQUESTION 35It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy?A.Oncotic pressure in the colonB.Water levels in the colonC.Blood ammonia levelsD.Relief from symptoms
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