Pharmacology MSN 571 practice questions and Answers,100% CORRECT
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Pharmacology MSN 571
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Pharmacology MSN 571
Pharmacology MSN 571 practice questions and Answers
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which action should the prescriber take initially? - Correct AnswersArrange to schedule an appointment with the patient.
A metered-dose albuterol inhaler...
pharmacology msn 571 practice questions and answers
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Pharmacology MSN 571 practice questions and
Answers
A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin)
refill. Which action should the prescriber take initially? - Correct AnswersArrange
to schedule an appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The
patient reports feeling jittery sometimes when taking the medication, and does
not feel that the medication is always effective. Which action will the provider
take to best minimize patient risks and maximize medication effectiveness? -
Correct AnswersAuscultate the patient's lung sounds and obtain other relevant
vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning to the provider? - Correct AnswersThe
patient drinks two glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for hospital
discharge. Which action by the provider will best support the patient's ability to
effectively manage medication therapy? - Correct AnswersAsking the patient to
demonstrate how to measure and administer insulin
A patient reports that a medication prescribed for recurrent migraine headaches
is not working. Which action is the prescriber's priority when addressing the
patient's concern? - Correct AnswersAsk the patient about the number and
frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for
hepatotoxicity. Which action is most important when prescribing this medication
to an 80-year-old patient? - Correct AnswersObtaining baseline liver function
studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most
important for the provider to take in order to determine if the therapeutic level is
maintained? - Correct AnswersOrder periodic laboratory testing.
,Which factor best supports an increase for full prescriptive authority for both
advanced practice registered nurses (APRNs) and physician assistants (PAs)? -
Correct AnswersMore patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports new
onset of a pruritic, dull red, maculopapular rash on the chest and neck. Which
action is most important for the provider to take to minimize this patient's risk for
injury? - Correct AnswersDiscontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's
commitment to adherence to any type of medication therapy? - Correct
AnswersProviding medication education that the patient can easily understand
Which patient statement suggests to the provider that the patient's
nonadherence with their medication plan is related to dissatisfaction with the
therapy? - Correct Answers"I've been taking this medication for well over a week
and I lost only a half a pound."
How can the prescriber's regular collaboration with a pharmacist improve positive
outcomes for patients? - Correct AnswersPharmacists have additional information
on drug interactions. The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of
effective medication education? - Correct Answers"This medication needs to be
stored in the refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch, and
one with dinner." "You need to take the medication as we discussed until all the
tablets are gone." "Call the office immediately if you begin experiencing any
itching, headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder
asks why blood tests are required on a regular basis. Which provider responses
demonstrate an understanding of why the patient requires a variety of laboratory
tests? - Correct Answers"We need to monitor how your thyroid is functioning."
"We need to monitor kidney function while you are on this drug. This medication
can cause you to lose sodium, so we need to measure sodium levels."
, When prescribing lovastatin, what will a provider advise to decrease the risk of
developing muscle toxicity? - Correct AnswersSubstitute grapefruit juice with
orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does
the provider take to decrease risk to the patient? - Correct AnswersMonitor the
patient's plasma drug levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms.
What process informs the provider's response to the patient's concerns? - Correct
AnswersDesensitization of receptor sites results from continual exposure to the
drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the
same amount of the same drug. Which statement informs the prescriber's
response when explaining this phenomenon to the patient? - Correct
AnswersInactive ingredients used in composition can result in differing rates of
dissolution, which can alter the drug's onset of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The
prescriber confirms that the dosing is correct. Which possible cause of this
situation will the provider explore? - Correct AnswersWhether patient is taking a
medication that binds to serum albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4
inducing drug is prescribed, what drug adjustment may be necessary to maintain
a therapeutic level of CYP3A4 substrate? - Correct AnswersIncrease dosage of the
CYP3A4 substrate
The provider prescribes hydrocodone with acetaminophen for a patient's
postsurgical pain. What instruction will the prescriber include regarding alcohol
intake? - Correct Answers"You should avoid drinking alcohol while you are taking
the pain medication I've ordered."
Which order for furosemide is written appropriately by the prescriber? - Correct
AnswersFurosemide [Lasix] 20 mg PO daily
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