Exam (elaborations)
NR 508 Final Exam Answer, NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
- Course
- Institution
NR 508 Final Exam Answer, NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
[Show more]
Seller
Follow
HIGHSCORE
Reviews received
Content preview
NR 508 Final Exam/ Week 8 Final ExamNR 508: ADVANCED PHARMACOLOGY
, NR 508 Final Exam
Question 1
pts
A patient who has diabetes reports intense discomfort when needing to void. A
urinalysis is normal. To treat this, the primary care NP should consider
prescribing:
flavoxate (Urispas).
bethanechol (Urecholine).
phenazopyridine (Pyridium).
Correct!
oxybutynin chloride (Ditropan XL).
This patient is describing urge incontinence, or overactive bladder, which occurs
when the detrusor muscle is hyperactive, causing an intense urge to void before
the bladder is full. Urge incontinence is associated with many conditions,
including diabetes. Oxybutynin chloride, which is an anticholinergic, acts to
decrease detrusor overactivity and is indicated for treatment of urge
incontinence. Flavoxate is used to treat dysuria associated with UTI. Bethanechol
is indicated for urinary retention. Phenazopyridine is used to treat dysuria.
Question 2
pts
A patient reports difficulty returning to sleep after getting up to go to the bathroom
every night. A physical examination and a sleep hygiene history are
noncontributory. The primary care NP should prescribe:
zaleplon.
Correct!
ZolpiMist.
ramelteon.
,chloral hydrate.
ZolpiMist oral spray is useful for patients who have trouble returning to sleep in
the middle of the night. Zaleplon and ramelteon are used for insomnia caused by
difficulty with sleep onset. Chloral hydrate is not typically used as outpatient
therapy.
Question 3
pts
A 5-year-old child who has no previous history of otitis media is seen in clinic with
a temperature of 100° F. The primary care NP visualizes bilateral erythematous,
nonbulging, intact tympanic membranes. The child is taking fluids well and is
playing with toys in the examination room. The NP should:
prescribe azithromycin once daily for 5 days.
prescribe amoxicillin twice daily for 10 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
Correct!
initiate antibiotic therapy if the child’s condition worsens.
Signs and symptoms of otitis media that indicate a need for antibiotic treatment
include otalgia, fever, otorrhea, or a bulging yellow or red tympanic membrane.
This child has a low-grade fever, no history of otitis media, a nonbulging
tympanic membrane, and no otorrhea, so watchful waiting is appropriate. When
an antibiotic is started, amoxicillin is the drug of choice.
Question 4
pts
An 80-year-old patient with congestive heart failure has a viral upper respiratory
infection. The patient asks the primary care NP about treating the fever, which is
38.5° C. The NP should:
Correct!
recommend acetaminophen.
, recommend high-dose acetaminophen.
tell the patient that antibiotics are needed with a fever that high.
tell the patient a fever less than 40° C does not need to be treated.
Patients with congestive heart failure may have tachycardia from fever that
aggravates their symptoms, so fever should be treated. High doses should be
given with caution in elderly patients because of possible decreased hepatic
function. Antibiotics should not be given without evidence of bacterial infection.
Question 5
pts
A patient who takes levodopa and carbidopa for Parkinson’s disease reports
experiencing freezing episodes between doses. The primary care NP should
consider using:
selegiline.
amantadine.
Correct!
apomorphine.
modified-release levodopa.
Apomorphine injection is used for acute treatment of immobility known as
“freezing.”
Question 6
pts
A patient is being tapered from long-term therapy with prednisolone and reports
weight loss and fatigue. The primary care NP should counsel this patient to:
consume foods high in vitamin D and calcium.
begin taking dexamethasone because it has longer effects.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75619 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now