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Pharmacology MSN 571 practice :143 Questions With Complete Solutions Rated (A+)
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Pharmacology MSN 571 practice :143 Questions WithComplete Solutions Rated (A+)
Quiz :A patient diagnosed with chronic pain calls to request an oxycodone
(Oxycontin) refill. Which action should the prescriber take initially? -
√Answer :Arrange to schedule an appointment with the patient.
Quiz :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? - √Answer :Auscultate the patient's lung sounds and obtain
other relevant vital signs.
Quiz :A patient is prescribed metronidazole for bacterial vaginosis. Which
patient history finding would be most concerning to the provider? -
√Answer :The patient drinks two glasses of wine every night.
Quiz :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? - √Answer :Asking
the patient to demonstrate how to measure and administer insulin
Quiz :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? - √Answer :Ask the patient about the
number and frequency of tablets taken.
Quiz :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? - √Answer :Obtaining baseline liver
function studies
Quiz :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? - √Answer :Order periodic laboratory testing.
Quiz :Which factor best supports an increase for full prescriptive authority for
both advanced practice registered nurses (APRNs) and physician assistants
(PAs)? - √Answer :More patients will have access to health care.
Quiz :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? - √Answer :Discontinue the ampicillin.
Quiz :Which prescriber action will have the greatest impact on the patient's
commitment to adherence to any type of medication therapy? -
√Answer :Providing medication education that the patient can easily
understand
Quiz :Which patient statement suggests to the provider that the patient's
nonadherence with their medication plan is related to dissatisfaction with the
therapy? - √Answer :"I've been taking this medication for well over a week
and I lost only a half a pound."
Quiz :How can the prescriber's regular collaboration with a pharmacist
improve positive outcomes for patients? - √Answer :Pharmacists have
additional information on drug interactions. The pharmacist can suggest
adequate medication dosing. Pharmacists have firsthand knowledge of the
facility formulary.
Quiz :Which statements made by the prescriber demonstrate an
understanding of effective medication education? - √Answer :"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."
Quiz :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? - √Answer :"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."
Quiz :When prescribing lovastatin, what will a provider advise to decrease the
risk of developing muscle toxicity? - √Answer :Substitute grapefruit juice with
orange juice
Quiz :When prescribing drugs with a narrow therapeutic index, what
intervention does the provider take to decrease risk to the patient? - √Answer
:Monitor the patient's plasma drug levels at regular intervals.
Quiz :A patient reports that a medication no longer effectively alleviates
symptoms. What process informs the provider's response to the patient's
concerns? - √Answer :Desensitization of receptor sites results from continual
exposure to the drug.
Quiz :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? -
√Answer :Inactive ingredients used in composition can result in differing rates
of dissolution, which can alter the drug's onset of action.
Quiz :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? - √Answer :Whether patient is taking a
medication that binds to serum albumin.
Quiz :A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a
CYP3A4 inducing drug is prescribed, what drug adjustment may be necessary
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