NURS 676 Advanced
Pharmacology Midterm Exam
(WCU) @Question And Answers.
Narcotics to be used in the hospital are dispensed only with a written
prescription - ANSWER>>> A nurse works in a private hospital and
needs to administer some narcotic drugs to one of her patients. Which
of the following should the nurse consider when administering
narcotics two patients in a hospital setting?
Non-pharmacological interventions combined with an exercise
program - ANSWER>>> Nurse is caring for a patient who abuses
marijuana. The treatment for marijuana abuse consist mainly of
Pain intensity, respiratory rate, and level of consciousness -
ANSWER>>> A nurse is caring for a patient who is in severe pain and
is receiving an opioid analgesic. Which of the following would be the
nurses priority assessments
The drug will decrease in effectiveness - ANSWER>>> A patient has
been receiving regular doses of an agonist for two weeks. Which of
the following should the nurse anticipate
Acute pain, headache, related to adverse effects of drug therapy -
ANSWER>>> A nurse is creating a plan of care for a 68-year-old
woman with a recent diagnosis of unstable angina and new
prescription for nitroglycerin. Which of the following nursing diagnosis
of the nurse prioritizing the planning of this patient's care
The drugs generic names - ANSWER>>> A nurse is providing a
patient with a list of drugs as part of the patient's care plan. Which of
the following drug nomenclatures should the nurse use to list drugs
,To ensure the safety of the public - ANSWER>>> Federal legislation
dictates a lengthy and rigorous process of testing for new drugs. What
is the primary purpose of this testing process
Because nutrient deficiencies - ANSWER>>> During a clinic visit a
patient complains of having frequent muscle cramps in her legs. The
nurses assessment reveals that the patient has been taking over-the-
counter laxatives for the past seven years. The nurse informed the
patient that the prolonged use of laxatives
Identify any changes in drug absorption that would change the drug
affect - ANSWER>>> A home health nurse notes that there have been
changes to a patient's oral drug regimen. The nurse will closely
monitor the new drug regimen to
An adrenergic antagonist - ANSWER>>> A patient has recently been
prescribed a drug that treats his hypertension by blocking the
sympathetic receptors in his sympathetic nervous system. This action
is characteristic of
Into the patient shoulder muscle using a small gauge needle -
ANSWER>>> A patient who has ongoing pain issues has been
prescribed meperidine Demirel IM. How should the nurse best
administer this medication
Orally - ANSWER>>> A nurse is providing patient education to a 35-
year-old man has been prescribed clonidine as a part of step to
hypertensive therapy the nurse should anticipate that the drug will be
administered
Possible drug to drug interactions that might occur - ANSWER>>> A
nurse notes new drug orders for a patient who has already getting
several medications. Which of the following is the most important
consideration when preparing to administer the new drugs
,How well a drug produces its desired effect - ANSWER>>> A nurse is
discussing with a patient the efficacy of a drug that his position has
suggested, and he began taking efficacy of a drug means which of the
following
I broke out in hives and got terribly itchy when I started a new
prescription last year - ANSWER>>> The nurses assessment of a
community dwelling adult suggest that the client may have drug
allergies that have not been previously documented. Which statement
by the client would confirm this
With drawl drawl gradually over a 2 to 3 week period - ANSWER>>>
An 80-year-old patient has been taking lorazepam since his wife died
a year ago he's been staying with her son, but will now move to an
assisted living facility. Before admission to the assisted living facility,
the patient's physician has determined that the drug is no longer
needed. The nurse at the facility will plan to
Muscle twitching - ANSWER>>> A patient has been prescribed lithium
therapy. Which of the following signs and symptoms will the nurse tell
the patient to report immediately
Is there a need for the drug in treating the presenting problem? Is this
the best rock for the presenting problem? Can the patient take the
prescribed drug? - ANSWER>>> A nurse practitioner understands
when prescribing a medication that there are certain questions to
address they are
Administering investigational drugs to patients - ANSWER>>> A nurse
working for a drug company is involved in phase 3 drug evaluation
studies which of the following might the nurse be responsible for
during the stage of drug development
Vitamin B - ANSWER>>> He's 65-year-old woman has an advanced
form of rheumatoid arthritis her treatment includes a regular diet of
methotrexate. The nurse will advise her to take which of the following
vitamin supplements while taking the drug
, Intravenous infusion - ANSWER>>> An unconscious patient has been
brought to the hospital, and the physician has prescribed a life-saving
drug should be administered parenterally.Which of the following
methods would be the most appropriate for the nurse to use when
administering the medication
Use of alcohol - ANSWER>>> Email patient is to begin glyburide for
type two diabetes. Before the drug therapy begins, a priority action by
the nurse will be to assess the patient's
Avoid aggravating the Gastro intestinal track - ANSWER>>> A nurse
is caring for a 61-year-old man who has had a severe attack of gout
while in the hospital for food poisoning the nurse administers
colchicine Intravenously in order to
The patient develops muscle rigidity and a sudden high fever -
ANSWER>>> A patient who is experiencing with drawl from heavy
alcohol use has developed psychosis and has been treated with
haloperidol. Which of the following assessment findings should prompt
the care team to assess the patient for neuroleptic malignant
syndrome
Monitor the patient vigilantly For signs and symptoms of potential
adverse drug affects - ANSWER>>> A patient has been admitted to
the hospital for a mastectomy has stated that she has experience
adverse drug affects at various times during her life. Which of the
following strategies so the nurse prioritize in order to minimize the
potential of adverse drug affects during the patient stay in the
hospital?
Late afternoon - ANSWER>>> A patient receives 25 units of NPH
insulin at 7 AM. At what time of day should the nurse advise the
patient to be most alert for a potential hypoglycemic reaction
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