NURS 6521N Advanced Pharmocology Week 1 Test 2024 The culture and sensitivity testing of a patient's wound exudate indicates that a specific antibiotic is necessary for treatment. The Untied States Pharmacopedia-National Formulary indicates that the drug in question is 96% protein bound. What are the implications of this fact? - ANSWER Dosages of the drug must be large in order to be effective. The nurses assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? - ANSWER I broke out in hives and got terribly itchy when I started a new prescription last year. Tylenol 325mg/tab, patient needs 650mg; how many tablets should the patient take? - ANSWER 2 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following? - ANSWER How well a drug produces its desired effect A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patients medication regimen. Which of the patient's medications should prompt the patient to teach to avoid drinking grapefruit juice? - ANSWER Atorvastatin (Lipitor) In order to promote therapeutic drug effects, the nurse should always encourage the patients to... - ANSWER take thei r medications at the prescribed times. A home health nurse notes that there have been changes to a patients oral drug regimen. The nurse will closely monitor the new drug regimen to... - ANSWER identify any changes in drug absorption that would change the drug effect. on 1 am rounds the nurse finds a patient awake and frustrated that she cannot sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later the nurse finds the patient out of bed, full of energy, cleaning her room. The nurse evaluates the patients response to a hypnotic as... - ANSWER An idiosyncratic effect In light of her recent high blood pressure readings a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergenic blocker. What is the most likely rationale for using two medications to address the patients hypertension? - ANSWER Using the two drugs to treat a health problem may create a synergistic effect. A patient has a blood serum drug level of 50 units/ml. The drugs half life is 1 hour. If concentrations above 25 units/ml are toxic and no more of the drug is given, how long will it take for the blood level reach the nontoxic range? - ANSWER 1 hour For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? - ANSWER A 78 year old man who is unable to swallow following an ischemic stroke A 56 year old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat spasms. She has a poorly documented allergy to eggs, synthetic clothing, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction? - ANSWER Post an allergies notice on the front of the chart and document the allergies in the appropriate area of the patients record. 5ml=____tsp - ANSWER 1
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