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2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY$17.99
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2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY
2024 NURS 676, ADVANCED PHARMACOLOGY FINAL EXAM (SPRING QTR) WITH 100% CORRECT ANSWERS WITH RATIONALE AND GRADED A+ (SUCCESS GUARANTEE):WEST COAST UNIVERSITY
1. A 19-year-old female is a nasal Staph aureus carrier and is
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placed on 5 days of rifampin for treatment. Her only other
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medication is combined oral contraceptives. What education
k k k k k k k
should she receive regarding her medications?
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1. Separate the oral ingestion of the rifampin and oral
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contraceptive by at least an hour.
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2. Both medications are best tolerated if taken on an empty
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stomach.
k
3. She should use a back-up method of birth control such as
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condoms for the rest of the current pill pack.
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4. If she gets nauseated with the medications she should call the
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office for an antiemetic prescription.
k k k ANS: 3. She should
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use a back-up method of birth control such as condoms for the
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rest of the current pill pack.
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2. A 19-year-old male was started on risperidone. Monitoring
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for risperidone include observing for common side effects,
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including:
k
1. Bradykinesia (slow mvmt), akathisia (restlessness), and
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agitation
k
2. Excessive weight gain
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3. Hypertension
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,4. Potentially fatal agranulocytosis
k ANS: 1. Bradykinesia k k kkkkkkkkkk kkk k
(slow mvmt), akathisia (restlessness), and agitation
k k k k k k
3. A 22-year-old woman receives a prescription for oral
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contraceptives. Education for this patient includes:
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1. Counseling regarding decreasing or not smoking while taking
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oral contraceptives
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2. Advising a monthly pregnancy test for the first 3 months she is
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taking the contraceptive
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3. Advising that she may miss two pills in a row and not be
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concerned about pregnancy
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4. Recommending that her next follow-up visit is in 1 year for a
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refill and annual exam
k k ANS: 1. Counseling regarding
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decreasing or not smoking while taking oral contraceptives
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4. A 66-year-old male was prescribed phenelzine (Nardil)
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while in an acute psychiatric unit for recalcitrant depression.
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The NP managing his primary health care needs to
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understand the following regarding phenelzine and other
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monoamine oxidase inhibitors (MAOIs):
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1. He should not be prescribed any serotonergic drug such as
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sumatriptan (Imitrex)
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2. MAOIs interact with many common foods, including yogurt,
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sour cream, and soysauce
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3. Symptoms of hypertensive crisis (headache, tachycardia,
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sweating) require immediate treatment
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4. All of the above
k k ANS: 4. All of the above
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5. A challenge faced with antiretroviral therapy (ART) is
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ANS: -Drug-resistant mutations of HIV
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,6. A contraindication to the use of combined contraceptives
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is:
k
A. Adolescence (not approved for this age)
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B. A history of clotting disorder
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C. Recent pregnancy
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D. Overweight
k ANS: B. A history of clotting disorder kkkkkkkkkk kkk k k k k k
7. A patient presents with a complaint of dark stools and
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epigastric pain described as gnawing and burning. Which of
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the medications is the most likely cause?
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1. Acetaminophen
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2. Estradiol
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3. Donepezil
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4. Bethanechol
k ANS: 4. Bethanechol kkkkkkkkkk kkk k
8. A patient with anxiety and depression may respond to:
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1. Duloxetine (Cymbalta)
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2. Fluoxetine (Prozac)
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3. Oxazepam (Serax)
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4. Buspirone (Buspar) and an SSRI combined
k ANS: 4.
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Buspirone (Buspar) and an SSRI combined
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9. A test of cure is recommended after treating chlamydia in
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which patient population?
k k ANS: Pregnant patients k kkkkkkkkkk kkk k
10. A treatment plan for management of chronic pain should
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include:
k
1. Negotiation with the patient to set personal goals for pain
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management
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2. Discussion of ways to improve sleep and stress
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3. An exercise program to improve function and fitness
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, 4. All of the above
k k k k kkkkkkkkkk ANS: 4. All of the above kkk k k k k
11. A woman who is pregnant and has hyperthyroidism is
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best managed by a specialty team who will most likely treat
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her with:
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1. Methimazole
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2. Propylthiouracil (PTU)
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3. Radioactive iodine
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4. Nothing, treatment is best delayed until after her pregnancy
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ends
k ANS: 2. Propylthiouracil (PTU)
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12. A woman who is pregnant tells the nurse she has not had
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any vaccines but wants to begin so she can protect her
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unborn child. Which vaccine(s) may be administered to this
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patient?
k
a. Gardasil vaccine
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b. Trivalent influenza vaccine
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c. MMR vaccine
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d. Varivax vaccine
k ANS: b. Trivalent influenza vaccine
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Rationale: The influenza vaccine is recommended for pregnant
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women and should be given. Gardasil is given to young women
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who are not yet sexually active. The MMR is contraindicated
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because rubella can cause serious teratogenic effects. Varivax is
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contraindicated during pregnancy.
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13. Abrupt withdrawal of beta blockers can be life
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threatening. Patients at highest risk for serious consequences
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of rapid withdrawal are those with:
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1. Angina
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2. Coronary artery disease
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