Question 1: A 59-year-old man with a recent history of erectile dysfunction has
been assessed and prescribed sildenafil (Viagra). When providing patient education
to this man, the nurse should tell him which of the following?
Answer: "You might find that your face becomes flushed, or you get a headache
after taking Viagra."
Question 2: A patient takes etoposide for a testicular tumor refractory treatment.
The nursing assessment reveals that he is also taking warfarin. The nurse must
carefully monitor which of the following?
Answer: Elevated prothrombin time
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted
infection. The nurse will instruct the patient
Answer: to complete the entire course of drug therapy.
Question 4: Drugs have a valid medical use but a high potential for psychological
and physiologic abuse. In an emergency, a Schedule II drug may be prescribed by
,NURS 6521 ADVANCED PHARMACOLOGY
telephone if a written prescription cannot be provided at the time. However, a
written prescription must be provided within 72 hours with the words authorization
for emergency dispensing written on the prescription. These prescriptions cannot
be refilled. A new prescription must be written each time. Examples include
certain amphetamines and barbiturates. These are scheduled drugs
Answer: Schedule II
Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray
to treat a nasal allergy. To maximize the drug's therapeutic effects, which of the
following will the nurse include in instructions to the patient?
Answer: Take the drug for one whole week before coming in contact with
allergens.
Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia.
The patient is sweating, and her BP is 88/50. The serum magnesium level is 10
mg/dL. The nurse will interpret these manifestations as
Answer: Magnesium Sulfate toxicity.
Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia
(CML) discusses treatment options with his care team. What aspect of the patient's
condition would contraindicate the use of cyclophosphamide to treat leukemia?
,NURS 6521 ADVANCED PHARMACOLOGY
Answer: The patient's bone marrow function is significantly depressed.
Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old
woman and her husband have sought a referral to a fertility specialist to explore
their options. A nurse at the clinic should recognize that the woman may benefit
from
Answer: clomiphene.
Question 9: A 34-year-old male has been diagnosed with TB and will be started on
INH therapy. The medication history reveals that he currently takes antacids
regularly. The nurse will instruct the patient:
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 10: A Nurse Practitioner working in a cancer center is preparing to
administer medication to a 5-year-old child. The nurse will calculate the drug
dosage by using
Answer: Body Surface Area
, NURS 6521 ADVANCED PHARMACOLOGY
Question 11: An older adult woman has been diagnosed with acute lymphoblastic
leukemia (ALL), and her care team has identified potential benefits of imatinib.
Which of the following characteristics of this patient's current health status may
preclude the use of imatinib?
Answer: The patient has chronic heart failure resulting in significant peripheral
edema
Question 12: A male patient is trying to decide if he should use finasteride
(Proscar) to treat benign prostatic hypertrophy (BPH). When providing information
about the drug, the nurse will include which of the following as a risk associated
with finasteride therapy?
Answer: Prostatic neoplasia
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take
each dose
Answer: After a meal.
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