NR508 Week 8 Final Exam / NR 508 Week 8 Final Exam : Chamberlain College of Nursing (2020/21, All Correct)
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Course
NR 508 / NR508 Advanced Pharmacology (NR508)
Institution
Chamberlain College Of Nursing
NR508 Week 8 Final Exam / NR 508 Week 8 Final Exam (Latest): Chamberlain College of Nursing
Chamberlain College of Nursing : NR508 Week 8 Final Exam / NR 508 Week 8 Final Exam (Latest)
Chamberlain NR 508 Final Exam / Chamberlain NR508 Final Exam (Latest)
Question 1
A patient who has diabetes re...
nr508 week 8 final exam nr 508 week 8 final exam chamberlain college of nursing 202021
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NR 508 / NR508 Advanced Pharmacology (NR508)
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NR 508 Week 8 Final Exam
(with Possible Question & Answers)
,NR 508 Final Exam
Question 1
A patient who has diabetes reports intense discomfort when needing to void. A urinalysis
is normal. To treat this, the primary care NP should consider prescribing:
flavoxate (Urispas).
bethanechol (Urecholine).
phenazopyridine (Pyridium).
oxybutynin chloride (Ditropan XL).
This patient is describing urge incontinence, or overactive bladder, which occurs when
the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is
full. Urge incontinence is associated with many conditions, including diabetes.
Oxybutynin chloride, which is an anticholinergic, acts to decrease detrusor overactivity
and is indicated for treatment of urge incontinence. Flavoxate is used to treat dysuria
associated with UTI. Bethanechol is indicated for urinary retention. Phenazopyridine is
used to treat dysuria.
Question 2
A patient reports difficulty returning to sleep after getting up to go to the bathroom every
night. A physical examination and a sleep hygiene history are noncontributory. The
primary care NP should prescribe:
zaleplon.
ZolpiMist.
ramelteon.
chloral hydrate.
, ZolpiMist oral spray is useful for patients who have trouble returning to sleep in the
middle of the night. Zaleplon and ramelteon are used for insomnia caused by difficulty
with sleep onset. Chloral hydrate is not typically used as outpatient therapy.
Question 3
A 5-year-old child who has no previous history of otitis media is seen in clinic with a
temperature of 100° F. The primary care NP visualizes bilateral erythematous,
nonbulging, intact tympanic membranes. The child is taking fluids well and is playing
with toys in the examination room. The NP should:
prescribe azithromycin once daily for 5 days.
prescribe amoxicillin twice daily for 10 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
initiate antibiotic therapy if the child’s condition worsens.
Signs and symptoms of otitis media that indicate a need for antibiotic treatment include
otalgia, fever, otorrhea, or a bulging yellow or red tympanic membrane. This child has a
low-grade fever, no history of otitis media, a nonbulging tympanic membrane, and no
otorrhea, so watchful waiting is appropriate. When an antibiotic is started, amoxicillin is
the drug of choice.
Question 4
An 80-year-old patient with congestive heart failure has a viral upper respiratory
infection. The patient asks the primary care NP about treating the fever, which is 38.5° C.
The NP should:
recommend acetaminophen.
recommend high-dose acetaminophen.
tell the patient that antibiotics are needed with a fever that high.
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