D116 NURS 6800 Advanced Pharmacology Comprehensive Final OA Guide Q & S 2024 1. A patient with chronic heart failure is prescribed digoxin. Which of the following is a crucial nursing intervention for monitoring this medication? A. Assessing for hypertension B. Monitoring serum electrolyte levels C. Evaluating the patient's pain level D. Checking for skin rashes Answer: B. Monitoring serum electrolyte leve ls Rationale: Digoxin has a narrow therapeutic window and is affected by serum electrolyte levels, particularly potassium. Monitoring these levels is essential to prevent digoxin toxicity. 2. When administering chemotherapy, what is the primary reason for an Advanced Practice Nurse to assess for neutropenia in a patient? A. To evaluate the effectiveness of the chemotherapy B. To prevent hypersensitivity reactions C. To reduce the risk of infection D. To monitor for potential nephrotoxicity Answer: C. To reduce the risk of infection Rationale: Neutropenia, a common side effect of chemotherapy, significantly increases the risk of infection due to a reduced number of neutrophils. 3. A patient is prescribed a non -selective beta -blocker. Wh ich of the following conditions should be regularly monitored due to potential contraindications? A. Diabetes mellitus B. Hypothyroidism C. Osteoporosis D. Peptic ulcer disease Answer: A. Diabetes mellitus Rationale: Non -selective beta -blockers can mask hypoglycemia symptoms in diabetic patients, making glucose monitoring imperative. 4. Which pharmacological agent is most appropriate for a patient with an acute gout attack and a history of peptic ulcer d isease? A. Indomethacin B. Allopurinol C. Colchicine D. Ibuprofen Answer: C. Colchicine Rationale: Colchicine is effective in treating acute gout and has a lower risk of exacerbating peptic ulcer disease compared to NSAIDs. 5. An Advance d Practice Nurse should recognize that immediate discontinuation of which of the following medications can result in withdrawal symptoms? A. Proton pump inhibitors B. Corticosteroids C. Statins D. Calcium channel blockers Answer: B. Corticos teroids Rationale: Abrupt cessation of corticosteroids can lead to adrenal insufficiency, necessitating a gradual tapering of the dose. 6. A patient with atrial fibrillation is on warfarin therapy. What is the target INR range for this patient? A. 0.5-1.5 B. 2.0 -3.0 C. 3.5 -5.0 D. 5.5 -7.0 Answer: B. 2.0 -3.0 Rationale: An INR range of 2.0 -3.0 is generally considered
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