WGU D116 Comprehensive Assessment Questions And Answers With Explanations
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Course
WGU D116
Institution
WGU D116
WGU D116 Comprehensive Assessment Questions And Answers With Explanations
Which factors could be attributed to limited prescriptive authority for APRNs? Select all that apply.
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can create barriers to quality, affo...
WGU D116 Comprehensive Assessment Questions
And Answers With Explanations
Which factors could be attributed to limited prescriptive authority for APRNs? Select all that apply.
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health care
costs. It would not directly impact patient’s health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health care
costs. It would not directly impact patient’s health literacy.
A patient reports that a medication prescribed for recurrent migraine headaches is not working.
Which action should be taken first?
Ask the patient about the number and frequency of tablets taken
Feedback: using the drug as ordered. Asking the patient to tell the nurse how many tablets are taken
and how often helps the nurse determine compliance. Assessing current pain does not yield
information about how well the medication is working unless the patient is currently taking it. The
nurse should gather as much information about compliance, symptoms, and drug effectiveness as
possible before contacting the prescriber. Biofeedback may be an effective adjunct to treatment, but it
should not be recommended without complete information about drug effectiveness
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic levels. The dosing is
correct, and this medication has been tolerated bythis patient inthe past. Which could be a probable
cause of the test result?
The patient is taking another medication that binds to serum albumin
Feedback: Gentamicin binds to albumin, but only weakly, and in the presence of another drug that
binds to albumin, it can rise to toxic levels in blood serum. A loading dose increases the initial
amount ofa drug and is used to bring drug levels to the desired plateau more quickly. A drug that is
not completely dissolved carries a risk of causing embolism. A drug given at a frequency longer than
the drug half-life will likely be at subtherapeutic levels and not at toxic levels
The nurse is administering morning medications. The nurse gives a patient multiple medications, two
of which compete for plasma albumin receptor sites. As a result of this concurrent administration, the
nurse can anticipate that what might occur? Select all that apply
Binding of one or both agents will be reduced
Plasma levels of free drug will rise
The increase in free drug will intensify effects
, Feedback: When two drugs bind to the same site on plasma albumin, coadministration of those
drugs produces competition for binding. As a result, binding of one or both agents is reduced, causing
plasma levels of free drug to rise. The increase in free drug can intensify the effect, but it usually
undergoes rapid elimination. The increase in plasma levels of free drug is rarely sustained.
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Which patients are at increased risk for adverse drug events? Select all that apply
A 2-month-old infant taking a medication for gastroesophageal reflux disease
A 40-year-old male who is intubated in the intensive care unit and taking antibiotics and cardiac
medications
A 7-year-old female receiving insulin for diabetes
An 80-year-old male taking medications for COPD
Feedback: Patients at increased risk for adverse drug events include the very young, the very old,
and those who have serious illnesses. Females, children, and young adults taking single medications
do not have increased risk for adverse events.
A patient asks a nurse why a friend who is taking the same drug responds differently to that drug. The
nurse knows that the most common variation in drug response is due to differences in each patient's:
metabolism of drugs
Feedback: The most common source of genetic variation in drug response is related to alterations in
drug metabolism and is determined by genetic codes for various drug-metabolizing isoenzymes.
There are known genetic differences in codes for drug target sites, but these are not as numerous
asthose for metabolic isoenzymes. Hypersensitivity potential is also genetically determined, but
variations produce differences in adverse reactions to drugs and not in drug effectiveness.
Psychosocial responses vary for many less measurable reasons, such as individual personalities and
variations in cultures
A patient with migraines is started on a beta blocker. The nurse explains the benefits of taking the
medication for migraines. Which statement by the patient indicates an understanding of the
medication's effects?
“I need to take it every day to reduce the frequency of migraines.”
Feedback: When taken prophylactically, medications such as beta blockers can reduce the frequency
of migraine attacks. They do not provide complete relief from migraines. They do not reduce the
duration of migraines. They are not effective for treating a migraine once the migraine has begun
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