NR 507 ADVANCED PATHOPHYSIOLOGY FINAL
EXAM 2024/2025 QUESTIONS AND ANSWERS
GRADED A+CHAMBERLAIN
A client is being seen in the emergency department for a sprained ankle and is given a drug to
relieve pain. When a second dose of the pain medication is given, the client develops redness of
the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this
response is:
allergic response
The nurse has administered a client's medication. What action should the nurse perform next?
assess for drug affects
An older adult client has an elevated serum creatinine level. This client is at greatest risk for
which medication-related effect?
toxicity
What changes due to aging in the geriatric client may affect excretion and promote accumulation
of drugs in the body?
decreased GFR
,NR 507 PATHOPHYSIOLOGY FINAL EXAM CHAMBERLAIN
A client is receiving an antineoplastic medication for treatment of breast cancer and begins
having tonic-clonic seizure activity. What type of toxicity does the nurse recognize that this
client is experiencing?
neurotoxicity
What client is most likely to have impaired drug metabolism?
A client who has a diagnosed Hep C
An elderly postsurgical client has developed postoperative pneumonia in the days following
abdominal surgery and is being treated with a number of medications. Which medication that the
nurse will administer has the slowest absorption?
an oral antidepressant that the client has been taking for several years
15s
In today's health care environment, there is often more contact between the client and the nurse
than between the client and the health care provider. What does this put the nurse in the best
position to do?
assess the therapeutic effect of drug therapy
,NR 507 PATHOPHYSIOLOGY FINAL EXAM CHAMBERLAIN
A nurse is assigned to care for a client in a health care facility. What is the nursing responsibility
before administering a drug to the client?
review subjective and objective data
A nurse is caring for a 49-year-old client with acute gout and arthritis. The nurse interviews the
client and checks the medical records. Which additional assessment should the nurse consider
before medication administration teaching?
examine the client physically
A client has been prescribed an oral drug that is known to have a high first-pass effect. Which
measure has the potential to increase the amount of the free drug that is available to body cells?
administering the drug IV rather than orally
When providing drug therapy to a client, what is a responsibility of the nurse?
Teach the client how to cope with the effects of the drug to ensure the best outcome
he nurse is administering a medication to a client who reports pain in the knees from arthritis.
The nurse observes the name of the drug as p-isobutylhydratropic and recognizes that this refers
to a:
chemical name
, NR 507 PATHOPHYSIOLOGY FINAL EXAM CHAMBERLAIN
The client has a daily antihypertensive medication ordered. Taking the blood pressure prior to
administration of the medication is which step of the nursing process?
assessing
Which client would a nurse expect to experience alterations in drug metabolism?
50 yo with cirrhosis of the liver
Clients who use garlic with co-administration of antidiabetic drugs may run into which serious
problem?
hypoglycemia
The nurse is called to a client's room 15 minutes after the client has received a new medication.
The client reports pruritus as well as nausea. The nurse notes that the client appears pale, is
sweating, and has begun to cough and wheeze. The nurse determines that the client is
experiencing what type of reaction related to the new medication?
anaphylactic shock
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