NUR 2474 Pharmacology FINAL EXAM (2)
1. 1. The nurse is talking with a new mother about medications that can be safely resumed
now that she is no longer pregnant. All the following medica- tions are contraindicated during
pregnancy, but which one may be ingested while breastfeeding without causing known infant
harm?
2. 2. Which statement by a client indicates an understanding of self-care precautions when
taking warfarin?
1. "My warfarin dose may need to be readjusted when I take a course of antibiotics."
2. "I should expect pink urine due to metabolic bi-products of the dye used in this
medication."
3. "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."
4. "I should eat spinach to increase my iron count if my INR goes below two."
Answer
1
3. 3. Male client tells the nurse he awakens once or twice each night to video and has
difficulty starting his stream of urine. He describes these symptoms as " annoying." The client
provider examines him and notes that the prostate is moderately enlarged. The client is sexually
active and tells the nurse that he doesn't want to take any medication that will interfere with
sexual function. THe nurse anticipates the provider will order which of the following?
1. Silodosin
2. A transurethral prostatectomy
3. Finasteride
4. Doxazosin
,Answer
4
4. 4. A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe
hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the client
regarding the side effect of estrogen therapy?
1. An estrogen progesterone product will increase side effects
2. Transdermal preparations of estrogen therapy have reduced side effects.
3. Side effects of estrogen therapy are uncommon among women of her age.
4. An intravaginal preparation may be best.
Answer
2
5. 5. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has
ordered intravenous piperacillin and tobramycin. Why might the nurse question this
combination of antibiotics?
1. This combination causes tendon rupture.
2. Aminoglycosides are inactivated by penicillins.
3. Aminoglycosides alone are adequate against pseudomonas. There is no need to risk
penicillin allergy.
4. Aminoglycosides increase the risk of penicillin allergy.
Answer
2
6. 6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice
daily. Before administering the third dose, the nurse observes the client has a widespread rash, a
temperature and a heart rate of 100 beats/min.The client looks ill and reports not feeling well.
What is the nurse's response?
1. Request an order for intravenous trimethoprim/ sulfamethoxazole.
2. Initiate probiotics.
3. Withhold the treatment and notify the provider of the symptoms.
,4. Administer the dose and request an order for an antipyretic medication.
Answer
3
7. 7. A client with cancer has been taking an opioid analgesic four times daily for chronic pain
and reports needing increased doses for pain. What will the nurse tell the client?
A - Over time, people can develop tolerance to opioids. We can discuss this with your provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can discuss this with your
provider.
D- The risk of respiratory depression increases over time
Answer
A
8. 8, A client who is suffering from an acute gout attack wants to know how colchicine differs
from probenecid and allopurinol in its actions. Which of these statements shows the need for
further teaching regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B-All of these medications should be taken concurrently during an acute attack, NSAID's should
be added for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons
Answer
B
9. 9. The nurse understands that a bronchodilator would be most therapeutic in which
situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes
, Answer
D
10. 10. The parents of a child with asthma ask the nurse why their child cannot use oral
corticosteroids more often because they are so effective. What is the correct response by the
nurse?
A- Frequent use of this drug may lead to a decreased response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children
Answer
B
11. 11. A client taking warfarin presents with bruises, dark tarry stools, and an international
normalized ratio (INR) of 4.3. What is the nurse's action?
1. Hold the warfarin and consult the provider regarding the next steps.
2. Give an ampule of vitamin K, then call the physician to report client status.
3. Explain to the client the nurse may ask the provider to order a test for leukemia.
4. Give the warfarin with a dark green salad and check the next stool for blood.
Answer
1
12. 12. The nurse will caution a client taking immunosuppressant drugs to avoid which dietary
supplement?
1. Glucosamine
2. Feverfew
3. Echinacea
4. Black cohosh
Answer
3
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