NURS 2060 Pharmacology WGU D116 2024-2025 NURS 2060 WGU
D116 Pharmacology Pre-Assessment Review Questions with Correct
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Inaccessibility of patient care
What factor can be attributed to
Feedback:Limiting prescriptive authority for APRNs can create barriers to
limited prescriptive authority for
quality, affordable, and accessible patient care. It may also lead to poor
APRNs?
collaboration among providers and higher health care costs.
A patient reports that a medication Ask the patient about the number and frequency of tablets taken.
prescribed for recurrent migraine
headaches is not working. Which Feedback:using the drug as ordered. Asking the patient to tell the nurse
action should be taken first? how many tablets are taken and how often helps the nurse determine
compliance.
A patient is receiving intravenous The patient is taking another medication that binds to serum albumin
gentamicin. A serum drug test
reveals toxic levels. The dosing is Feedback:Gentamicin binds to albumin, but only weakly, and in the
correct, and this medication has been presence of another drug that binds to albumin, it can rise to toxic
tolerated by this patient in the past. levels in blood serum.
Which could be a probable cause of
the test result?
The nurse is administering morning Binding of one or both agents will be reduced, Plasma levels of free drug
medications. The nurse gives a will rise, The increase in free drug will intensify effects
patient multiple medications, two of
which compete for plasma albumin Feedback:When two drugs bind to the same site on plasma albumin,
receptor sites. As a result of this coadministration of those drugs produces competition for binding. As a
concurrent administration, the nurse result, binding of one or both agents is reduced, causing plasma levels of
can anticipate that what might occur? free drug to rise.The increase in free drug can intensify the effect, but it
Select all that apply usually undergoes rapid elimination. The increase in plasma levels of free
drug is rarely sustained.
metabolism of drugs
A patient asks a nurse why a friend
who is taking the same drug responds Feedback:The most common source of genetic variation in drug response is
differently to that drug. The nurse related to alterations in drug metabolism and is determined by genetic
knows that the most common variation codes for various drug- metabolizing isoenzymes.
in drug response is due to differences
in each patient's:
“I need to take it every day to reduce the frequency of migraines.”
A patient with migraines is started on
a beta blocker. The nurse explains the
Feedback:When taken prophylactically, medications such as beta blockers
benefits of taking the medication for
can reduce the frequency of migraine attacks. They do not provide
migraines. Which statement by the
complete relief from migraines. They do not reduce the duration of
patient indicates an understanding of
migraines. They are not effective for treating a migraine once the migraine
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has begun
the medication's effects?
To change the patch every week.
A prescriber orders transdermal
clonidine [Catapres TTS] for a patient Feedback: Transdermal patches are to be changed every 7 days.
with hypertension. What will the nurse Medication administered by patch has the same therapeutic effect and
teach this patient? adverse effects as that given by other routes, except that localized skin
reactions may occur and are common with clonidine patches.
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