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NURS 6521 Question Bank / NURS6521 Question Bank (LATEST-2020/21)(TOTAL more than 300 Q/A): Advanced Pharmacology (Verified Answers, Download Now to Score A) $25.49   Add to cart
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NURS 6521 Question Bank / NURS6521 Question Bank (LATEST-2020/21)(TOTAL more than 300 Q/A): Advanced Pharmacology (Verified Answers, Download Now to Score A)

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  • NURS 6521 EXAM / NURS6521 EXAM (NURS6521)
  • Institution
  • Walden University

NURS 6521 Question Bank / NURS6521 Question Bank (LATEST 2020): Advanced Pharmacology Question 1 The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? ...

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  • October 9, 2020
  • 156
  • 2020/2021
  • Exam (elaborations)
  • Unknown

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  • nurs 6521 question bank nurs6521 question bank latest 2020 advanced pharmacology question 1 the nurses assessment of a community dwelling adult suggests that the client may have drug a

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  • Walden University
  • NURS 6521 EXAM / NURS6521 EXAM (NURS6521)
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NURS 6521 Question Bank
 Question 1

1 out of 1 points



A clinic nurse has been assigned a 49-year-old female patient who has a

history of diabetes. A recent diagnosis of hypertension has been made,

and the patient has been prescribed a thiazide diuretic and labetalol. The

patient will be scheduled to return to the clinic once a month for the next

6 months. A priority action by the nurse will be to
Response Monitoring of blood pressure would be the priority assessment
Feedback:
in the care of this patient. Questioning the patient about her

dietary intake and weighing her would be appropriate, but

secondary in importance. It is unnecessary to monitor the

patient's respiratory rate.
 Question 2

1 out of 1 points

A 55-year-old man's hypertension has not responded adequately to his

current medication regimen consisting or an ACE inhibitor, a beta-blocker

and a thiazide diuretic. As a result, he will soon begin taking hydralazine

(Apresoline) in addition to his existing antihypertensives. The addition of

this medication to his regimen means that the nurse must prioritize which

of the following nursing actions?
Response Hydralazine is associated with an increase in cardiac output that
Feedback
can precipitate palpitations, tachycardia, and angina. As a
:

, result, there is a need for astute cardiac assessment. The use of

hydralazine does not directly necessitate close monitoring of

electrolytes or blood sugars, even though these are prudent

assessment measures. There is a risk of dizziness and possibly

falls with the use of any antihypertensive, but it is unnecessary

to supervise all of the patient's ADLs.
 Question 3

1 out of 1 points

A 39-year-old African-American male is 25 pounds overweight and has

been diagnosed with hypertension after three consecutive above-normal

blood pressure readings. The most likely initial drug therapy for this

patient will be
Response The patient would most likely be prescribed a diuretic in
Feedback
combination with diet and other lifestyle changes. African-
:
American men are at increased risk for developing hypertension

and tend to respond differently to antihypertensive therapy. The

research shows that African-American men are most responsive

to single-drug therapy and diuretics. The use of a calcium

channel blocker and/or alpha-adrenergic blocker would follow if

he is unresponsive to the diuretic in combination with diet and

other lifestyle changes. African Americans tend to be less

responsive to ACE inhibitors and beta blockers.
 Question 4

1 out of 1 points

, A patient is brought to the emergency department in hypertensive crisis.

Nitroprusside is administered intravenously. The patient experiences

diaphoresis and dizziness. Which of the following is the appropriate action

by the nurse?
Response Administering nitroprusside too quickly can result in abdominal
Feedback
pain, apprehension, diaphoresis, dizziness, headache, muscle
:
twitching, nausea, palpitations, restlessness, retching, and

retrosternal discomfort. The nurse should quickly inform the

prescriber and slow the infusion. Symptoms quickly subside

when the nitroprusside infusion is slowed or stopped, and

usually do not return when the infusion resumes at a slower

rate. Consulting the prescriber for a dose change would not

help; the rate of drug administration is the issue. Continuing to

give the nitroprusside at the ordered rate could be fatal.
 Question 5

1 out of 1 points

Several months of treatment with a statin accompanied by lifestyle

modifications have failed to appreciably improve a patient's cholesterol

levels. Consequently, the patient has been prescribed cholestyramine. The

nurse should recognize that this drugs achieves its therapeutic effect by
Response Unlike statins, which work by decreasing the synthesis of
Feedback:
cholesterol, the bile acid sequestrants such as cholestyramine

promote the oxidation of cholesterol to bile acids. Bile acid

sequestrants do not promote vasodilation or bind HDL to LDL.

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