NURS 6521N Week 2 Advanced Pharmacology Essay

Question 1
A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. NURS 6521N Week 2 Advanced Pharmacology Essay The nurse should inform the patient that

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A.
drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves.

B.
she must be prepared to show identification when buying a drug that contains pseudoephedrine.

C.
pseudoephedrine is being phased out of the marketplace in order to combat illegal use.

D.
under the Combat Methamphetamine Abuse Act, pseudoephedrine now requires a prescription.

1 points
Question 2
A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a

A.
weight-based protocol dose.

B.
higher-than-normal dose.

C.
lower-than-normal dose.

D.
child’s dose.

1 points
Question 3
A nurse has just completed a medication history on a newly admitted patient. In order to complete medication reconciliation for this patient the nurse will

A.
Provide instructions pertaining to each medication the patient is currently taking and then add the medications ordered during the hospitalization.

B.
explain to the patient the pharmacokinetics of each drug he will be taking in the hospital.

C.
compare the medications ordered by the health care provider with the list of medications obtained from the patient and communicate discrepancies to the health care provider.

D.
determine the best pharmacy for the patient to buy his medications.

1 points
Question 4
Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?NURS 6521N Week 2 Advanced Pharmacology Essay

A.
A 52-year-old male with adult-onset diabetes

B.
A 62-year-old male with gout

C.
A 47-year-old female with hypertension

D.
A 17-year-old female with symptoms of an upper respiratory infection

1 points
Question 5
A patient has taken an overdose of a vitamin/mineral supplement containing magnesium. The nurse will be sure to assess

A.
body temperature.

B.
blood pressure.

C.
fluid intake.

D.
skin changes.

1 points
Question 6
A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.

A.
Is there a need for the drug in treating the presenting problem?

B.
Is this the best drug for the presenting problem?

C.
Can the patient take the prescribed drug?

D.
None of the above.

1 points
Question 7
A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug?

A.
The pharmacokinetics of the drug

B.
The therapeutic effects and possible adverse effects

C.
The cost of the drug

D.
Where to purchase the medication

1 points
Question 8
What critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours?

A.
Dose

B.
Route

C.
Frequency

D.
Trade name of the drug

1 points
Question 9
A patient has been prescribed a Scheduled 5 drug, an example of this drug is

A.
Antianxiety

B.
Narcotic Analgesics NURS 6521N Week 2 Advanced Pharmacology Essay

C.
Barbituates

D.
Antitussives

1 points
Question 10
A nurse is providing a patient with a list of drugs as a part of the patient’s plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs?

A.
The drugs’ biologic names

B.
The drugs’ chemical names

C.
The drugs’ trade names

D.
The drugs’ generic names

1 points
Question 11
These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug

A.
Schedule 1

B.
Schedule 2

C.
Schedule 3

D.
Schedule 4

1 points
Question 12
A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called

A.
pharmacotherapeutics.

B.
pharmacoeconomics.

C.
pharmacodynamics.

D.
pharmacogenomics.

1 points
Question 13
A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development?

A.
Monitoring drug effects in patients who are selected to participate in a study, who have the disease that the drug is meant to treat

B.
Administering investigational drugs to patients

C.
Informing healthy, young volunteer participants of possible risks that could occur from taking an experimental drug NURS 6521N Week 2 Advanced Pharmacology Essay

D.
Working with animals who are given experimental drugs

1 points
Question 14
A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states

A.
Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed.

B.
Consult with several pharmacists to determine the cost of each drug.

C.
educate the patient to discard syringes in recycle bin

D.
consult with the physician concerning choice of medications for the patient.

1 points
Question 15
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?

A.
500 mg

B.
1000 mg

C.
1500 mg

D.
150 mg

1 points
Question 16
Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug

A.
Schedule 1

B.
Schedule 2

C.
Schedule 3

D.
Schedule 4

1 points
Question 17
A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by

A.
consulting a drug guide for compatibility.

B.
identifying the patient by checking the armband and asking the patient to state his name.

C.
questioning the patient concerning allergies.NURS 6521N Week 2 Advanced Pharmacology Essay

D.
washing his or her hands before handling the medications.

1 points
Question 18
Which of the following serves to protect the public by ensuring the purity of a drug and its contents?

A.
Federal legislation

B.
United States Adopted Names Council

C.
Nursing drug guides

D.
American Pharmaceutical Association

1 points
Question 19
A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient goes to surgery. The nurse’s response to this request should be

A.
“I don’t think that will help, but you have the right to perform the ritual.”

B.
“I’m sorry, but that will not be possible.”

C.
“I will need to inform the doctor and see if he will allow this.”

D.
“As long as the ritual does not interfere with the patient’s preoperative care, it will be okay.”

1 points
Question 20
A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will

A.
use nonverbal language.

B.
exaggerate her mouth movements.NURS 6521N Week 2 Advanced Pharmacology Essay

C.
speak loudly.

D.
seak fast.

1 points
Question 21
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a

A.
C-IV drug.

B.
C-II drug.

C.
C-III drug.

D.
C-I drug.

1 points
Question 22
A nurse who provides care in a long-term care facility is documenting a new resident’s medication regimen on the resident’s intake admission. The nurse is documenting the generic, rather than proprietary, names of the resident’s current drugs because

A.
documentation of trade names for drugs requires permission from the manufacturer.

B.
there is a potential for confusion and miscommunication if proprietary names are used.

C.
drugs with generic names are prescribed and used differently than proprietary drugs.

D.
proprietary names of drugs can vary from state to state.

1 points
Question 23
A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?

A.
National Provider Identification (NPI)

B.
Centers for Medicare & Medicaid Services (CMS)

C.
Health Insurance Portability and Accountability Act of 1996 (HIPPA)

D.
None of the above

1 points
Question 24
A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive

A.
the recommended normal dose of drugs that bind to acid glycoproteins.

B.
a higher-than-normal dose of drugs that bind to acid glycoproteins.

C.
a lower-than-normal dose of drugs that bind to acid glycoproteins.NURS 6521N Week 2 Advanced Pharmacology Essay

D.
one half the recommended dose of drugs that bind to acid glycoproteins.

1 points
Question 25
Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use. They may be obtained for “investigational use only” by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this?

A.
Schedule 1

B.
Schedule 2

C.
Schedule 3

D.
Schedule 4 NURS 6521N Week 2 Advanced Pharmacology Essay