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RNSG 1301 Pharmacology 2025 Final Exam
Retake Questions with Correct 100% Rated
Answers (Score A)-Lone Star College
The nurse is reviewing Prevention of infection measures with a patient who is receiving antineoplastic therapy. Which statement by the patient indicates a need for further teaching? I should eat only fruits and vegetables A patient is about to undergo a diagnostic bowel procedure the nurse expects which drug to be used for total cleansing of the Bowel? GoLYTELY A 55-year-old obese patient with diagnosis of Candidiasis in the skin folds under her breast when the nurse sees her at a follow-up visit two months later she complains it has returned she said she applied the medicine for a week then stopped because the itching stopped... May require prolonged therapy A patient's medication order Indicates that he is to receive a dose of cosyntropin the nurse is aware that this drug is used for what problem?
Adrenal cortical insufficiency A patient newly diagnosed with hyperthyroidism received a prescription for a thyroid hormone replacement drug The nurse assesses for which potential contraindication? Recent MI Conditions such as infantile rickets, tetany, osteomalacia are caused by a deficiency in which vitamin or mineral? Vitamin D A patient with hyperthyroidism Is given a prescription for levathyroxine when the nurse explains that this is a synthetic form of thyroid hormone He explains that he prefers to receive more natural forms of drugs what will the nurseExplain to him about the advantages of levathyroxine? Half life is long enough for Once a day dosing The nurse will prepare to give which preparation to a newborn Within the first hour of delivery? Vitamin K
During treatment for a patient who has breast cancer The nurse hears the physician mention that the patient has reached nadir the nurse knows that this term means? Lowest Level of neutrophils reached during therapy When monitoring a patient who is taking a thyroid replacement Therapy which of the following signs of an excessively high dose of this drug Thyroid crisis
- palpitations
- Nervousness
- irritability A patient is to receive a topical corticosteroid for the treatment of psoriasis when administering this medication The nurse is aware that which of the following forms is commonly most penetrating when applied to the skin
- ointments What time of the day do you usually administer levothyroxine In the morning
The nurse is teaching a class about thyroid Disease which condition is caused by low levels of thyroid hormone during youth Cretinism An infant has thrush The nurse expect to administer which drug for the treatment Nystatin What do you have to tell a patient if your dispensing levothyroxine for the first time about by generic or brand name Don't switch generic and brand name. STICK WITH ONE! What is the amount of time that you stay on levathyroxine?
- Long term
- Life long When teaching about hypoglycemia the nurse should make sure That the patient is aware of the early signs of hypoglycemia which include
- Cold clammy skin
- Fatigue
- Irritability
The nurse is preparing to administer insulin intravenously which statement about IV insulin is true? Only regular insulin can be administered IV A patient with a history of COPD And type 2 diabetes has been treated for pneumonia for the past week, he has been receiving IV corticosteroids as wells as antibiotics. His pneumonia has resolved But blood glucose is still elevated and is required small amounts of sliding scale insulin. What is the reason for this? Corticosteroids increase blood glucose levels A 48-year-old is diagnosed with Metabolic syndrome and it started on Metformin The purpose of metformin in the situation is to? Decrease insulin resistance A patient is receiving cisplatin for chemotherapy and has developed pneumonia the nurse would be concerned about nephrotoxicity is which type of antibiotic was ordered for treatment of pneumonia at this time? Amino-glycoside A patient is in The HIV clinic for a follow up appointment he has been on an antiviral therapy for HIV for more than three years possible potential adverse affects of antiviral therapy would include all the following except?
Sarcoma A patient is taking fludrocortisone for treatment of Addison's disease and his wife is concerned about all the problems that occur with this therapy. When teaching them about therapy with this drug the nurse should include which information? Take with food to minimize GI upset A patient is receiving aminoglutethimide (Cytadren) therapy, The nurse knows that this medication is used for which condition Cushing syndrome The nurse notes in a patient's medication history that the patients taking allopurinol (xylophone)based on this finding the nurse interprets that the patient has which disorder Gout When monitoring a patient who is taking a systematically administered glucocorticoid, the nurse should monitor for signs of which condition? Hypokalemia
A patient who has been on long-term corticosteroids Therapy has had therapy to correct and abdominal hernia. The nurse keeps in mind that which potential Affect on this medication may have the most impact on this patient's recovery? Delayed wound healing The patient asked the nurse for advice on one of the newer antihistamines that do not cause drowsiness. Which of these drugs is appropriate? Claritin The nurse recognizes that the use of estrogen drugs is contraindicated In which of the following patients? Thrombophlebitis A nurse knows that a patient's medication orders states that the patient is taking terbutaline. Based on this finding the nurse notes that the patient has been prescribed this medication for? Prevention of preterm labor in the 22 week of pregnancy When discussing dosage calculation for pediatrics with a clinical pharmacist the nurse notes that one of the following Types of dosage calculations is used more commonly in pediatric calculation? Weight based Mg per Kg formula
When reviewing various schedules of controlled drugs The nurse notes that the statement that best describes a schedule II is? High potential for abuse that have been accepted for medical use Patient has been ordered Ketorolac (Toradol) for which condition? Moderate to severe pain When administering a new medication to a patient the nurse notes that it is highly protein bound. The nurse should expect which result? The duration of the medication will be longer A 50 year old woman Will be taking selective estrogen modulators (Serms), which is part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse affects with this patient including a possible occurrence of? Venous thrombosis embolism
While monitoring a patient who overdosed on barbiturates the nurse must keep in mind that the cause of death would be? Respiratory arrest Dilantin has a narrow therapeutic index. The nurse recognizes this means? Safe and toxic levels of the drugs are very close The nurse should instruct the patient who will be taking Bisphosphonate alendronate to take this medication at which time? In the morning with water and do not lay down right after! A female patient who lives in New York is preparing to take a long trip to Australia she has been taking SERM raloxofene (Evista). The nurse will provide which instructions to the patient? Stop taking it 72 hour before because it can cause thrombosis flombitus A patient has been recently diagnosed with TB. The nurse will make sure the patient realizes that he or she Is contagious when? Initial period of the illness
While monitoring a patient who had surgery under general anesthesia two hours ago, the nurse notes a sudden elevation in body temperature what could this be a sign of? Malignant hyperthermia When administering a neuromuscular blocking agent the nurse needs to know and remember which principal? Artificial mechanical ventilation During the immediate postoperative period the post anesthesia care unit Nurse is assessing the patient who had head surgery. The patient is Experiencing tachycardia, tachypnea, muscle rigidity and temp of 103 F. The nurse will prepare for what treatment? Dantrolene/dantrium You notice that a patient is on hydrochlorothiazide. You recall that all are true adverse effects of this diuretic except Hypocalcemia An anti-convulsant drug has been ordered as part of the pain management for the patient. The nurse explains to the patient the purpose of the anticonvulsant is for? Neuropathic pain
Albuterol (Provental) The nurse notes in a patient's medication history that the patient will be taking desmopressin based on the findings the nurse will interpret that the patient has which disorder Diabetes insipidus A 16-year-old boy is taking somatotropin he has had an asthma attack at a race at school the nurse expects which intervention to occur Somatotropin does needs to be adjusted Which contraceptive most closely duplicates the normal hormonal level of the female menstrual cycle Triphasic Before administering epogen to a patient in renal failure which lab result is most important to assess? Hemoglobin An eight-year-old girl is diagnosed with true pituitary dwarfism she's been treated with somatotropin the nurse will monitor for which expected outcome?
increased growth A patient is receiving methotrexate And is experiencing a severe bone marrow suppression the nurse will expect which intervention to reduce this problem Leucovorin A patient has hypertension along with type one diabetes and protein urea. The nurse anticipates that a drug from which class will be ordered for its renal protective effects? ACE inhibitors A patient is receiving Finasteride (Proscar) for treatment of BPH the nurse should tell him that a possible effect of this drug is? Increased hair growth The nurse notes in a female patient history she has an order for the androgen methyl- testosterone. Based on this finding the nurse interprets that the patient has which disorder? Inoperable breast cancer
The nurse is reviewing the use of obstetric drugs. Which of the following is an indication for oxytocin/Pitocin? Full term induction of labor The nurse is reviewing the medication list of a patient who will be starting adrenergic therapy. Which drug class if taken with adrenergics have an interaction with them? Oral anticoagulants The nurse is instructing a male patient about application of transdermal testosterone patches. What body location is preferred for this specific patch? Scrotum A 36 - year-old male patient is scheduled for a physical exam. He tells the nurse that he wants to start taking a vitamin formula that includes Saw Palmetto for prostate health which is the nurse's best response? The dr. will need to draw some blood And do a digital rectal exam to make sure that you do not have an enlarged prostate One patient has cancer of the bone and another has cancer in the connective tissue of his leg muscle and tissue and a third has cancer in her vascular tissues. These patients have in common the type of tumor referred to as? Sarcoma
A patient is receiving her third course of 5 FU therapy and knows that stomatitis is a potential adverse effect of anti-neoplastic therapy. What will the nurse teach her about this problem? She should examine her mouth daily A patient asks "Why do I have to take TB for such a long time and multiple drugs?" Taking multiple drugs reduces the chances of the tuberculosis will become drug resistant When monitoring a patient with severe bone marrow suppression the nurse knows that which of the following Is a principal early sign of infection? Fever
