ADVANCED PHARMACOLOGY <\/p>\n\n\n\n
A nurse is developing a care plan for a patient who has multiple
sclerosis. An expected outcome for the patient who is receiving
glatiramer would be a decrease in
A) chest pain.
B) fatigue.
C) breathing difficulties.
D) heart palpitations – ANSWER- B) fatigue.
An elderly postsurgical patient has developed postoperative
pneumonia in the days following abdominal surgery and is being
treated with a number of medications. Which of the following
medications that the nurse will administer has the slowest
absorption?
A) A sublingual benzodiazepine that has been prescribed to help
the patient sleep<\/p>\n\n\n\n
B) An intravenous (IV) antibiotic that is being administered by
IV piggyback at 150 mL\/hour
C) An oral antidepressant that the patient has been taking daily
for several years
D) An intramuscular (IM) injection of an opioid analgesic –
ANSWER- C) An oral antidepressant that the patient has been
taking daily for several years
A female patient diagnosed with chronic atrial flutter has been
prescribed verapamil in conjunction with digoxin to control
ventricular rate. To enhance the therapeutic effect of the drug,
the nurse will instruct the patient to__
A) take the medication with meals.
B) avoid grapefruit and grapefruit juice.
C) take an aspirin every day.
D) avoid fresh fruit – ANSWER- B) Avoid grapefruit and
grapefruit juice.
However, grapefruit juice or the grapefruit itself interacts with
antiarrhythmic drugs like verapamil and digoxin. The nurse
should then instruct the client to avoid taking any grapefruit
products as they may cause problems [2]. Grapefruits and
grapefruit juice decrease the absorption rate of certain drugs or
letting the drug stay longer in the blood. If the patient’s
prescribed drugs are taken with any grapefruit product, the<\/p>\n\n\n\n
medications would stay longer in the bloodstream, increasing
the client’s risk for liver and muscle damage which could later
lead to kidney failure [2].
A 28-year-old patient asks his nurse how phenelzine therapy
would help him. An appropriate response by the nurse would
be__
A) “This therapy will help reduce the severity of your bipolar
episodes.”
B) “The drug will enable you to gain the appropriate weight.”
C) “The drug will help increase your attention level.”
D) “This therapy will improve your overall mood and increase
your social activity – ANSWER- D) “This therapy will improve
your overall mood and increase your social activity
A nurse is creating a plan of care for a 68-year-old woman with
a recent diagnosis of unstable angina and new prescription for
nitroglycerin. Which of the following nursing diagnoses should
the nurse prioritize in the planning of this patient’s care?
A) Incontinence, Functional, related to adverse effects of drug
therapy<\/p>\n\n\n\n
B) Risk for Fluid Volume Deficit related to adverse effects of
drug therapy
C) Confusion, Acute, related to adverse effects of drug therapy
D) Acute Pain, Headache, related to adverse effects of drug
therapy – ANSWER- D) Acute Pain, Headache, related to
adverse effects of drug therapy
A nurse is caring for a 38-year-old female patient who just
started taking lithium for bipolar disorder. Which of the
following outcomes would be most appropriate for this patient?
A) The patient will reestablish and maintain a normal pattern of
bowel functioning.
B) The patient will identify appropriate interventions to promote
sleep.
C) The patient will identify satisfying and acceptable sexual
practices and some alternative ways of dealing with sexual
expression.
D) The patient will adopt strategies to maintain proper fluid
balance – ANSWER- D) The patient will adopt strategies to
maintain proper fluid balance
A nurse is caring for a patient who is taking sodium polystyrene
sulfonate (Kayexalate) therapy. The nurse will monitor for
which of the following?<\/p>\n\n\n\n