NUR2407 Pharmacology Quiz 5

Rasmussen NUR2407 Pharmacology Quiz 5

NUR2407 Pharmacology Quiz 5

NUR2407 Pharmacology

Pharmacology Quiz 5

•             Question 1          The nurse manages care for a client with diabetes who takes metformin (Glucophage). Which laboratory result would cause the nurse to question the prescription?

Answers:

Elevated creatinine

Decreased hemoglobin

Decreased platelets

Increased iron

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•             Question 2          A woman is diagnosed with gonorrhea and asks the nurse about treatment. Which statement will the nurse include in teaching?

Answers:

“IM ceftriaxone and oral azithromycin are prescribed.”

“Oral doxycycline is prescribed.”

“Erythromycin ointment is prescribed.”

“Ceftriaxone IM is prescribed.”

•             Question 3          A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep. The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy

Answers:             may be used indefinitely to treat menopausal symptoms.

is very safe and may be used freely to treat menopausal symptoms.

will be necessary to prevent osteoporosis caused by estrogen depletion.

should be used at the lowest dose possible for less than 5 years.

•             Question 4          The nurse provides teaching to a man who will begin using an Androderm testosterone patch. Which statement by the patient indicates understanding of the teaching?

Answers:             “I will apply two skin patches every morning after a shower.”

“I should apply this to any skin other than the scrotum or bony areas.”

“My serum testosterone will continue to rise with each day of use.”

“I may stop using Androderm when my serum testosterone is normal.”

•             Question 5          A client with type I diabetes reports taking propranolol for hypertension. Why would this cause the nurse to be concerned?

Answers:             The beta blocker can cause insulin resistance and hyperglycemia.

Using the two agents together increases the risk of ketoacidosis.

Propranolol increases insulin requirements because of receptor blocking.

The beta blocker can mask the symptoms of hypoglycemia.

•             Question 6          The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor daily?

Answers:             Complete blood count

Renal function

Serum glucose

Height and weight

•             Question 7          The nurse is caring for a client who comes to the clinic with tinea corporis, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide?

Answers:             “Use the medication over the entire body once a week for 1 month.”

“Sun exposure will negate the drug’s effects.”

“Continue the therapy for at least 1 week after the symptoms have cleared up.”

“This drug is effective after a single application.”

•             Question 8          Lantus Insulin (glargine) is prescribed for a hospitalized patient who is diabetic. When is this form of insulin usually administered?

Answers:             Approximately 15 to 30 minutes before each meal

In the morning and at 4 PM

Once daily at bedtime

After meals and at bedtime

•             Question 9          A client calls from home to report that his lispro (Humalog) insulin has granules in it. What would be the nurse’s best response?

Answers:             “Agitate the solution, and the granules should disperse.”

“Discard the vial. The solution should be clear.”

“Tell the client to draw it up using a filter needle”

“Lispro is always cloudy. Proceed with the injection.”

•             Question 10        The nurse performs a history on a woman who will begin taking clomiphene citrate (a selective estrogen receptor modulator) to induce ovulation. Which aspect of this patient’s history is of concern?

Answers:             Anovulation

Sexually transmitted infection

Dysmenorrhea

Uterine fibroids

•             Question 11        The oral antiandrogen drug flutamide, anti-androgen, is used to treat which condition?                 Answers:

Metastatic prostate cancer

Erectile dysfunction

Breast cancer

Male-pattern baldness

•             Question 12        A patient has hypocalcemia caused by parathyroid hormone deficiency. Which medication will the nurse anticipate giving to this patient?

Answers:

Calcitriol, Vitamin D analogue

Calcitonin-Salmon, hormone

Vitamin D

Calcium

•             Question 13        A client in ketoacidosis needs intravenous insulin. What should the nurse understand before giving IV insulin?

Answers:             The nurse should ask whether Levimir or Glargine should be given.

The same dose that would be given subcutaneously per sliding scale should be used.

Insulin should never be given IV, so this order should be questioned.

Only regular insulin can be administered IV. It is given in smaller increments.

•             Question 14        The patient on immunosuppressant medications is speaking to the nurse about appropriate activities. Which statement requires intervention? (Select all that apply.)

Answers:

“It’s OK to eat fresh fruits and vegetables.”

“I will brush my teeth after meals.”

“I enjoy working in my garden to relax.”

“I am going to the state fair with my friends.”

“I should bath daily, using an antimicrobial soap.”

“I should get a new glass, if the one I am drinking from has been sitting out.”

•             Question 15        A patient who has had an organ transplant is prescribed cyclosporine, a calcineurin inhibitor, for maintenance therapy. Which statement by the patient indicates further teaching is needed?                                     Answers:                “I can mix this medication with juice.”

“The provider may change the dose of the medication after getting the lab results.”

“I will take the medication each morning at 8 A.M.”

“I have to avoid getting the nasal spray FluMist.”

•             Question 16        A woman is diagnosed with herpes simplex virus (genital herpes). Which statement by the patient indicates understanding of the medication regime?

Answers:             “I can use the medications once a month to treat symptoms.”

“If I am taking antiviral medication, I cannot pass the virus on to my partner.”

“I can take a drug that reduces the frequency of outbreaks.”

“Antiviral drugs, it taken long enough, can cure the virus.”

•             Question 17        A campus nurse is teaching a group of college students about safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives?

Answers:             Women who had an abortion

Women who have given birth

Women who have had an IUD in the past.

Women who smoke heavily.

•             Question 18        A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide?        NUR2407 Pharmacology Quiz 5

Answers:             “Apply lotion, covering head to toe every day for 7 to 10 days. Shower after 30 minutes”

“Apply cream once over body, but not head, wrap with gauze, rinse after 8-12 hours.”

“Apply cream once, cover yourself from head to toe and rinse after 10 minutes.”

“Shampoo your hair with Permethrin. Cover with a shower cap. “Leave in place for 16 hours.

•             Question 19        What conditions would be a contraindication for testosterone therapy for hypogonadism? (select all that apply).

Answers:

Hypercalcemia

Male infertility

delayed puberty

Previous myocardial infarction

Prostate Cancer

Member in the household is pregnant

•             Question 20        The nurse is providing client education after laboratory findings reveal am elevated thyroid-stimulating hormone (TSH). How would the nurse best explain the implications of the laboratory finding to the client?

Answers:             “Hypothyroidism causes a decrease in TSH.”

“The test probably is erroneous, because you don’t have a goiter.”

“TSH is not a good screening test for thyroid disease.”

“ A high TSH implies the need for thyroid medication.”