NURSING 6005 PHARM QUIZ 3. | GRADED A

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NURSING 6005 PHARM QUIZ 3. Question 1 A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to ... A. change to another similar drug if lovastatin proves to be ineffective. B. drink moderate amounts of alcohol. C. avoid prolonged exposure to sunlight. D. use over-the-counter (OTC) drugs to treat any muscle cramps or pain. Question 2 A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely A. increase the serum creatinine level. B. decrease drug absorption in the blood. C. decrease the amount of circulating blood sent through the kidneys. D. increase the synergistic effect of the drug. Question 3 A nurse is providing patient education to a 35-year-old man who has been prescribed clonidine (Catapres) as part of step 2 antihypertensive therapy. The nurse should anticipate that the drug will be administered A. intravenously. B. subcutaneously. C. orally. D. transdermally. Question 4 A patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? A. Blood urea nitrogen (BUN) B. Heart rate C. Urinary output D. Blood pressure Question 5 A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it A. inhibits cholesterol syntheses. B. consists of a fibric acid derivative. C. is a bile-acid resin. Question 6 A nurse is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the nurse assess before beginning drug therapy? A. Serum magnesium levels B. Blood glucose levels C. Serum calcium levels D. Serum potassium levels Question 7 A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.) A. Temperature B. Respiratory rate C. Oxygen saturation D. Blood pressure E. Heart rate Question 8 A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain? A. Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided B. Call the physician C. Have the patient swallow a tablet every 5 minutes for 15 minutes D. Ask the patient to lie back and try to relax Question 9 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 A. binding LDL to HDL. B. oxidizing cholesterol to bile acids. C. inhibiting the synthesis of cholesterol. D. mitigating the harmful effects of atherosclerosis by promoting vasodilation. Question 10 A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the nurse to monitor? A. Sodium levels B. Potassium levels C. Liver enzymes D. Electrocardiogram results Question 11 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are A. an adverse effect of the diuretic. B. an idiosyncratic reaction to clonidine. C. signs of peripheral neuritis. D. a result of new onset diabetes. Question 12 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 A. weigh the patient. B. monitor the patient's respiratory rate. C. question the patient about her dietary intake. D. monitor the patient's blood pressure. Question 13 Which of the following patients is most likely to benefit from the administration of an adrenergic agonist? A. A woman who is in labor and may require a caesarean section B. A woman who has been admitted with a suspected ischemic stroke C. A man who has a diagnosis of primary hypertension D. A man who is in cardiogenic shock following a myocardial infarction Question 14 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD). His drug therapy includes lovastatin. Because the patient has a history of severe renal disease, the nurse will assess for which of the following? A. Decrease in plasma concentration of lovastatin B. Decrease in LDL C. Increase in plasma concentration of lovastatin D. Increase in the statin tolerance level Question 15 A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention? A. To treat the patient's ventricular tachycardia B. To resolve the patient's uncompensated heart failure C. To convert the patient's atrial fibrillation to normal sinus rhythm Question 16 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's A. exercise tolerance. B. blood pressure. C. intake and output. D. cognition. Question 17 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? A. Give the nitroprusside at the ordered rate B. Obtain an order for naloxone C. Slow the rate of the infusion D. Ask the prescriber to reduce the dose Question 18 A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by A. decreasing sodium and potassium conduction. B. blocking adrenergic receptors and producing antisympathetic effects. C. weakening diastolic depolarization and the action potential duration. D. inhibiting the movement of calcium ions across the cardiac muscle cell membrane. Question 19 The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any “bad side effects” that she should be aware of. Which of the following statements should underlie the nurse's response? A. Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. B. The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. C. Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects. D. The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. Question 20 A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nurse? A. “I don't know; I will have to ask your physician.” B. “No, the drug dosage will have to be decreased.” C. “No, the drug dosage will likely stay the same.” Question 21 A nurse is responsible for patient education for a 48-year-old woman who has been prescribed colestipol. The nurse will instruct the patient to take the medication A. after a meal. B. two hours before a meal. C. at bedtime. D. before a meal. Question 22 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? A. Close monitoring of the patient's electrolyte levels B. Checking the patient's blood glucose levels before each meal and at bedtime C. Supervision of the patient when performing activities of daily living D. Frequent assessment of the patient's cardiac status Question 23 A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments? A. Heart rate and blood pressure B. Level of consciousness and pain level C. Temperature and respiratory rate D. Oxygen saturation and respiratory rate Question 24 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 A. a calcium channel blocker. B. a beta blocker. C. an ACE inhibitor. D. a diuretic. Question 25 A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for A. nitrate tolerance. B. nitrate dependence. C. adverse effects. D. toxic effects. • Question 1 1 out of 1 points [Show More]

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