Advanced Pharm Week 4 Quiz.docx - 1 A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma

Advanced Pharm Week 4 Quiz.docx - 1 A nurse is providing...

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Unformatted text preview: 1. A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient A . B . C . D . has a high coffee intake. prefers a high-calorie diet. is a 56-year-old man. has a history of pneumonia. 1 points 1. QUESTION 2 A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? A . B . C . “You should take the medication twice a day.” “This drug has to be taken every 4 to 6 hours.” “Determine if the drug is going to make you drowsy before you drive.” D “Be sure to take this medication on a full stomach.” . 1 points QUESTION 3 1. A nurse is assigned to a patient who is receiving IV aminophylline. The nurse is aware that the IV infusion rate should be no more than 100 mg/minute. B no more than 25 . mg/minute. C not less than 10 . mg/minute. D not less than 15 . mg/minute. A . 1 points 1. QUESTION 4 A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? A . B . C . D . Take it on an empty stomach, 1 hour before or 2 hours after meals Take it with foods containing xanthines, such as caffeine Increase the drug dosage up to 50% Take it with a meal 1 points 1. QUESTION 5 A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? A . B . C . Anaphylactoid reaction Paradoxic acute bronchospasm Asymptomatic elevated hepatic enzymes levels D Symptomatic hepatitis with . hyperbilirubinemia 1 points QUESTION 6 1. A 54-year-old male patient with small-cell lung cancer is receiving etoposide. The nurse will carefully monitor for which of the following? Hypotensio n B Hypoglyce . mia C Hypertensi . on D Tachycardi . a A . 1 points 1. QUESTION 7 Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? A . B . C . Increased blood pressure Urinary retention Gastrointestinal distress D . Increased blood glucose 1 points 1. QUESTION 8 A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate nursing action would be to A . B . C . D . slow the administration of acetylcysteine and administer diphenhydramine if ordered. stop the administration of acetylcysteine. remove any residual drug from the patient's face. dilute the acetylcysteine solution. 1 points QUESTION 9 1. A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? “If that's something in which you and your family see potential benefit, I'd encourage you to pursue it.” B “Unfortunately, your current chemotherapy program will likely preclude . the use of herbs.” C “It's likely best to begin taking herbal remedies after you've completed . this round of chemotherapy.” D “It's important to discuss what herbs you'll be taking with your doctor or . the pharmacist to make sure there aren't any interactions.” A . 1 points 1. QUESTION 10 A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking A . a tablet. B a . syrup. C an . elixir. Da . troche. 1 points 1. QUESTION 11 The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a “rescue drug” for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? A . B . C . D . Beclomethas one Albuterol Theophylline Acetylcystei ne 1 points QUESTION 12 1. A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid menstrual irregularities. B gastrointestinal . problems. C adrenal . insufficiency. D hypokalemia. A . . 1 points 1. QUESTION 13 A college student has presented the campus medical clinic complaining of cold symptoms that he has been experiencing for the past 2 weeks. He tells the nurse that he has been taking OTC decongestants twice daily since the onset of the cold. What teaching point should the nurse provide to this student? A . “You might find yourself more congested than ever as your body compensates for your use of these drugs.” B “Over-the-counter decongestants don't normally work; you'll likely need . to get a prescription for something more effective.” C “You can probably expect to get relief within the next few days or a . week at the longest.” D “It's best to take small doses of decongestants several times daily . rather than two larger doses each day.” 1 points 1. QUESTION 14 Children age 6 to 11 are recommended to start with what dosage of Allegra? A . 30 mg twice a day B 65 mg twice a . day C 120 mg twice a . day D 240 mg once a . day 1 points QUESTION 15 1. A female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following? A . B . C . D . The amount of tea or soft drinks she has during the day The number of cups of coffee she has during the day The amount of water she drinks every day The amount of grapefruit or orange juice she has during the day 1 points 1. QUESTION 16 A woman has a long history of seasonal allergies that are typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes are a result of A . stimulation of goblet cells and mast cells by the presence of microorganisms. B elevated CO2 levels that are detected by chemoreceptors in . the large vessels. C a CNS reflex that is initiated by receptors in the nasal . cavities. D a reflex that is caused when irritants come into contact with . cilia. 1 points QUESTION 17 1. A nurse is providing patient education to a 42-year-old man who has been prescribed dextromethorphan (Robitussin). The patient is a crane operator for a local construction company. The nurse's assessment reveals that the patient is a smoker and has diabetes. The most important safety consideration while the nurse is designing a plan of care for this patient would be the fact that he is A . B . a diabetic. a crane operator. C 42 years of . age. D a smoker. . 1 points 1. QUESTION 18 The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? A . The carina, where the trachea bifurcates into two bronchi, closes off the lower airway in response to noxious stimuli. B Cilia sweep foreign material and mucus upward toward the trachea and . larynx where they can then be swallowed. C Goblet cells throughout the lower airways produce phagocytes that trap . particles and microorganisms. D The alveoli produce positive pressure in order to expel particles that . have been inhaled. 1 points QUESTION 19 1. A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because A . B . C . secretions may be retained. serotonin syndrome may result. respiratory secretions may be thickened. D persistent coughing may . develop. 1 points QUESTION 20 1. A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse should instruct her to do which of the following? A . B . Drink plenty of fluids Take nonnarcotic analgesics C Take the drug with . food D Schedule blood tests . 1 points 1. QUESTION 21 A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? A . B . The amount of salt intake The number of cigarettes smoked per day C The amount of alcohol . consumption D The amount of fatty foods eaten . daily 1 points QUESTION 22 1. A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do. The nurse will instruct her to A . B . C . D . skip the evening dose and start back in the morning. forget about the morning dose and take the evening dose. double her evening dose. take the morning dose now and the evening dose at the regular time. 1 points 1. QUESTION 23 A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which of the following common adverse effects of the drug? A Throat . B . C . D . irritation Dyspepsia Headache Muscle cramps 1 points 1. QUESTION 24 A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to A . B . apply the drops directly on the contact lenses. stop wearing the contact lenses during the pilocarpine therapy. C apply the contact lenses and wait 5 minutes before . applying the drops. D remove the contact lenses before applying the drops. . 1 points QUESTION 25 1. A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? A . B . Phenelzine (Nardil) Calcium supplements C Metoprolol . (Lopressor) D Metformin . (Glucophage) 1 points 1. QUESTION 26 A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? A . Delayed growth B . C . D . Suppression of the hypothalamic-pituitaryadrenal axis Oropharyngeal Candida albicans infection Hypotension 1 points 1. QUESTION 27 A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? A . B . C . D . Signs of an active lung infection Need for additional bronchodilation Enlarged prostate gland Hypersensitivity to povidone 1 points QUESTION 28 1. A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? A . B . C . D . “This schedule will enable you to lose weight.” “This schedule will be more convenient for you.” “This schedule will decrease the cost of your medication.” “This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue.” 1 points 1. QUESTION 29 A 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in A . B . C 5 minutes. 60 minutes. 10 minutes. . D . 15 to 30 minutes. 1 points QUESTION 30 1. A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? A . B . C . D . Salt Alcohol Coffee Vitamin C 1 points Review Test Submission: Week 4 - Quiz User Course Test Started Submitted Status Attempt Score Time Elapsed Instructions DELIA CLAVEL Abaya NURS-6521N-32,Advanced Pharmacology.2016 Winter Qtr 11/28-02/19-PT27 Week 4 - Quiz 12/16/16 12:59 AM 12/16/16 1:30 AM Completed 30 out of 30 points Results Displayed Feedback 31 minutes out of 1 hour and 15 minutes Please answer each question below and click Submit when you have completed the Quiz. Question 1 1 out of 1 points A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient Response Feedback : Caffeine has sympathomimetic effects that may increase the risk for adverse effects with albuterol. The nurse should assess the patient's intake of caffeine through coffee, tea, soda, cocoa, candy, and chocolate. The patient's age, history of pneumonia, and preference for high-calorie food would not have important implications for his albuterol drug therapy. Question 2 1 out of 1 points A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Response Feedback : Loratadine (Claritin) is a second-generation antihistamine and does not usually cause drowsiness like the first-generation medications; however, the patient should take it for at least a day to determine the drug's effect before driving. Loratadine should be taken on an empty stomach to increase absorption. The drug is taken only once a day. Brompheniramine, a nonselective H1 blocker (first-generation antihistamine) is taken every 4 to 6 hours. Fexofenadine can be taken twice daily. Question 3 1 out of 1 points A nurse is assigned to a patient who is receiving IV aminophylline. The nurse is aware that the IV infusion rate should be Response Feedback: Aminophylline is more soluble than theophylline and is therefore preferred when IV administration is recommended. It is important to administer IV aminophylline no faster than 25 mg/minute. Question 4 1 out of 1 points A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? Response Feedback : Sustained-release preparations of theophylline should be taken on an empty stomach, 1 hour before or 2 hours after meals. Immediate-release preparations should be administered with meals to alleviate gastrointestinal distress. Foods containing xanthines, in particular caffeine, increase the effects of theophylline, but they do not help minimize the adverse effects of theophylline. Patients who smoke may require an increase in theophylline dosage of up to 50%, but increasing the dosage is not a nursing responsibility. Question 5 1 out of 1 points A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? Response Feedback : Ipratropium aerosols may produce paradoxic acute bronchospasm, which may be fatal. Although this is rare, the adverse effect is typically evident with the patient's first inhalation from a newly opened MDI. The patient should be advised to “test spray” the new MDI three times before using it. The anaphylactoid reaction occurs when a patient has an unknown allergy to soybeans, legumes, or soy lecithin. Severe adverse effects of asymptomatic elevated hepatic enzyme levels and symptomatic hepatitis with hyperbilirubinemia are normally associated with zafirlukast. Question 6 1 out of 1 points A 54-year-old male patient with small-cell lung cancer is receiving etoposide. The nurse will carefully monitor for which of the following? Response Feedback: The nurse should observe the patient closely for hypotension and anaphylactic reactions. The drug should not cause hypertension, hypoglycemia, or tachycardia. Question 7 1 out of 1 points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Response Feedback: The most common adverse effects of guaifenesin use are GI symptoms, including nausea, vomiting, and anorexia. Increased blood pressure, increased blood glucose, and urinary retention are not commonly identified adverse effects of this drug. Question 8 1 out of 1 points A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate nursing action would be to Response Feedback : A frequent adverse reaction to IV acetylcysteine is facial flushing. If this occurs, the nurse should slow the IV infusion and administer diphenhydramine, which is an antihistamine ordered by the physician whenever acetylcysteine is ordered. A patient receiving IV acetylcysteine should also be monitored for anaphylactic reaction, which is indicated by tightness in the chest, rash, hypotension, and tachycardia. If any of these signs occurs, the nurse should immediately stop the infusion. Removing residual drug from the face would not be an option, since the medication is delivered via the IV route and is not a drug that can be applied topically. Diluting acetylcysteine would not serve to minimize this adverse effect. Question 9 1 out of 1 points A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? Response Feedback: Herbal remedies are not necessarily contraindicated during chemotherapy, but their safety must be carefully assessed to prevent adverse interactions. Question 10 1 out of 1 points A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking Response Feedback : An elixir is a clear hydro-alcoholic mixture that is usually sweetened. Most elixirs contain ethanol and water. Ethanol is a form of alcohol, and the content may exceed 25%. Patients with a history of alcohol abuse should be informed that elixirs contain alcohol, so they are not inadvertently exposed to alcohol. The other medication forms have no special considerations relevant to this patient. Question 11 1 out of 1 points The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen...
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  • Fall '13
  • bronchial asthma, Dextromethorphan

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