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Question 111 out of 1 pointsA male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?Response Feedback:It is important to assess the patient's urinary patterns in order to gauge a therapeutic effect. Changes in serum cholesterol levels, bone growth, and hemoglobin levels are not associated with finasteride therapy.Question 121 out of 1 points
A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sureResponseFeedback:If prolonged drug use is necessary and poses a risk to the woman or the fetus, the pregnant woman and the fetus need to be monitored for both therapeutic and adverse effects of drug therapy. Serum levels of the drug should be monitored to detect elevations that may lead to adverse effects and the need for dosage adjustments. The FDA would not need to be informed that the woman is receiving drug therapy. At this point, with the patient already taking the drug, it is not necessary to check the FDA category of the drug. The use of nonpharmacologic alternatives is a good idea but would not beas critical as monitoring drug levels.Question 131 out of 1 pointsA nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is becauseResponseFeedback:Drugs may compete with the hormones of pregnancy for albumin-binding sites, which may result in a larger amount of unbound (or free) drug in circulation, leaving the drug available to cross the placental membrane and enter the fetal circulation. A drug does not enter the fetal circulation as a direct result of increases in blood volume and heart rate or theoccurrence of hemodilution.Question 141 out of 1 pointsA nurse practitioner is reviewing the prepregnancy medication regimen ofa patient who has just had a positive pregnancy test. The nurse should beaware of which of the following changes in pharmacokinetics that accompanies pregnancy?ResponseFeedback:The hemodynamic changes during pregnancy, such as increased blood volume and heart rate, increase the distribution of drugs. GFR and tidal volume both typically increase during pregnancy, resulting in increased excretion rates and increased absorption of inhaled drugs, respectively. Drug metabolism is not affected by pregnancy.Question 151 out of 1 points
A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medicationResponse Feedback:Oxybutynin is available as a transdermal patch and causes dry mouth approximately 60% of patients. The drug is not