NGR 6172 Pharm Midterm Exam- Questions and Answers GRADED A-1). A patient who takes daily doses of aspirin is scheduled for surgery next week. The nurse should advise the patient to: a. continue to... use aspirin as scheduled. b. reduce the aspirin dosage by half until after surgery. c. stop using aspirin immediately. d. stop using aspirin 3 days before surgery. C Aspirin must be withdrawn at least 1 week before surgery. Aspirin cannot be continued as scheduled, because the risk for bleeding is too great. An interval of 3 days is not long enough for the bleeding effects of aspirin to be reversed. Cutting the dose in half would not reduce the effects of bleeding associated with aspirin use. 2). A patient who takes aspirin for rheumatoid arthritis is admitted to the hospital complaining of headache and ringing in the ears. The plasma salicylate level is 300 mcg/mL, and the urine pH is 6.0. What will the nurse do? a. Increase the aspirin dose to treat the patient's headache. b. Notify the provider of possible renal toxicity. c. Prepare to provide respiratory support, because the patient shows signs of overdose. d. Withhold the aspirin until the patient's symptoms have subsided. D This patient shows signs of salicylism, which occurs when ASA levels climb just slightly above the therapeutic level. Salicylism is characterized by tinnitus, sweating, headache, and dizziness. Tinnitus is an indication that the maximum acceptable dose has been achieved. Toxicity occurs at a salicylate level of 400 mcg/mL or higher. ASA should be withheld until the symptoms subside and then should be resumed at a lower dose. Increasing the dose would only increase the risk of toxicity. Signs of renal impairment include oliguria and weight gain, which are not present in this patient. This patient has salicylism, not salicylate toxicity, so respiratory support measures are not indicated. 3). A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient? a. Antihistamines should be avoided unless absolutely necessary. b. Second-generation antihistamines are safer than first-generation antihistamines. c. Antihistamines should not be taken during pregnancy but may be taken when breast-feeding. d. The margin of safety for antihistamines is clearly understood for pregnant patients. A Antihistamines are pregnancy Category C, with debate currently occurring regarding degree of effects on the fetus. They should be avoided unless absolutely necessary. All antihistamines have adverse effects on the fetus. Antihistamines can be excreted in breast milk. The margin of safety of antihistamines in pregnancy is not clear, so these agents should be avoided unless a clear benefit of treatment outweighs any risks 4). A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine [Zyrtec] syrup once daily. The parents tell the nurse that the child does not like the syrup, and they do not think that the drug is effective. The nurse will suggest they discuss which drug with their child's healthcare provider? a. Cetirizine [Zyrtec] 5-mg chewable tablet once daily b. Loratadine [Claritin] 10-mg chewable tablet once daily c. Fexofenadine [Allegra] syrup 5 mL twice daily d. Desloratadine [Clarinex] 5-mg rapid-disintegrating tablet once daily A The child is receiving a low dose of cetirizine and can receive up to 5 mg per day in either a single dose or two divided doses. Cetirizine is available in a chewable tablet, which this child may tolerate better, so the parents should be encouraged to explore this option with their provider. The loratadine 10-mg chewable tablet is approved for children 6 years and older. Fexofenadine would be safe for this child, but it is unlikely that the syrup would be any better than the cetirizine syrup. Desloratadine is not approved for children under the age of 12 years. 5). A 1-year-old child is scheduled to receive the MMR vaccine, pneumococcal vaccine (PCV), Varivax, and hepatitis A vaccine. The child's parents request that the MMR vaccine not be given, saying that, even though there is no demonstrated link with autism, they are still concerned about toxic levels of mercury in the vaccine. Which response by the nurse is correct? a. "Most U.S.-made vaccines have zero to low amounts of mercury." b. "Other vaccine preparations contain mercury as well." c. "Thimerosal is a nontoxic form of mercury." d. "You can get more mercury from breast milk and many foods on the market." A Because of concerns about mercury levels, most U.S.-made vaccines contain either zero or very low amounts of mercury. Some multidose vials of flu vaccine still contain thimerosal, but even that is a very low amount. Telling parents that other vaccines contain mercury will increase their suspicion about vaccines and further reduce their trust. Thimerosal is a mercury-based preservative and thus has the same toxicity as mercury. Although it is true that mercury is found in breast milk and other foods, telling parents this belittles their concerns about the vaccines. 6). A patient with moderate to severe chronic pain has been taking oxycodone [OxyContin] 60 mg every 6 hours PRN for several months and tells the nurse that the medication is not as effective as before. The patient asks if something stronger can be taken. The nurse will contact the provider to discuss: a. administering a combination opioid analgesic/acetaminophen preparation. b. changing the medication to a continued-release preparation. c. confronting the patient about drug-seeking behaviors. d. withdrawing the medication, because physical dependence has occurred. B Oxycodone is useful for moderate to severe pain, and a continued-release preparation may give more continuous relief. Dosing is every 12 hours, not PRN. A combination product is not recommended with increasing pain, because the nonopioid portion of the medication cannot be increased indefinitely. This patient does not demonstrate drug-seeking behaviors. Physical dependence is not an indication for withdrawing an opioid, as long as it is still needed; it indicates a need for withdrawing the drug slowly when the drug is discontinued. 7). A patient will receive buprenorphine [Butrans] as a transdermal patch for pain. What is important to teach this patient about the use of this drug? a. Avoid prolonged exposure to the sun. b. Cleanse the site with soap or alcohol. c. Remove the patch daily at bedtime. d. Remove hair by shaving before applying the patch. A Patients using the buprenorphine transdermal patch should be cautioned against heat, heating pads, hot baths, saunas, and prolonged sun exposure. The skin should be cleaned with water only. The patch should stay on for 7 days before a new patch is applied. Patients should remove hair by clipping, not shaving. 8). A patient has been taking methadone [Dolophine] for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographic changes? a. Prolonged QT interval b. Prolonged P-R interval c. AV block d. An elevated QRS complex A Methadone prolongs the QT interval. It does not prolong the P-R interval, cause AV block, or produce an elevated QRS complex. [Show More]
Last updated: 4 days ago
Preview 1 out of 20 pages
Food and Nutrition> EXAM > ServSafe Manager Exam. COMPLETE SOLUTION with 80 Questions And Answers. (All)
what should you do when taking a food order from customers who have concerns about food allergies - ✔✔Describe each menu item to the customer who ask, including any "secret" ingredients What temper...
By Tessa , Uploaded: Jun 24, 2022
$11
Trauma Nurse Core Course (TNCC)> EXAM > TNCC 8th Edition Questions and Answers. (Updated 2023) Trauma Nurse Core Course (TNCC). 52 Questions with 100% Correct Answers (All)
What are the greatest risks for transport? - ✔✔Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deteriorati...
By Tessa , Uploaded: May 11, 2022
$11
*NURSING> EXAM > ATI PN comprehensive predictor 2020/2021 180 Questions And Answers.(SCORE A GUARANTEED) (All)
Ati PN comprehensive predictor 2020/2021 180 Questions And Answers.(SCORE A GUARANTEED)
By Rixx Dennis , Uploaded: Nov 17, 2021
$46
*NURSING> EXAM > APEA 3P Exam. NUR 634 Grand Canyon University. NUR-634 APEA 3P Exam Contains 150 Commonly Tested Questions and Answers. (All)
Grand Canyon University - NURSING NUR-634: APEA 3P Exam Questions and Answers 1. The groove of the metacarpophalangeal joint can be palpated by having the patient: 2. When auscultating breath soun...
By Kirsch , Uploaded: Mar 30, 2020
$13.5
*NURSING> EXAM > NAPSR Test. FINAL EXAM. Contains 160 Questions and Answers. (All)
NAPSRX Test 1.How are drugs sorted into therapeutic groups and classes? A. first by the conditions that they are used to treat, and then by their mechanisms of action B. first by their me...
By James , Uploaded: Apr 13, 2020
$16
Software Engineering> EXAM > Agile Exam Questions and Answers. This Document Contains 65 Questions and Answers. (All)
TI F.P 100,23 Agile Exam Questions and Answers 1- What does NOT match with Agile Manifesto? Process and tools over individuals and interactions Working software over comprehensive documentatio...
By Kirsch , Uploaded: Dec 31, 2020
$9
*NURSING> EXAM > NURS 6521N Midterm Exam Advanced Pharmacology Walden University - 100 Questions and Answers. Score 94% (All)
NURS 6521NMidterm Exam Advanced Pharmacology. 100 Questions and Answers: • Question 1 1 out of 1 points A nurse works in a private hospital and needs to administer some narcotic drugs to one...
By QuizMaster , Uploaded: Aug 14, 2020
$12
*NURSING> EXAM > NUR2868 Role and Scope Exam 3. Rasmussen College:. The most frequently tested Questions and Answers. 100%. (All)
Role and Scope Exam 3 1.) A school nurse conducting a screening for pediculosis capitis identifies several children who need treatment. What advice do you give the parents? 2.) One of the tenet...
By QuizMaster , Uploaded: Aug 24, 2020
$10
*NURSING> EXAM > NURS 120 Introduction to Nursing Informatics Final Examination. 80 Questions and Answers. (All)
NURS 120: Introduction to Nursing Informatics Final Examination Why is it difficult to integrate information from all hospital departments into a single hospital information system? a. Individual...
By succeeded , Uploaded: Sep 08, 2020
$10
*NURSING> EXAM > ATI Nutrition Proctored, Questions and Answers. (All)
ATI Nutrition Proctored, Questions and Answers. Latest 2020/2021. 1. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the followin...
By Quality Suppliers , Uploaded: Feb 18, 2021
$9
Connected school, study & course
About the document
Uploaded On
Feb 01, 2022
Number of pages
20
Written in
This document has been written for:
Uploaded
Feb 01, 2022
Downloads
0
Views
74
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
We're available through e-mail, Twitter, Facebook, and live chat.
FAQ
Questions? Leave a message!
Copyright © Browsegrades · High quality services·