NURS 6521 ADVANCED PHARMACOLOGY TEST QUIZ 2021/2022

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NURS 6521 ADVANCED PHARMACOLOGY TEST QUIZ 2021/2022 •Question 1 A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history o... f asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because 0out of 1 points Response Feedback: Dextromethorphan is contraindicated in patients with asthma. If coughing were to be suppressed, these patients may retain secretions, and this would exacerbate the disease. Dextromethorphan does not result in persistent coughing or thickening of respiratory secretions. The drug may lead to serotonin syndrome if used with MAOIs. •Question 2 A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for 1out of 1 points daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? Response Feedback: Dysphonia and oropharyngeal Candida albicans infections are common adverse effects associated with daily use of ICS. Long- term use of ICS may delay growth in children, not adults. Suppression of the hypothalamic-pituitary-adrenal axis is a rare adverse effect, and hypotension is not an identified adverse effect of the drug. •Question 3 A 47-year-old woman has been diagnosed with open-angle glaucoma. 1 out of 1 points 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 Response Feedback: The nurse should instruct the patient to remove the contact lenses before applying the drops to the eyes. If pilocarpine drops are applied to the eyes when soft contact lenses are in place, the lenses can deteriorate or absorb the drug. There is no need to stop wearing contact lenses during this therapy, but application of the lenses should take place after the drops have been applied. •Question 4 1 out of 1 points 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 Response Feedback: Dextromethorphan may cause sedation, drowsiness, and impaired orientation, so it may be dangerous for the patient to operate a crane during drug therapy. The patient's age, smoking habits, and diabetes would not present a significant or immediate safety risk to the patient or others. •Question 5 Children age 6 to 11 are recommended to start with what dosage of Allegra? •Question 6 1 out of 1 points 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. [Show More]

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