Pharm Exam 7

A postmenopausal woman is administered estradiol (Estraderm). What complication of menopause will be prevented in this woman? a) Endometriosis b) Uterine Cancer c) Osteoporosis d) Amenorrhea

C

Prior to caring for a patient who is being treated with enoxaparin (Lovenox) for the treatment of deep vein thrombosis (DVT), the nurse understands which of the following about this medication? a) Routine coagulation tests are required daily b) The nurse must expel air bubbles before administering it subcutaneously c) They are less likely to cause thrombocytopenia than heparin d) Vitamin K partially reverses the effects

C

Which male patient should the nurse consider at risk for complications when taking sildenafil (Viagra), a sexual stimulant? a) A 56 year old patient with unstable angina b) An 87 year old patient with glaucoma c) A 44 year old patient with type 2 diabetes d) A 32 year old patient with an L1 spinal cord injury

A

Avoidance of heat/sun exposure while using an estrogen transdermal patch is related to which of the following? a) Estrogen increases the chance of heat stroke b) The patch dissolves in the sunlight c) The estrogen is absorbed more quickly when exposed to heat d) Sun exposure is contraindicated with all estrogen preparations

c

The patient is receiving telemetry is exhibiting supraventricular tachycardia. Which antidysrhythmic medication should the nurse administer? a) Lidocaine b) Atropine c) Adenosine d) Epinephrine

c

The patient who is 32 weeks pregnant and in preterm labor is prescribed terbutaline (Brethine), a beta-adrenergic agonist. Which data warrants intervention by the nurse? a) The patient's respiratory rate is 34 b) The fetus's heart rate is 150 bpm c) The patient's apical heart rate is 104 d) The patient reports no contractions

A

Which hormone initates contractions in a pregnant mother? a) Oxytocin b) Prolactin c) Insulin d) Follicle Stimulating Hormone

A

The adolescent patient is prescribed the birth control medication depot medroxyprogesterone (Depo Provera). Which intervention should the clinic nurse implement? (Select all that apply) a) Instruct the patient to schedule an appointment every 3 months b) Explain that infertility may occur up to 2 years after discontinuing c) Demonstrate how to administer the medication subcutaneously in the abdomen d) Discuss how to care for the intrauterine device inserted in her vagina e) Tell the patient that she will not have to take a pill every day

A, B, E

A 59 year old patient is on warfarin therap. On follow up visits to the clinic, the nurse will assess the patient for which of the following? a) Blood glucose level b) Intake of vitamin K c) Presence of skin-related disorders d) Presence of breathing disorders

B

A 70 year old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Which of the following describes the mechanism by which Verapamil achieves its therapeutic effect? a) Blocking adrenergic receptors and producing antisympathetic effects b) Inhibiting the movement of calcium ions across the cardiac muscle cell membrane c) Decreasing sodium and potassium conduction d) Weakening diastolic depolarization and the action potential duration

B

A male patient complains of impotence. The nurse examines the patient's medication regimen and is aware that a contributing factor to impotence could be a) Aspirin b) Antihypertensives c) Nonsteroidal Anti-Inflammatory Drugs d) Anticoagulants

B

A nurse has been caring for a 49 year old man who was hospitalized with recurrent ventricular fibrillation and received IV amiodarone. The man is now scheduled to be discharged on oral amiodarone, and the nurse has just completed discharge instructions. Which of the following statements made by the patient indicates tat further instruction is necessary? a) "I will notify my physician if I develop a cough and have difficulty breathing" b) "I am going on a cruise next week and plan to just lie in the sun all day and relax" c) "I plan to see my ophthalmologist in 2 weeks" d) "It is important for me to have my thyroid gland checked regularly"

B

Adverse effects of Adenosine, a miscellaneous antidysrhythmic, include which of the following? a) GI upset and excessive belching b) Facial flushing, dyspnea, and chest pain c) A metallic taste in the mouth and ringing of the ears d) Rash, cough, and angioedema

B

Class IB drugs such as lidocaine are most often used in the management of.. a) Atrial dysrhythmias b) Ventricular dysrhythmias c) Both atrial and ventricular dysrhythmias d) heart block

B

Dopamine (Intropin), a vasopressor, is used in the management of.. a) Hypertensive crisis b) Shock c) Rebound tachycardia d) Acute respiratory failure

B

A patient diagnosed with mild benign prostatic hypertrophy (BPH) is prescribed the 5-alpha reductase inhibitor finasteride (Proscar) to relieve symptoms of urinary frequency. Which intervention should the clinic nurse implement? a) Tell the patient to drink at least 8-10 glasses of water a day b) Schedule an appointment with an HCP for a 1-week followup examination c) Have the laboratory draw a prostate-specific antigen level d) Give the patient a urinal to measure his daily output of urine`

C

A young woman is being seen in the gynecology clinic of the local health department. She has decided to begin hormonal contraceptives. Which of the following statements best describes the mechanism of action of hormonal contraceptives? a) The pituitary gland increases the release of leutenizing hormone. b) Oral contraceptives are effective at preventing both pregnancy and the transmission of sexually transmitted infections c) The secretion of GNRH is enhanced in the hypothalamus d) They interfere with endometrial maturation

D

The baseline INR of a client receiving warfarin (Coumadin) was 1.2 seconds. The nurse notes that the INR value is 2.3 prior to administration of the next dose of medication. The appropriate nursing action is to do which of the following? a) Hold medication, and contact the physician b) Administer the antidote, and observe for bleeding c) Notify the physician so that the dose can be increased d) Administer the medication is ordered

D

The nurse is caring for a client taking both gemfibrozil (Lopid) and warfarin (Coumadin). To maintain safety relative to the interaction of these nurse should monitor the client closely for.. a) Clot formation b) Hyperlipidemia c) Myolysis d) Bleeding

D

What is the prototype for class II antidysrhythmic agents? a) Quinidine b) Flecainide (Tambocor) c) Lidocaine d Propanolol (Inderal)

D

The postmenopausal patient is prescribed alendronate (Fosamax), a biphosphonate, to help prevent osteoporosis. Which information should the nurse discuss with the patient? a) Chew the tablet throughoutly before swallowing b) Eat a meal prior to taking the medication c) Drink one glass of water when taking the medication d) Take the medication first thing in the morning e) Remain upright 30 minutes after taking the medication

D and E

A nurse is caring for a 64 year old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? a) Coumadin b) Alteplase c) Ticlopidine d) Protamine sulfate

d