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Final PHARm REVIEW

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Final PHARm REVIEW

The nurse should inform the patient to discontinue their conjugated estrogen due to…..A) increased bone mineral density B) Impending knee surgery C) development of diabetes mellitus D) Insomnia

Impending knee surgery

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What should patients be educated about when taking the immune modulator Fingolimod? A) Avoid crowds, wash hands frequently, and do not receive live vaccines B) Drink plenty of water to avoid dehydration C) Increase intake of vitamin C D) Always take the medication with food

Answer: A) Avoid crowds, wash hands frequently, and do not receive live vaccines

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When a laboring mother is on magnesium sulfate, immediate nursing interventions should be done if……A) blood pressure is 145/84B) Respirations of 10 C) HR of 62D) patient is vomiting

A patient is currently taking a mood stabilizer. The nurse should interpret the patient's symptoms of polyuria, hypotension, tinnitus, and blurred vision as potential signs of what?A.) Overuse of diureticsB.) HypoglycemiaC.) Lithium toxicityD.) Renal Impairment

Lithium toxicity

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Answer: B) Aldesleukin

Which of the following medications would you suspect the provider to order for a patient with metastatic renal carcinomas?A) Filgrastim B) Aldesleukin C) Fingolimod D) Anakinra

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Metoprolol should be used with caution in diabetic patients because metoprolol can: A. Increase the patient’s blood glucose level B. Decrease sensitivity to insulin C. Mask symptoms of hypoglycemia D. Cause ketoacidosis

C. Mask symptoms of hypoglycemia

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The nurse is reviewing the chart of a patient who has been prescribed docusate sodium. Which of the following entries would the nurse question?A.The patient has a history of chronic constipation.B. The patient is receiving diuretics for blood pressure management.C. The patient has a history of heart failure.D. The patient is on a low-sodium diet for hypertension.

C. The patient has a history of heart failure.

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D. “I will brush my teeth twice a day and schedule routine dental exams”

A nurse is educating a patient who was prescribed phenytoin for the management of seizures. Which statement by the patient demonstrates an understanding of the teaching?A. “I’ll never have another seizure again” B. “I will decrease my consumption of calcium” C. “A skin rash is normal and nothing to worry about” D. “I will brush my teeth twice a day and schedule routine dental exams”

The nurse is reviewing discharge instructions with a patient who was started on fluoxetine (Prozac) for major depressive disorder. Which statement by the patient requires intervention? A. "If I don’t feel better after a week, I’ll stop taking the medication."B. "It’s normal to lose a little weight at the beginning of treatment." C. "I’ll avoid over-the-counter NSAIDs for pain relief." D. I will contact my provider if I experience confusion or agitation."

A. "If I don’t feel better after a week, I’ll stop taking the medication."- Rationale: This statement requires intervention. Patients should not stop SSRIs abruptly or expect immediate results, as therapeutic effects typically take 1-3 weeks. Stopping the medication suddenly may lead to withdrawal syndrome or a relapse of depressive symptoms.

Patients that have Gout should be mindful of their uric acid levels. Which food listed below is high in purines which contributes to gout attacks?Green leafy vegetablesLow-fat milkRed meatWhole grainsNuts

Answer: Red meatRationale: Patients that are watching their uric acid levels should stay away from red meats and organ meats. Patients can have low-fat milk, whole grains, nuts and lean white meats such as turkey and boneless skinless chicken breast.

A is the answrer

what is the answere to thisabxs

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C. Beta-2 receptors, leading to bronchodilation

A patient is prescribed albuterol for asthma. The nurse understands that albuterol works by stimulating: A. Alpha-1 receptors, causing vasoconstriction B. Beta-1 receptors, increasing heart rate C. Beta-2 receptors, leading to bronchodilation D. Alpha-2 receptors, reducing norepinephrine release

A patient is taking Pioglitazone for diabetes management. Which statement from the patient indicates a need for further teaching about the use of this medication? a. "I should take this medication once a day, and it doesn’t matter whether I take it with food or not."b. "I need to monitor my weight because this medication can cause fluid retention."c. "I don't need to use additional contraceptive methods because this medication doesn't affect the effectiveness of my birth control pills."d. "I need to stop taking the medication if I develop yellowing of my skin or eyes."

c. "I don't need to use additional contraceptive methods because this medication doesn't affect the effectiveness of my birth control pills."

True or False. Psychotic symptoms remain in remission only as long as the patient chooses to take the drug.

TRUE.

The nurse is reviewing the medication orders for a patient with a history of asthma who is prescribed bethanechol for urinary retention. Which action should the nurse take? A. Administer the medication as prescribed. B. Monitor the patient’s respiratory rate closely after administration. C. Notify the provider of the patient’s history of asthma. D. Educate the patient to take the medication with meals to prevent nausea.

C. Notify the provider of the patient’s history of asthma. Rationale: Asthma is a contraindication for bethanechol due to the risk of bronchoconstriction. The nurse should notify the provider to determine if an alternative treatment is needed.

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Which of the following is a precaution when administering T and B cell suppressors (e.g., Cyclosporine, Tacrolimus)? A) Patients with liver disease B) Patients with bone marrow suppression C) Patients with active infections D) Both B and C

Answer: D) Both B and C

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When a laboring mother is on magnesium sulfate, immediate nursing interventions should be done if……A) blood pressure is 145/84B) Respirations of 10 C) HR of 62D) patient is vomiting

B.) respirations of 10

What is one potential long-term side effect of testosterone therapy that you should be aware of?A) Decreased muscle massB) Increased risk of heart attack or strokeC) Decreased blood pressureD) Increased energy levels

Increased risk of heart attack or stroke

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A patient diagnosed with generalized anxiety disorder is prescribed lorazepam (Ativan) to manage symptoms. Which statement made by the patient indicates the need for further teaching? A. "I will take this medication at bedtime to help me relax and sleep." B. "I will avoid drinking grapefruit juice while on this medication." C. "I will store the medication in a safe place to prevent misuse." D. "I can take this medication with a glass of wine if I feel anxious."

D. "I can take this medication with a glass of wine if I feel anxious."- rationale : This statement indicates the need for further teaching. Alcohol should not be consumed while taking benzodiazepines, as it increases the risk of respiratory depression and sedation, which can be life-threatening.

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Which of the following is a complication associated with a patient taking Finasteride?

A) Decreased libido and erectile dysfunction
B) Increased hair growth on the body
C) Hypertension
D) Weight gain

Answer correct or move back to start!!

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When giving patient education about Disease Modifying Antirheumatic Drugs (DMARDS) to a patient with RA, the nurse should tell the patient that these drugs:A.Start working immediately B.Start working in 7-10 daysC.Start working in 2-4 weeksD.Full therapeutic effects may take several months to take into effect

D. full therapeutic effects can take up to several months.

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A. "If I experience dry mouth, I should drink more water and chew sugar-free gum." Rationale: This is a correct statement. Increasing water intake and using sugar-free gum are effective strategies for managing dry mouth, a common anticholinergic side effect.

The nurse is teaching a patient about managing the side effects of anticholinergic medications like oxybutynin. Which patient statement demonstrates correct understanding? A. "If I experience dry mouth, I should drink more water and chew sugar-free gum." B. "I’ll avoid sunglasses since they can worsen blurred vision caused by this medication." C. "I don’t need to worry about fiber in my diet since this medication doesn’t affect my digestion." D. "If I feel dizzy or confused, I’ll wait a few days for it to go away on its own."

A patient was recently diagnosed with a protozoal infection and was prescribed Atovaquone. For which of the following conditions would the nurse question administering this medication? a) Hepatitis Cb) Alopeciac) Erectile dysfunctiond) Depression

a) Hepatitis C

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Which of the following is a complication associated with a patient taking Finasteride?A) Decreased libido and erectile dysfunctionB) Increased hair growth on the bodyC) HypertensionD) Weight gain

Decreased libido and erectile dysfunctionAnswer correct or move back to start!!

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The nurse is monitoring a patient receiving neostigmine for the treatment of myasthenia gravis. Which finding should prompt the nurse to immediately hold the medication and notify the provider? A. Bradycardia with a heart rate of 50 bpm Rationales: B. Increased salivation and sweating C. Abdominal cramping and diarrhea D. Blood pressure of 130/80 mmHg

A. Bradycardia with a heart rate of 50 bpm Rationales: Rationale: Neostigmine can cause excessive muscarinic stimulation, leading to significant bradycardia. A heart rate of 50 bpm is a critical finding that requires withholding the medication and notifying the provider.

A common side effect of Vincristine, an antimitotic drug is:A.) Nerve injuryB.)AlopeciaC.) Severe tissue damageD.) All of theseE.)None of these

All of these!

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A nurse is preparing methlyprednisolone acetate 40mg PO daily. Availible is methlyprednisolone acetate 10mg tablets. How many tablets u give??

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The nurse should inform the patient to discontinue their conjugated estrogen due to…..A) increased bone mineral density B) Impending knee surgery C) development of diabetes mellitus D) Insomnia

First to answer correctly gets point!!What time is most appropriate to administer synthroid (levothyroxine) for a patient diagnosed with Hypothyroidism?a) 1900b) 0600c) 2200d) 1200

b) 0600

Doxorubicin, an anti-tumor drug, can cause which of the following changes to a patient’s urine and sweat?Turns urine and sweat a red colorTurns urine and sweat a dark brown/amber colorCauses anhidrosis Causes diaphoresis No change

Turns urine and sweat a red color

- A) Pulmonary arterial hypertension (PAH)- B) Chronic obstructive pulmonary disease (COPD)- C) Hypertension due to volume overload- D) Type 2 diabetes mellitus

A) Pulmonary arterial hypertension (PAH)

Which of the following conditions is most likely to be treated with a PDE5 inhibitor (sildenafil) other than impotence?

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Which is NOT a side effect/complication of glucocorticoids?A.)Risk of infectionB.)HyperkalemiaC.)Osteopetrosis D.)Hyperglycemia

Answer: HyperkalemiaRationale: Hypokalemia would be a complication from glucocorticoids.

c. A patient with cerebrovascular disease.

When should a nurse question administering Risperidone to a patient who is diagnosed with bipolar disorder?a. A patient with prostate enlargementb. A patient with Myasthenia Gravisc. A patient with cerebrovascular disease.d. A patient who is taking stool-softeners for constipation

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A nurse is caring for a patient who is receiving bupivacaine for a minor surgical procedure. The patient begins to show signs of CNS excitation, including restlessness and seizures. Which of the following is the most appropriate action for the nurse to take?a) Administer neostigmine to reverse the CNS effectsb) Prepare for immediate intubationc) Administer benzodiazepines to treat seizuresd) Increase the IV fluid rate to dilute the anesthetic

c) Administer benzodiazepines to treat seizures

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Which of the following conditions is most likely to be treated with a PDE5 inhibitor (sildenafil) other than impotence?A) Pulmonary arterial hypertension (PAH)B) Chronic obstructive pulmonary disease (COPD)C) Hypertension due to volume overloadD) Type 2 diabetes mellitus

A) Pulmonary arterial hypertension (PAH)

When a laboring mother is on magnesium sulfate, immediate nursing interventions should be done if……A) blood pressure is 145/84B) Respirations of 10 C) HR of 62D) patient is vomiting

For which diagnosis would you question administering Ritalin (Methylphenidate) a CNS Stimulant?Coronary heart disease (CAD)Type 2 DMHypothyroidismExtreme happiness disorder

a) Coronary heart disease (CAD)

A patient with a history of depression is prescribed amitriptyline. Which finding in the patient’s medical history should prompt the nurse to question the administration of this medication? A. The patient reports blurred vision and dry mouth. B. The patient has a history of a recent myocardial infarction.C. The patient is taking benzodiazepines for insomnia. D. The patient consumes a diet low in fiber.

B. The patient has a history of a recent myocardial infarction. Rationale: TCAs are contraindicated in patients with recent myocardial infarction due to the risk of cardiac toxicity, including dysrhythmias. The nurse should notify the provider and advocate for an alternative treatment.

Spasms of the tongue, face, neck and back.

A nurse should monitor and assess a patient taking Chlorpromazine for what complications?a. Elevated prolactin levelsb. Spasms of the tongue, face, neck and back.c. C.diffd. Diabetes mellitus and weight gain

A nurse is preparing to administer a dose of semaglutide (Ozempic) to a patient with type 2 diabetes. The patient has a history of medullary thyroid cancer. Which of the following actions is most appropriate for the nurse to take?a. Administer the medication as ordered since it is indicated for type 2 diabetesb. Hold the medication and notify the healthcare provider about the patient's history of medullary thyroid cancer.c. Ask the patient to take the medication orally to avoid injection site irritation.d. Administer the medication and instruct the patient to monitor for signs of hyperglycemia.

b. Hold the medication and notify the healthcare provider about the patient's history of medullary thyroid cancer.

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Which of the following is a catecholamine -o-methyltransferase (COMT) inhibitor?a) ropiniroleb) entacaponec) pramipexoled) apomorphine

b) entacapone

Which of the following is a potential complication of oxytocin administration?A) HypertensionB) Uterine ruptureC) BradycardiaD) Increased appetite

Uterine Rupture

How often should the depot injections be administered? A) Monthly B) every 6 monthsC) every 3 months D) For emergency contraceptive method use only

Every 3 months

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Turns urine and sweat a red color

Doxorubicin, an anti-tumor drug, can cause which of the following changes to a patient’s urine and sweat?A.) Turns urine and sweat a red colorB.)Turns urine and sweat a dark brown/amber colorC.) Causes anhidrosis D.)Causes diaphoresis E.) No change

b) "Carbidopa prevents the breakdown of levodopa in the bloodstream, allowing more levodopa to reach the brain, where it is converted into dopamine to restore balance between dopamine and acetylcholine."

A patient with Parkinson’s disease asks why they need to take carbidopa and levodopa together. What is the nurse's best response?A. "Carbidopa helps levodopa cross the blood-brain barrier, where it is converted into dopamine, which restores the balance between dopamine and acetylcholine."B. "Carbidopa prevents the breakdown of levodopa in the bloodstream, allowing more levodopa to reach the brain, where it is converted into dopamine to restore balance between dopamine and acetylcholine."C. "Carbidopa enhances the absorption of levodopa, which then stimulates acetylcholine receptors in the brain to compensate for dopamine loss."D. "Levodopa helps carbidopa reach the bloodstream, where it can be converted into dopamine to restore brain function.

True or FalseSucralfate (mucosal protectant) should be administered with food to ensure its effectiveness in treating peptic ulcers.

False

Antimetabolite drugs target and kill fast-growing cells within the body. Which group of cells are at risk for being targeted by these drugs?A.) Smooth muscle cellsB.) Bone marrow cellsC.)Cartilage cellsD.) All of theseE.)None of these

Bone Marrow cells

What is a common complication associated with the use of interferons (e.g., Interferon alfa-2b, Interferon beta-1a)? A) Splenomegaly B) Flulike symptoms (fever, fatigue, myalgia) C) Bone marrow stimulation D) Headache and dizziness only

Answer: B) Flulike symptoms (fever, fatigue, myalgia)

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A nurse is preparing to administer levothyroxine 0.25mg IV bolus stat.Availible is levothyroxine injection 50mcg/mL. How many mL should the nurse administer?

5 mL

A nurse in the ER is caring for a patient with anaphylaxis. Which medication is the priority for the nurse to administer? A. Acetaminophen B. Epinephrine C. Albuterol D. Phenylephrine

B. Epinephrine

A patient is prescribed Tamsulosin, an Alpha-1 blocker. The patient is likely being treated for: A. Tachycardia B. Hypotension C. Asthma D. BPH

D. BPH

d) "I understand that hypokalemia is a common complication from this medication and my electrolytes will therefore be carefully monitored."

A nurse is educating a patient about succinylcholine for their upcoming surgical procedure. Which of the following statements by the patient indicates a need for further teaching regarding the risks and complications associated with this medication?a) "I understand that succinylcholine may cause muscle pain in my upper body, but I should notify the healthcare team if the pain lasts longer than expected."b) "I know that succinylcholine can cause malignant hyperthermia, so I should make sure to inform the team if I have a family history of this condition."c) "Since succinylcholine causes paralysis, I’m aware that I will need to be closely monitored for respiratory arrest during the procedure."d) "I understand that hypokalemia is a common complication from this medication and my electrolytes will therefore be carefully monitored."

True or FalseAntiprotozoals work by inhibiting DNA synthesis to susceptible protozoa, interfere with the cell’s ability to reproduce and lead to cell death?

True

Which of the following is a potential complication of oxytocin administration?A) HypertensionB) Uterine ruptureC) BradycardiaD) Increased appetite

Which of the following is a serious complication of progesterone therapy?A) Thrombotic eventsB) Increased libidoC) HypotensionD) Breast tenderness

Thrombolitic events

A nurse is caring for a patient diagnosed with myxedema coma, a life-threatening form of severe hypothyroidism. The physician orders the administration of thyroid hormone therapy. Which of the following interventions should the nurse implement first?A) Administer liothyronine IV to provide sustained thyroid hormone replacement.B) Administer liothyronine IV to provide rapid thyroid hormone action.C) Encourage oral intake of fluids and increase the room temperature to raise the patient's body temperature.D) Monitor the patient's serum TSH level to assess thyroid function.

B) Administer liothyronine IV to provide rapid thyroid hormone action.

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