Rasmussen NUR2407 2021 August Complete Course Latest (Full)

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 2 Discussion

Ethical dilemmas in medication administration

Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.

• Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues
• Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH
• Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers
• Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic
• Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss
• Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses
• Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects
• Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications
• Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks
• Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable
• Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics
• Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet
• Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives
• Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control
• Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants
• Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.
• Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 1 Assignment

Commonly Used Drugs and Nursing Implications

This is a partnered assignment started and discussed in class. Using Davis's Drug Guide, add any additional resources to finalize one card for each of the two researched drugs. Put your names on the two cards and include the following:

Name of the Drug

Classification of Drug

Mechanism of Action

Recommended Dose

Routes of Administration

Potential Side Effects

Possible Adverse Effects

Special Nursing Care Considerations and Implications for this Drug

Following your in-class activity, scan the cards to submit to the drop box below.

Please check the Course Calendar for specific due dates.

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 3 Assignment

It is nearly impossible to learn EVERY THING about EVERY SINGLE drug we encounter. While it is important for us to look up select information about unfamiliar medications we administer, we can know the general indications and nursing interventions related to a drug if we learn key information about the drug classifications. For this assignment you will be collecting information about different groups of drugs, or drug classifications, found in your Pharmacology textbook.

Please refer to Unit Four: Autonomic Nervous System Drugs and Unit Five: Central and Peripheral Nervous System Drugs in Pharmacology: A Patient Centered Nursing Process Approach textbook and use your Davis's Drug Guide to provide the following information:

Summary of the Unit/Classification

Minimum of three types of drugs or supplements

Typical routes of administration

Common side effects and adverse effects

Special considerations

Common Nursing interventions

Please DO NOT just copy/paste your information from your textbook or drug guide--put the information into your own words. You DO NOT need to use APA formatting for your submission, but please do include your references (in APA format) at the end of your document.

 

 

 

 

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 4 Assignment

Safety Risks

Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.

What should the "culture and environment of safety" look like when preparing and administering medications?

Discuss a common breach of medication administration.

Identify three (3) factors that lead to errors in documentation related to medication administration.

What can I do to prevent medication errors?

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 5 Assignment

Critical Thinking Case Studies

This assignment will encourage you to use your knowledge about some different types of medications we have reviewed and help develop your critical thinking skills regarding the administration of these medications to your patients.   

Please read through each case study and answer the questions that follow (yes, please complete the questions for all three scenarios ????). You do not need to use APA formatting on the document you submit, but please use complete sentences when answering the questions and provide APA formatted references.

Critical Thinking Case Study #1

R.J., a 79-year-old man, underwent abdominal surgery for resection of his colon. After the surgery, his physician prescribed morphine 10 mg every 3 to 4 hours as needed. R.J. did not ask for pain medication because he worried he might become addicted. A day after the surgery, R.J.’s nurse noted that he was restless and grimaced whenever he moved in bed. He refused to breathe deeply or cough when instructed to do so. The nurse compared R.J.’s vital signs with his baseline findings and noted an increased pulse rate and a drop in systolic blood pressure.

1. Should the nurse give morphine? Explain your answer.

2. What would your reaction be to R.J. in regard to his restlessness, grimacing, and refusal to breathe deeply and cough?

3. What is the significance of the change in vital signs?

4. What classic side effects of opioid analgesics should the nurse assess?

5. What are some possible nonpharmacologic measures that might be helpful in alleviating R.J.’s pain?

The second postoperative day, R.J. began asking for morphine every 3 hours. On the fifth day, the physician discontinued R.J.’s morphine and prescribed acetaminophen with codeine.

6. Why was the opioid analgesic order changed?

7. R.J. does not want to ambulate. What is an appropriate nursing response?

Critical Thinking Case Study #2

C.J., a 41-year-old homeless man, has had a constant cough and night sweats for several months. He consumes about a fifth of liquor over 2 days. Acid-fast bacilli (AFB) smear on the sputum is positive. The health care provider orders a 6- to 9-month antitubercular drug regimen, with the time of therapy to be determined according to sputum and radiograph test results. For 2 months, C.J. takes isoniazid (INH), rifampin, and pyrazinamide daily. For the next 4 to 7 months, C.J. takes INH and rifampin biweekly.

1. What are some of C.J.’s risk factors for contracting tuberculosis (TB)? Give other risk factors for contracting TB.

2. C.J. received first-line antitubercular drugs for treatment of TB. How can the health professional determine whether the drugs are effective in eradicating the bacillus Mycobacterium tuberculosis? Explain your answer.

3. What is the nurse’s role in patient teaching concerning the drug regimen?

4. Name at least two serious adverse reactions that can occur when antitubercular drugs are given over an extended period.

5. What laboratory tests should be monitored while C.J. takes isoniazid and rifampin? Why?

6. The health care provider orders pyridoxine to be given daily. Give the rationale for the use of pyridoxine.

Critical Thinking Case Study #3

R.R., a 22-year-old college student, is in the wellness clinic with her 3-month-old daughter and her 13-year-old sister. They live with R.R.’s grandmother, who is 68 years old. R.R. requests immunizations for her daughter and asks if there are any immunizations she and her sister need.

1. R.R. says her daughter needs her “regular shots.” The infant received her first hepatitis B vaccine while in the newborn nursery but has not had any shots since coming home. What is the hepatitis B vaccine catch-up schedule for the infant; what is the routine schedule for hepatitis B vaccine in infants?

2. R.R. is worried that she will need to start her immunizations over because “she’s so far behind.” How should the nurse respond to her concern? When would her infant be due for another series of immunizations?

3. Which vaccines is R.R.’s daughter due for today?

4. The nurse asks R.R. about her vaccine history. R.R. says she had her “baby shots” a long time ago but did not keep her personal vaccine record; however, she remembers receiving a flu shot 2 years ago. What immunizations will she need at this point? How can she best keep track of her immunizations?

5. After administering R.R.’s meningitis vaccine, R.R.’s 13-year-old sister mentions that she heard that high school students should get a vaccination for human papillomavirus (HPV). She wants to know if she should get one or if it is too late. Who is eligible to receive the HPV vaccine, and what assessment questions would the nurse ask? What type and dosage of vaccine would the nurse administer?

6. After the visit, how does the nurse ensure that the vaccines were safely administered?

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 6 Assignment

Critical Thinking Case Studies

This assignment will encourage you to use your knowledge about some different types of medications we have reviewed and help develop your critical thinking skills regarding the administration of these medications to your patients.   

Please read through each case study and answer the questions that follow (yes, please complete the questions for all three scenarios ????). You do not need to use APA formatting on the document you submit, but please use complete sentences when answering the questions and provide APA formatted references.

Case Study #1:

M.H., a 70-year-old woman with postoperative acute glaucoma, is prescribed one drop of latanoprost 0.005% ophthalmic solution each evening and one drop of timolol 0.25% ophthalmic solution each morning and evening.

1. What is the purpose of giving two different medications to manage M.H.’s glaucoma?

2. What special concerns related to medication timing are important for M.H. to consider when administering the evening dose of these medications?

3. Although systemic absorption of ophthalmic beta-adrenergic antagonists is usually small, it may potentially create problems for patients with certain conditions. Which conditions create a risk, and how will the nurse monitor for complications?

4. After a few months on these medications, M.H. notices changes in the appearance of her eyes. Describe the changes that M.H. is likely experiencing, and explain which ophthalmic drug is responsible.

Case Study #2:

M.G., a 15-year-old patient, complains about blackheads and large, raised acne with surrounding erythema on her face. She seeks help from a health care provider.

1. To assist in identifying her skin problem, what should the health history and assessment include?

2. Which nonpharmacologic measures might the nurse discuss with M.G. in caring for her skin condition?

M.G.’s skin disorder does not improve. Her health care provider says she has acne vulgaris and has prescribed benzoyl peroxide and oral tetracycline.

3. M.G. asks the nurse how to use benzoyl peroxide. What should the explanation of the method and frequency for use of benzoyl peroxide include?

4. What should be included in the patient teaching related to the use of oral tetracycline?

5. What other drugs for acne might M.G. use? Explain their uses and side effects.

6. M.G. asks if she will have to remain on benzoyl peroxide and oral tetracycline for the rest of her life. What is the nurse’s best response or course of action? Explain your answer.

Case Study #3:

T.C., a 32-year-old patient, was diagnosed with diabetes mellitus after the birth of her first child; her blood glucose level was 180 mg/dL. Her serum glucose level has been maintained within the normal range with metformin 500 mg/day.

1. Why was T.C., at 32 years of age, taking an oral antidiabetic drug instead of insulin?

2. Metformin is indicated for what type of diabetes mellitus? When should metformin not be taken?

3. Why should T.C. monitor her blood glucose using a home glucometer?

Two years later, T.C. became pregnant again. Metformin was discontinued, and NPH insulin 25 units was prescribed. Since the birth of her second child, she has remained on NPH 25 units/day.

4. Give a possible reason why the health care provider changed the antidiabetic drug to insulin when T.C. became pregnant.

5. What are examples of human insulin and what are its advantages?

6. How should insulin be administered?

7. What is NPH and what are the pros and cons for T.C. to receive NPH 70/regular 30 insulin?

8. What are the signs and symptoms of hypoglycemic reaction?

9. What should be included in patient teaching?

Case Study #4:

M.P., a 68-year-old woman, had a severe allergic reaction to shellfish and was taken to the emergency department. She presented with angioedema and anaphylactic shock. A single dose of dexamethasone 100 mg IV (direct IV over 30 seconds) was ordered. M.P. weighs 65 kg.

1. Why is M.P. receiving dexamethasone intravenously? Is the dosage of dexamethasone within the safe therapeutic range? Explain your answer.

2. Describe the various ways dexamethasone can be given intravenously. Which IV fluid is compatible with dexamethasone? Describe other routes by which dexamethasone can be administered.

3. What additional health information and assessment may aid the health care provider in treating M.P.’s condition?

 Twenty-one tablets of prednisone, 5 mg each, were prescribed to be taken over 5 days, with tapering daily doses. The dosage is as follows: Day 1, take 10 mg four times a day; day 2, take 10 mg three times a day; day 3, take 10 mg twice a day; day 4, take 10 mg once a day; and day 5, take 5 mg once a day.

4. Why was prednisone ordered for M.P. and not oral dexamethasone? Explain your answer.

5. What is the purpose for tapering prednisone doses?

6. Is the drug dose within the safe therapeutic range? Explain your answer.

7. Should M.P. have side effects such as peripheral edema caused by water and sodium retention as a result of tapered prednisone doses? Explain your answer.

8. What is the difference between prednisone and prednisolone?

9. What are the adverse reactions from prolonged use of prednisone?

10. What are the nursing interventions and patient teaching for M.P. and for patients who take prednisone?

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 7 Assignment

Interdisciplinary Communication

You have been invited to assemble a task force to design a medication assistance program. You need to submit a proposal, regarding who you would invite, to the CEO. Consider the perspectives of prescribers, discharge planners, financial navigators, patients, suppliers, book keepers and subsidizers. If you were to seek the input of 5-7 stakeholders, who would you invite to the planning table, and why? Consider the need for a group facilitator. Who would that person be, and why?

Submit a 2-3 page APA style response to this query. Open with a paragraph of purpose, dedicate a paragraph to each stakeholder that you would invite, and close with a summary of what you hope to accomplish with the group, within a designated time frame.

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 8 Assignment

Please answer the following questions—Chapter 35 and Chapter 37 questions are related to the case study provided. You do not need to use APA formatting on the document you submit, but please use complete sentences when answering the questions and provide APA formatted references. If you do not include references, you will not receive full credit for this assignment.

Chapter 35

G.H., a 35-year-old patient, has allergic rhinitis. Her prescriptions include loratadine 5 mg/day and fluticasone, two nasal inhalations per day. Previously, she had taken OTC drugs and asked if she should continue to take the OTC drug with her prescriptions. She has never used a nasal inhaler before. Please answer the following 5 questions:

1. What additional information is needed from G.H. concerning her health problem?

2. What is your response to G.H. concerning the use of OTC drugs with her prescription drugs?

3. How would you instruct G.H. to use a nasal inhaler? Explain your answer.

4. What are the similarities and differences between loratadine and diphenhydramine? Could one of these antihistamines be more effective than the other? Explain your answer.

5. What could you suggest to decrease allergens such as dust mites in the home?

Chapter 36

What type of drug is aminophylline? Why should the nurse ask a patient if they smoke?

Can cromolyn sodium be substituted for prednisone during an asthmatic attack? Explain your answer.

Chapter 37

S.T., a 64-year-old patient, has HF controlled with digoxin, furosemide, and a low-sodium diet. She is taking potassium chloride (KCl) 20 mEq per day orally. Three days ago, ST had flulike symptoms that included anorexia, nausea, lethargy, and diarrhea. Her fluid and food intake was diminished, and she refused to take the KCl, stating that the drug makes her sick. She has been taking the digoxin and furosemide daily.

The nurse’s assessment during the home visit includes poor skin turgor, poor muscle tone, irregular pulse rate, and decreased bowel sounds. The nurse obtained a blood sample for serum electrolytes, and results indicated potassium (K) 2.9 mEq/L, sodium (Na) 137 mEq/L, and chloride (Cl) 96 mEq/L.

Match S.T.’s physical findings with the corresponding electrolyte imbalance.

What are the reasons for the electrolyte imbalance?

What is the effect of furosemide on digoxin when there is a potassium deficit? Explain your answer.

 Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 9 Assignment

Cultural Factors and Their Influence on Medications

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:

One impact on medication preparation. Explain.

Two impacts on medication administration. Explain.

Two potential adverse reactions. Explain with rationale.

One possible issue in adherence to medication regimen. Explain how this can be overcome.

The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 10 Assignment

Clinical Case: Coaching and Teaching

This assignment started and was discussed in class in small groups. Based on the clinical case provided in class, develop a teaching/coaching plan that includes the following information. The submission is an individual assignment. You may use any books or other resources or references to complete this assignment. Use APA Editorial Format for all citations and references.

List the goal for this teaching/coaching plan

Describe three teaching resources

Identify the teaching strategies that can be used

List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do

Identify two factors that may negatively influence adherence to the medication and how they can be overcome

Describe how to include the family

Provide information on how and when she should seek support and help

Following your in-class activity, submit this assignment to the drop box below.

Please check the Course Calendar for specific due dates.

Client Case:

Mrs. E. is 69 years old and was admitted for extremely high blood pressure which caused her to be dizzy and fall at home. She sprained her wrist and had multiple bruises and complained of some chest pain. She is a widow and lives with her two dogs. Her children live in the next state and try to visit her often. She does have one sister and brother-in-law who live in the same city. Mrs. E. has been relatively healthy during her life but since her husband passed away from a massive heart attack last year she has not been as active as she had been. She also has found it difficult to make meals only for herself. As a result, she has lost 15 pounds in the last year and she was already quite thin. Mrs. E. is a devout Christian and was born in India and emigrated to the United States when she was married due to her husband's profession. She misses her husband and her children and does not like to visit her doctor hence the untreated hypertension. During her hospital stay amlodipine 2.5 mg/day was prescribed.

Save your assignment as a Microsoft Word document and submit it to the dropbox (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 1 Quiz 

The nurse is explaining to a new student nurse the nursing process. Which of the following is the correct order of this process?

 Assessment, nursing diagnosis, planning, implementation, evaluation

 Implementation, planning, evaluation, assessment, nursing diagnosis

 Assessment, planning, nursing diagnosis, implementation, evaluation

 Planning, assessment, nursing diagnosis, implementation, evaluation

Question 2The nurse receives a client with a risk for injury due to taking sedatives. This is included in what phase of the nursing process?

 Nursing diagnosis

 Implementation

 Evaluation

 Planning

Question 3The nurse has just given a dose of antibiotic. Which measurement checks for the highest plasma/serum concentration of the drug?

 Albumin level

 Trough level

 Half-life level

 Peak level

Question 4When entering the client's room for assessment purposes, which of these things would be inappropriate by the nurse? (Select all that apply)

 Agreeing to be friends on social media

 The nurse shares his/her own date of birth

 Taking a picture of the client's wound and sharing it outside of work

 Asking the client to share their name and date of birth

 Knocking on the door

 Handwashing

Question 5The nurse is explaining the disintegration of enteric coated tablets to a client. Where would the nurse teach that this occurs at in the body?

 Stomach

 Liver

 Small intestines

 Colon

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 2 Quiz 

When reviewing the client's list of medications, the nurse notes that two anticholinergics have been prescribed. Which of the client's recent symptoms could be caused by excessive anticholinergic therapy? (Select all that apply.)

 Light sensitivity due to dilated pupils

 Hyperacidity and gastric reflux

 Frequent loose stools

 Tachycardia

 Dry mouth

Question 2 A nurse is taking a history from a client admitted for medication related syncope. Which of these comments from the client needs to be reported to the provider? (Select all that apply.)

 "I'm taking over the counter substitutes for the medicines I can't affort."

 "I get my medicines from an online supplier, so I never run out of them, and refills are cheaper that way."

 "I don't like to bother the doctor every time I need a medication refill, so sometimes I don't."

 "My cardiologist never orders anything. He just tells my regular doctor what to order."

 "I just gave you my medication list the last time I was here!. Nothing has changed. Look it up!"

Question 3 Which teaching point is correct about the concept of “tolerance”?

 Tolerance is a state where people become used to pain, and therefore need less pain medicine.

 In tolerance, smaller drug doses are needed to achieve prior effects because the body develops an increased responsiveness to the drug.

 Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation.

 In tolerance, larger drug doses are needed to achieve prior effects because the body develops a reduced responsiveness to the drug.

Question 4 The provider is considering starting a diabetic client on valproic acid for nerve pain this week. During the health history, the client tells the nurse, “I drink a six pack of beer daily and two to three six packs on weekends.” What is the priority nursing action?

 Reassure the client that beer and valproic acid are compatible.

 Obtain a lab order to assess the current level of valproic acid.

 Seek an order for liver function labs to see if valproic acid would be safe for the client.

 Tell the client his alcoholism is causing his nerve pain, so medicine won’t help.

Question 5The client diagnosed with a general anxiety disorder is prescribed alprazolam. Which information should the clinic nurse discuss with the client?

Tell the client to avoid foods that are high in vitamin K.

 Tell the client to expect rigidty as a side effect.

 Explain to the client that this medication is intended for short-term use only.

Instruct the client to take the medication before driving to avoid transit anxiety.

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 3 Quiz 

Question 1Aspirin could be detrimental in which of these situations? (Select all that apply.)

 Client is also pregnant

 Client also has rheumatoid arthritis

 Client is a child with a fever

 Client also takes anticoagulants

 Client also has a peptic ulcer

Question 2The nurse is preparing to administer lithium to a client with bipolar disorder whose lithium level is 2.0 mEq/L. What symptoms might the nurse expect to see? (Select all that apply.)

 Pacing

 Slurred speech

 Drooling

 Unsteady gate

 Hunger

 Irregular heart rate

Question 3Sumatriptan is ordered for an elderly client experiencing a migraine. The nurse understands that triptans are contraindicated in which condition?

 Chronic lung disease

 Irritable bowel syndrome

 Cerebrovascular insufficiency

 Narcotic dependency

Question 4A client with persistent pain due to cancer is brought to the emergency department by his spouse. Upon assessment, the nurse notes pinpoint pupils and a respiratory rate of 6 breaths per minute. The nurse should immediately prepare for administration of which medication?

 Naloxone

 Flumazenil

 Methamphetamine

 Acetylcysteine

Question 5A client who started an antidepressant 1 week ago tells his nurse, "I really don't think this medication is helping me." Which response by the nurse would be most appropriate?

 "It can take weeks for antidepressants to work. How are you doing?"

 "Why do you think the medication is not helping you?"

 "What were you hoping would happen?"

 "You need to come to the clinic so we can discuss this."

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 5 Quiz 

Assignment Content

Question 1A nurse is caring for a client with an infection that is being treated with tobramycin. Which of the following findings would most concern the nurse?

 Proteinuria

 Concentrated urine

 Decreased blood urea nitrogen (BUN)

 Decreased white blood cell count

Question 2Which of these clients would be most at risk for an allergic reaction to a penicillin injection?

 A client who reports a history of a mild rash from penicillin taken 7 years ago.

 A client who has a history of asthma triggered by food allergies

 A client who had a hypotensive episode following a stress treadmill study with contrast

 A client who reports an episode of hives after taking grape flavored acetaminophen

Question 3The nurse is caring for a client receiving gentamicin intravenously. What condition would most concern the nurse?

 Frequent voiding

 Ringing in the ears

 Ear pain

 Loss of appetite

Question 4A client, who is taking rifampin, telephones the nurse to say, “My urine and saliva have looked orange-red for the past 2 days.” Select the nurse’s best response.

 “This is a typical, temporary effect of the drug. Do you want to have your labs checked anyway?”

 “Continue the drug for another week to see if the color worsens.”

 “This is consistent with an allergic response, and the drug should be stopped.”

 “Stop the drug immediately to protect against hepatic harm.”

Question 5A client has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What client education is essential for the nurse to provide?

 The entire course of the drug should be taken to prevent the re-emergence of a resistant strain.

 The medication should be discontinued if diarrhea occurs.

 The medication should be discontinued when symptoms resolve to prevent emerging allergies.

 Family members and close contacts should also receive treatment.

 

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 6 Quiz 

Question 1The nurse is caring for a client who comes to the clinic with tinea corporis, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide?

 “Continue the therapy for at least 1 week after the symptoms have cleared up.”

 “Sun exposure will negate the drug’s effects.”

 “This drug is effective after a single application.”

 “Use the medication over the entire body once a week for 1 month.”

Question 2A campus nurse is teaching a group of college students about safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives?

 Women who have given birth

 Women who smoke heavily

 Women who have had an intrauterine device (IUD) in the past

 Women who had an abortion

Question 3The nurse manages care for a client with diabetes who takes metformin. Which laboratory result would cause the nurse to question the prescription?

 Decreased platelets

 Increased iron

 Elevated creatinine

 Decreased hemoglobin

Question 4When metronidazole is a component of the H. pylori treatment regimen, what instructions should the client receive?

 Take the drug with food.

 Avoid any alcoholic beverages.

 Take the drug on an empty stomach.

 Avoid foods containing tyramine.

Question 5A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide?

 “Apply cream once over body, but not head, wrap with gauze, rinse after 8-12 hours.”

 “Apply permethrin cream to your hair. Cover with a shower cap. Leave in place for 16 hours."

 “Apply cream once, cover yourself from head to toe and rinse after 10 minutes.”

 “Apply lotion, covering head to toe every day for 7 to 10 days. Shower after 30 minutes”

 

 

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 9 Quiz 

Question 1A client, who has been seeing multiple doctors, reports that she is taking lisinopril and another antihypertensive medication, the name of which she can’t recall. What type of antihypertensive is contraindicated when people are taking angiotensin-converting enzyme (ACE) inhibitors due to risk of compound effects?

 Beta blockers

 Potassium-sparing diuretics

 Calcium channel blockers

 Thiazide diuretics

Question 2A client with stable angina is starting treatment with nifedipine. The client’s spouse asks how nifedipine alleviates chest pain. How should the nurse respond?

 “It increases the heart rate and contractility.”

 “It helps the heart propel blood forward by reducing aortic blood pressure.”

 “It improves cardiac circulation through vasoconstriction.”

 “It reduces platelet aggregation.”

Question 3While preparing to administer a scheduled dose of digoxin, the nurse finds a new lab result showing a digoxin level of 0.7 ng/mL. What action should the nurse take?

 Check the patient’s apical pulse, and if it is within a safe range, administer the digoxin.

 Withhold the drug and notify the prescriber immediately.

 Administer Digibind to counteract the toxicity.

 Hold the drug for an hour and reassess the level.

Question 4A client has been taking digoxin 0.25 mg, and furosemide 40 mg, daily. Upon routine assessment by the nurse, the client states, “I see yellow halos around the lights.” The nurse should perform which of the following actions based on this assessment?

 Consult the provider then request a digoxin and potassium level check.

 Document the findings and reassess in 1 hour.

 Continue to monitor the patient for heart failure.

 Withhold the next dose of furosemide.

Question 5A client is brought to the emergency department for an accidental warfarin overdose. The nurse determines that the client has no apparent signs of bleeding. Which action should the nurse take next?

 Obtain a stat prothrombin time (PT) or international normalized ratio (INR).

 Administer protamine sulfate.

 Type and cross-match the client’s blood.

 Obtain a stat partial thromboplastin time (PTT).