Posted: July 14th, 2022

NURS6521 Advanced Pharmacology

Walden NURS6521 Week 7 Exam Latest
NURS6521 Advanced Pharmacology
Week 7 Exam
Question 1A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he
can’t take his metformin the day of the test. What is the most appropriate reply?
Answers:
Metformin interacts with the dye used in the test. You can take the Metformin starting the day after the test.
You can develop lactic acidosis if you take metformin and are given dye. You should have a serum creatinine
drawn before restarting the medication.
The combination of metformin and the dye stimulates the liver to release insulin causing hypoglycemia. You
can restart the metformin 48 hours after the test.
Dye is a cytochrome system inducer that affects metformin. You should wait 3 days before restarting the
metform so you don’t develop a toxic level of the drug.
Question 2
A child is prescribed an inhaled corticosteroid agent to decrease respiratory inflammation related to exposure to
an animal. The patient’s parent administers a higher than prescribe dose of the medication for 5 days. What
should the APRN monitor the child for?
Answers:
tachycardia
adrenal insufficiency
hypokalemia
hypoglycemia

Question 3
Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer
disease. Mr. Lacuna’s physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due
to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication.
When administering this form of rivastigmine, the nurse should
Answers:
teach Mr. Lacuna about the importance of rotating sites when he applies the patch.
teach Mr. Lacuna’s family to apply a second patch if they notice an acute exacerbation of his confusion.
apply the patch to Mr. Lacuna’s back to reduce the chance that he will remove it.
apply the patch to a mucous membrane to facilitate complete absorption.
Question 4
A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician
initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every
day to prevent confusion. Which of the following would be the best response by the nurse?
Answers:
“This schedule will be more convenient for you.”
“This schedule will enable you to lose weight.”
“This schedule will decrease the cost of your medication.”
“This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects
continue.”
Question 5
John is a newly diagnosed diabetic that contacts the office with complaints of severe nausea and vomiting.
What instructions should the APRN provide related to his insulin doses?
Answers:
I will call in a prescription for metformin for you to take in place of your insulin.
Monitor your blood sugar every 4 hours and take regular insulin based on the blood sugar reading.
Stop your insulin while you are not eating and restart it at half strength when you can keep liquids down.
There is no need to change your insulin dosage while sick. Continue your regular doses
Question 6During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse’s
assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse
informed the patient that prolonged use of laxative

Order | Check Discount

Tags: 150-200 words discussion with a scholarly reference, 200-300 words response to classmate discussion question, 250 word analysis essay, bachelor of nursing assignments, case study