pharm question - Pharmacology
1. A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? a) Document that the client experienced an anaphylactic reaction to the medication. b) Change the IV infusion site. c) Decrease the infusion rate on the IV. d) Apply cold compresses to the neck area. Answer Rationale: 2. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? a) If the medicine causes an upset stomach, take an antacid at the same time. b) Limit your daily fluid intake while taking this medication. c) This medication can cause photophobia, so be sure to wear sunglasses outdoors. d) You should report any tendon discomfort you experience while taking this medication. Answer Rationale: 3. A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? a) tachycardia b) Constipation c) Drowsiness d) Hypoactive deep-tendon reflexes Answer Rationale: 4. A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effect? a) Hyperglycemia b) Adrenocortical insufficiency c) Severe dehydration d) Rebound pulmonary congestion Answer Rationale: 5. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? a) NPH insulin b) Insulin glargine c) Insulin detemir d) Regular insulin Answer Rationale: 6. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? a.) Stop the infusion. b) Call the clients provider. c) Elevate the head of the bed. d) Auscultate the clients breath sounds. Answer Rationale: 7. A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? a) Draw a trough level at 0900 and a peak level at 2100. b) Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. c) Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. d) Draw a peak level at 0900 and a trough level at 2100. Answer Rationale: 8. A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? a) Decrease in level of thyroxine (T4) b) Increase in weight c) Increase in hr of sleep per night d) Decrease in level of thyroid stimulating hormone (TSH). Answer Rationale: 9. A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? a) Relief of heartburn b) Cessation of diarrhea c) Passage of flatus d) Absence of constipation Answer Rationale: 10. A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? a) I will notify my doctor before taking any other medications. b) I have made an appointment to see my dentist next week. c) I know that I cannot switch brands of this medication. d) Ill be glad when I can stop taking this medicine. Answer Rationale: 11. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? a) The client holds his breath for 10 seconds after inhaling the medication. b) The client takes a quick inhalation while releasing the medication from the inhaler. c) The client exhales as the medication is released from the inhaler. d) The client waits 10 min between inhalations. Answer Rationale: 12. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? a) Glipizide absorbs the excess carbohydrates in your system. b) Glipizide stimulates your pancreas to release insulin. c) Glipizide replaces insulin that is not being produced by your pancreas. d) Glipizide prevents your liver from destroying your insulin. Answer Rationale: 13. Ms. S is a 70-year-old male who was recently diagnosed with Parkinson’s Disease, she is admitted to your unit with pneumonia. You are reviewing the medical record and see that Ms. S’s symptoms have progressively gotten worse as an outpatient. She was previously taking Selegiline (MAO-B inhibitor), you see that the neurologist recently stopped the Selegiline and started her on Levodopa/ Carbidopa. Please explain why would the neurologist changed her medication? (1 point) 14. Ms S now presents 8 months later with worsening symptoms from her Parkinson’s disease. She continues to take Levodopa/ Carbidopa. Last month the neurologist added Entacapone (COMT Inhibitor), you know the main effects of a COMT inhibitor is which of the following: a. Prevent the excretion of Levodopa b. Prevent the metabolism of Levodopa c. Increase excretion of Levodopa d. Increase metabolism of Levodopa Answer Rationale: 15. You are on the medical-surgical floor today. Your patient is a 30-year-old male who has known seizure disorder. You have an order to give this patient Oral (PO) Phenytoin 125mg three times a day (Dilantin, an antiseizure medication). You check the labs and note that his liver enzymes are going up dramatically. You suspect that the Phenytoin is causing the elevation in liver enzymes. Please explain why would this drug be contributing to an increase in this patients liver enzymes? This goes back to pharmacokinetics. (1 pt) 16. Explain the mechanism of action of Carbamazepine in management of seizure and 2 safety considerations the nurse needs to consider when administering this drug to a patient (1pts) 17. A patient with bronchitis is taking Sulfonamide/Trimethoprim (Bactrim), 160/800 mg orally, twice daily. Before administering the third dose, the nurse notes that the patient has a widespread rash, a temperature of 103°F, and a heart rate of 100 beats per minute. The patient looks ill and reports not feeling well. What will the nurse do? a. Administer the dose and request an order for an antipyretic medication. b. withhold the dose and request an order for an antihistamine to treat the rash. c. Withhold the dose and notify the provider of the symptoms. d. Request an order for intravenous Sulfonamide/Trimethoprim (Bactrim), because the patient is getting worse. Answer Rationale: 18. A patient is receiving tobramycin three times daily. A tobramycin peak level is 6 (normal 5-10) and the trough is 1.2 (normal 0.5-2). What will the nurse do? a. Give the next dose as ordered b. Hold the next dose and notify the provider c. Call the provider and ask the dose of tobramycin to be increased d. Call the provider and ask the dose of tobramycin to be increased Answer Rationale: 19. A patient who has been taking gentamicin for 5 days reports a headache and dizziness. What will the nurse do? a. Request an order for a gentamicin peak level. b. Suspect ototoxicity and notify the prescriber. c. Tell the patient to ask for help with ambulation. d. Tell the patient to report any tinnitus. 20. A patient recently began receiving clindamycin [Cleocin] to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient? a. The provider may increase the clindamycin dose to treat this infection. b. This is a known side effect of clindamycin, and the patient should consume extra fluids. c. The patient should stop taking the clindamycin now and contact the provider immediately. d. The patient should try taking Lomotil or a bulk laxative to minimize the diarrheal symptoms. Answer Rationale: 21. You have a 10-year-old patient admitted with acute exacerbation of asthma. On admission mom tells you that her child has been using the short acting inhaler (Albuterol) 3-4 times a day. You know that the patient is failing step 1 therapy and needs to progress to step 2. Which of the following treatments represents step 2 in the asthma guideline? a. anticholinergics b. long acting beta agonists c. inhaled glucocorticoid steroids d. short acting beta agonists 22. A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen? a. “I should use the glucocorticoid as needed when symptoms flare.” b. “I will need to use the beta2-adrenergic agonist drug daily.” c. “The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators.” d. “The glucocorticoid is used as prophylaxis to prevent exacerbations.” Answer Rationale: 23. Which medication should be used for asthma patients as part of step 1 management? a. Combination inhaled glucocorticoids/long-acting beta2 agonists b. Inhaled low-dose glucocorticoids c. Long-acting beta2 agonists d. Short-acting beta2 agonists 24. A patient with asthma is admitted to an emergency department with a respiratory rate of 22 breaths per minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of 90\% on room air. The patient reports using fluticasone [Flovent HFA] (inhaled glucocorticoid) 110 mcg twice daily and has used 2 puffs of albuterol [Proventil HFA] (a SABA), 90 mcg/puff, every 4 hours for the past 2 days. Which of the following drug therapies would the nurse expect to administer next based on the information above? a. Four puffs of albuterol (B2 agonist), oxygen, and intravenous theophylline b. Intramuscular glucocorticoids and salmeterol (B2 agonist) by metered-dose inhaler c. Intravenous glucocorticoids, nebulized albuterol and ipratropium (anticholinergic), and oxygen d. Intravenous theophylline, oxygen, and fluticasone (Flovent HFA) 220 mcg Answer Rationale: 25. Which of the following adverse effects with the use of long-term glucocorticoid steroids does the nurse need to monitor for? a. Decrease in renal function b. Decreased in hepatic function c. Adrenal insufficiency d. Thyroid gland deficiency 26. When is a patient most susceptible to hypoglycemic symptoms after the administration of insulin? a. Onset b. Peak c. Duration d. Duration & Peak 27. A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia? a. 1900 b. 1300 c. 1130 d. 0400 Answer Rationale: 28. Ms S is a type II diabetic who is insulin dependent. You are checking her daily labs and note that her fasting morning blood sugar is 250. You have a standing order to give Ms S 6u of Regular Insulin for a blood sugar between 200-250. You give Ms S her insulin at 0730. What time would this patient be most susceptible to hypoglycemia? a. 1700 b. 1300 c. 1000 d. 1500 Answer Rationale: 29. Your assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patients lung fields and note expiratory wheezes. The patients peak flow rate is 250 (hint normal is 400-700) less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack? a. Theophylline b. Tiotropium (anticholinergic) c. Albuterol (short acting beta agonist) d. Cromolyn Answer Rationale: 30. Which of the following is a potential harmful adverse effect of Azithromycin (Macrolide): a. Prolonged QT interval b. Constipation c. Headache d. Dizziness
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Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident