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📘 Exam Elaboration | Nursing
Pharmacology Exam One Practice Questions
📄 SKU: Pharmacology Exam One Practice Questions | Pages: 11 | Year: 2024
📋 Document Brief Description
The nurse is caring for a patient who is receiving intravenous theophylline. The patient
complains of
headache and nausea. The nurse will contact t...
The nurse is caring for a patient who is receiving intravenous theophylline. The patient
complains of
headache and nausea. The nurse will contact the provider to
a. change the medication to an oral theophylline.
b. obtain an order for a serum theophylline level.
c. request an order for an analgesic medication.
d. suggest an alternative methylxanthine medication. - ANS: B
Theophylline has a narrow therapeutic index and a risk for severe symptoms with toxic
levels. When patients
report symptoms of theophylline adverse effects, a serum drug level should be
obtained. Giving an oral
Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition,
2017) 201
theophylline would only compound the problem if the patient has a toxic drug level.
Analgesics may be used,
but only after toxicity is ruled out. Adding a different methylxanthine will compound the
symptoms and will
likely result in drug interaction or unwanted synergism.
1. The nurse is caring for a patient recently diagnosed with mild emphysema and
provides teaching about the
disease and medications for treatment. Which statement by the patient indicates
understanding of the
medication regimen?
a. I should use albuterol when my symptoms worsen.
b. I will need to take oral prednisone on a daily basis.
c. My provider will prescribe prophylactic antibiotics.
d. My symptoms are reversible with proper medications. - ANS: A
Albuterol is used to treat bronchospasm during symptom flares. Oral prednisone is
given for acute flares but
not generally on a daily basis until symptoms are chronic and severe because of the risk
of adrenal suppression.
Prophylactic antibiotics are not given regularly because of the risk of antibiotic
resistance. Symptoms of
emphysema are not reversible.
A patient will be discharged home with albuterol (Proventil) to use for asthma
symptoms. What information
will the nurse include when teaching this patient about this medication?
a. Failure to respond to the medication indicates a need for a higher dose.
b. Monitor for hypoglycemia symptoms when using this medication.
c. Palpitations are common with this drug even at normal, therapeutic doses
- 11-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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