Return to course: QBANK (In progress – I am currently making this)
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Specialized Pharmacotherapy Topics
1. Mrs. Dubois, 29 years old, is 10 weeks pregnant and visits the clinic for a routine prenatal checkup. She asks if she can receive the MMR (measles, mumps, rubella) vaccine, since she was never immunized as a child. What should the nurse explain?
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“The MMR vaccine is safe during pregnancy.”
“You can receive the vaccine after your second trimester.”
“This vaccine is contraindicated during pregnancy and should be given after delivery.”
“You can receive it anytime as long as you don’t have allergies.”
2. A 4-year-old child is prescribed amoxicillin for an ear infection. The nurse reviews the prescription and notes that the dose was calculated using adult dosing parameters. What is the nurse’s best action?
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Recalculate the dose based on the child’s weight in kg and clarify with the prescriber
Administer the medication as ordered
Dilute the dose with water before giving it
Administer half of the ordered dose to be safe
3. Mr. Tremblay, 78 years old, is prescribed several medications, including diazepam (Valium) for anxiety. Which factor increases his risk of adverse effects?
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Increased liver metabolism
Faster renal clearance
Decreased drug metabolism and elimination due to aging
Increased protein binding of medications
4. Mrs. Leclerc, 55 years old, takes warfarin for atrial fibrillation and recently began using ginkgo biloba for memory improvement. What complication should the nurse monitor for?
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Bleeding tendencies
Constipation
Hypertension
Fluid retention
5. Mr. Deschênes, 60 years old, is newly diagnosed with Parkinson’s disease and prescribed levodopa-carbidopa (Sinemet). Which patient statement indicates a need for further teaching?
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“I’ll take my medication with food to reduce nausea.”
“It’s normal if I see my urine turning dark.”
“I’ll change position slowly to prevent dizziness.”
“I can stop the medication once my tremors disappear.”
6. A nurse is reviewing medications for a breastfeeding mother who takes antibiotics for a urinary tract infection. Which antibiotic is safe for breastfeeding women?
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Amoxicillin
Chloramphenicol
Tetracycline
Ciprofloxacin
7. A 68-year-old woman is taking digoxin and furosemide for heart failure. She reports weakness and irregular heartbeat. What should the nurse suspect?
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Hyperkalemia from digoxin
Hypokalemia from furosemide increasing digoxin toxicity
Dehydration from furosemide
Allergic reaction to furosemide
8. Mrs. Nguyen, 35 years old, is prescribed phenytoin for seizure control. She recently discovered she is pregnant. What should the nurse emphasize during teaching?
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“Phenytoin is completely safe in pregnancy.”
“You should double your phenytoin dose now that you’re pregnant.”
“You no longer need seizure medication while pregnant.”
“Do not stop phenytoin abruptly without medical advice.”
9. Mr. Caron, 50 years old, uses St. John’s wort for depression and is prescribed sertraline (Zoloft) by his physician. What complication should the nurse monitor for?
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Serotonin syndrome
Hypertension
Sedation and confusion
Constipation
10. Ms. Lavoie, 19 years old, takes isotretinoin (Accutane) for acne. Her pregnancy test result today is positive. What is the nurse’s immediate action?
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Reassure her that the medication will not affect the fetus
Discontinue the drug and notify the physician immediately
Continue the medication until symptoms improve
Schedule her for a dermatology follow-up in 6 months
Specialized Pharmacotherapy Topics
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