Advanced Pharmacology: Nitroglycerin for Angina

Advanced Pharmacology Case Studies Exam

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Question 11

A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation?

A.

A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects.

B.

A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects.

C.

A child’s gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects.

D.

A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects.

1 points  

Question 12

A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of

A.

trans fat.

B.

grapefruit juice.

C.

caffeine.

D.

alcohol.

1 points  

Question 13

A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered

A.

monotherapy.

B.

taboo.

C.

inappropriate.

D.

phytoestrogens.

1 points  

Question 14

A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should

A.

use clean technique only when applying the medication.

B.

use sterile technique when applying the medication.

C.

cool the medication prior to administration.

D.

allow the child to apply the medication if possible.

1 points  

Question 15

A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should

A.

offer a choice between liquid and chewable medications, if possible.

B.

insert a central intravenous line.

C.

have the mother hold the child firmly and sooth him while the drugs are administered.

D.

teach the boy about the fact that he will feel much better after he takes his medications.

1 points