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NR 565 – Final Exam: Advanced Pharmacology Fundamentals | Chamberlain University (2026/2027) | Actual Questions and Verified Answers

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 10 pages. Originally published on StudyMerit.

Pages
10
Academic year
2025/2026
Language
English

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| x 1. The parent of a child with cerebral palsy reports that the child has peb- ble-like stools most of the time and seems uncomfortable if several days have passed between stools. Which medication is indicated? Answer Polyethylene glycol 2. An older adult patient takes an opioid analgesic after a right-hip open re- duction internal fixation (ORIF).Which of the medication should be prescribed to prevent constipation? Answer Docusate sodium 3. A patient reports taking an oral bisacodyl laxative for several years. Which instructions should be given to guide the discontinuation of the laxative? Answer ~- Stop taking the laxative immediately and expect no stool for several days. 4. A patient who has been taking senna for several days reports that her urine is yellowish- brown. What is an appropriate response? Answer It is an expected, harmless effect of Senna py

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5. Neena is planning missionary work in a region with poor drinking water. She is given a prescription for ciprofloxacin to take with her. Which instruc- tions are most important to discuss with Neena? Answer Use the drug if symptoms develop and are severe or do not improve in a few days. *avoiding local drinking water and carefully washing foods 6. Which anti-diarrheal medication is contradicted in children during or after chickenpox and is associated with gray/black stools and black tongue? Answer Bis- muth subsalicylate (Pepto Bismol) 7. Why should a patient keep a diary in the aid of diagnosis and treatment of IBS? Answer Patients should keep a log to identify foods and stressors that trigger symptoms 8. 1st line treatment for gastroparesis? Answer Metoclopramide is recommended first line for N/V due to gastroparesis 9. What labs are used to diagnose thyroid function? Answer 1. Serum thyroid-stimulat- ing hormone test (TSH) Serum thyroxine test (Total or Free T4) Serum triiodothyronine test (Total or Free T3) .0. s/s hypothyroidism

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Answer Signs and symptoms of hypothyroidism depend on disease severity. The face is pale, puffy, and expressionless; skin is cold and dry; hair is brittle; hair loss occurs;Heart rate and temperature are lowered. The patient may complain of lethargy, fatigue, and intolerance to cold. Mentation may be impaired. 1. s/s hyperthyroidism Exophthalmos; Heartbeat is rapid and strong; dysrhyth- mias and angina may develop; nervousness; insomnia, rapid thought flow; rapid speech; Skeletal muscles may weaken and atrophy; Metabolic rate is raised, result- ing in increased heat production, increased body temperature, intolerance to heat, and skin that is warm and moist, Appetite is increased, but weight loss may still occur. 12. When should you re-check labs after initiating Levothyroxine? Answer TSH 6-8 weeks after initiation or dose changes. 13. S/S of Thyrotoxic Crisis (Thyroid Storm) Answer profound hyperthermia (105°F or even higher), severe tachycardia, restlessness, agitation, and tremor. Unconscious- ness, coma, hypotension, and heart failure may occur *Excessive levels of thyroid hormones (occurs after surgery or intercurrent iliness (e.g. sepsis) 14. Treatment of thyroid storm Answer *MEDICAL EMERGENCY* 1.High doses of potassium iodide or strong iodine solution are given to suppress thyroid hormone release. 2 .Methimazole is given to suppress thyroid hormone synthesis. 3.A blocker is given to reduce heart rate, Additional measures include sedation, cooling, and giving glucocorticoids and IV fluids.

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