NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers
NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.
Week 11
QUESTION 1

A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs.

A.
Triphasic OC

B.
Ortho Tri-Cyclen

C.
Biphasic OC

D.
Monophasic

1 points   
QUESTION 2

A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the

A.
rectus femoris muscle.

B.
ventrogluteal muscle.

C.
dorsogluteal muscle.

D.
deltoid muscle.

1 points   
QUESTION 3

A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an

A.
electrocardiogram (ECG).

B.
electrophysiologic study (EPS).

C.
electromyelogram (EMG).

D.
electroencephalogram (EEG).

1 points   
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QUESTION 4

A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide?

A.
“Every year, thousands of Americans end up in emergency departments with marijuana overdoses.”

B.
“Most people don’t know that marijuana can be just as addictive as heroin or cocaine over time.”

C.
“Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.” NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

D.
“Marijuana can easily interact with other drugs and cause potentially fatal reactions.”

1 points   
QUESTION 5

A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man’s lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient?

A.
“Take this drug once each day on an empty stomach.”

B.
“It’s best to take a dose of sibutramine after each meal.”

C.
“This drug will help you to lose weight without having to exercise or change your normal diet.”

D.
“Take a dose when you feel like you are tempted to binge on food.” NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

1 points   
QUESTION 6

A preterm neonate received caffeine for the treatment of apnea. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers. The nurse should monitor the neonate for which of the following?

A.
Constipation

B.
Hypoglycemia

C.
Bloody stools

D.
Bradycardia

1 points   
QUESTION 7

A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to

A.
increased heart rate and subsequently rapid drug distribution among infants and children.

B.
the inability of infants and children and describe symptoms of adverse drug reactions.

C.
increased body surface area relative to body volume in infants and children.

D.
immature liver and kidney function in infants and children.

1 points   
QUESTION 8

A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug?

A.
That there is less body surface area to be concerned about

B.
That there is a lower concentration of water in an infant’s body compared with an adult

C.
That the infant’s skin has greater permeability than that of an adult

D.
That there is decreased absorption rates of topical drugs in infants

1 points   
QUESTION 9

A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause

A.
deep muscle pain.

B.
sleep deprivation.

C.
orange-tinged urine.

D.
staining of permanent teeth.

1 points   
QUESTION 10

A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse’s assessment? NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.

A.
The health status of the other children

B.
Where the medications will be stored

C.
How clean the house is

D.
The mother and grandmother’s understanding about the drugs

1 points   
QUESTION 11

A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that

A.
asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.

B.
trichomoniasis is an incurable disease.

C.
trichomoniasis discharge is typically thin and clear.

D.
it is unusual to have an odor with trichomoniasis.

1 points   
QUESTION 12

A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions? NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.

A.
“How much do you weigh?”

B.
“Do you ever use alcohol or drugs?”

C.
“Did Tylenol or other over-the-counter pain remedies ever relieve your pain?”

D.
“On a scale of zero to ten, what level of pain is acceptable to you?”

1 points   
QUESTION 13

A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse’s priority assessment would be

A.
height and weight.

B.
Vision.

C.
body temperature.

D.
blood pressure.

1 points   
QUESTION 14

A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of

A.
grapefruit juice.

B.
trans fat.

C.
alcohol.

D.
caffeine.

1 points   
QUESTION 15

A patient asks the nurse practitioner about food sources such as soybeans and soy products. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers. The nurse practitioner understands that these foods are considered

A.
taboo.

B.
phytoestrogens.

C.
monotherapy.

D.
inappropriate.

1 points   
QUESTION 16

A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient?

A.
Drink plenty of fluids.

B.
Take the drug for one full week before coming in contact with allergens

C.
Avoid high noise levels

D.
Take the drug on a full stomach

1 points   
QUESTION 17

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 sterile technique when applying the medication.

B.
allow the child to apply the medication if possible.

C.
use clean technique only when applying the medication.

D.
cool the medication prior to administration.

1 points   
QUESTION 18

A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects

A.
breast cancer.

B.
PMS.

C.
pain in the heart.

D.
cancerous breast tenderness.

1 points   
QUESTION 19

A nurse is administering drugs to a 10-year-old child who has multiple health problems. The child is underweight and is on a special diet. Which of the following will the nurse consider when planning for the best absorption of the prescribed drugs? (Select all that apply.)

A.
Disease process

B.
Age

C.
Weight

D.
Route of administration

E.
Diet

1 points   
QUESTION 20

To which of the following patients would a medication nurse most likely administer caffeine as part of the treatment plan?

A.
A 34-year-old woman with a diagnosis of gastric ulcerations

B.
A school-age child with severe ADHD

C.
A preterm neonate who has apnea

D.
A 52-year-old man with narcolepsy

1 points   
QUESTION 21

The recommended treatment for trichomoniasis is

A.
Amoxicillan.

B.
Flagyl.

C.
Meclizine.

D.
Diflucan.

1 points   
QUESTION 22

A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse should

A.
involve the child in a play therapy session, and then tell the child that the medicine is candy.

B.
offer the child a flavored ice chip or ice pop prior to administering the drug.

C.
have the parent gently force the child’s mouth open.

D.
give the drug in a pill form.

1 points   
QUESTION 23

A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?

A.
Obesity

B.
ADHD

C.
Respiratory depression

D.
Anxiety

1 points   
QUESTION 24

A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication

A.
every day until the infection is gone.

B.
once a day.

C.
for 20 days.

D.
for 30 days.

1 points   
QUESTION 25

The clinical nurse educator who oversees the emergency department in a children’s hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children?

A.
Having nurses check their math calculations with a colleague before administering a drug.

B.
Avoiding intravenous administration of drugs whenever possible.

C.
Ensuring that a full assessment takes place no more than 30 minutes before giving a drug.

D.
Recording drug administration in both the nurse’s notes and the medication administration record (MAR)

1 points   
QUESTION 26

A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem?

A.
Nephrotoxicity

B.
Hypertensive crisis

C.
Hypokalemia

D.
Cardiac dysrhythmia

1 points   
QUESTION 27

A 12-year-old boy is being discharged from the hospital after major surgery. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to

A.
the mother regarding why the boy needs to take the medications.

B.
the mother and be sure to reinforce the need to force the medications, if her son does not want to take them.

C.
the boy by telling him not to worry about the medications and to take them as directed.

D.
both the boy and his mother regarding all medication issued.

1 points   
QUESTION 28

A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect?

A.
Decreased myocardial contraction

B.
Increased cardiac conduction

C.
Decreased heart rate

D.
Increased intranodal conduction time

1 points   
QUESTION 29

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

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

D.
insert a central intravenous line.

1 points   
QUESTION 30

A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose?

A.
2000 mg

B.
4000 mg

C.
3000 mg

D.
1000 mg

1 points   
QUESTION 31

A nurse is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?

A.
“We live in a two-story house.”

B.
“My mother is going to give me my insulin.”

C.
“I am on the middle school track team.”

D.
“I walk two blocks to school every day.”

1 points   
QUESTION 32

A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?

A.
A 60-year-old African-American man who experiences angina

B.
A 28-year-old African-American woman with hyperthyroidism

C.
A 38-year-old Caucasian woman with glaucoma
NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

D.
A 48-year-old Caucasian man who has adult-onset diabetes

1 points   
QUESTION 33

A nurse working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using

A.
body surface area.

B.
age in years.

C.
weight.

D.
age in months.

1 points   
QUESTION 34

A nurse is going to administer medication to an infant using a medicine dropper. The best method is to open the child’s mouth by gently squeezing the cheeks and placing the drops

A.
under the tongue.

B.
on top of the tongue.

C.
in the buccal pouch.

D.
at the back of the mouth.

1 points   
QUESTION 35

A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of maternal cocaine use during pregnancy. These signs and symptoms are a result of what pathophysiological effect of opioid use during pregnancy?

A.
Vasoconstriction leading to reduced placental blood flow

B.
Hypoxia as a result of a prolonged second stage of labor

C.
Impaired maternal nutrition as a result of drug use

D.
Changes in blood chemistry as a result of nephrotoxicity and hepatotoxicity

1 points   
QUESTION 36

An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation?

A.
Knowledge Deficit

B.
Delayed Growth and Development

C.
Ineffective Family Therapeutic Regimen Management

D.
Caregiver Role Strain

1 points   
QUESTION 37

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

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

C.
A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in 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 38

A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers. The nurse will inform the patient that during sibutramine therapy she should

A.
use adequate contraception.

B.
take a pregnancy test every month.

C.
abstain from sex.

D.
obtain a pap smear .

1 points   
QUESTION 39

A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?

A.
Hepatic function

B.
Renal function

C.
Respiratory function

D.
Cardiac function

1 points   
QUESTION 40

A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is

A.
a paradoxical response.

B.
an allergic response.

C.
a hepatotoxic response.

D.
an idiosyncratic response.

Question 1

1 out of 1 points

A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs.

Question 2

1 out of 1 points

A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the

 

Response Feedback:
The ventrogluteal site is the best choice because it is free of major nerves and blood vessels and is characterized by deep muscle mass. The drug is injected into the gluteus medius muscle, which is in the ventrogluteal site. Injection in the gluteus medius is less painful than injection in the vastus lateralis. The dorsogluteal site should be used only as a last resort because of potential damage to the sciatic nerve if the site is not chosen with precision. The scalp veins are never used for injections; they are used only as intravenous sites in infants.

Question 3

1 out of 1 points

A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an

 

Response Feedback:
In addition to baseline physical data including height, weight, and vital signs, the nurse should prepare the patient for an ECG. This would be important for ruling out any cardiovascular abnormalities that CNS stimulants might exacerbate, especially in this patient who is 7 years old. An EMG measures the electrical activity of muscle and is used to differentiate between neuropathy and myopathy. This test is not indicated in this patient. An EEG is a recording of the electrical activity of the brain and is used to help identify a focus of disturbance in the brain. An EEG may be performed to evaluate narcolepsy, sleeping patterns, and sleep apnea. However, it would not be indicated in this patient with ADHD. EPS is similar to a cardiac catheterization and can monitor the entire conduction system with mapping of normal and abnormal pathways of the heart. This test would not be needed unless the patient had a serious cardiac condition.

Question 4

1 out of 1 points

A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide?

 

Response Feedback:
Although smoking marijuana is often thought to be relatively safe compared with smoking tobacco, the smoke is virtually identical in both cases. Smoking marijuana involves inhaling larger volumes of smoke and holding the breath as much as four times longer than with tobacco, which ultimately makes smoking three to four marijuana joints a day equivalent to smoking one pack of tobacco cigarettes a day. Marijuana is not considered to highly addictive and it is not normally associated with a potential for overdose or potentially fatal drug interactions.

Question 5

1 out of 1 points

A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man’s lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient?

 

Response Feedback:
Patients should take sibutramine on an empty stomach to maximize peak concentration levels. They should take it only once a day. It is important to remember that sibutramine should be used in conjunction with a low-calorie diet and daily exercise routine for maximum results. It is not taken on an “ass-needed” basis to control food cravings.

Question 6

1 out of 1 points

A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following?

 

Response Feedback:
In neonates, there is a possible association between the use of caffeine and the development of necrotizing enterocolitis. All preterm neonates treated with caffeine should be monitored for the development of gastric related adverse effects such as abdominal distension, vomiting, and bloody stools. Sinus tachycardia and diarrhea are adverse effects of caffeine, and hyperglycemia can indicate intolerance or overdose of caffeine. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.

Question 7

1 out of 1 points

A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to

 

Response Feedback:
Children are more at risk of the deleterious effects of drug errors because they have not physiologically matured. Immature liver or renal function, for example, can increase the circulating level of a drug beyond what would be expected in adults. This characteristic supersedes differences in body surface area, cardiac function, and ability to verbalize complaints.

Question 8

1 out of 1 points

A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug?

 

Response Feedback:
Compared to adult skin, infants’ skin exhibits greater permeability. This can result in increased absorption, which may result in adverse effects that usually do not occur in the adult patient. The nurse must consider this fact before administering skin ointment. Infants have greater, not lesser, body surface area. Greater body surface area plus increased permeability results in increased absorption of topical agents. Infants tend to have a higher concentration of water in their bodies than do adults. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.

Question 9

1 out of 1 points

A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause

 

Response Feedback:
Tetracycline is an example of a drug that can adversely affect a body system during a phase of child development. If administered to a child between the ages of 4 months and 8 years, it can stain the child’s permanent teeth. Discolored urine, deep muscle pain, and sleep deprivation are not associated with tetracycline.

Question 10

1 out of 1 points NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse’s assessment?

 

Response Feedback:
An important question that should be asked during the assessment is whether there is a safe place to keep drugs out of the reach of the patient and the other children. Many drugs have serious adverse and toxic effects in children if taken without adult supervision. Although factors like health status of other family members, the cleanliness of the house, and the parent’s understanding about the medications are important considerations, the most important consideration is the safety of the child who is taking the medication and the other children.

Question 11

1 out of 1 points NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that

Question 12

1 out of 1 points

A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions?

 

Response Feedback:
In school-aged children and adolescents, assess for the use and abuse of substances such as caffeine, alcohol, tobacco, and street drugs. During drug therapy, these substances cause the same complications in children as in adults. Adolescence is a time of experimentation, which may include experimentation with legal and illegal substances. The boy’s subjective report of his weight, his response to over-the-counter drugs, and acceptable pain level do not directly address the potential for adverse drug reactions.

Question 13

1 out of 1 points

A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse’s priority assessment would be

 

Response Feedback:
The nurse should assess blood pressure, body temperature, and vision at each clinic visit as routine nursing measures in caring for a pediatric patient. However, the priority assessment would be of height and weight. Monitoring the growth and development of children taking amphetamines is extremely important because these drugs have been associated with growth suppression.

Question 14

1 out of 1 points

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

 

Response Feedback:
Caffeine-containing drinks such as tea, coffee, and cola may increase the adverse effects associated with dextroamphetamine. Intake of trans fat and grapefruit does not impact the use of dextroamphetamine. A history of drug and alcohol abuse may contribute a risk of dextroamphetamine abuse, but the concurrent use of dextroamphetamine and alcohol is not necessarily contraindicated.

Question 15

1 out of 1 points

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

Question 16

1 out of 1 points

A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers

 

Response Feedback:
To maximize the therapeutic effects of the drug, the patient should take cromolyn sodium for one full week before coming in contact with allergens. Taking the drug on a full stomach is inappropriate, since the drug is in the form of a nasal spray. Neither avoiding high noise levels nor drinking plenty of fluids would help maximize the therapeutic effects of the drug.

Question 17

0 out of 1 points

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

 

Response Feedback:
In second- and third-degree burns, the skin is often broken, and the nurse needs to use sterile technique when applying a topical drug to prevent introducing bacteria and other organisms into the body. Do not cool medications unless instructed to do so. Children should not be instructed to apply medications to burned areas of their body. Using clean technique will not be as effective as sterile technique in decreasing the risk of infection when applying the medication.

Question 18

1 out of 1 points

A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects

Question 19

1 out of 1 points

A nurse is administering drugs to a 10-year-old child who has multiple health problems. The child is underweight and is on a special diet. Which of the following will the nurse consider when planning for the best absorption of the prescribed drugs? (Select all that apply.)

 

Response Feedback:
Age, disease process, dosage form, route of administration, and foods and drugs present in the child’s body have an effect on drug absorption. Weight is used to calculate the correct dosage to administer and does not affect absorption.

Question 20

1 out of 1 points

To which of the following patients would a medication nurse most likely administer caffeine as part of the treatment plan?

 

Response Feedback:
The nurse would most likely administer the caffeine to the preterm neonate with apnea. Caffeine stimulates gastric secretions and would aggravate gastric ulcerations. Caffeine is not used to treat ADHD or narcolepsy. Dextroamphetamine is the drug of choice for these conditions.

Question 21

1 out of 1 points

The recommended treatment for trichomoniasis is

Question 22

1 out of 1 points

A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse should

 

Response Feedback:
Children can be offered a flavored ice pop or ice chips prior to administering the drug to help numb the taste buds and promote cooperation to take a foul-tasting drug. Most 5-year-old children cannot swallow pills, and only certain pills can be crushed and dissolved in small amounts of liquid or soft food, such as applesauce, gelatin, or ice cream, to mask the flavor of the drug. Medication should never be forced on a child; it increases the risk of aspiration. Play therapy reduces the anxiety related to drug therapy, but you should never tell the children that the medicine is candy. NURS 6521 Advanced Pharmacology Week 11 Quiz – questions and answers.

Question 23

1 out of 1 points

A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light


NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
Now that you have examined the Nurse of the Future Nursing Core Competencies©, why do you think these competencies were selected? Which two of the 10 competencies will be most important to your future nursing practice, and why?
BUY A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE
Week 1: Nurse of the Future Nursing Core Competencies
According to the Massachusetts Department of Higher Education there are ten core competencies known as the Nurse of the Future: Nursing Core Competencies that are crucial for professional nursing practice. The identified competencies are patient-centered care, professionalism, leadership, systems-based practice, information and technology, communication, teamwork and collaboration, safety, quality improvement, and evidence-based practice (Hood, L.J., 2014, p. 7-8). Not only in professional nursing but for student nursing as well, core competencies are essential knowledge, capabilities, and skills that allow nurses to provide safe, effective care to patients (Hood, L.J., 2014, p. 6).
Core competencies are important to provide a guide for all nurses, starting from the beginning of their education and throughout their career. Nursing is a profession where you continue to learn, evidence-based knowledge and sensitivity to variables such as age, gender, culture, health differences, socioeconomic standing, race and spirituality are essential for caring for diverse populations and this global society (Massachusetts Department of Higher Education, 2016, p. 4). I believe these ten core competencies were chosen because it has been shown over time how important each one is to a student nurse, a new-graduate nurse, and even a nurse that has been practicing for many years. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
Of the ten core competencies’, the two that I believe to be the most important are communication and patient-centered care. The Nurse of the Future: Nursing Core Competencies states that communication is interacting effectively with patients, families, and colleagues, developing mutual respect and shared decision making, to enhance patient satisfaction and health outcomes (Massachusetts Department of Higher Education, 2016, p.32). In my career as a pediatric nurse communication is one of the more important core competencies that I use and will continue to use in my future nursing practices. Working with children means communicating in different ways. When communicating with children you use pictures to describe pain, point to areas on the body to identify the problem region, going down to eye level, and explaining details in words that they would understand. In pediatrics not only do you have to communicate with the children but their parents as well. Communicating with parents and helping them understand will put children as ease if they see that their parents aren’t in distress.
Patient-centered care is also another tremendously important core competency for my future nursing practice, which is defined as providing compassionate, coordinated, age and culturally appropriate, safe and effective care (Massachusetts Department of Higher Education, 2016, p. 10). Again, as a pediatric nurse it is important to practice patient-centered care. In pediatrics you see children of all ages, ranging from newborns to college age children and knowing how to effectively care for children is extremely important. When working with the younger ages you have to consider all of the medical equipment looking intimidating. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies. Equipment such as a blood pressure cuff are often explained to children as a machine to measure muscles or just simply giving your arm a hug, a stethoscope is often related to listening to your heart like doc mcstuffins does. At times you even have to care for a child’s beloved stuffed animal to show everyone goes to the doctor. As children get older simply explaining tasks or discussing things you mat have in common. Both of these core competencies are important to me because communication creates clear pathways for patient care and patient-centered care shows that everyone is an individual and requires care focused to that specific person.
Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.
Massachusetts Department of Higher Education Nursing Initiative. (2016). Massachusetts Nurse of the Future Nursing Core Competencies© Registered Nurse. Retrieved from http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
 
 
These are two of the articles/ sources; they were also the assigned readings. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
 

Massachusetts Nurse of the Future Nursing Core Competencies©: pp. 1-9. (Go to the Webliography to find a link to this file.)

http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
 
another source;

AACN Essentials of Baccalaureate Education: pp. 3-4, 10-13. (Go to the Webliography to find a link to this file.)

http://www.aacnnursing.org/Education-Resources/AACN-Essentials
 

for the last source we need any scholarly source which will also be cited in APA 7 format.

Here are also addition instructions  to include in the discussion,

Share your experiences and opinions (clinical and nonclinical) as they relate to the discussions.
Address each component (part) of the discussion question. Some questions will have more than one component.
Support your comments each week with references to the weekly Lesson or assigned readings and at least one scholarly resource. A scholarly resource is defined as peer-reviewed publications, government reports, or sources written by a professional scholar in the field. Remember that Wikipedia, Wikis, .com websites or blogs should notbe used as anyone can add to these. For the discussions, reputable Internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.
Show up for class, and log on several times during the week.
Read as many posts as you can. We learn from each other.
Use the ratings column on the grading rubric that provides the most points in each criterion as a guide and/or checklist for your posts.
Write in a scholarly manner. This includes spelling, grammar, punctuation, and proper APA format. You can review the APA Scholarly Writing documents located in Course Resources.
Observe netiquette rules.

Please do not be offended if your instructor

asks you for clarification on a point you have made;
asks you to relate your post to course content or weekly learning outcomes;
introduces new questions and topics as the week evolves; and
asks you to credit resources (lesson orassigned readings and a scholarly source) that support your opinions and experiences (Integrates Evidence).

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Self-Check
When constructing your weekly posts, be sure to ask yourself each of the questions listed here.

Did I adequately cover all of initial question components and the weekly concepts in my answers?
Did I support my answers with what I learned from the assigned reading OR online lesson AND a professional source? Did I credit these sources beside the ideas they represent and in a reference section?
Did I engage with my peers/instructor in a respectful way and contribute much depth to the discussion? NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

Here are additional questions to consider:

Were my posts well organized, clear, and with minimal errors in English grammar, spelling, syntax, and/or punctuation?
Did I answer the original question(s) by Wednesday night?
Did I post at least three times on at least two different days?

If you are able to answer each of them with a yes, congratulations you have likely met all of the criteria and can feel confident about posting your response in the discussion.
This is a graded discussion: 50 points possible
due
Week 1 Discussion: Nurse of the Future Nursing Core Competencies© (Graded)
No unread replies.11 reply.
 
Purpose
This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

Due Date

Answer post due by Wednesday 11:59 p.m. MT in Week 1
Two replies to classmates and/or instructor due by Sunday 11:59 p.m. MT at the end of Week 1

Discussion
Now that you have examined the Nurse of the Future Nursing Core Competencies©, why do you think these competencies were selected? Which two of the 10 competencies will be most important to your future nursing practice, and why?
 
Week 1: Nurse of the Future Nursing Core Competencies
The Competency Committee of the Nurse of the Future Nursing Core Competencies (NOFNCC) developed a multi-step system to define the core set of nursing competencies (Massachusetts Department of Higher Education, 2010, p. 3). They were to develop a smooth transition for nurses who were planning on furthering their education. Picking the core set of nursing competencies required 3 steps. The first step was making the list of nursing competencies. They obtained their list by looking at other states competencies, current practicing standards, accreditation standards, and national initiatives (Massachusetts Department of Higher Education, 2010, p. 3). Once they had their list of core competencies, they went to stage two which was feedback. They would ask nursing educators, faculty of public or private universities, and nursing practice councils for their opinion. After they made the adjustments they needed they went to step three. The committee did another review of literature but this time they compared their set of core competencies with the national model (Massachusetts Department of Higher Education, 2010, p. 3).
 
The ten core competencies the NOFNCC in the end decided on were patient-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, safety, quality improvement, and evidence-based practice. I believe these competencies were chosen because as nurses we use them every day on the job. It is like a checklist to providing the best care to our patients. They are the guidelines for future nurses, nurses to plan to further their education, and nurses practice in the field. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
 
Of the ten competencies the two most important ones for myself are communication and patient centered care. Patient centered care is defined as “the Nurse of the Future will provide holistic care that recognizes an individual’s preferences, values, and needs and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care (Massachusetts Department of Higher Education, 2010, p. 10).” Each patient is unique and they each require different care. We can’t treat everyone as if they are all the same. As nurses we need to be able to accommodate to the patients needs and respect their space, whether it be privacy, taking their medication a certain way, or respecting their wishes to have a certain nurse. This reassures our patients that they are our main focus and that they are in control of their care. Our job as nurses is not only to care for our patients; it is to put our patients mind at ease. We are there to reassure them that their needs are met and their questions answered. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
 
As nurses we need to always remember that we are our patients advocates and the only we can fulfill this role is by gaining our patients trust. To build trust we must keep an open and honest relationship. This entails us to constantly keep our patients up to date with their condition or progress. Communication is defined as, “the Nurse of the Future will interact effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes (Massachusetts Department of Higher Education, 2010, p. 32).” Nurses have ranked as the most trusted profession for 15 years in a row. This is only possible because of the relationship nurses build with their patients through open communication. We make sure that our patients feel comfortable to ask questions and voice their concerns. Ineffective communication occurs when there is a lack of clarity or direction in a conversation. This is something as nurses we must try to avoid. To achieve this I believe as nurses we must make sure we look up our patients effectively and we must make sure during handoff we have a good idea of what our patients plan of care is for the following day.
 
I believe we should treat our patients how we would like or loved ones to be treated. Even though there are some days when it is really hard, going that extra mile to make sure our patient have all their questions answered or making some time to spend an extra 5 minutes with our patient who is anxious makes a huge difference. Nursing is a field where we put our hearts into our work and the core competencies are there to make sure we are able to be the best nurses we can be to our patients and ensure their safety. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies
 
References:
Massachusetts Department of Higher Education. (2010). Massachusetts Nurse of the Future Nursing Core Competencies. Retrieved January 4, 2017, from http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
 
Vertino, K., (September 30, 2014) “Effective Interpersonal Communication: A Practical Guide to Improve Your Life” OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 3, Manuscript 1. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies


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