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Pharmacology Test 2
| Question | Answer |
|---|---|
| The nurse is reviewing drug therapy for hypertension. According to the JNC-8 guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive African-American patient would most likely include which drug or drug classes? | Calcium channel blockers with thiazide diuretics |
| A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go “natural” with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can “avoid taking any drugs.” Respond | “It’s important to remember that herbal remedies do not have proven safety ratings for pregnant women.” |
| The patient is asking the nurse about current U.S. laws and regulations of herbal products. According to the Dietary Supplement and Health Education Act of 1994, which statement is true? | Medicinal herbs are viewed as dietary supplements |
| The patient has been taking an over-the-counter acid-reducer because he has had “stomach problems” for months. He tells the nurse that the medicine helps as long as he takes it, but once he stops it, the symptoms return. Which statement is best? | Using this drug may relieve your symptoms, but it does not address the cause. You should be seen by your health care provider.” |
| A patient wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs? | Anticoagulants |
| The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure? | Cardiac output and systemic vascular resistance |
| When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem? | Impotence |
| The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications? | Sexual dysfunction |
| A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which answer by the nurse is the correct response? | Therapy for high blood pressure is usually lifelong.” |
| An older adult patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug? | Hypotension |
| The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems? | Sympathetic nervous system |
| When a patient is taking an adrenergic drug, the nurse expects to observe which effect? | Increased heart rate |
| An adrenergic agonist is ordered for a patient in shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs? | Increased cardiac output |
| A patient is going home with a new prescription for the beta-blocker atenolol (Tenormin). The nurse will include which content when teaching the patient about this drug? | Never stop taking this medication abruptly. |
| The teaching for a patient who is taking tamsulosin (Flomax) to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these? | Get up slowly from a sitting or lying position. |
| The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication? | Asthma |
| When monitoring a patient who is taking a low-dose cholinergic drug, the nurse will watch for which cardiovascular effect? | Bradycardia |
| A patient has had an overdose of an intravenous cholinergic drug. The nurse expects to administer which drug as an antidote? | Atropine sulfate |
| A patient who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this patient to look for which therapeutic effect? | Passage of flatus |
| The nurse is about to administer a stat dose of intravenous atropine sulfate to a patient who is experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the nurse will monitor the patient closely for which adverse effect? | Tachycardia |
| The nurse is reviewing the use of anticholinergic drugs. Anticholinergic drugs block the effects of which nervous system? | Parasympathetic nervous system |
| The nurse will monitor for which adverse effect when administering an anticholinergic drug? | Dry mouth |
| I’m The nurse working in a preoperative admitting unit administers an anticholinergic medication to a patient before surgery. What is the purpose of this drug in the preoperative setting? | Reduce oral and gastrointestinal secretions |
| What are adverse effects of ACE Inhibitors? | Dry cough, Fatigue, Headaches |
| What are common side effects of ACE inhibitors? | (A)ngiodema (C)ough (E)elevated potassium |
| What are the names of some ACE Inhibitors? | Lisino(PRIL) Enalopril |
| What would be given in a hypertensive emergency? | Sodium prusside |
| What medication would be a concern if taken with losartan? | NSAID |
| Beta Blockers adverse affects? | Edema, Shortness of breath |
Created by:
Indiam26