what are ways a drug can be called if they stimulate the sympathetic nervous system -
sympathomimetic
adrenergic agonist
parasympatholytic
cholinergic-blocking (anticholinergic)
what are ways a drug can be called if they stimulate the parasympathetic nervous system -
parasympathomimetic
chol...
NSG 318 Final Exam-Questions with Correct Answers/ latest Update
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra - ✔✔Ginseng, Licorice, Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs should the nurse educate
the patient to avoid? - ✔✔Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and
Ephedra
What are 3 important things a nurse needs to watch for during digoxin therapy? - ✔✔Apical
pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - ✔✔a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin? - ✔✔The most common route is
sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd dose.
,If still having chest pain in 5 mins and EMT has not arrived, take a 3 and FINAL dose
A patient asks a nurse why they can only have 3 doses of nitroglycerin. What should the
nurse tell the patient? - ✔✔The main side effect of this med is that it decreases BP. With
each dose the BP is decreasing. So with multiple doses, you will eventually have no BP.
A patient was prescribed a topical/transdermal nitroglycerin. What should the nurse teach
the patient about this route? - ✔✔The patient needs to be nitrate free for 8-12 hours to
avoid developing a tolerance. Typically, this nitrate free period can occur at night.
A patient asks the nurse what side effects they should look out for while on nitroglycerin.
What information should the nurse give to the patient? - ✔✔Blurred vision, palpitation to
compensate for the low BP, tolerance, and orthostatic hypotension. A life-threatening side
effect is circulatory collapse which is when there is no BP if you overdose
What intervention should the nurse take when administering nitroglycerin? - ✔✔Monitor
VS, position pt sitting or laying down when administering, advise pt to NOT drink alcohol
while taking med bc alcohol also decreases BP and instruct pt on how to properly store the
med (not childproof, and temp sensitive)
A student nurse asks what are the used on Tenormin. What should the nurse teach the
student? - ✔✔It is used to treat HTN, angina and treat acute MI
A doctor orders atenolol for a patient with a history of acute bronchospasms. What action
should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order - ✔✔d. Question the HCPs order. Bronchospasm is a
contraindication because atenolol has a slight chance of stimulating Beta 2
A new grad doctor asks the nurse what are the drug interactions for atenolol. What should
the nurse inform the doctor? - ✔✔- Atropine and other anticholinergics bc it increases
absorption
,- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A patient beginning Tenormin would like to know what side effects to look out for. What
should the nurse teach the patient? - ✔✔Normal side effects are depression, cool
extremities and ED. If you have any of the following side effects you should report it:
Dyspnea, bradycardia, excessive dizziness, early morning insomnia and mental depression.
What patient education needs to given to the patient in regards to atenolol? - ✔✔- Sit on
side of the bed before ambulating to avoid orthostatic hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It should be weaned off over 1-
2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until drug response is known
Which medication is a calcium channel blocker? - ✔✔Cardizem (diltiazem)
What are the uses of diltiazem? - ✔✔Atrial dysrhythmias, HTN and relaxes coronary and
peripheral blood vessels
Hint: Calms heart by lowering BR and BP = zen heart
A student nurse asks what drug interactions are associated with Cardizem. What should the
nurse inform the student? - ✔✔Digoxin, beta blockers and other antihypertensive
A patient is on antihypertensive therapy. She is interested in CAMs. Which CAMs should the
nurse advise her to avoid? SATA
a. Garlic
b. Psyllium
c. Gingko
d. Green Tea
d. Hawthorn
, e. Aloe - ✔✔Garlic and Hawthorn. Other CAMs with antihypertensive effects includes
Licorice, Goldenseal, Parsley and Ephedra
A patient states they want to stop taking diltiazem because it is causing peripheral edema.
What should the nurse inform the patient? - ✔✔Peripheral edema is normal SE. If this
medication is abruptly stopped, it can cause acute angina episode.
A patient on Cardizem starts to have bradycardia and hypotension. What antidote(s) would
the nurse expect the HCP would like to be adminstered? - ✔✔Atropine and Calcium
Chloride. Atropine reverses the bradycardia because it is an anticholinergic. Calcium
chloride reverses the hypotension
What medication is in the drug class of Loop Diuretic?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - ✔✔b. Furosemide. Brand name is Lasix
What is the action of furosemide? - ✔✔Inhibits Na and H2O reabsorption and excretes K,
Mg and Ca
A fatigued doctor frantically calls a nurse to discontinue Lasix for a patient on sulfonamides
because it is a contraindication. What action should the nurse take?
a. Stop the medication
b. Question the doctor
c. Find out if the patient is still on the sulfonamide
d. Report the fatigued HCP to the charge nurse - ✔✔b. Question the doctor. The HCP is
mistaken. Hypersensitivity to sulfonamides is the actual contraindication. Another
contraindication is anuria
A patient asks the nurse what are the adverse effects of furosemide. What should the nurse
teach the patient? - ✔✔Gout (SE: Hyperuricemia), Hearing Loss, Increased BUN & Cr, Renal
Failure, Hypokalemia, hyponatremia and hypomagnesemia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MikeHarris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
