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NR 508 Week 5 Quiz, Questions and Correct Answers
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  • August 16, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nr 508 week 5 quiz questions and correct answers

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  • NR 508
  • NR 508

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NR 508 Week 5 Quiz, Questions and Correct
Answers
Preferred oral agent for DM type 2

✓ ~~~ metformin




Vitamin deficiency associated with metformin

✓ ~~~ B12



Adverse effect of oral diabetes meds

✓ ~~~ n/v/d, flatulence, myalgia, HA. Some cause weight gain. Lactic acidosis
(metformin)



Risk with SGLT2 inhibitors

✓ ~~~ amputations, acidosis, yeast/mycotic infections, renal injury, hyperkalemia



Preferred antihypertensive for African American

✓ ~~~ CCB and ARB



Preferred antihypertensive with chronic kidney disease

✓ ~~~ ACE/ARB




Use and side effect of acetazolamide

✓ ~~~ Treatment of open angle glaucoma and acute mountain sickness. Side effect -
can cause metabolic acidosis.

,use and side effect of eplerenone

✓ ~~~ Aldosterone agonist. For treatment of moderate to severe HF with reduced EF.
Can cause hyperkalemia. Monitor renal function.



use and side effect of spironolactone

✓ ~~~ Add to ACE and loop in treatment of severe CHF. Side effect - hypokalemia
(dose dependent)




use and side effect of triamterene

✓ ~~~ Weak diuretic. Also interferes with bicarbonate reabsorption and causes bicarb
loss in urine. Used in treatment of severe metabolic alkalosis. Excessive loss can
cause metabolic acidosis.




Therapeutic use of mannitol

✓ ~~~ Osmotic diuretic. Reduce intracranial pressure or intraocular pressure in
glaucoma




therapeutic use of acetazolamide

✓ ~~~ treatment of open angle glaucoma and acute mountain sickness




MOA of eplerenone

✓ ~~~ Competitively inhibit aldosterone receptor. Useful in tx of cirrhosis, ascites and
advance HF




Diuretic to use in chronic calcium stones

✓ ~~~ Thiazide

,Most effective diuretic for HTN, CHF and renal failure

✓ ~~~ loop diuretics



Which diuretic is a mineralcorticoid agonist

✓ ~~~ spironolactone




Carbonic anhydrase inhibitor used to treat altitude sickness

✓ ~~~ acetazolamide




Fendoldopam MOA and use

✓ ~~~ Rapid acting arteriolar vasodilator. Dopamine 1 receptor agonist. Used for
treatment of malignant hypertension.




Adverse effect of hydralazine

✓ ~~~ lupus like syndrome. Palps, n/v/d, HA, constipation (common). Tachy,
paresthesias, paralytic ileus, blood dyscrasia, abn LFT, myalgia (serious).



BB with alpha blocking an non-selective BB action

✓ ~~~ labetolol and carvedilol




MOA of alpha methyldopa

✓ ~~~ stimulate central inhibitory alpha adrenergic receptors. Inhibit sympathetic
cardioaccelerator and vasoconstrictor centers. Results in reduced sympathetic
outflow from CNS causing decreased peripheral resistance, renal vascular
resistance HR and BP.

, Vasodilating antihypertensive that promotes hair growth

✓ ~~~ monoxidil



Prazosin MOA, contraindications and adverse effect

✓ ~~~ 1st dose syncope and hyoptension




MOA of esmolol (brevibloc)

✓ ~~~ Beta blocker. Indication: intraoperative hypertension and arrhythmia.




Alternate med for ACEI cough

✓ ~~~ ARB




which CCB slows heart conduction

✓ ~~~ diltiazem and verapamil




MOA and indication for nifedipine

✓ ~~~ CCB. Block inward flow of calcium. Decreased force of contraction (negative
inotrope), decreased CO. Effect on vascular smooth muscle > efect on cardiac
conduction. Indication: HTN, angina, raynauds. DO NOT use immediately after MI or
in acute coronary syndrome.




How to avoid nitrate tolerance if using NTG patch

✓ ~~~ remove patch in PM. Scheduled off time



MOA of NTG

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