NUR 2474 Pharmacology Exam 2: Questions & Detailed
Solutions (100%)
Antihypertensive Medications for Diabetic Patients Right Ans - ACE
inhibitors, ARB, CCB, low dose diuretics; monitor glucose
Furosemide Effectiveness Check Right Ans - Assess I & Os to ensure fluid
elimination
Sympathomimetic Cold Medicine Right Ans - Avoid in hypertension due to
vasoconstriction effects
Potassium Levels Right Ans - Normal range: 3.5-5.0
Lasix Administration Right Ans - Avoid if potassium <3.5
IV Magnesium for Torsades de Pointes Right Ans - Management for atypical
ventricular tachydysrhythmia
Pre-Medication Check Right Ans - Always assess HR and BP before cardiac
medication administration
Heart Rate Assessment Right Ans - Use apical pulse if medication affects
heart rate directly
GFR Right Ans - Normal value for Glomerular Filtration Rate is anything
greater than >80 and anything < 50 is considered kidney disease
Digoxin Toxicity Right Ans - Occurs if GFR <20; hold medication, contact
provider
Captopril Right Ans - Reduces ejection fraction in stage B heart failure
Propranolol Right Ans - Avoid in patients with asthma due to
bronchospasms risk
Amiodarone Right Ans - Potassium channel blocker for atrial
fibrillation/flutter
, Grapefruit Interaction Right Ans - Avoid with amiodarone to prevent
increased effect
Primary Hypertension Right Ans - Hypertension with no identifiable cause,
most common form
Hypertension Right Ans - SBP > 130 mm Hg or DBP > 80 mm Hg
Beta-blocker Right Ans - Medication to slow ventricular rate in
dysrhythmias
Digoxin Levels Right Ans - Normal range: 0.5-0.8
Digoxin Toxicity Treatment Right Ans - Fab antibody fragments [Digifab]
for severe overdose
Untreated Hypertension Consequences Right Ans - Can lead to heart
disease, kidney disease, stroke
Systolic BP vs. Diastolic BP Right Ans - Elevated systolic BP poses higher
cardiovascular risk
Antihypertensive Therapy Goal Right Ans - Decrease morbidity and
mortality without quality of life decrease
Thiazide and Loop Diuretics Right Ans - Reduce BP by volume reduction
and arterial resistance decrease
Loop Diuretics for Low GFR Right Ans - Given when GFR is low as thiazides
are ineffective
Calcium Channel Blockers Right Ans - Reduce BP by arteriole dilation
Aldosterone Antagonists Right Ans - Lower BP by preventing sodium and
water retention
Combination Therapy for Hypertension Right Ans - Each drug should have
a different mechanism of action
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