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Drgary
NURS 5334 FINAL EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|BRAND NEW!!!|GUARANTEED PASS
|LATEST UPDATE


What occurs during a a Serotonin Crisis?

Starts 2 - 72 hrs after treatment
Altered mental status
Agitation
Confusion
Disorientation
Hallucinations
Myoclonus
Hyperflexia
Excessive sweating

If a patient is experiencing serotonin syndrome, how do you resolve the issue?

Stop the medication

Name two Non-stimulant medication that can be given to a patient with ADHD?

Atomoxetine
Viloxazine

Name two Tricyclic antidepressants that can be used for ADHD?

Desipramine
Imipramine

Name 3 α-2 Adrenergic Receptor Agonists that can be used for patients with ADHD?




1|Page

,Clonidine
Guanabenz
Guanfacine

What medication used for smoking cessation can also be used for an adult with ADHD?

Bupropion

In males what do the α-1 receptors trigger?

Ejaculation

How does the activation of α-1 receptors affect the blood vessels?

Contraction

How does the activation of α-1 receptors affect the eye?

Pupillary dilation

How does the activation of α-1 receptors affect the bladder?

Increase sphincter tone

How does the activation of α-1 receptors affect the kidney?

Decrease Renin release

Where are α-2 receptors located?

Presynaptic Neurons

How do β-1 receptors affect the heart when activated? (3)

Increase Heart Rate
Increase conduction at AV node
Increase strength of contraction

How do β-1 receptors affect the kidney?

Increase Renin Release

How does β-2 activation affect the body?

Bronchial dilation
Relaxation of the Uterus
Vasodilation
Build and Burn Glucose
Glycogenolysis
Gluconeogenesis
Increase Insulin

How does activation of the M1 Muscarinic receptors affect the body?


2|Page

,Salivary Glands
GI Secretions
CNS

How does the M2 receptor affect the heart?

Decreases HR
Decreases Conduction

How do the M3 Muscarinic receptors affect the body when activated? (6)

Eye Constriction and Accomodation
Lungs: bronchiolar contraction and secretion
Promotes digestion increase motility and relax sphincters
Increase Salivation
Promotes voiding
Increases sweating and lactation.

What is the MOA of Bethanechol?

BethaneCHOL is a muscarinic agonist and activates the Cholinergic receptors.

What are therapeutic uses for Bethanechol? (2)

Treatment of urinary retention
Stimulate intestinal Motility in people with Ileus

Why is Bethanechol contraindicated in patients with asthma?

This medication constricts bronchi and brings about exacerbations of asthma

Why would Bethanechol be used post surgery?

To get the patient to pee and poop

Bethanechol can be used in patients with hyperthyroidism, True or False?

False, Bethanechol can cause dysthymias in patients with Hyperthyroidism

What is the MOA of Atropine?

Blocks the ability of Ach to bind to parasympathetics and as a result the sympathetic nervous system
take over

↑ HR, BP, & SVR

What are the pharmacological effects of Atropine?

Increased Heart Rate
Decreased Secretions
Relaxes Bronchi



3|Page

, Decreases Bladder Tone
Decrease GI Tract Motility

How does Atropine affect people with asthma?

Atropine can worsen asthma. The drying of the secretions making it harder to breathe

How can Atropine be beneficial to use for an eye exam?

Atropine dilated pupils in preparation for an eye exam

What medication can be used to combat Cholinergic effects?

Atropine

What are side effects of Atropine?

dry mouth, decreased perspiration, blurred vision, tachycardia, constipation, and urinary retention

For patient self-identified as African American with NYHA class III-IV HFrEF who are receiving OPTIMAL
medical therapy the combination of which two medications is recommended?

Hydralazine + Isosorbide Dinitrate

All patients with hypertension benefit from diuretic therapy but the patients that benefit the most are?

A. Diabetes patients
B. African Americans
C. Patients with Orthostatic Hypotension
D. Those with stable angina

B. African Americans, controlled trials have shown that diuretics can decrease the morbidity and
mortality of African Americans

Aloha agonist drugs should not be given to:

Patients with severe cardiovascular conditions such as Hypertension and Cardiac Arrhythmias because
alpha agonist can cause significant vasoconstriction and increase blood pressure, which can exacerbate
these conditions

What is the MOA of Latanoprost?

Increases aqueous humor outflow by relaxing the ciliary muscle

What are side effects of Latanoprost? (6)

Brown pigmentation of iris/lids/lashes
Blurred Vision
Burning/Stinging
Conjunctival Hyperemia
Macular and Conjunctival Edema
Punctate Keratopathy


4|Page

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