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2024 NR 565 MIDTERM STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM STUDYGUIDE EXAM WITH CORRECT
ANSWERS
MOA of cardiac glycosides - CORRECT ANSWERS-AKA Digoxin
increases myocardial contraction force--->increases cardiac output
Goals of treatment for angina? - CORRECT ANSWERS-prevention of MI and
death
reduction of ischemic-related pain
drugs to accomplish goals of angina? - CORRECT ANSWERS-CCBs, beta
blockers, ranazoline, nitrates: reducing ischemia
ACE-I's, cholesterol-lowering meds, aspirin: prevention of MI and death
Therapeutic action of calcium channel blockers for stable angina? - CORRECT
ANSWERS-increase the amount of exercise they can perform before they
experience angina
drug schedules - schedule I - CORRECT ANSWERS-Drug Schedules
no currently accepted medical use and for research use only
high potential for abuse
examples:
heroin
LSD
MDMA (3,4-Methylenedioxymethamphetamine: AKA ecstasy)
drug schedules - schedule 2 - CORRECT ANSWERS-combination drugs w/ <
15mg hydrocodone per dosage unit
High potential for abuse and severe physical/psychological dependence
examples:
, Vicodin, cocaine, methamphetamine, methadone, Dilaudid, oxycodone,
Meperidine, Fentanyl, Adderall, Ritalin
Which patients would require a lower starting dose of Warfarin? - CORRECT
ANSWERS-using bile acid sequestrates/other binding medications
BP meds approved for pregnancy - CORRECT ANSWERS-Labetalol and
Methyldopa
warfarin drug interactions & dosing considerations - CORRECT ANSWERS-Bile
acide sequestrates and fibric acid derivatives
monitor PT/INR and reverse with Vit K if needed
Carbamazepine drug interactions & dosing considerations - CORRECT
ANSWERS-narrow therapeutic dose (toxicity is a risk)
drug of choice for lowering LDL - CORRECT ANSWERS-Statins
clinical tools for treating hyperlipidemia - CORRECT ANSWERS-ASCVD risk
category, AHA/ACC, clinical guidelines
labs related to blood pressure medications? - CORRECT ANSWERS-EKG, UA,
CBC, CMP, cholesterol panel, uric acid
appropriate intervals for medication adjustments - CORRECT ANSWERS-4-6
weeks is ideal before adding another drug to the therapy regimen
Alternative treatment strategies for statin intolerant patients - CORRECT
ANSWERS-ezetimibe, fibrates, nicotinic acid, bile acid sequestrates
combo therapy with infrequent statin dosing
dietary changes
switching to a different statin
patient with HF taking an ACE inhibitor develops fibrotic changes, what
should the provider do next? - CORRECT ANSWERS-Add an aldosterone
antagonist (Spironolactone)
Who is at risk for severe rebound hypertension? - CORRECT ANSWERS-Those
abruptly stopping beta blockers and clonidine
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