Davenport University NURS126 Pharmacology in Nursing
Practice II - Exam 4 Chapters 22, 27, 28 Questions With
Complete Solutions
What are contraindications for fibric acid agents? Correct
Answers Patients with gallbladder or renal disease
-> Drug can increase risk/incidence of cholelithiasis (gallstones)
-> Drug is excreted by the kidneys
What are drug interactions associated with ACE inhibitors?
Correct Answers ↓ antihypertensive effect or predispose
patients to development of acute renal failure with NSAIDs
What are drug interactions associated with bile acid
sequestrants? Correct Answers ↓ absorption of other drugs with
concurrent use
-> Interfere with absorption of vitamins/minerals → nutritional
deficiencies from extended use
-> Take 1 hour before or 4 hours after all other drugs
What are drug interactions associated with fibric acid agents?
Correct Answers May enhance hypoglycemic effects of
antidiabetic drugs
↑ risk for bleeding with concurrent use of anticoagulants
What are nursing considerations for ACE inhibitors? Correct
Answers Assess VS
Administer initial dose at bedtime to avoid first-dose
phenomenon
,Observe for angioedema
-> Keep emergency cart & oxygen on standby
Assess for signs of infection; monitor WBC
-> Neutropenia = can't fight infection
Monitor potassium level
What are nursing considerations for alpha 2-adrenergic
agonists? Correct Answers Monitor heart rate, rhythm, &
sounds as well as ECG
-> Hold drug & notify physician if < 60
*Use same side extremity with every measurement
Assess BP lying, sitting, & standing
-> Hold drug & notify physician if < 90/60
*Use same side extremity with every measurement
Monitor blood glucose levels
-> May be ↓/↑ with beta-adrenergic blockers
Observe for S & S of hypoglycemia in diabetic patients
-> Initial signs and symptoms might not be evident with drug
use
Gradually ↑ ambulation distance & frequency
-> To determine activity tolerance
What are nursing considerations for bile acid sequestrants?
Correct Answers Obtain careful history of past GI disorders
, -> Drug can slow GI motility
Monitor for significant GI effects
Mix powder thoroughly with food or 4 - 6 ounces of fluid
What are nursing considerations for calcium channel blockers?
Correct Answers Monitor BP (lying/sitting/standing) & P;
obtain weight
Observe for S & S of HF (i.e. dyspnea, frothy pink-tinged
sputum, rales in lungs, profound fatigue, or swelling of
extremities)
-> These meds can decrease myocardial contractility, increasing
risk for heart failure
Avoid grapefruit juice
-> Reduces drug metabolism → possible toxicity
What are nursing considerations for direct-acting vasodilators?
Correct Answers IV sodium nitroprusside
-> Always dilute per manufacturer's guidelines
-> Never infuse over 10 minutes
-> Monitor VS
**Drug contains cyanide groups that are released upon its
metabolism, causing cyanide toxicity
What are nursing considerations for diuretics? Correct Answers
Monitor I/O & VS (i.e. BP & P)
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
