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NUR 315 Exam: Questions With Complete A+ Solutions
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NUR 315 Exam: Questions With Complete A+ Solutions
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NUR 315 Exam: Questions With Complete A+ SolutionsPropranolol uses Right Ans - Decrease HR & contractility, angina,
tachydysrythmias
Propranolol indications Right Ans - Sinus tachycardia, severe recent svt
Metoprolol Right Ans - Better choice beta-blocker for asthma due to being
selective
What can beta blockers do Right Ans - Mask symptoms of hypoglycemia
Beta blockers Right Ans - Propranolol, metoprolol
Ace-1 Right Ans - Captopril, lisinopril
Captopril uses Right Ans - HTN, HF, MI, diabetic neuropathy
Captopril pt edu Right Ans - Take 1 hour before meals, can cause
neutropenia
Lisinopril uses Right Ans - HTN, HF, acute MI
Lisinopril adverse Right Ans - Don't take when pregnant, cough,
angioedema, first dose hypotension, hyperkalemia
Angiotensin 2 receptor blockers Right Ans - Losartan, volsartan
Losartan uses Right Ans - HTN, diabetic neuropathy, stroke prevention
Losartan adverse Right Ans - Angioedema, fetal harm, renal failure
Valsartan uses Right Ans - HTN, HF, MI
Valsartan contraindications Right Ans - No pregnancy, no renal stenosis
Valsartan pt edu Right Ans - Check BP before admin
,Advantage of using Angiotensin 2 receptor blockers Right Ans - Lower
incidence of cough & hyperkalemia compared to ACE-1
Calcium channel blockers use Right Ans - Vasodilation
Calcium channel blockers Right Ans - Verapamil & diltiazem, nifedipine
Verapamil diltiazem uses Right Ans - Slowing of SA nodal automaticity,
delta of AV nodal conduction, reduction of myocardial contractility
Verapamil & diltiazem indications Right Ans - A fib, a flutter, terminal SVT
Verapamil & diltiazem adverse Right Ans - Bradycardia, AV block, HF,
peripheraledema
Nifedipine indications Right Ans - HTN, angina
nifedipine adverse Right Ans - Reflex tachycardia
Vasodilators Right Ans - Hydralazine, sodium nitruprusside
Hydralazine uses Right Ans - Arteriodilation, HTN, HTN crisis, helps w HF
Hydralazine adverse Right Ans - Reflex tachycardia, increased blood
volume, lupus like syndrome, headache, dizziness, weakness and fatigue
Sodiu nitruprusside uses Right Ans - Venous and arterial simulation,
hypertensive emergencies
Sodium nitruprusside adverse Right Ans - Excessive hypotension,
prolonged infusion can cause cyanide poisoning & thiocyanate toxicity
K+ sparing diuretics Right Ans - Spironolactone
Spironolactone uses Right Ans - HTN, edema, HF
Spironolactone adverse Right Ans - Hyperkalemia, endocrine effects
gynemastia, mentrual irruglarities, impotence, hirtuism)
, Spironolactone nursing considerations Right Ans - Serum potassium levels,
weight, vitals (BP), take w or after meals, menstrual irregularities
Spironolactone safe handling Right Ans - Can cause fetal harm to pt to
pregnant nurse administering
Cardinal glycosides Right Ans - Digoxin/digitalis
Digoxin/digitalis uses Right Ans - HF, increase contraction & cardiac
dysrythmias
Digoxin/digitalis adverse Right Ans - Dysrythmias, hypokalemia, digoxin
toxicity
Digoxin/digitalis nursing considerations Right Ans - Narrow therapeutic
index, maintenance levels of dig, eliminated in kidneys so watch kidney
function
Sodium channel blockers Right Ans - Lidocaine
Lidocaine uses Right Ans - Ventricular dysrythmias
Lidocaine adverse Right Ans - CNS effects (drowsiness, confusions,
parenthesias)
Lidocaine nursing considerations Right Ans - BP/EKG monitoring
Potassium channel blockers Right Ans - Amiodarone
Amiodarone uses Right Ans - Life threatening atrial ventricular
dysrythmias
Amiodarone adverse Right Ans - Hypotension, Brady dysrythmias, lung
damage/infection, HF, thyroid toxicity, liver toxicity
Amiodarone nursing considerations Right Ans - EKG, assess baseline
thyroid, LFTs, ophthalmic effects, vision exams, no pregnancy pro
breastfeeding, photosensitivity, CNS disturbances
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