nurs 617 exam 1 actual exam 2024 newest exam compl
nurs 617 exam 1 actual exam 2024
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NURS 617 EXAM 1 ACTUAL EXAM 2024 NEWEST EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) AND RATIONALES /ALREADY GRADED A+
Pharmacodynamics - ANSWER: The process by which a medication works on the
body.
Pharmacokinetics - ANSWER: The process by which drugs are absorbed, distributed
within the body, metabolized, and excreted.
Pharmacogenomics - ANSWER: The study of the influence of genetic factors on drug
response that result in the absence, overabundance, or insufficiency of drug-
metabolizing enzymes
Medication side effect - ANSWER: a nearly unavoidable secondary effect of a drug
produced at therapeutic doses which is generally predictable and with an intensity
that is dose-dependent
Adverse Effect - ANSWER: A drug-induced, secondary effect of a drug that produces a
change in a patients condition that is noxious, harmful or unpleasant, which requires
treatment or reduction or discontinuation of the drug and which usually occurs at
therapeutic doses.
Type A adverse drug reactions - ANSWER: exaggerated, but otherwise expected
pharmacological effect of a drug -> predictable and dose dependent -> ex. toxicity of
overdose, side effects, secondary effects, drug interactions
Type B adverse drug reactions - ANSWER: idiosyncratic effects (not expected) -> dose
independent and unpredictable -> intolerance, hypersensitivity, pseudo allergic,
idiosyncratic
Drug tolerance - ANSWER: the tendency for larger doses of a drug to be required
over time to achieve the same effect
Physical drug dependence - ANSWER: condition where a person's body becomes
unable to function normally without a particular drug
Psychological dependence - ANSWER: a condition in which a person believes that a
drug is needed in order to feel good or to function normally
Allergic reaction - ANSWER: An immunologic hypersensitivity reaction resulting from
the unusual sensitivity of a patient to a particular medication; a type of adverse drug
event.
, Idiosyncratic or paradoxical reaction - ANSWER: When a drug may cause a totally
unexpected and often opposite effect in a few patients
Carcinogenic reaction - ANSWER: medications and environmental chemicals that are
thought to cause cancer
Teratogenic reaction - ANSWER: Refers to the drug induced damage that develops in
the fetus
Pharmacokinetic Drug interctions - ANSWER: type of drug-drug interaction that
occurs when the pharmacokinetics of one drug alter the clinical effects of another
drug by altering its pharmacokinetics
Thiazide Diuretics - ANSWER: act in the distal tubule to block the reabsorption of the
filtered load of NaCl from the nephron back to the blood. They have a natriuretic
effect and promote renal excretion of sodium and water. The amount of water in the
blood is then decreased which decreases stroke volume and cardiac output
therefore decreasing blood pressure.
Thiazide diuretics - ANSWER: Very effective in AA and salt sensitive types of
hypertension
Thiazide Diuretics - ANSWER: BP medication that commonly causes hypokalemia,
hyponatremia, and hypochoremia
Loop diuretics - ANSWER: Exert their effect on the loop of Henle and block
reabsorption of NaCl back into the blood producing a significant natriuretic and
diuretic effect. This results in a marked reduction in blood volume and blood
pressure.
Loop Diuretics - ANSWER: This blood pressure medication is more potent that
Thiazide diuretics and may be important in the therapy of hypertensive patients with
some degree of renal insufficiency and when there is some urgency in reducing
blood pressure (those with pulmonary edema or CHF)
Hypokalemia and hypomagnesemia - ANSWER: Mot common electrolyte
abnormalities when using Loop Diuretics.
Potassium sparing diuretics - ANSWER: block the action of aldosterone (sodium and
water retention), which results in potassium retention and the secretion of sodium
and water
Potassium sparing diuretics - ANSWER: These diuretics offset the potential for
hypokalemia
Hyperkalemia - ANSWER: Potassium sparing diuretics can cause which dangerous
electrolyte imbalance, especially those with renal impairment
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