Verapamil in combination with a beta block 'lol'? -Correct Answer Increased risk for interaction
Which information should the nurse include in client education regarding a cholesterol-lowering agent? -Correct Answer "You should continue your exercise program to increase your high-density lipopro...
Pharmacology Review for NUR2474
Exam 2 Study Questions and Answers
Graded A 2025
Verapamil in combination with a beta block 'lol'? -Correct Answer ✔Increased risk for
interaction
Which information should the nurse include in client education regarding a cholesterol-
lowering agent? -Correct Answer ✔"You should continue your exercise program to
increase your high-density lipoprotein (HLD) serum.
What would the nurse expect has occurred with a client who has taken senna for
several days and now experiencing yellowish-brownish urea? -Correct Answer
✔Expected effect of the medication (Anthraquinone's in laxatives such as senna,
change urine to brown, yellow, or orange.)
Verapamil can elevate? -Correct Answer ✔digoxin levels
Client took too much warfarin normal vitals and no petechiae -Correct Answer ✔Expect
DR to order pt INR
Patient on warfarin and levels of INR 4.7 -Correct Answer ✔Best action is to hold dose
and notify physician
Heparin post op and APTT is 120 BP 90/50 -Correct Answer ✔Expect Dr to order
protamine sulfate
Post surgery patient is pale and fatigued HR98 RR20 BP 100/50 -Correct Answer
✔Expect provider to order hemoglobin and hematocrit
Amiodarone -Correct Answer ✔is a positum channel blocker it is given for Aflutter to
prevent recurrence. Levels can be increased by grapefruit juice and toxicity can result.
Amiodarone levels can be reduced by cholestyramine.
Propranolol -Correct Answer ✔is a beta adrenergic blocker non selective given for
recurrent ventricular tachycardia. Question the order if patient has asthma as it can
cause bronchospasm.
Stage B Heart failure -Correct Answer ✔Captopril for reduced EF or ejection fraction
and symptomatic
NUR2474 Pharmacology FINAL EXAM
,NUR2474 Pharmacology FINAL EXAM
Normal GFR -Correct Answer ✔90-120
If GFR is <20 -Correct Answer ✔risk of digoxin toxicity is greater
If digoxin level is 2.5 ng/ml -Correct Answer ✔hold dose and contact healthcare provider
Always check apical pulse before -Correct Answer ✔giving digoxin
Torsades De pointes -Correct Answer ✔Give IV magnesium
Digoxin therapeutic range -Correct Answer ✔0.5-0.8
Normal potassium level -Correct Answer ✔is 3.5 to 5
Furosemide effective if -Correct Answer ✔Output is greater than input
Diabetes mellitus and hypertension -Correct Answer ✔Anticipate order for ace inhibitor
Patient has cough for 3 days that is non productive after starting lisinopril -Correct
Answer ✔Stop lisinopril and start losartan
Angiotensin II Receptor Blockers (ARBs) -Correct Answer ✔DO NOT promote
accumulation of bradykinin in the lung and therefore have lower instance of cough
Losartan -Correct Answer ✔is an angiotensin 2 receptor blocker adverse effects are
angioedema, fetal harm and renal failure
Patient with 2+ pitting edema In bilateral lower extremities, bibasilar crackles and
potassium of 6 -Correct Answer ✔Question it if Dr orders spironolactone which is a
potassium sparing drug
APTT normal levels -Correct Answer ✔40 seconds (60 to 80 if on heparin)
Methyldopa and labetalol -Correct Answer ✔are drugs of choice for treating chronic
hypertension of pregnancy
Hypertension is the most common complication of -Correct Answer ✔pregnancy
Nitroprusside (IV) -Correct Answer ✔is the drug of choice for hypertensive emergencies
NUR2474 Pharmacology FINAL EXAM
, NUR2474 Pharmacology FINAL EXAM
A severe hypertensive emergency exists when diastolic -Correct Answer ✔Diastolic BP
exceeds 120 mm Hg and there is ongoing end organ damage
Lack of patient adherence -Correct Answer ✔is the major cause of treatment failure in
antihypertensive therapy
Dosages of antihypertensive drugs -Correct Answer ✔should be low initially and
increased gradually. This approach minimizes adverse effects and permits
baroreceptors to rest to a lower pressure
When a combination of a drug is used -Correct Answer ✔each drug should have a
different mechanism of action
Thiazide diuretics -Correct Answer ✔are preferred drugs for initial therapy of
uncomplicated hypertension
Aldosterone antagonists lower BP by -Correct Answer ✔Preventing aldosterone
mediated retention of sodium and water in the kidneys
Calcium channel blockers (diltiazem, nifedipine) reduce BP by -Correct Answer
✔promoting dilation of arterioles
Untreated hypertension can lead to -Correct Answer ✔heart disease, kidney disease,
and stroke
Patients older than 50 elevated systolic BP -Correct Answer ✔represents a greater
cardiovascular risk than elevated diastolic BP
Primary hypertension (essential hypertension) -Correct Answer ✔defined as
hypertension with no identified cause is the most common form of hypertension.
The goal of antihypertensive therapy -Correct Answer ✔is to decrease morbidity and
mortality without decreasing quality of life. For most patients this goal is achieved by
maintaining a BP of between 120/80 and 130/80 mm Hg
Diltiazem -Correct Answer ✔is used for treating dysrhythmias
Hypertension is defined as -Correct Answer ✔SBP greater than 130 mm Hg or DBP
greater than 80 mm Hg.
To reduce BP, two types of treatment may be used -Correct Answer ✔drug therapy and
lifestyle modification (smoking cessation, reduction of salt and alcohol intake, following
the DASH diet, and increasing aerobic exercise).
NUR2474 Pharmacology FINAL EXAM
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