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Rasmussen College Pharmacology Review for NUR2474 Exam 2
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Rasmussen College Pharmacology Review for NUR2474 Exam 2 Verapamil in combination with a beta block 'lol'? - Increased risk for interaction Which information should the nurse include in client education regarding a cholesterol-lowering agent? - "You should continue your exercise program to incre...

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  • January 6, 2025
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Rasmussen College Pharmacology Review for NUR2474 Exam 2
Verapamil in combination with a beta block 'lol'? - Increased risk for interaction


Which information should the nurse include in client education regarding a cholesterol-lowering
agent? - "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? - Expected effect of the medication
(Anthraquinone's in laxatives such as senna, change urine to brown, yellow, or orange.)


Verapamil can elevate? - digoxin levels


Client took too much warfarin normal vitals and no petechiae - Expect DR to order pt INR


Patient on warfarin and levels of INR 4.7 - Best action is to hold dose and notify physician


Heparin post op and APTT is 120 BP 90/50 - Expect Dr to order protamine sulfate


Post surgery patient is pale and fatigued HR98 RR20 BP 100/50 - Expect provider to order
hemoglobin and hematocrit


Aspirin prevents - platelet aggregation


Amiodarone - 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 - 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 - Captopril for reduced EF or ejection fraction and symptomatic


Normal GFR - 90-120


If GFR is <20 - risk of digoxin toxicity is greater


If digoxin level is 2.5 ng/ml - hold dose and contact healthcare provider


Always check apical pulse before - giving digoxin


Torsades De pointes - Give IV magnesium


Digoxin therapeutic range - 0.5-0.8


Normal potassium level - is 3.5 to 5


Furosemide effective if - Output is greater than input


Hypertension BP150/90 crackles bibasilar, 2+ edema, distended jugular veins - Expect order
furosemide (loop diuretic)


Diabetes mellitus and hypertension - Anticipate order for ace inhibitor


Patient has cough for 3 days that is non productive after starting lisinopril - Stop lisinopril and
start losartan

, Angiotensin II Receptor Blockers (ARBs) - DO NOT promote accumulation of bradykinin in the
lung and therefore have lower instance of cough


Losartan - 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 - Question it if Dr orders spironolactone which is a potassium sparing drug


APTT normal levels - 40 seconds (60 to 80 if on heparin)


Methyldopa and labetalol - are drugs of choice for treating chronic hypertension of pregnancy


Hypertension is the most common complication of - pregnancy


Nitroprusside (IV) - is the drug of choice for hypertensive emergencies


A severe hypertensive emergency exists when diastolic - Diastolic BP exceeds 120 mm Hg and
there is ongoing end organ damage


Lack of patient adherence - is the major cause of treatment failure in antihypertensive therapy


Dosages of antihypertensive drugs - 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 - each drug should have a different mechanism of action


Thiazide diuretics - are preferred drugs for initial therapy of uncomplicated hypertension

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