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Pharm 3113 Exam 2 Final Test Questions Fully Solved.

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The nurse caring for a patient who is receiving beta-antagonist drug therapy needs to be aware that these drugs cause which effect? (SATA) - Answer - increased cardiac contractility - increased heart rate During a teaching session for a patient who is receiving inhaled salmeterol. the nurse em...

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  • March 12, 2025
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Pharm 3113 Exam 2 Final Test Questions
Fully Solved.
The nurse caring for a patient who is receiving beta-antagonist drug therapy needs to be aware
that these drugs cause which effect? (SATA) - Answer - increased cardiac contractility

- increased heart rate



During a teaching session for a patient who is receiving inhaled salmeterol. the nurse
emphasizes that the drug is indicated for which condition? - Answer Prevention of
bronchospasms



For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the
nurse is most appropriate? - Answer Assess the intravenous site hourly for possible infiltration



A patient is receiving dobutamine for shock and is complaining of feeling more "skipping beats"
than yesterday. What will the nurse do next? - Answer Assess the patient's vital signs and
cardiac rhythm



When a drug is characterized as having a negative chronotropic effect, the nurse knows to
expect which effect? - Answer Decreased heart rate



The nurse is reviewing the home medications for a newly admitted patient and notes that the
patient takes Mirabegron. The nurse will conclude that the patient has which condition? -
Answer Overactive bladder



When a patient has experienced extravasation of a peripheral infusion of dopamine, the nurse
will inject the alpha blocker phentolamine into the area of extravasation and expect what
effect? - Answer Vasodilation



When administering beta blockers, the nurse will follow which guideline for administration and
monitoring? - Answer Tapering off the medication is necessary to prevent rebound
hypertension



The nurse is providing teaching for a patient who has a new prescription for beta blockers will
keep in mind that these drugs may result in which effect? (SATA) - Answer - Impotence

,A patient who has recently had a myocardial infarction has started therapy with a beta blocker.
The nurse explains that the main purpose of the beta blocker for this patient is to - - Answer
Protect the heart from circulating catecholamines



Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a
history of which condition? - Answer Asthma



A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will
monitor for which potential drug effects? (SATA) - Answer - Orthostatic hypotension

- Increased urine flow

- Headaches



The nurse is reviewing the mechanism of action of alpha adrenergic drugs. Adrenergic blockade
at the alpha receptors leads to which effects? (SATA) - Answer - Miosis

- Vasodilation

- Reduced blood pressure



The nurse is reviewing the use of bethanechol in a patient who is experiencing postoperative
urinary retention. Which statement best describes the mechanism of action of bethanechol? -
Answer It causes bladder tone and motility



The family of a patient who has recently been diagnosed with Alzheimer's disease is asking
about a new drug prescribed to treat this disease. The patient's wife says, "I'm so excited that
there are drugs that can cure this disease! I can't wait for him to start treatment." Which reply
from the nurse is appropriate? - Answer "His response to drug therapy will depend on how far
along he is in the disease process"



The nurse is giving a dose of bethanechol to a postoperative patient. The nurse is aware that
contraindications to bethanechol include which of these? (SATA) - Answer - Peptic ulcer

- Urinary retention

- Cardiac disease



While at home, a patient took an accidental overdose of a cholinergic drug. He comes to the
emergency department with severe abdominal cramping and bloody diarrhea. Which drug
would the nurse expect to use to treat this patient? - Answer - Atropine

, The nurse must watch for symptoms of a cholinergic crisis when giving intravenous cholinergic
drugs. Which of these are symptoms of a cholinergic crisis? (SATA) - Answer - Hypotension

- Syncope

- Dyspnea

- Abdominal cramping



The nurse is teaching a patient about the possible adverse effects of donepezil for Alzheimer's
disease. Which of these are possible adverse effects? (SATA) - Answer - GI upset

- Drowsiness

- Dizziness



The nurse is providing education about a cholinergic-blocking drug therapy to an older patient.
Which is an important point to emphasize for this patient? - Answer Avoid exposure to high
temperatures



The nurse is giving a cholinergic-blocking drug and will assess the patient for which
contraindication to these drugs? - Answer Benign prostatic hyperplasia



When assessing for adverse effects of cholinergic-blocking drug therapy, the nurse knows that
the patient may experience which drug effect? (SATA) - Answer - Dry mouth

- Dilated pupils

- Constipation



The nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-
induced extrapyramidal effects would assess for which therapeutic effect? - Answer Decreased
muscle rigidity and tremors



During the assessment of a patient about to receive a cholinergic-blocking drug, the nurse will
determine whether the patient is taking any drugs that may potentially interact with
anticholinergic, which include which of these? - Answer Tricyclic antidepressants, such as
amitriptyline



A patient has been given a prescription for transdermal scopolamine patches for motion
sickness for use during a vacation cruise. The nurse will include which instructions? (SATA) -
Answer - Apply the patch 4 to 5 hours before boarding the ship

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