NURS 251 PHARMACOLOGY MODULE 7 EXAM PORTAGE LEARNING QUESTIONS AND ANSWERS
What is the normal therapeutic range of digoxin?
0.8-2 ng/mL
What dilates venues and arterioles and helps improve renal blood flow and decreases blood fluid volume?
ACE inhibitors (Angiotensin-Converting Enzyme)
What ...
NURS 251 PHARMACOLOGY MODULE 7
EXAM PORTAGE LEARNING
QUESTIONS AND ANSWERS 2024-2025
What is the normal therapeutic range of digoxin?
0.8-2 ng/mL
What dilates venues and arterioles and helps improve renal blood flow and
decreases blood fluid volume?
ACE inhibitors (Angiotensin-Converting Enzyme)
What treats HF for patients that can not tolerate ACE inhibitors?
ARBs (Angeotensin II Receptor Antagonists)
What is an atrial natriuretic peptide that increases urine sodium loss?
Nesiritide
What is a drug that treats HF that works well for African Americans?
BilDil
What diagnostic test is used to identify types of dysrhythmias?
ECG
What stimulates the kidneys to conserve and retain water when there is a fluid
volume deficit?
ADH
When fluid overload occurs ADH secretions are inhibited and kidneys excrete
more of what?
Water
Alpha 1 blockers and calcium channel blockers treat HTN more effectively for
what group of people?
African Americans
What group of people are sensitive to beta blockers and may need a decreased
dose?
Asian Americans
What group of people have a decreased response to beta blockers?
,Native Americans
African-Americans and who else do not respond well with ACEI monotherapy?
Older adults
Calcium channel blockers have what two common side effects?
Flushing and peripheral edema
Blood flow force that stretches the ventricle at the end of diastole
Preload
A nursing intervention for diuretics is doing what?
Taking a daily weight
Acute cardiac pain caused by inadequate blood flow to the myocardium
Angina
What risk comes with taking diuretics?
Orthostatic hypotension
What is the first line drug treatment for reducing fluid volume?
Diuretics
For a HF diet, what should be limited to 2 grams/day?
Salt
What peptide when elevated may confirm HF?
ANP
What is the normal ANP range?
20-77 ng/L (20-77 pg/mL)
What medication decreases digitalis absorption if taken at the same time, so you
must stagger the doses.
Antacids
Thiazide diuretics cause a decrease of what, which helps lower blood pressure?
Fluid volume
Force of ventricular contraction
Contractility
What is knows for its effectiveness in treating HF? (cardiac glycoside)
Digoxin
What is a common medication taken to prevent a MI and stroke?
, Baby aspirin (81 mg)
Resistance to ventricular ejection of blood
Afterload
What is one precaution while taking an anticoagulant?
Do not take aspirin concurrently
What peptide is a diagnostic of HF?
BNP
What is the normal range of BNP?
Desired value <100 pg/mL
Positive value >100 pg/mL
When platelets aggregate, what are the clumps that for are formed together
called?
Clot
What are causes of HF? (6)
Chronic HTN
MI (myocardial Infarction)
CAD (Coronary Artery Disease)
VHD (Valvular Heart Disease)
CHD (Congenital Heart Disease)
Arteriosclerosis
Blood backing up in the peripheral tissues and causing edema is d/t what?
Right-sided heart failure
Blood that backs up into the lung tissue is d/t what?
Left-sided heart failure
An elevated BNP helps differentiate that dyspnea is due to what rather than what?
HF rather than lung dysfuntion
T/F
Digoxin helps prolong life
False
If a serum digoxin level is greater than 2 ng/mL what is it an indicative of
Digitalis toxicity
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