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Chapter 46 - Antianginal Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. A nurse is providing patient teaching to a patient who has been experiencing unstable angina. What will the nurse’s explanation of this condition include? a. A coronary vessel has become completely occluded and is unable to deliver blood to your heart. b. The pain is caused by a spasm of a blood vessel, not just from the vessel narrowing. c. There is serious narrowing of a coronary artery that is causing a reduction in oxygen to the heart. d. Your body’s response to a lack of oxygen i...

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Chapter 42 - Introduction to the Cardiovascular System |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. Several nursing students are creating a poster on the mechanism of the heart. What structure would they label as separating the right half of the heart from the left? a. Auricle b. Bundle of His c. Syncytia d. Septum Ans: D Feedback: The septum is a partition that separates the right and left halves of the heart. The right half receives deoxygenated blood from everywhere in the body and the left half receives oxygenated blood from the lungs. The auricle is an appendage attached to ea...

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Chapter 43 - Drugs Affecting Blood Pressure |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. What does the clinic nurse anticipate as initial drug therapy for a 39-year-old African American man who is 25 pounds overweight and newly diagnosed with hypertension? a. An angiotensin-converting enzyme (ACE) inhibitor b. A beta-blocker c. A calcium channel blocker d. A diuretic Ans: D Feedback: African Americans are at highest risk for developing hypertension with men more likely than women to develop the disease. African Americans have documented differences in response to antihyp...

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Chapter 41 - Drugs Affecting the Male Reproductive System |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. A nurse is caring for an adolescent with hypogonadism who has been prescribed fluoxymesterone (Androxy) for replacement. What adverse effect of this drug will the nurse alert the patient to that could result in self-esteem concerns? a. Acne b. Dizziness c. Insomnia d. Fatigue Ans: A Feedback: All these options are possible adverse effects of the drug. However, for the adolescent, acne is the only one that could cause image concerns, which could lead to low self-esteem. Dizziness, ins...

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Chapter 39 - Introduction to the Reproductive System |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. What hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands? a. Growth hormone-releasing hormone (GHRH) b. Thyrotropin-releasing hormone (TRH) c. Gonadotropin-releasing hormone (GnRH) d. Prolactin-releasing hormone (PRH) Ans: C Feedback: The male and female glands respond to luteinizing hormone (LH) and FSH, which are released from the anterior pituitary in response to stimulation from GnRH that is released from the hypothalamus. GHR...

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Chapter 40 - Drugs Affecting the Female Reproductive System |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse is caring for a female patient who would like to start taking oral contraceptives. What assessment finding may indicate the patient is not a good candidate for these drugs? a. Decreased appetite b. Dehydration c. Occasional headaches d. History of deep vein thrombosis Ans: D Feedback: Estrogens are contraindicated in the presence of a history of thromboembolic disorders because of the increased risk of thrombus and embolus development. A loss of appetite would not contraind...

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Chapter 37 - Thyroid and Parathyroid Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse is teaching the patient, newly diagnosed with Graves’s disease, about the normal functioning of the thyroid gland. What hormone will the nurse tell the patient controls production and release of thyroid hormones? a. Thyrotropin-releasing hormone (TRH) b. Thyroid-stimulating hormone (TSH) c. Tetraiodothyronine d. Triiodothyronine Ans: B Feedback: Thyroid hormone production and release are regulated by the anterior pituitary hormone called thyroid- stimulating hormone (TSH)...

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Chapter 36 - Adrenocortical Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse administers fludrocortisone (Florinef) to a patient diagnosed with salt-losing adrenogenital syndrome and then assesses for what therapeutic action? a. Development of hypokalemia and elevated serum glucose level b. An increase in sodium and water reabsorption and potassium excretion c. Headache, edema, weakness, arrhythmias, and hypertension d. Sodium and water depletion along with potassium retention Ans: B Feedback: Fludrocortisone’s therapeutic effects include an incre...

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