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NUR 651 Final Study Guide EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS GRADED A+ -LATEST - GUARANTEED PASS.docx

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NUR 651 Final Study Guide EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS GRADED A+ -LATEST - GUARANTEED PASS.docx

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NUR651
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NUR 651 Final Study Guide
EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS GRADED A+
LATEST 100% GUARANTEED
PASS



Drugs that are receptor agonists may demonstrate what property? - CORRECT ANSWER-
Describes the extent of effect (response) produced by a given drug concentration (dose)

Shows the relationship between the dosage/concentration and the effect of the drug
concentration



Therapeutic window (range) - CORRECT ANSWER-The range of plasma drug concentration with
high probability of therapeutic response

Provides a fixed comparison for drug safety



What is a narrow therapeutic window? - CORRECT ANSWER-A drug that has little difference
between therapeutic and toxic doses



Treatment goals in prescribing should be: - CORRECT ANSWER-Patient centered



storage reservoirs: - CORRECT ANSWER-Fat and tissue that the drug has been distributed to

,Passive monitoring: - CORRECT ANSWER-patient is educated on expected outcome and
instructed to contact provider (expected side effects)



A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which
statement is true about this adverse response? - CORRECT ANSWER-Swelling of the tongue and
hoarseness are the most common sympotms.



ACE inhibitors are the drug of choice in treating hypertension in diabetic patients because: -
CORRECT ANSWER-They improve insulin sensitivity

Improve renal hemodynamics

Reduce the production of angiotensin II



Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed.
Prior to prescribing this drug, the NP should assess for:



A. Hypokalemia

B. Impotence

C. Decreased renal function

D. Inability to concentrate - CORRECT ANSWER-Decreased renal function



Criteria for choosing the most effective medication: - CORRECT ANSWER-Consult nationally
recognized guidelines for disease management



Clinical judgement in prescribing: - CORRECT ANSWER-Factoring in the cost to the patient of the
medication prescribed



What is the mechanism of action? - CORRECT ANSWER-what the drug does to the body

, What is an adverse drug reaction? - CORRECT ANSWER-any noxious, unintended, and undesired
effect that occurs at normal drug doses- which causes the patient to stop taking the drug



Therapeutic drug classification is most useful to who? - CORRECT ANSWER-The practitioner



If not chosen as the first drug in hypertension treatment, which drug class should be added as a
second step because it will enhance the effects of most other agents?

1. ACE inhibitors

2. Beta blockers

3. Calcium channel blockers

4. Diuretics - CORRECT ANSWER-Diuretics



Because of its action on various body systems, the patient taking a thiazide or loop diuretic may
also need to receive the following supplement:

1. Potassium

2. Calcium

3. Magnesium

4. Phosphates - CORRECT ANSWER-Potassium



What education points concerning fluid intake must be covered with diuretic prescriptions? -
CORRECT ANSWER-Fluid intake should remain near normal for optimal performance



The choice of diuretic to use in treating hypertension is based on: - CORRECT ANSWER-Level of
kidney function with a thiazide diuretic being used for an estimated glomerular filtration rate
higher than the mid-40 mL/min range



Because primary hypertension has no identifiable cause, treatment is based on interfering with
the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat
hypertension because they:

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