Pharmacology Test 3 Retake
When a patient has been receiving sodium nitroprusside for 1 week, the nurse should
be alert for: - answers thiocyanate accumulation, evidenced by disorientation and
delirium
Your patient is taking lisinopril for hypertension. His blood pressure still remains slightly
elevated and the physician would like to order a diuretic. Which of the following diuretics
would be inappropriate to prescribe? - answers triamterene
How would the nurse expect calcium channel blockers to physiologically affect the
function of the heart? - answers Decrease AV node conduction
The patient takes insulin for diabetes mellitus. The physician orders atenolol for his
hypertension. After medication teaching, the nurse determines that learning has been
effective when the patient makes which statement? - answers "This medication can
enhance the effects of my insulin."
Your patient is receiving 40 mg of furosemide every day, enteric-coated aspirin 325 mg
every day and digoxin 0.25 mg every day. Your patient suddenly begins complaining of
muscle weakness and seeing yellow halos around lights. What are your suspicions? -
answers digitalis toxicity due to hypokalemia
Your patient is experiencing an emergent hypertensive crisis. The provider has ordered
nitroprusside. Before administration, you should take action to: - answers protect the
solution from sunlight/bright light by covering it up
Your patient is receiving a beta-blocker for his high blood pressure. He arrives in the ER
with complaints of severe dizziness and shortness of breath. As you obtain his apical
rate, you notive it is 40 bpm and realize the patient has taken too much of the drug.
What antidote should be administered? - answers atropine
A direct vasodilator that relaxes capacitance vessels (veins) has what beneficial effect
in the body? - answers Decreases preload
Your patient has been diagnosed with unstable angina. What is the anticipated
treatment? ("select all that apply") - answers Morphine
Supplemental Oxygen
, Nitroglycerin
Aspirin
In addition to hypertension, alpha-1 blockers, such as doxazosin, may be useful in the
treatment of: - answers Benign Prostatic Hypertrophy (BPH)
hydralazine and isosorbide are used in combination for heart failure patients because
they cause synergistic effects and can avoid the tolerance that occurs with using
isosorbide alone. What other beneficial fact is related to this combination agent? -
answers First drug labeled for use in a specific race (African Americans)
Which of the following diuretics is the drug of choice in the treatment of cerebral
edema? - answers mannitol
Prior to the administration of furosemide, the nurse should check the medication record
for other drugs that may cause _________________ such as
_________________________. - answers ototoxicity; aminoglycosides
The patient with a plasma cholesterol level of 360 mg/dL is taking the medication
ezetimibe to reduce this value. Which statement made by the patient indicates a need
for further education concerning about this medication? - answers "I cannot take this
medication with any other lipid-lower agents."
Your patient has been experiencing tolerance to transdermal nitroglycerin. Whichof the
following suggestions would be appropriate?
"You should: - answers take the patch off at bedtime and put a new one on in the
morning."
Your patient is admitted with a diagnosis of angina pectoris. He has an order for
nitroglycerin 0.4mg SL as needed for chest pain. When he complains of chest pain, you
should administer: - answers one tablet under his tongue, if not relief, repeat in 5
minutes up to 3 doses.
A nurse prepares to administer a scheduled dose of digoxin. The nurse finds the
morning laboratory report showing a plasma digoxin level of 0.7 ng/mL. What action
should the nurse take next? - answers Check the apical rate for 1 minute and withhold
the digoxin if <60 bpm
The goal of pharmacotherapy for patients with heart failure is using a drug that has what
specific characteristics? ("select all that apply") - answers Negative Chronotropic
Effects
Positive Inotropic Effects
Negative Dromotropic Effects
You are providing discharge instructions to a 72-year-old client who has been
discharged home on a diuretic. What would the patient's instructions regarding the use
When a patient has been receiving sodium nitroprusside for 1 week, the nurse should
be alert for: - answers thiocyanate accumulation, evidenced by disorientation and
delirium
Your patient is taking lisinopril for hypertension. His blood pressure still remains slightly
elevated and the physician would like to order a diuretic. Which of the following diuretics
would be inappropriate to prescribe? - answers triamterene
How would the nurse expect calcium channel blockers to physiologically affect the
function of the heart? - answers Decrease AV node conduction
The patient takes insulin for diabetes mellitus. The physician orders atenolol for his
hypertension. After medication teaching, the nurse determines that learning has been
effective when the patient makes which statement? - answers "This medication can
enhance the effects of my insulin."
Your patient is receiving 40 mg of furosemide every day, enteric-coated aspirin 325 mg
every day and digoxin 0.25 mg every day. Your patient suddenly begins complaining of
muscle weakness and seeing yellow halos around lights. What are your suspicions? -
answers digitalis toxicity due to hypokalemia
Your patient is experiencing an emergent hypertensive crisis. The provider has ordered
nitroprusside. Before administration, you should take action to: - answers protect the
solution from sunlight/bright light by covering it up
Your patient is receiving a beta-blocker for his high blood pressure. He arrives in the ER
with complaints of severe dizziness and shortness of breath. As you obtain his apical
rate, you notive it is 40 bpm and realize the patient has taken too much of the drug.
What antidote should be administered? - answers atropine
A direct vasodilator that relaxes capacitance vessels (veins) has what beneficial effect
in the body? - answers Decreases preload
Your patient has been diagnosed with unstable angina. What is the anticipated
treatment? ("select all that apply") - answers Morphine
Supplemental Oxygen
, Nitroglycerin
Aspirin
In addition to hypertension, alpha-1 blockers, such as doxazosin, may be useful in the
treatment of: - answers Benign Prostatic Hypertrophy (BPH)
hydralazine and isosorbide are used in combination for heart failure patients because
they cause synergistic effects and can avoid the tolerance that occurs with using
isosorbide alone. What other beneficial fact is related to this combination agent? -
answers First drug labeled for use in a specific race (African Americans)
Which of the following diuretics is the drug of choice in the treatment of cerebral
edema? - answers mannitol
Prior to the administration of furosemide, the nurse should check the medication record
for other drugs that may cause _________________ such as
_________________________. - answers ototoxicity; aminoglycosides
The patient with a plasma cholesterol level of 360 mg/dL is taking the medication
ezetimibe to reduce this value. Which statement made by the patient indicates a need
for further education concerning about this medication? - answers "I cannot take this
medication with any other lipid-lower agents."
Your patient has been experiencing tolerance to transdermal nitroglycerin. Whichof the
following suggestions would be appropriate?
"You should: - answers take the patch off at bedtime and put a new one on in the
morning."
Your patient is admitted with a diagnosis of angina pectoris. He has an order for
nitroglycerin 0.4mg SL as needed for chest pain. When he complains of chest pain, you
should administer: - answers one tablet under his tongue, if not relief, repeat in 5
minutes up to 3 doses.
A nurse prepares to administer a scheduled dose of digoxin. The nurse finds the
morning laboratory report showing a plasma digoxin level of 0.7 ng/mL. What action
should the nurse take next? - answers Check the apical rate for 1 minute and withhold
the digoxin if <60 bpm
The goal of pharmacotherapy for patients with heart failure is using a drug that has what
specific characteristics? ("select all that apply") - answers Negative Chronotropic
Effects
Positive Inotropic Effects
Negative Dromotropic Effects
You are providing discharge instructions to a 72-year-old client who has been
discharged home on a diuretic. What would the patient's instructions regarding the use
