Page 1 of 98
NUR2474 / NUR 2474 Exam 2 Review (Latest 2025):
Pharmacology for Professional Nursing - Rasmussen
Verapamil in combination with a beta block 'lol'?
.....ANSWER.....Increased risk for interaction
Which information should the nurse include in client education
regarding a cholesterol-lowering agent? .....ANSWER....."You
should continue your exercise program to increase your high-
density lipoprotein (HLD) serum.
What would the nurse expect has occurred with a client who has
taken senna for several days and now experiencing yellowish-
brownish urea? .....ANSWER.....Expected effect of the medication
(Anthraquinone's in laxatives such as senna, change urine to
brown, yellow, or orange.)
Verapamil can elevate? .....ANSWER.....digoxin levels
,Page 2 of 98
Client took too much warfarin normal vitals and no petechiae
.....ANSWER.....Expect DR to order pt INR
Patient on warfarin and levels of INR 4.7 .....ANSWER.....Best
action is to hold dose and notify physician
Heparin post op and APTT is 120 BP 90/50
.....ANSWER.....Expect Dr to order protamine sulfate
Post surgery patient is pale and fatigued HR98 RR20 BP
100/50 .....ANSWER.....Expect provider to order hemoglobin
and hematocrit
Aspirin prevents .....ANSWER.....platelet aggregation
Amiodarone .....ANSWER.....is a positum channel blocker it is
given for Aflutter to prevent recurrence. Levels can be increased
by grapefruit juice and toxicity can result. Amiodarone levels can
be reduced by cholestyramine.
,Page 3 of 98
Propranolol .....ANSWER.....is a beta adrenergic blocker non
selective given for recurrent ventricular tachycardia. Question the
order if patient has asthma as it can cause bronchospasm.
Stage B Heart failure .....ANSWER.....Captopril for reduced EF or
ejection fraction and symptomatic
Normal GFR .....ANSWER.....90-120
If GFR is <20 .....ANSWER.....risk of digoxin toxicity is greater
If digoxin level is 2.5 ng/ml .....ANSWER.....hold dose and contact
healthcare provider
Always check apical pulse before .....ANSWER.....giving digoxin
Torsades De pointes .....ANSWER.....Give IV magnesium
Digoxin therapeutic range .....ANSWER.....0.5-0.8
Normal potassium level .....ANSWER.....is 3.5 to 5
Furosemide effective if .....ANSWER.....Output is greater than
input
, Page 4 of 98
Hypertension BP150/90 crackles bibasilar, 2+ edema,
distended jugular veins .....ANSWER.....Expect order furosemide
(loop diuretic)
Diabetes mellitus and hypertension .....ANSWER.....Anticipate
order for ace inhibitor
Patient has cough for 3 days that is non productive after starting
lisinopril .....ANSWER.....Stop lisinopril and start losartan
Angiotensin II Receptor Blockers (ARBs) .....ANSWER.....DO NOT
promote accumulation of bradykinin in the lung and therefore
have lower instance of cough
Losartan .....ANSWER.....is an angiotensin 2 receptor blocker
adverse effects are angioedema, fetal harm and renal failure
Patient with 2+ pitting edema In bilateral lower extremities,
bibasilar crackles and potassium of 6 .....ANSWER.....Question it
if Dr orders spironolactone which is a potassium sparing drug
NUR2474 / NUR 2474 Exam 2 Review (Latest 2025):
Pharmacology for Professional Nursing - Rasmussen
Verapamil in combination with a beta block 'lol'?
.....ANSWER.....Increased risk for interaction
Which information should the nurse include in client education
regarding a cholesterol-lowering agent? .....ANSWER....."You
should continue your exercise program to increase your high-
density lipoprotein (HLD) serum.
What would the nurse expect has occurred with a client who has
taken senna for several days and now experiencing yellowish-
brownish urea? .....ANSWER.....Expected effect of the medication
(Anthraquinone's in laxatives such as senna, change urine to
brown, yellow, or orange.)
Verapamil can elevate? .....ANSWER.....digoxin levels
,Page 2 of 98
Client took too much warfarin normal vitals and no petechiae
.....ANSWER.....Expect DR to order pt INR
Patient on warfarin and levels of INR 4.7 .....ANSWER.....Best
action is to hold dose and notify physician
Heparin post op and APTT is 120 BP 90/50
.....ANSWER.....Expect Dr to order protamine sulfate
Post surgery patient is pale and fatigued HR98 RR20 BP
100/50 .....ANSWER.....Expect provider to order hemoglobin
and hematocrit
Aspirin prevents .....ANSWER.....platelet aggregation
Amiodarone .....ANSWER.....is a positum channel blocker it is
given for Aflutter to prevent recurrence. Levels can be increased
by grapefruit juice and toxicity can result. Amiodarone levels can
be reduced by cholestyramine.
,Page 3 of 98
Propranolol .....ANSWER.....is a beta adrenergic blocker non
selective given for recurrent ventricular tachycardia. Question the
order if patient has asthma as it can cause bronchospasm.
Stage B Heart failure .....ANSWER.....Captopril for reduced EF or
ejection fraction and symptomatic
Normal GFR .....ANSWER.....90-120
If GFR is <20 .....ANSWER.....risk of digoxin toxicity is greater
If digoxin level is 2.5 ng/ml .....ANSWER.....hold dose and contact
healthcare provider
Always check apical pulse before .....ANSWER.....giving digoxin
Torsades De pointes .....ANSWER.....Give IV magnesium
Digoxin therapeutic range .....ANSWER.....0.5-0.8
Normal potassium level .....ANSWER.....is 3.5 to 5
Furosemide effective if .....ANSWER.....Output is greater than
input
, Page 4 of 98
Hypertension BP150/90 crackles bibasilar, 2+ edema,
distended jugular veins .....ANSWER.....Expect order furosemide
(loop diuretic)
Diabetes mellitus and hypertension .....ANSWER.....Anticipate
order for ace inhibitor
Patient has cough for 3 days that is non productive after starting
lisinopril .....ANSWER.....Stop lisinopril and start losartan
Angiotensin II Receptor Blockers (ARBs) .....ANSWER.....DO NOT
promote accumulation of bradykinin in the lung and therefore
have lower instance of cough
Losartan .....ANSWER.....is an angiotensin 2 receptor blocker
adverse effects are angioedema, fetal harm and renal failure
Patient with 2+ pitting edema In bilateral lower extremities,
bibasilar crackles and potassium of 6 .....ANSWER.....Question it
if Dr orders spironolactone which is a potassium sparing drug
