NR293 / NR-293 Exam 2 (Latest Update 2024 / 2025): Pharmacology for Nursing Practice | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

NR293 / NR-293 Exam 2 (Latest Update 2024 / 2025): Pharmacology for Nursing Practice | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain Question: Once adenosine is pushed, how will the patient feel? Answer: The will feel as if a pound of bricks is laying on their chest. Question: Before starting a patient on a hypertensive, what is recommended to try first? Answer: diuretics Question: How do diuretics help to lower blood pressure? Answer: Diuretics decrease fluid which takes pressure off the heart, which in turn lowers blood pressure. Question: - all antihypertensives can cause HYPOtension - take at same type each day; if dose is missed, take asap (do not double doses) - monitor BP; keep log of BP at home - don't stop medications abruptly - avoid OTC meds without consulting HCP - do exercises that prevent blood pooling in the legs - avoid activities that may decrease BP (ETOH, hot tubs, prolonged sitting) Answer: General teaching for all antihypertensives Question: Examples: - clonidine (Catapres) - Methyldopa (Aldomet) MOA: stimulates adrenergic receptors in the brain to decrease sympathetic outflow from CNS Indications: - HTN - symptoms of opioid withdrawal Side/adverse effects: - orthostatic hypotension - fatigue - dizziness - dry mouth - REBOUND hypertension can happen if stopped abruptly Contraindications: allergy Nursing implications: - avoid sudden position changes to decrease likelihood of orthostatic hypotension - avoid CNS depressants and alcohol - Methyldopa (Aldomet) IS safe in pregnancy Answer: Class: Alpha 2 receptor agonist Question: Examples: - doxazosin (Cadura) - terazosin (Hytrin) - prazosin (Minipress) MOA: prevents vasoconstriction Indications: - severe HF - terazosin (Hytrin) reduces symptoms of BPH and prevents urinary obstruction Side/adverse effects: - hypotension - first dose syncope - dizziness - headache Contraindications: - allergy - sildenafil (Viagra) Nursing implications: - change positions slowly - take at bedtime to avoid first dose syncope and dizziness Answer: Class: alpha 1 receptor antagonists "azosin" Question: What do cardioselective and nonselective beta blockers do? Answer: Cardioselective block beta 1 receptors; which affect the heart. Nonselective block beta 1 and beta 2 receptors; which affect the lungs.