Pharma Exam 2 Flashcards
Epinephrine as an acre ethic drug produces which therapeutic effect
Increase heart rate and contractility
The physician has ordered dopamine to treat patients hypovolomic shock secondary to severe loss
Fluid replacement
When assessing cardiovascular effects of an acre ethic drug the nurse understand that this drug produce?
A positive inotropic, positive chronotropic, positive dromotropic
A hypertensive crisis May occur if adrenergic drug are given along with?
MOA inhibitors
Our patient is receiving dobutamine as continuous infusion. Titration of this medication base upon which factors
Heart rate
Blood pressure
Urine output
Non selective non blockers may be used to treat hypertension and?
Supreventicular dysrhytmias
An example of cardio selective beta blocker includes
Atenolol (tenormin)
When reviewing the allergy history of a patient, the nurse notes yang the patient is allergic to penicillin. Which class of antibiotics
Cephalosporin
The nurse is providing teaching to a patient taking oral tetracycline antibiotic. Which statement of nurse is correct
Avoid direct sunlight and tanning beds while on this medication
Which individual is a highest risk for a drug drug interaction
An adult who takes eight medication for a chronic condition
The nurse cares for a patient who is taking calcium channel blocker for hypertension. The nurse should be most concerned if patient makes which statement
I drink glass of grape fruit each evening
A patient is prescribed medication to be take on an empty stomach. Which statement should the nurse provide teaching?
Take medication 1 hours before meals
Which patient does nurse identify as being high risk for development of an adverse effect drug interaction?
An 84 year old with diabetes, heart failure and hypertension who taken seven medication each day
A patient is prescribed a medication that is potentially hepatotoxic. Before administering what should nurse do
Aspartate aminotransferase and alanine
The healthcare provider writes a medication order that the nurse cannot read
Contact prescriber to clarify order
A patient with. Anger is receiving morphine for pain control but it is not longer controlling his pain. What is appropriate response by the nurse
You have developed a tolerance to morphine and will need a higher dose
The nurse is preparing to administer warfarin to a patient. The nurse notes that patient has altered cyp2d6. Is it most important for the nurse to do which of the following?
Exam in patient stools for the presence
Ropranol is an effective?
Non selective beta adrenergic antagonist
When assessing cardio vascular effect of beta blocker the nurse understand that this drugs produce
A negative inotropic,
Negative chronotropic
Negative dronotropic effect
The priority of nursing for patient taking metropolol (lopressor) would be
Risk for decreased cardiac tissue perfusion elated to effect of medication
Patient teaching for a patient being discharged on beta blocker includes
If you take your pulse less tha 69, hold your medication and call your healthcare provider
The nurse is admitting a patient with history of angina and hypertension whose currently experiencing moderate heart failure
Carvedol (coreg)
Beta blocker are used to treat which disorders
Hypertension, angina, cardiac dysrhytmias
Cholinergic drug have which therapeutic effect
Increased gastrointestinal motility
For which potentially adverse effect would be nurse monitor patient prescribed amiodarone
Bluish skin discoloration
Hypothyroidism
Photosensitivity
The most sever adverse effect of amiodarone are evidence in which boy system
Pulmonary
Calcium channel blocker have which pharma dynamic effect
Coronary vasodilation
Before administering a dose of an antidysrhythmic drug to assigned patient, which assessment whorls be the highest priority
Apical pulse and blood pressure
Sodium channel blocker are considered which class of antidysrhytmic drug
Class 1
Adenosine is used to treat which condition
Paroxysmal supraventicular tachycardia (PSVT)
The nurse is reviewing emergency protocols and administration of adenosine what is vitally important task to remember when administering adenosine
Give it as rapid IV flush
Patient has been prescribed lidocaine. What does the nurse understand as the reason for this medication order
Ventricular arrhytmias
Which are common side effect of nitroglycerin
Flushing
Headache
Hypotension
When caring a patient with angina the nurse would question an order for non cardio selective beta blocker in a patient with what coexisting medical diagnosis
Bronchial asthma
It is most important to instruct the patient prescribed nitroglycerin to avoid which substance
Erectile dysfunction medication
A patient is tạkung sublingual nitroglycerin is complaint of flushing and headaches
These the side effect of nitroglycerin. They should subside with continued use of nitroglycerin
Patient teaching regarding nitroglycerin
Sit or lie down after you take nitroglycerin tablet to prevent dizziness
What is included in t eprioity assessment before administering isosorbide mononitrate (imdur)
Blood pressure
In order to prevent development of tolerance the nurse instruct the patient to perform which action
Apply nitroglycerin patch for 16 hours each and remove 8 hours at night
Calcium channel blocker reduce myocardial oxygen demand by reducing afterload. How would the nurse explain the afterload to the patient
It is the pressure against which the heart must pump
Which statement by the patient demonstrates a need for further education regarding nitroglycerin
I can’t take up to 5 tablets at 5 minutes intervals for chest pain
Nitrates believe angina pain by reducing preload. Joe would the nurse explain the term preload to the patient
It is the blood volume within the heart
When teaching a patient about carvedilol (coreg) the nurse explain that this medication reduces blood pressure by which action
Refusing heart rate and vasodilation
Which priority of nursing diagnosis for a patient taking an antihypertensive medication
Ineffective cerebral tissue ratted to disease process and or medication
ACe inhibitors and angiotensin receptor blocks bit work to decrease blood pressure by preventing the formation of angiotensin 2
Preventing aldosterone secretion
A patient prescribed prazosin does not have a history of hypertension. The nurses would assess for what disorder for which this medication is also used
Obstructive benign prostatic hyperplasia
