Pharma Exam 2 Flashcards

1
Q

Epinephrine as an acre ethic drug produces which therapeutic effect

A

Increase heart rate and contractility

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2
Q

The physician has ordered dopamine to treat patients hypovolomic shock secondary to severe loss

A

Fluid replacement

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3
Q

When assessing cardiovascular effects of an acre ethic drug the nurse understand that this drug produce?

A

A positive inotropic, positive chronotropic, positive dromotropic

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4
Q

A hypertensive crisis May occur if adrenergic drug are given along with?

A

MOA inhibitors

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5
Q

Our patient is receiving dobutamine as continuous infusion. Titration of this medication base upon which factors

A

Heart rate
Blood pressure
Urine output

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6
Q

Non selective non blockers may be used to treat hypertension and?

A

Supreventicular dysrhytmias

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7
Q

An example of cardio selective beta blocker includes

A

Atenolol (tenormin)

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8
Q

When reviewing the allergy history of a patient, the nurse notes yang the patient is allergic to penicillin. Which class of antibiotics

A

Cephalosporin

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9
Q

The nurse is providing teaching to a patient taking oral tetracycline antibiotic. Which statement of nurse is correct

A

Avoid direct sunlight and tanning beds while on this medication

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10
Q

Which individual is a highest risk for a drug drug interaction

A

An adult who takes eight medication for a chronic condition

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11
Q

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

A

I drink glass of grape fruit each evening

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12
Q

A patient is prescribed medication to be take on an empty stomach. Which statement should the nurse provide teaching?

A

Take medication 1 hours before meals

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13
Q

Which patient does nurse identify as being high risk for development of an adverse effect drug interaction?

A

An 84 year old with diabetes, heart failure and hypertension who taken seven medication each day

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14
Q

A patient is prescribed a medication that is potentially hepatotoxic. Before administering what should nurse do

A

Aspartate aminotransferase and alanine

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15
Q

The healthcare provider writes a medication order that the nurse cannot read

A

Contact prescriber to clarify order

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16
Q

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

A

You have developed a tolerance to morphine and will need a higher dose

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17
Q

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?

A

Exam in patient stools for the presence

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18
Q

Ropranol is an effective?

A

Non selective beta adrenergic antagonist

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19
Q

When assessing cardio vascular effect of beta blocker the nurse understand that this drugs produce

A

A negative inotropic,
Negative chronotropic
Negative dronotropic effect

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20
Q

The priority of nursing for patient taking metropolol (lopressor) would be

A

Risk for decreased cardiac tissue perfusion elated to effect of medication

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21
Q

Patient teaching for a patient being discharged on beta blocker includes

A

If you take your pulse less tha 69, hold your medication and call your healthcare provider

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22
Q

The nurse is admitting a patient with history of angina and hypertension whose currently experiencing moderate heart failure

A

Carvedol (coreg)

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23
Q

Beta blocker are used to treat which disorders

A

Hypertension, angina, cardiac dysrhytmias

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24
Q

Cholinergic drug have which therapeutic effect

A

Increased gastrointestinal motility

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25
For which potentially adverse effect would be nurse monitor patient prescribed amiodarone
Bluish skin discoloration Hypothyroidism Photosensitivity
26
The most sever adverse effect of amiodarone are evidence in which boy system
Pulmonary
27
Calcium channel blocker have which pharma dynamic effect
Coronary vasodilation
28
Before administering a dose of an antidysrhythmic drug to assigned patient, which assessment whorls be the highest priority
Apical pulse and blood pressure
29
Sodium channel blocker are considered which class of antidysrhytmic drug
Class 1
30
Adenosine is used to treat which condition
Paroxysmal supraventicular tachycardia (PSVT)
31
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
32
Patient has been prescribed lidocaine. What does the nurse understand as the reason for this medication order
Ventricular arrhytmias
33
Which are common side effect of nitroglycerin
Flushing Headache Hypotension
34
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
35
It is most important to instruct the patient prescribed nitroglycerin to avoid which substance
Erectile dysfunction medication
36
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
37
Patient teaching regarding nitroglycerin
Sit or lie down after you take nitroglycerin tablet to prevent dizziness
38
What is included in t eprioity assessment before administering isosorbide mononitrate (imdur)
Blood pressure
39
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
40
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
41
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
42
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
43
When teaching a patient about carvedilol (coreg) the nurse explain that this medication reduces blood pressure by which action
Refusing heart rate and vasodilation
44
Which priority of nursing diagnosis for a patient taking an antihypertensive medication
Ineffective cerebral tissue ratted to disease process and or medication
45
ACe inhibitors and angiotensin receptor blocks bit work to decrease blood pressure by preventing the formation of angiotensin 2
Preventing aldosterone secretion
46
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
47
When administering nitorprusside IV, the nurse would monitor for which sign of toxicity
Hypotension
48
Carvedilol is classified as a
Dual action alpha 1 and beta receptor blocker
49
Which statement if made by your patient signifies theta addition patient teaching regarding antihypertensive treatment is required
I will check my blood pressure everyday and take my medication when it is over 140/90
50
The nurse conducting a community education program. Explains medication regimen to treat hypertension
Diuretic and calcium channel blocker
51
The nurse would question an order for calcium channel blocker in a patient with chích condition
Hypotension
52
The nurse would plan on o administer which calcium channel blocker to a patient with cerebral artery spasm
Nimodioine (nimotop)
53
Which would be a priority assessment prior to administer eplerenone
Serum electrolyte
54
Which medication would the nurse question if prescribed concurrently with ace inhibitors
Potassium
55
Side effect of antichlonerguc drugs such as atropine
Dilated pupils, urinary retention, dry mount
56
After administering ditropan to a patient with spina bifida the nurse is assessing the patient for therapeutic effect
Decrease urinary retention
57
The provider has ordered donepezil for the patient and Feb patient states I have no idea why I take this medication
Alzheimer’s disease
58
The nurse administering donepizel to a patient that the expected therapeutic action of this drug is
Increase level of acetylcholine in the brain by blocking its breakdown
59
Adverse effect of bethanechol
Urinary atony
60
Chilinergic drug are indicated of which situation
Lowering intraocular pressure in patients with glaucoma
61
A health care provider has ordered impril
Client with depression.
62
A nurse is monitoring client for early lithium toxicity
Confusion
63
Three types of hypertension
Essential - unknown cause 90% Secondary- disease 10% Malignant - rapid rising due to primary or secondary
64
Patient is taking aloha adrenergic blocker what precaution to take
Decrease blood pressure Tachycardia, arrythmias
65
What drugs increase toxicit y of digoxin
Increased salivation and tetracycline
66
Contraindication of nitroglycerin
Vasodilators
67
How beta blockers lower blood pressure
Decrease cardiac output, do not use epinephrine
68
Most common used diuretics
HCTxZ hydrochlorithizide
69
Most common side effect of diuretics
Hypokalemia Hyperuricemia Xerostomia
70
What drug that interacts with warfarin
Aspirin, antibiotic
71
Benzodiazepine do not have what effect
Analgesic (pain relief)
72
Cholesterol absorption inhibitors which drug
Ezetrol
73
Drug used to treat angina pectoris
Antianginals
74
Symptoms for ischemic heart disease
Slowing heart rate , dilating veins, dilating arterioles
75
First line drugs for chronic angina
Beta adrenergic blockers
76
Restore blood supply to the damage myocardium as quickly as possible through the used of
Thrombolytics
77
Teh early diagnosis of myocardial infarction increase chances of survival in which pharmacotherapy
Thronbolytics, beta blockers, antidysrhytmitics
78
Which antiplatelates agents for teh treatment of myocardial ischemia
Glycoprotein IIB/IIIa inhibitors
79
To prolong bleeding time in order to prevent blood clots from forming I. Which drug used
Anticoagulants
80
Drugs are used to treat the symptoms and complication of acute MI
Analgesics, anticoagulants and ace inhibitors
81
How to assess if the diuretics is effective
Kung sound
82
What to assess when giving warfarin
Bruises and bleeding
83
Side effect of aspirin
Tinnitus
84
After 3x of nitroglycerin
Call 911
85
Stop beta blockers
Will cause rebound hypertension
86
Epi and nore
Catecholamines that stimulate sns
87
If there is hypertensive drugs in bedside
Avoid decongestant
88
Which system is affecting diuretic
Kidney k spraing
89
Do not give to renal failure
90
Treating acute asthma attacks
Saba
91
Pt after taking inhaler
Increase fluid intake
92
If your patient has to take a bronchodilator and consticosteriod
Give bronchodilator first gen diphenhydramine
93
Eating tyramine food when taking mao
Can cause hypertension
94
What is akathisia
Motor restlessness
95
What effect might decreased intestinal motility
Increase drug absorption
96
Toenail removal
Local narcotics meds
97
Check the mar levodopa carbidopa effect
Less tremors
98
Common adverse effect of alpha blockers
Orthostatic hypotension
99
Cause excessive production of epi and nore
Pheochromocytoma
100
Alan alpha adrenergic antagonist administered by IV bolus or drip to reduce blood pressure quickly
Phentolamine
101
An alpha adrenergic antagonist that competes nore at its receptor on vascular
Prazosin
102
How many percent of prazosin Ano sober after oral administration and Half life
60% 2-3 hours half life
103
As a practical nurse what are the some ways to tell what cause of a patients rhinorrhea is
Allergy Bacterial - greens Color Viral-clear Color
104
Treatment for the common cold Benadryl Sinotab-decongestant
105
Expectorant - used to thin bronchial see region so they can more easily be eliminated by coughing Example ; guaifenesin Side effect - drowsiness
106
Antitussives - used to suppress the cough reflex usually dry and non productive cough
107
Opiate cause by respiratory infection Non opiate - dextrometbrophan is the sample medication
108
Nursing consideration prior to give antitussives Interactions Allergies Color of secretion Amount of the cough Consistency of the pleghm
109
Nasal congestion is due to dilation. Of the vessels i. Response to infection or allergen which lead to swelling of nasal cavity
110
Example sod decongestant Ephedrine
111
What are the adverse side effect of decongestant drug act to teh sympathetic nervous system Urinary retention Increase of breathing Tachycardia
112
Antihistamine block effect of histamine - majority designated to block H receptors
113
Histamines are pro inflammatory agent
114
A decrease in Histamine lead to decrease vasoppermeability
115
Example of antihistamine Diphenhydramine - Benadryl (cause drowsiness, tachycardia, dry mouth ) Fexofenadrine- Allegra Loratadine - Claritin