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
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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)
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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
- avoid CNS depressants and alcohol
- Methyldopa (Aldomet) IS safe in pregnancy
hypotension
Answer:
Class: Alpha 2 receptor agonist
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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
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