NURS 615 PHARM EXAM 2 LATEST 2024 REAL

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NURS 615 PHARM EXAM 2 LATEST 2024 REAL

EXAM QUESTIONS AND CORRECT ANSWERS

COMPLETE EXAM AGRADE (MARYVILLE

UNIVERSITY)

RATED

Jacob has hypertension, for which a calcium channel blocker has been prescribed. This

drug helps control blood pressure because it:

• Decreases the amount of calcium inside the cell
• Reduces stroke volume
• Increases the activity of the Na+/K+/ATPase pump indirectly
• Decreases heart rate - ANSWER-1. Decreases the amount of calcium inside the cell

Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker?

• Bradycardia
• Hepatic impairment
• Increased contractility 1 / 4

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• Edema of the hands and feet - ANSWER-4. Edema of the hands and feet

Patient teaching related to amlodipine includes:

• Increase calcium intake to prevent osteoporosis from a calcium blockade.
• Do not crush the tablet; it must be given in liquid form if the patient has trouble

swallowing it.

• Avoid grapefruit juice as it affects the metabolism of this drug.
• Rise slowly from a supine position to reduce orthostatic hypotension. - ANSWER-3.

Avoid grapefruit juice as it affects the metabolism of this drug.

Larry has heart failure, which is being treated with digoxin because it exhibits:

• Negative inotropism
• Positive chronotropism
• Both 1 and 2
• Neither 1 nor 2 - ANSWER-4. Neither 1 nor 2

Furosemide is added to a treatment regimen for heart failure that includes digoxin.

Monitoring for this combination includes:

• Hemoglobin
• Serum potassium
• Blood urea nitrogen 2 / 4

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• Serum glucose - ANSWER-2. Serum potassium

Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.

• Older adults because of reduced renal function
• Administration of aldosterone antagonist diuretics because of decreased potassium

levels

• Taking an antacid for gastroesophageal reflux disease because it increases the

absorption of digoxin

• Doses between 0.25 and 0.5 mg/day - ANSWER-1. Older adults because of reduced

renal function

Serum digoxin levels are monitored for potential toxicity. Monitoring should occur:

• Within 6 hours of the last dose
• Because a reference point is needed in adjusting a dose
• After three half-lives from the starting of the drug
• When a patient has stable renal function - ANSWER-2. Because a reference point is

needed in adjusting a dose

Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they

may indicate: 3 / 4

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• Widening of the area of infarction
• Onset of congestive heart failure
• An electrolyte imbalance involving potassium
• Renal dysfunction - ANSWER-2. Onset of congestive heart failure

Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should

assess for:

• Hypokalemia
• Impotence
• Decreased renal function
• Inability to concentrate - ANSWER-3. Decreased renal function

Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension

in diabetic patients because they:

• Improve insulin sensitivity
• Improve renal hemodynamics
• Reduce the production of angiotensin II
• All of the above - ANSWER-4. All of the above
• / 4