NURS 676 Advanced Pharmacology – Midterm Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers A 42-year old man presents to you for follow-up treatment of a furuncle. He came in 3 days earlier and the area was 1.5 cm in size. At that time, he was afebrile and without pain, redness, or swelling. He was sent home with instructions to apply a warm compress and was not given antibiotics. When should a furuncle be treated with systemic antibiotics?
- If the area is painful
- If the area is red, along with the surrounding tissues
- Patient is febrile
d. all of above - CORRECT ANSWER: d. all of above
A medication review of an elderly person's medications involves:
- Asking the patient to bring a list of current prescription medications to the visit.
- Having the patient bring all their prescription, over-the-counter, and herbal
- Asking what other providers are writing prescriptions for them.
medications to the visit.
d. All of the above. - CORRECT ANSWER: d. All of the above.
A potentially life-threatening adverse response to ACE-Is is angioedema. Which of the following statements true about this adverse response?
- Swelling of the tongue and hoarseness are the most common symptoms.
- It appears to be related to the decrease in aldosterone production.
- Presence of a dry, hacking cough indicates a high risk for this adverse response.
- Because it takes time to build up a blood level, it occurs after being on the drug for
about one week. - CORRECT ANSWER: a. Swelling of tongue and hoarseness are the
most common symptoms.
A stepwise approach to the pharmacologic management of asthma:
- allows for each provider to determine their personal approach to the care of asthmatic
- is used when asthma is severe and required daily steroids
- begins with determining the severity of asthma and assessing asthma control
- provides a framework for the management of severe asthmatics, but is not helpful
patients
when patients have intermittent asthma - CORRECT ANSWER: c. begins with
determining the severity of asthma and assessing asthma control
Acamprosate - CORRECT ANSWER: Decreases unpleasant effects resulting from
abstinence like dysphoria, anxiety, restlessness 1 / 2
ACE inhibitors - CORRECT ANSWER: "PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ACE-Is are the drug of choice in treating HTN in diabetic patient because they:
- improve insulin sensitivity
- improve renal hemodynamics
- reduce the production of angiotensin II
d. all of above - CORRECT ANSWER: d. all of above
ACEIs in heart failure - CORRECT ANSWER: can improve functional status and
prolong life
acute effects of alcohol on the brain - CORRECT ANSWER: depression of CNS
function and activation of the reward circuit
Adverse effects of ACE inhibitors - CORRECT ANSWER: -Cough
-Hypotension in hypovolemic patients
-Acute renal failure
-Hyperkalemia
-Angioedema
-Contraindicated in pregnancy
adverse effects of ARBS - CORRECT ANSWER: angioedema and renal failure
adverse effects of Disulfiram (antabuse) - CORRECT ANSWER: acetaldehyde
syndrome: caused by use of alcohol with medication. symptoms: nausea, vomiting, palpitations, headache, chest pain, hypotension, in severe form can be life threatening.alcoholics who lack the determination to stop drinking shouldn't receive this treatment.
Aliskiren (Tekturna) - CORRECT ANSWER: Mechanism of Action: Renin inhibitor Clinical Uses: HTN secondary to renal failure or diabetes.
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