NUR 2407 Pharmacology Pharm Test #3 (Module 7-10) Your patient asks you what time of day would be best to take their diuretic. You tell her that it is best to take it when?(Ans- in the morning
For a patient taking a potassium-wasting diuretic, such as hydrochlorothiazide or furosemide, and taking potassium supplements, what would you do with the potassium supplement if you received a serum potassium result that indicated a level greater than 5.0?(Ans- Hold the medication.
Patients taking diuretics should record daily weights and report gains or losses
greater than 2 pounds in 24 hours because:
(Ans- A gain or loss of 2lb in 24 hours may indicate the patient's medication needs to be adjusted and could signify the onset of potentially serious consequences such as worsening CHF or pulmonary edema.
ACE inhibitors work by blocking the conversion angiotensin I to angiotensin II.
The net result of this action is:
(Ans- Prevention of vasoconstriction, diuresis
Your patient is taking a calcium channel blocker. Side effects of this class include: (Ans- orthostatic hypotension, peripheral edema, increased risk for falls.
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What is the drug of choice for a patient with angina and hypertension and why?(Ans- Calcium Channel Blockers because they are vasodilators.
Drugs like calcium channel blockers and alpha-blockers can cause postural hypotension. Why?(Ans- due to vasodilation effects.
A patient tells you that she was recently put on an anti-hypertensive medication and is now experiencing a persistent, dry, irritating cough. You suspect she is on which class of medications?(Ans- ACE inhibitors
Vasoactive drugs like beta adrenergic blockers often come with parameters guiding their use. What are common parameters under which the medications would be held?(Ans- Apical pulse <60, SBP >90
The drug class that works better in treating hypertension in people of African American heritage than other classes (Ans- Calcium Channel Blockers
Anticoagulants (Ans- decrease platelet count, prolong bleeding time, prevent clot formation.
Antidote for heparin (Ans- Protamine sulfate 2 / 3
You will hold a patient's warfarin (Coumadin) if they report signs and symptoms of _______ or their INR level is above _______ ________.(Ans- bleeding, prescribed parameters.
A thrombolytic drug like alteplase tPA should be given within _____ hours of the onset of symptom (last known normal) of embolic stroke.(Ans- 3
Your patient has just been prescribed atorvastatin. You teach the patient that he
should:
(Ans- have liver enzymes checked frequently, have routine eye exams, reports muscle aches or weakness.
A pregnant client is suffering from acid indigestion. The nurse would question giving which of these medications for epigastric distress to a woman who was pregnant?(Ans- Misoprostol (Cytotec)
In preparing to administer albuterol (Proventil) and beclomethasone (Beconase) inhalers to an asthmatic client, which is most important for the nurse to remember?(Ans- Administer the albuterol first, wait 5 minutes and then administer the Beconase.
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