dez johnson
Test por , creado hace más de 1 año

good practice test for exam 2! good luck!

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dez johnson
Creado por dez johnson hace alrededor de 6 años
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Pharmacology exam 2

Pregunta 1 de 46

1

Which heart failure drug raises a concern for digitalization?

Selecciona una de las siguientes respuestas posibles:

  • digoxin

  • nitrostat

  • Propranolol

  • adalat

Explicación

Pregunta 2 de 46

1

which anti-TB agent is bacteriostatic

Selecciona una de las siguientes respuestas posibles:

  • enalapril

  • rifampin

  • ethambutol

  • flovent

Explicación

Pregunta 3 de 46

1

you are treating an elderly pt. She is currently on metformin to treat her diabetes. After completing your assessment it’s clear her b/p is spiking. What med do you administer?

Selecciona una de las siguientes respuestas posibles:

  • captorpil

  • theolair

  • nitroprusside

  • losartan

Explicación

Pregunta 4 de 46

1

Adrenergic transmissions takes place in the ______ branch and uses ______ as the transmitter

Selecciona una de las siguientes respuestas posibles:

  • parasympathetic; neorepinephrine

  • sympathetic; acetylocholine

  • parasympathetic; acetylocholine

  • sympathetic; norepinephrine

Explicación

Pregunta 5 de 46

1

you are completing documentation for your pt who has been admitted for dysrhythmia. The pt is experiencing HR greater than 100 and and uncountable amount of ectopics. What terms would you use to describe this pt?

Selecciona una de las siguientes respuestas posibles:

  • pt experiencing flutter and bradycardia

  • pt experiencing fibrillation and bradycardia

  • pt is experiencing fibrillation and tachycardia

  • pt is experiencing flutter and tachycardia

Explicación

Pregunta 6 de 46

1

this drug is used to treat glaucoma and is considered a weak diuretic:

Selecciona una de las siguientes respuestas posibles:

  • osmitrol

  • diamox

  • aldactone

  • losartan

Explicación

Pregunta 7 de 46

1

Your pt that you treated for angina pectoris a week ago is back in the hospital. He is complaining of a headache, blurred vision, syncope. What do you do?

Selecciona una de las siguientes respuestas posibles:

  • discontinue his cardene medication

  • administer metoprolol

  • discontinue his nitrostat medication

  • give him some ibuprofen

Explicación

Pregunta 8 de 46

1

Pt is being rushed into your emergency room. He is is experiencing tachycardia, shortness of breath, and tightness in his chest. Its clear he is having a heart attack, we need to administer a med stat or we are going to lose him. what do we do nurse??

Selecciona una de las siguientes respuestas posibles:

  • administer nitroglycerin- nitrostat

  • start chest compression and insert a urinary catheter

  • check his vitals, then complete a head to toe assessment

  • administer norvasc

Explicación

Pregunta 9 de 46

1

this drug has a positive inotropic, negative dromotropic and a negative chromotropic?

Selecciona una de las siguientes respuestas posibles:

  • atenolol

  • lisinopril

  • digoxin

  • doxazosin

Explicación

Pregunta 10 de 46

1

which drug(s) should not be administered with grapefruit juices?

Selecciona una o más de las siguientes respuestas posibles:

  • Verapamil - calan

  • zyrtec

  • benadryl

  • theolair

Explicación

Pregunta 11 de 46

1

Losartan blocks RAAS in the kidneys by reducing the conversion to Angiotensin II from Angiotensin I

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 12 de 46

1

You treated a pt for heart failure a couple weeks ago. He is back in the hospital with his wife complaining of decreased impotence and drowsiness during the day. What response do you have to him?

Selecciona una de las siguientes respuestas posibles:

  • These are normal side effects of the drug and will go away in a week, just give the drug some time.

  • discontinue the drug and notify doctor.

  • administer him some viagra and send him on his way.

  • administer losartan to counteract the effects.

Explicación

Pregunta 13 de 46

1

which hypertension drugs should you educate pt on for orthostatic hypotension?

Selecciona una o más de las siguientes respuestas posibles:

  • Doxazosin - cardura

  • methyldopa - aldomet

  • enalapril

  • prazosin - minipress

Explicación

Pregunta 14 de 46

1

Your currently treating a pt with heart failure. Your CNA comes to notify you that your pt is experiencing some fluid retention since you've prescribed hydralazine. What would you like her to do for this pt?

Selecciona una de las siguientes respuestas posibles:

  • check his vitals and update her if his BP spikes

  • tell her to discontinue the hydralazine and set everything up for administration of losartan

  • set everything up for an administration of atenolol and lasix

  • up his fluids and tell her to check back in with you in 30 mins

Explicación

Pregunta 15 de 46

1

spironolactone - aldactone blocks Na, K, Cl re-absorption and retains potassium

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 16 de 46

1

which diuretic is the most commonly prescribed and results in less water re-absorption?

Selecciona una de las siguientes respuestas posibles:

  • hydrochlorothiazides

  • mannitol - osmitrol

  • Acetazolamide - diamox

  • lasix

Explicación

Pregunta 17 de 46

1

Your pt has been prescribed Diamox and he is being discharged today. What comment by the pt tells you he knows everything he needs to know about this drug and its concerns?

Selecciona una de las siguientes respuestas posibles:

  • I'm going to make sure I take this right when I wake up.

  • If i experience any gout attacks or dyscrasias I'll give you a call.

  • I need to go get some K+ supplements.

  • Everyone gets this drug.

Explicación

Pregunta 18 de 46

1

a myocardial infarction is considered a venous thromboembolic disorder.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 19 de 46

1

Your pt is experiencing a thrombophlebitis. You are taking to long to treat it and now it is moving in the bloodstream! What do we have now?

Selecciona una de las siguientes respuestas posibles:

  • pulmonary embolism

  • embolus

  • deep vein thrombosis

  • thrombus

Explicación

Pregunta 20 de 46

1

Your pt is currently on Heparin for DVT. What statement by another nurse tells you she is qualified to take care of your pt and knows how to administer this drug?

Selecciona una de las siguientes respuestas posibles:

  • I'll be sure to check her PT and INR everyday.

  • I'll keep her Vitamin K antidote close in case of emergency.

  • I'll be sure the 1st does is high before lowering it to a steady rate.

  • I'll be sure to aspirate the syringe when preparing to administer.

Explicación

Pregunta 21 de 46

1

Your pt has been on iv heparin and coumadin. Pt has reached therapeutic level now. What do you do?

Selecciona una de las siguientes respuestas posibles:

  • allow him to eat his spinach salad now.

  • continue to monitor his APTT every 6 hours

  • discontinue his IV heparin.

  • check for sub-clinical bleeding such as petechiae or acchumosis.

Explicación

Pregunta 22 de 46

1

which diuretic inhibits the action of aldosterone?

Selecciona una de las siguientes respuestas posibles:

  • aldactone

  • osmitrol

  • lasix

  • hydrochlorothiazide

Explicación

Pregunta 23 de 46

1

another name for a bruise is ecchymosis.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 24 de 46

1

which agent will use plasmin to dissolve fibrin clots?

Selecciona una de las siguientes respuestas posibles:

  • anti-platelet agent - acetylsalicylic acid

  • thrombolytic agent - activase

  • hemostatic agent - amicar

  • statin agent - zocor

Explicación

Pregunta 25 de 46

1

Your handing off a pt, with an acute MI who is on Acetylsalicylic acid, to the next nurse on shift. What response by him tells you he knows everything he needs to know?

Selecciona una de las siguientes respuestas posibles:

  • I'll be sure to monitor the IV site for any extravasation.

  • I'll be sure that he doesn't receive any of the cabbage on the dinner menu this evening.

  • His medication should dissolve any blood clots he may have.

  • If he starts experiencing petechiae I'll notify the doctor.

Explicación

Pregunta 26 de 46

1

Whats nursing concern for expectorants should you be mindful of?

Selecciona una de las siguientes respuestas posibles:

  • no OTC drugs

  • no smoking or 2nd hand smoke

  • no grapefruit or apple juice

  • avoid tyramine

Explicación

Pregunta 27 de 46

1

Your pt is currently on zocor for his cholesterol. What are some things that may interact with this drug.

Selecciona una o más de las siguientes respuestas posibles:

  • orange juice

  • digoxin

  • grapefruit

  • lasix

  • warfarin

Explicación

Pregunta 28 de 46

1

a nurse tells you that she plans to administer lescol - a statin agent in the morning when cholesterol synthesis is at a peak. Is this correct?

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 29 de 46

1

Your pt has been prescribed cholestyramine - Questran. He's been experiencing a buildup of fat in his stool and loose, greasy, and foul bowel movement. What is this called?

Selecciona una de las siguientes respuestas posibles:

  • cholelithiasis

  • rhabdomyolysis

  • extravasation

  • steatorrhea

Explicación

Pregunta 30 de 46

1

which agent decreases cholesterol and inhibits the breakdown of high density lipoproteins?

Selecciona una de las siguientes respuestas posibles:

  • Fibric acid agent - lopid

  • Bile sequestering agent - Questran

  • statin agent - Mevacor

  • Hemostatic agent - Amicar

Explicación

Pregunta 31 de 46

1

The client taking atorvastatin (Lipitor) reports decreased urine output, edema, and weight gain. The nurse initially assesses the client for which of the following conditions?

Selecciona una de las siguientes respuestas posibles:

  • Rhabdomyolysis

  • rhabdomyoma

  • rhabdomyosarcoma

  • rhinorrhea

Explicación

Pregunta 32 de 46

1

The client with deep vein thrombosis is being treated with a heparin infusion. The nurse would monitor for therapeutic effectiveness by noting which of the following?

Selecciona una o más de las siguientes respuestas posibles:

  • Prothrombin time (PT)

  • Platelet counts

  • Activated partial thromboplastin time (aPTT)

  • International normalized ratio (INR)

Explicación

Pregunta 33 de 46

1

The nurse is monitoring a client receiving acetazolamide (Diamox). Which of the following acid–base imbalances is a potential risk for this client?

Selecciona una de las siguientes respuestas posibles:

  • Metabolic acidosis

  • Metabolic alkalosis

  • Respiratory acidosis

  • Respiratory alkalosis

Explicación

Pregunta 34 de 46

1

which anti inflammatory agent works by preventing airway edema and inflammation?

Selecciona una de las siguientes respuestas posibles:

  • cromolyn - intal

  • montelukast - singulair

  • Beclomethasone - Qvar

  • Ipratropium - atrovent

Explicación

Pregunta 35 de 46

1

What nursing concerns should you be aware of when administering Rifampin?

Selecciona una de las siguientes respuestas posibles:

  • its a potent CYP450 inducer

  • administer Vitamin B6

  • avoid tyramine

  • its bacteriostatic

Explicación

Pregunta 36 de 46

1

You are seeing a new pt who was just brought in from track practice. She is having an asthma attack and we need to get it under control. What drug should we give her?

Selecciona una de las siguientes respuestas posibles:

  • Albuterol - Proventil

  • Levalbuterol - Xopenex

  • Theophylline - Theolair

  • Ipratropium - Atrovent

Explicación

Pregunta 37 de 46

1

which adrenergic agonist works as an OTC bronchodilator?

Selecciona una de las siguientes respuestas posibles:

  • Phenylephrine

  • Epinepherine

  • Ephedrine

  • Neo-Synephrine

Explicación

Pregunta 38 de 46

1

which adrenergic agonist is used as a critical care drug for heart attack, heart failure, and shock?

Selecciona una de las siguientes respuestas posibles:

  • albuterol

  • dopamine

  • terbutaline

  • Epinepherine

Explicación

Pregunta 39 de 46

1

Adrenergic antagonist will prevent what type of responses?

Selecciona una de las siguientes respuestas posibles:

  • fight or flight response

  • effects of norepinephrine at muscarinic receptors

  • rest or digest response

  • effects of acetylocholine

Explicación

Pregunta 40 de 46

1

you are preparing to hand off your pt to the next nurse on shift. He is currently on Phentolamine - Regitine. What comments made by the nurse tells you she knows everything she needs to know?

Selecciona una de las siguientes respuestas posibles:

  • this medication will cure his BPH

  • I should give him his next round when he wakes up in the morning

  • I'll be sure to do frequent checks due to possible incontinence

  • this drug can also treat hypotension

Explicación

Pregunta 41 de 46

1

The nurse is monitoring a client who is taking digoxin for adverse effects. Which findings are characteristics of digoxin toxicity?

Selecciona una o más de las siguientes respuestas posibles:

  • Tremors

  • Dysrhythmias

  • Irritability

  • Blurred vision

  • Nausea and vomiting

  • Decreased libido

Explicación

Pregunta 42 de 46

1

When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs?

Selecciona una de las siguientes respuestas posibles:

  • Alpha blockers - cardura

  • Diuretics - lasix

  • ACE inhibitors - captopril

  • Vasodilators - hydralazine

Explicación

Pregunta 43 de 46

1

The nurse is assessing a pt who will be starting antihypertensive therapy with an ACE inhibitor. Which condition, if present in the pt would be reason for caution use?

Selecciona una de las siguientes respuestas posibles:

  • Asthma

  • Rheumatoid arthritis

  • Hyperthyroidism

  • Renal insufficiency

Explicación

Pregunta 44 de 46

1

A pt has received a double dose of heparin during surgery and is bleeding through his incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse will prepare to take what action at this time?

Selecciona una de las siguientes respuestas posibles:

  • Give IV vitamin K as an antidote

  • Give IV protamine sulfate as an antidote

  • Call the blood bank for an immediate platelet transfusion

  • Obtain an order for packed red blood cells

Explicación

Pregunta 45 de 46

1

Which point will the nurse emphasize to a pt who is taking an antilipemic medication in the statin class?

Selecciona una de las siguientes respuestas posibles:

  • A low fat diet is not necessary while taking these medications

  • The drug needs to be taken on an empty stomach before meals

  • Improved cholesterol levels will be evident within 2 weeks

  • It is important to report muscle pain immediately

Explicación

Pregunta 46 de 46

1

The nurse is administering cholestyramine - questran, a bile acid sequestrant. Which nursing interventions are appropriate?

Selecciona una o más de las siguientes respuestas posibles:

  • administer drug on empty stomach

  • Administer drug with meals

  • Instruct the pt to take a fiber supplement while taking this drug

  • Increase fluid intake

  • Don’t administer this drug at the same time as other drugs

  • Instruct pt to follow a low fiber diet while takin this drug

Explicación

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