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100
Epinephrine (Adrenalin), as an adrenergic (sympathomimetic) drug, produces which of the following therapeutic effects? A) urinary retention B) bronchial constriction C) decreased intestinal motility D) increased heart rate
What is d) increased heart rate
100
What is the antidote for a drug-induced cholinergic crisis?
What is atropine
100
What is the most common adverse effect of nitroglycerin?
What is headache
100
In which patient would a nurse question an order for a loop diuretic? A) 40 year old with heart failure and anuria B) 35 year old with heart failure and asthma C) 50 year old with heart failure and allergy to penicillin D) 43 year old with heart failure and gastric ulcers.
What is A) 40 year old with heart failure and anuria
100
Name a drug with antiplatelet properties?
What is acetylsalicyclic acid (Aspirin)
200
2. Which of the following cardiovascular effects would an adrenergic (sympathomimetic) drug produce? A) a positive inotropic, positive chronotropic, and positive dromotropic effect B) a positive inotropic, negative chronotropic, and negative dromotropic effect C) a negative inotropic, positive chronotropic, and positive dromotropic effect D) a negative inotropic, negative chronotropic, and negative dromotropic effect
What is A) a positive inotropic, positive chronotropic, and positive dromotropic effect
200
Which of the following disorders are beta-blockers used to treat? A) COPD, B) hypotension, C) allergic reactions, D) cardiac dysrhythmias
What is D) cardia dysrhythmias
200
Which of the following is an expected outcome associated with the administration of digoxin (Lanoxin)? A) increased heart rate B) decreased heart rate C) decreased urinary output D) decreased blood pressure
What is B) decreased heart rate
200
Which of the following dietary recommendations would the nurse make to a patient taking spironolactone (Aldactone)? A) Avoid high sodium foods i.e. apples B) Consume more high potassium foods i.e. orange juice C) Consume vitamin K rich foods i.e. spinach D) Avoid high potassium foods i.e. bananas.
What is D) Avoid high potassium foods i.e. bananas.
200
What is the difference between enoxaparin (a LMWH) and heparin?
What is more predictable response and lower bleeding risk
300
3. By which of the following actions do ergot alkaloids such as ergotamine tartrate exert a therapeutic effect? A) vasodilation B) vasoconstriction C) blockade of the β2-receptors D) stimulation of the α-receptors
What is B) vasoconstriction
300
The nurse monitors a patient prescribed dicyclomine (Bentylol) for which of the following therapeutic effects? A) decrease in GI motility B) decrease in urinary frequency C) increase in heart rate D) increase in blood pressure
What is A) Decrease in GI motility
300
Which of the following is important for the nurse to remember when administering adenosine (Adenocard)? A) offer it with food or milk B) give it as a fast intravenous push C) give it as an intravenous push slowly over 5 minutes D) prepare to set up an intravenous drip infusion
What is B) give it as a fast intravenous push
300
An angiotensin II receptor blocker (ARB) can be combined with a thiazide diuretic hydrochlorothiazide. Which best describes the purpose of this combination? A) to decrease rapid blood pressure drop B) to enhance the antihypertensive effect by promoting sodium and water loss C) to increase sodium and water retention for controlling blood pressure D) to enhance antihypertensive effect while promoting potassium retention.
What is D) to enhance antihypertensive effect while promoting potassium retention.
300
Before emergency surgery, the nurse would anticipate administering which medication to a patient receiving heparin? A) vitamin K B) vitamin E C) protamine sulphate D) tranexamic acid
What is C) protamine sulphate
400
List (3) indications for cholinergic (parasympathomimetic) drugs
What is glaucoma, Alzheimers, Myasthenia gravis, urinary retention, ocular surgery, Sjogren’s syndrome
400
4. Which of the following would the nurse include when teaching a patient about β-blocking medications such as atenolol (Tenormin) and metoprolol (Lopressor)? A) alcohol intake is encouraged for its vasodilating effects B) these medications may be taken with antacids to minimize gastrointestinal distress C) abrupt medication withdrawal may lead to a rebound hypertensive crisis D) hot baths and showers will help enhance the therapeutic effects and are encouraged
What is C) abrupt medication withdrawal may lead to a rebound hypertensive crisis
400
4. Which of the following would be a priority nursing assessment before administering isosorbide mononitrate? A) blood pressure B) potassium levels C) level of consciousness D) liver function tests (LFTs)
What is A) blood pressure
400
An older adult client admitted with heart failure and a sodium level of 113 mEq/L is behaving aggressively toward staff and does not recognize family members. When the family expresses concern about the client's behavior, the nurse would respond most appropriately by stating A) "The client may be suffering from dementia, and the hospitalization has worsened the confusion." B) “Most older adults get confused in the hospital” C) “The sodium level is low, and the confusion will resolve as the levels normalize." D) “The sodium level is high and the behaviour is a result of dehydration”
What is C) “The sodium level is low, and the confusion will resolve as the levels normalize."
400
Which of the following describes the action of lovastatin? A. Inhibits absorption of dietary cholesterol in the small intestine B. Stimulates the biliary system to increase excretion of dietary cholesterol C. Binds to bile in the intestinal tract, forming an insoluble complex that is excreted in the feces D. Inhibits HMG-CoA reductase, the enzyme responsible for the biosynthesis of cholesterol in the liver
What is D. Inhibits HMG-CoA reductase, the enzyme responsible for the biosynthesis of cholesterol in the liver
500
What is the mechanism of action is expected for a patient receiving donepezil (Aricept)?
What is Increases levels of acetylcholine in the brain by blocking its breakdown
500
The nurse assesses the intravenous infusion site of a patient receiving dopamine and finds it to be infiltrated. The nurse will prepare which of the following medications to treat this infiltration?
What is phentolamine
500
A patient receiving intravenous nitroglycerin at 20 µg/min complains of dizziness. Nursing assessment reveals a blood pressure of 88/46 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse’s best response?
What is decrease the intravenous nitroglycerin drip rate
500
Gwen, 90, lives in a long-term care facility. She is ambulatory and continent but requires direction for her activities of daily living. Her medical diagnoses include congestive heart failure and Alzheimer's disease. Gwen has a number of medications to treat her conditions, including digoxin (Lanoxin), furosemide (Lasix), and potassium supplements. What potassium serum level result indicates that Gwen's potassium supplement may not be adequate? A) 3.2 mmol/L B) 2.2 mmol/L C) 4.1 mmol/L D) 3.5 mmol/L
What is B) 2.2 mmol/L
500
Which of the following symptoms might indicate a serious adverse reaction to the drug simvastatin? What monitoring would be necessary? A. Fatigue B. Headache C. Muscle pain D. Nausea and vomiting
What is C. Muscle pain. LFTs