Maryville University Nursing 615 Exam 3 Review Latest Update 2023-2024 Questions and Verified Correct Answers Guaranteed Success ACE inhibitors - Correct Answer: The most common side effect of these medications is a dry, hacking cough
ACE inhibitors - Correct Answer: These medications are preferred in patients who are diabetic with hypertension as the reduce the adverse effects of diabetes on the kidneys.
Acetaminophen - Correct Answer: A serious adverse effect related to this medication is referred to as "------------- poisoning"
alpha-glucosidase inhibitors - Correct Answer: Acarbose is the primary medication used in this class and has a dosing schedule of 50 mg TID when initiating therapy.
Alpha-glucosidase inhibitors - Correct Answer: These medications are contraindicated in patients with inflammatory or irritable bowel syndromes.
Alternative treatment regimen for CHF - Correct Answer: In people who are intolerant of ACE inhibitors or ARBs or who have significant kidney dysfunction, the use of combined hydralazine and a long-acting nitrate such as isosorbide nitrate is an effective alternative strategy. This has been shown to reduce mortality in people with moderate heart failure, especially African Americans.
Amiodarone - Correct Answer: Patient may experience vision problems, a bluish-gray discoloration of the skin, photosensitivity, interstitial disease, as well as hypo and hyperthyroidism when taking this medication
Amiodarone - Correct Answer: This medication is structurally similar to thyroxine, which can cause induced abnormalities in thyroid function
Amlodipine - Correct Answer: Adverse effects of this medication include: 1.) common and dose related are peripheral edema, dizziness, palpitations, flushing. 2.) common- not dose related are fatigue, nausea, abdominal pain, and somnolence. 3.) rare are blood disorders, impotence, depression, insomnia, tachycardia, gingival enlargement, hepatitis, and jaundice
Amlodipine - Correct Answer: This medication is metabolized in the liver to inactive metabolites via CYP3A4. This enzyme is inhibited by grapefruit juice which increases the amount of this medication in the blood stream.
Antihypertensives - Correct Answer: A thorough renal and liver function assessment should be completed before prescribing these medications
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bile acid sequestrants - Correct Answer: These medications bind to bile in the GI tract to prevent reabsorption. The conversion of cholesterol in a bile acid lowers plasma cholesterol levels.
Black Box Warning for TZDs - Correct Answer: This medication can lead to significant water retention, which can then create decompensation due to an unrecognized form of heart failure. In addition, if these medications are used for more than 1 year there is an increased risk of bladder cancer.
Black Box Warning on NSAIDS - Correct Answer: Increased risk of serious
cardiovascular thrombotic events, such as myocardial infarction and stroke. These medications can also cause serious GI events such as bleeding, ulceration or perforation of stomach or intestines, which can be fatal.
Colchine - Correct Answer: This medication can cause severe diarrhea, nausea,
vomiting, abdominal pain
Congestive heart failure - Correct Answer: First-line treatment for patients with this condition should include ACE inhibitors (or ARBs) and beta blockers
Corticosteroids - Correct Answer: These medications can cause the following adverse effects if taken for six months or more: Osteoporosis and poor diabetic control. Patients should report black, tarry stools or abdominal pain.
Corticosteroids - Correct Answer: These medications should be tapered to avoid
recurrent activity of the underlying disease and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis suppression during the period of steroid therapy.
Coumadin - Correct Answer: This medication is contraindicated in pregnancy, as it passes through the placental barrier and may cause bleeding in the fetus.
Digitalis - Correct Answer: This medication can be used as a second-line medication for patients with congestive heart failure
Digoxin - Correct Answer: This medication interacts with Verapamil, Amiodarone,
Erythromycin, and Epinephrine (when injected as local anesthetic). The level of this medication should be monitored when the patient is taking albuterol.
dihydropyridine-type calcium channel blockers - Correct Answer: These medications have adverse effects of reflex tachycardia, proteinuria, increased edema in the hands and feet, and headaches
Exenatide (Byetta) - Correct Answer: This medication should be administered 60
minutes before breakfast and dinner.
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