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NUR210 / NUR 210 Exam 2 : Principles of
Pharmacology | QUESTIONs and Verified Answers | 100% Correct | Grade A – Galen
QUESTION: If a patient is taking an ACE inhibitor and a dry
hacking cough is noted, what can the provider switch them to?
Answer: ARB.
QUESTION: If a patient is on a thiazide and/or cortisone with
digoxin, what should they be prescribed?
Answer: Potassium supplement.
QUESTION: What are the side effects and adverse reactions
associated with statins?
Answer: GI upset, muscle tenderness or weakness, serious
rebound effect (which could lead to AMI and possible death), constipation, elevated glucose levels, and an increase in liver enzymes.
QUESTION: What effects do beta blockers have on the heart?
Answer: They decrease contractility and heart rate.
QUESTION: How can beta blockers affect blood sugar?
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Answer: They can mask hypoglycemia; sweating may be the
only sign.
QUESTION: Why is propranolol not a good choice for asthma
patients?
Answer: It can cause bronchospasms.
QUESTION: What type of angina occurs at rest and what
medication is used to treat it?
Answer: Variant angina; treated with Calcium Channel Blockers
(CCBs).
QUESTION: What is Adenocard used for, and when is it
contraindicated?
Answer: Used to treat PSVT; contraindicated in heart block, A-
Flutter, and A-Fib.
QUESTION: Why is NTG often administered to patients with
variant angina?
Answer: To decrease vasospasms and increase oxygen supply.
QUESTION: What is the normal range of potassium (K+)?
Answer: 3.5-5 meq/L.
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QUESTION: What is the normal INR range for patients on
Coumadin?
Answer: 2-3 meq.
QUESTION: What is the normal therapeutic range for digoxin?
Answer: 0.5-2 ng/ml.
QUESTION: What is special about Lantus insulin?
Answer: It is a "loner" insulin and should never be mixed.
QUESTION: What is a major concern with Meglitinides and
Sulfonylureas?
Answer: They can cause low blood sugar (hypoglycemia).
QUESTION: Why is lactulose given, and what are its side
effects?
Answer: Given to decrease ammonia levels; causes belching,
nausea/vomiting, and diarrhea.
QUESTION: What is the purpose of Heparin?
Answer: Prevents clot formation (prevents DVT); rapid-acting,
given IV or subQ, requires bleeding precautions.
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QUESTION: What conditions are thrombolytics used for, and
when should they be administered?
Answer: Used for MI, ischemic stroke, and pulmonary
embolism; should be given IV or IV bolus within 2-6 hours after the event.
QUESTION: What are the signs and symptoms of DM Type 1?
Answer: Polyuria, polydipsia, polyphagia, weight loss, fatigue,
increased frequency of infections, rapid onset, insulin dependence, familial tendency, peak incidence from 10-15 years.
QUESTION: What are the signs and symptoms of DM Type 2?
Answer: Polyuria, polydipsia, recurrent infections, visual
changes, fatigue, decreased energy, HbA1c >6.5, FBS >126.
QUESTION: What is the metabolic syndrome in DM Type 2?
Answer: Increased risk for diabetes, increased triglycerides,
decreased HDLs, increased blood pressure, central obesity, sedentary lifestyle, and FBS >126.