NURS 5334 Final Exam Latest Update 320+ Questions and Verified Correct Answers Guaranteed Success
- types of information needed for neuropharmacologic drugs: - Correct Answer: type or
types of receptors through which the drug acts.Normal response to the activation of those receptors (Agonist vs antagonist) What the drug in question does to receptor function
A ______ inotrope will increase contractility; a ______ chronotrope will decrease HR; while a _______ dromotrope will decrease conduction via the AV node? - Correct
Answer: positive, negative, negative
A 6 yo us being treated with ethosuximide. She should be monitored for: - Correct
Answer: Blood dycrasias which are uncommon but possible.
a 19 year old asthmatic is admitted to the ED is severe bronchospasm. The NP should order: - Correct Answer: a nebulizer beta 2 agonist
A 32 yo male is starting paroxetine for depression. He is complaining of not being able to obtain an erection. What can the NP do to help? - Correct Answer: add bupropion
A 42 yo woman is noted to have type 2 Diabetes. She has HTN with BP 150/94. The UA shows mild albuminuria. Which of the following drugs would be the best choice to
treat HTN? - Correct Answer: Enalapril
A 54 yo male is noted to have hyperlipidemia, and is prescribed atorvastatin. This drug
reduces plasma cholesterol by which processes? - Correct Answer: Inhibiting
cholesterol biosynthesis
A 55yo patient develops parkinson's disease characterized by unilateral tremors only.The NP will refer the patient to a neurologist and should expect initial treatment to be -
Correct Answer: Ropinirole (lesser symptoms need lighter drug)
A 58 yo female reports that she recently stopped taking her blood pressure meds because of swelling in her feet that began shortly after she started treatment. Which of the following is most likely to cause peripheral edema? - Correct Answer: Felodipine (CCB)
a common adverse reaction when using codeine-based antitussives is: - Correct
Answer: Constipation
A good history of herb and supplement use in critical before prescribing because approximately _____% of patients in the us are using herbal products? - Correct
Answer: 38% 1 / 3
A patient just call you and she missed a pill. She is on a 28 day cycle. you tell her: - Correct Answer: take the pill as soon as possible and continue the pack. Use another form of contraception for 7 days
A potential harmful effect on patients who take some herbal medication is? - Correct
Answer: lead poisoning
ACE inhibitors - Correct Answer: contstricts renal blood vessels
acts on the Kidney to promote retention of sodium and water and excretion of potassium
"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
Acetaminophen - Correct Answer: Analgesic and antipyretic. Hepatotoxicity risk. No
more than 3 g in 24 hr period. for overdose: acetylesistine.
Can blunt immune response of vaccines
Acetylcholine binds to both _____ and ______ receptors - Correct Answer: nicotinic and Muscarinic
agonist - Correct Answer: produce receptor stimulation and a conformational change every time they bind. Do not need all available receptors to produce a maximum response
Albuterol - Correct Answer: Asthma inhaler
alcohol abuse - Correct Answer:
Aldosterone Antagonists - Correct Answer: selective blockade of aldosterone receptors in the kidney promotes excretion of sodium and water and thereby reduces blood volume (spiralonlatome)
Alpha 1 agonist______ BP, while alpha 1 antagonists ________ BP? - Correct Answer: increase, decrease
Alpha 2 agonist such as clonidine will _____ BP? - Correct Answer: lower
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An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is: - Correct Answer: PPI twice daily plus clarithromycin plus amoxicillin for 14 days
An anticholinergic drug will _______ acetylcholine availability to the tissue? - Correct
Answer: increase
Anemia due to chronic renal failure is treated with: - Correct Answer: Epoetin Alfa
Angela is an african american female who has heard that women of african descent do not need to worry about osteoporosis. What education would you provide about her risk? - Correct Answer: Black women are at risk of developing osteoporosis due to their lower calcium intake as a group
Antacids treat GERD by: - Correct Answer: Increasing gastric PH
antagonist - Correct Answer: drugs with affinity for a receptor but with no intrinsic activity. Affinity allows the antagonist to bind to receptors, but lack of intrinsic activity prevents the bound antagonist from causing receptor activation. The block action of drugs (ex. Narcan)
Antibiotics should be used for otitis media with effusion? - Correct Answer: NO!
Antiinflammatories - Correct Answer: inhibition of COX 1: protects against MI and stroke inhibition COX 2: surpasses inflammation, pain and protects against colorectal cancer (less GI bleeding)
anyone over the age of 6 should get the flu vaccine: true or false. - Correct Answer: True
ARBS - Correct Answer: block access of angiotensin II
cause dilation of arterioles and veins Prevent angiotensin II from inducing pathologic changes in cardiac structure Reduce excretion of potassium Decrease release of aldosterone Increase Renal excretion of sodium and water DO not inhibit Kinase II do not increase levels of bradykinin
Aspirin - Correct Answer: Non-selective inhibitor of COX, therapeutic use analgesic, fever, mensural cramps, anti-inflammatory, Alzheimer disease. Risk for bleeding is too high. Increased secretion of acid and pepsin therefore ruins all the protective lining of the stomaching. Pt at risk: alcoholics, smoking, older people, or people who have had PUD. Risk of ASA is not advised in pt younger than 18 r/t Reyes syndrome, pregnancy because it cause ductus arteriosis, if given with Ibuprofen it can decrease effects of ASA.
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