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Exam (elaborations)

Nurs 480 Complex I Final Exam Medications Questions And Correct Answers

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NURS 480 COMPLEX I FINAL EXAM MEDICATIONS QUESTIONS AND CORRECT ANSWERS

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As class IV drugs, what is one of the two calcium channel blockers approved for
management of dysrhythmias?


Adenosine
Atropine
Amiodarone
Epinephrine
Lidocaine
Diltiazem


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Diltiazem (Cardizem)




Experts recommend what medication as a treatment option for cancer patients with
chemotherapy-associated anemia who have a hemoglobin level that has decreased
below 10 g/dL?

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Epoetin alfa (Epogen)




What medication may be used long term for prevention of MI or stroke and in
patients with prosthetic heart valves and also be used for the immediate treatment of
suspected or actual acute MI, for transient ischemic attacks (TIAs), and for evolving
thrombotic strokes?


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Aspirin




Which beta blocker has a short half-life, which allows for more rapid dose adjustments
based on the patient's blood pressure and heart rate response?


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Metoprolol (Lopressor)




A patient who received a copy of her genomic testing and is classified as a "poor
metabolizer" of clopidogrel (Plavix) asks the nurse what it means. The nurse,
understanding the variant response to CYP2C19, would be most correct in stating
which of the following?


"You metabolize the medication different than some individuals and may not receive
the same benefit from drug therapy."


"You lack the CYP2C19 isozyme, so you will not need to take clopidogrel."

,"You will be prescribed less of the medication than is normally necessary."


"You are at a higher risk of bleeding from the drug, so you must be extra careful."


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"You will be prescribed less of the medication than is normally necessary."




Which antidysrhythmic medication is an iodine-rich drug that has been associated
with thyroid dysfunction, with hypothyroidism occurring more frequently than
hyperthyroidism?


Adenosine
Atropine
Amiodarone
Epinephrine
Lidocaine
Diltiazem


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Amiodarone

*Respiratory adverse effects include serious, potentially fatal pulmonary
toxicity (pulmonary fibrosis, pneumonitis, acute respiratory distress
syndrome), which may begin with progressive dyspnea and cough with
crackles, decreased breath sounds, and pleurisy




An elderly patient is admitted to the cardiac intensive care unit with symptoms
associated with the right side of the heart. Which of the following blood values is
most important to monitor based
on the patient's risk factors?

, Complete blood count (CBC)
Blood glucose
Bleeding and clotting time
Liver enzymes


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Liver enzymes

*With right-sided heart failure, the venous blood is backing up into the liver




What assessment finding in a patient with heart failure receiving furosemide would
indicate an improvement in fluid volume status?


Absence of crackles on auscultation of lungs
Complaints of nocturnal dyspnea
Bounding radial pulse
Decrease in hematocrit


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Absence of crackles on auscultation of lungs




What type of medication act by competing for the aldosterone-sensitive Na+/K+
channels at the distal tubule of the nephron to decrease sodium and water
reabsorption and potassium excretion?


Give this one a try later!

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