Nur 2474 Exam 1 Pharmacology For Professional Nursing Exam Complete Questions And Detailed Solutions Latest Update This Year Just Released

NUR 2474 EXAM 1 PHARMACOLOGY FOR PROFESSIONAL
NURSING EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED



Question 1: How do we treat cardiac toxicity in tcas?
Answer:

no antidote, treat with gastric lavage, activated charcoal, IV HCO3


Question 2: What do neuroleptics do?
Answer:

it blocks dopamine. Only increase the effects of Parkinson's disease, as they
will induce Parkinson's symptoms with EPS, it is an additive relationship.



Question 3: What is the issue with using a neuroleptic with a
patient with Parkinson's disease?
Answer:

will worsen the Parkinson's disease symptoms. Would be appropriate to use a
2nd generation antipsychotic



Question 4: A neuroleptic is the same as an__________
Answer:

antipsychotic



Question 5: Explain the concept of half life and how to solve them
Answer:

, The amount of time ½ of the drug is taken out of the system.
To solve: divide by 1/2 he medication dosage by each half life. Ex: if a drug
has 4 half lives, you divide the medication 4 times by 1/2



Question 6: What can occur when one begins to not use an
antipsychotic medication because of the parkinsons symptoms ?
Answer:

the Parkinson's symptoms will go away, but because you stop the
antipsychotic, the psychotic symptoms will come back.


Question 7: What do maois interact heavily with?
Answer:

tyramine



Question 8: What happens if a person using an MAOI eats a food
that is high in tyramine?
Answer:

hypertensive crisis



Question 9: Explain the s/s of hypertensive crisis
Answer:

severe HA, tachycardia, hypertension, N,V, confusion, sweating, stroke, death



Question 10: What is important to do when we start a patient on
MAOI
Answer:

, educate our patients to avoid ALL tyramine rich food



Question 11: Examples of tyramine rich foods are_______________
Answer:

aged meats and cheese, smoked fish and meats, avocado, figs, banana, beer,
wine.


Question 12: What medications can cause neuroleptic malignant
syndrome
Answer:

1stgeneration antipsychotics- chlorpromazine and haloperidol



Question 13: S/s of neuroleptic malignant syndrome
Answer:

lead pipe muscle rigidity, sudden high fever, sweating, autonomic, instability,
dysrhythmia, BP fluctuations, altered LOC, seizures, coma. Death w/ cardiac
or respiratory failure



Question 14: How do we treat neuroleptic malignant syndrome?
Answer:

supportive, withdraw antipsychotic med, give dantroline and bromocriptine



Question 15: What are some of the patient teaching points for
medication therapy?
Answer:

, take as prescribed only, take on the correct schedule, report severe s/s to
HCP, attend all follow ups and lab appts, family members should assist with
adherence if possible, teach to never stop a drug cold turkey and the HCP
should be the only person weaning pt off drug.



Question 16: What does levodopa and carbidopa do?
Answer:
works to increase the amount of dopamine that can be used for reuptake in the
brain. It is a dopaminergic agent in which once it is converted, the drug will
then act as a dopamine supply and will be taken up.



Question 17: What is the purpose of carbidopa use?
Answer:

helps to enhance the effects of levodopa and decrease GI discomfort. Has no
other effects.



Question 18: Side effects of levodopa/carbidopa
Answer:

N, V, CV postural hypotension, increase intake of salt and water, psychotic s/s
when too much in brain, mood changes- more anxious and agitated, memory
and cognitive impairment, risky behaviors, dyskinesia, darken sweat and urine,
malignant melanoma



Question 19: What are various treatments and drugs used to treat
anxiety patients?
Answer: