NSG 360Week 3 ATI PharmacologY

NSG 360 1. Bethanechol (Urecholine) is a: A. Peripherally acting muscle relaxant B. Muscle paralytic agent C. Muscarinic agonists used for urinary retention * D. Centrally acting muscle relaxant 2. A nurse is caring for an 80 year-old female client who has a prescription for bethanechol (Urecholine) 50 mg PO three times a day. The nurse should recognize that all except for which one of the following findings is a clinical manifestation of extreme muscarinic stimulation of the parasympathetic nervous system? A. Sweating B. Tearing C. Bradycardia D. Hypertension * 3. A nurse in a provider’s office is reviewing the health care record of an 82-year old woman who reported urinary incontinence and asked about a prescription for oxybutynin (Ditropan). This drug is a muscarinic antagonist and inhibits muscarinic receptors of the detrusor muscle of the bladder, which prevents contractions of the bladder and the urge to void. The nurse should recognize that oxybutynin has anticholinergic effects and is contraindicated in the presence of all except for which of the following conditions? A. Glaucoma B. Myasthenia gravis C. Paralytic ileus D. Depression * 4. A. Pseudoephedrine B. Olterodine (Detrol) * C. Doxazosin (Cardura) D. Finasteride (Proscar) 5. A client, Mrs. Jones, age 70, has begun taking an anticholinergic medication, Tylenol PM with Benadryl for insomnia. The nurse should make it a priority to assess for which unintended manifestations? A. Tachycardia and hypertension B. Urinary retention, hesitancy, and constipation * C. Pain resembling the pattern associated with cholecystitis D. Pain resembling renal colic 6. Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of BPH because of their effect on A. Bladder contractility B. Prostate size * C. Bladder pressure D. Activity at select bladder receptor sites 7. Tamsulosin (Flovent) is helpful in the treatment of BPH because of its effect on A. Activity at select bladder receptor sites * B. Bladder pressure C. Bladder contractility D. Prostate size 8. Mr. Houser has come to the clinic asking for medication for his erectile dysfunction. Which of the following medications for erectile dysfunction treatment has the longest half-life? A. Sildenafil (Viagra) B. Avanafil (Stendra) C. Tadalafil (Cialis) * D. Vardenafil (Levitra) 9. When taking a PDE-5 inhibitor, concomitant use of which medication must be avoided? A. Statins B. Sulfonylurea C. ACE inhibitors D. Nitrates * 10. Which of the following drugs is an alpha1 adrenergic blocker that causes venous and arterial dilation, smooth m