CHAPTER 09: DRUGS AFFECTING THE RENAL/URINARY AND CARDIOVASCULAR
SYSTEMS VISOVSKY: INTRODUCTION TO CLINICAL PHARMACOLOGY, 10TH
EDITION QUESTIONS WITH VERIFIED ANSWERS
1. kWhich kbody ksystem kworks kwith kthe krenal/urinary ksystem kto kmaintain kfluid kbalance kand kremove
kwaste kproducts kfrom kthe kbody?
a. kBiliary ksystem
b. kCardiovascular ksystem kc. kCNS
d. kGastrointestinal ksystem k- kB. kCardibascular ksystem
2. kA kpatient kwith knewly kdiagnosed khypertension kis kprescribed ka kthiazide kdiuretic. kThe kpatient kasks
khow kthiazide kdiuretic kdrugs kreducehigh kblood kpressure. kWhat kis kyour kbest kresponse?
a. k"Thiazide kdiuretics kreduce kblood kvolume kand krelax kvascular ksmooth kmuscle kin kthe karterioles,
kreducing kblood kpressure."
b. k"Thiazide kdiuretics kincrease kpotassium kexcretion kand kslow kheart kcontractions, kreducing kblood
kpressure."
c. k"Thiazide kdiuretics krelease ksodium kfrom kcellular kstorage ksites kto kreduce kblood kpressure."
d. k"Thiazide kdiuretics kincrease kthe kreabsorption kof ksodium, kpotassium kand kchlorides, kreducing
kblood kpressure." k- ka. k"Thiazide kdiuretics kreduce kblood kvolume kand krelax kvascular ksmooth kmuscle kin
kthe karterioles, kreducing kblood kpressure."
3. kYou kare kteaching ka kpatient kabout kthe kside keffects kof kdiuretics. kWhich khealth kproblem kis ka
kpotential kside keffect kor kadverse kreaction kof kany kclass kof kdiuretic kdrug?
a. kDehydration
b. kHeart kfailure
c. kBlurred kvision
d. kUrinary ktract kinfection k- ka. kDehydration
4. kA kpatient khas kbeen kprescribed kfurosemide k(Lasix) kfor kthe ktreatment kof kheart kfailure. kWhich
kstatement kmade kby kthe kpatient kindicates kthe kneed kfor kmore kteaching?
a. k"Since kI kwork kat knight, kI ktake kmy kdrug kwhen kI kfirst kwake kup krather kthan kin kthe kmorning." kb. k"If
kmy khearing kdecreases, kI kwill knotify kmy khealthcare kprovider."
c. k"I kmake ksure kto kspace kmy kfluid kintake kevenly kthroughout kthe kday."
d. k"When kI ktravel klong kdistances, kI kwill kplan kto kskip kmy kdiuretic kthat kday." k- kd. k"When kI ktravel klong
kdistances, kI kwill kplan kto kskip kmy kdiuretic kthat kday."
, 5. kThe kLPN kis kcaring kfor ka kpatient kwho khas krecently kbeen kprescribed knitrate kdrug. kThe kpatient
kreports ka kthrobbing kheadache. kWhich kresponse kis kthe kmost kappropriate?
a. k"Throbbing kheadache kis ka ksymptom kof kan kallergic kresponse kto kthe kdrug."
b. k"Throbbing kheadache kis ka ksymptom kof kdeveloping ktolerance kto kthe kdrug."
c. k"Throbbing kheadache kis ka ktemporary ksymptom kthat kshould kdisappear kwithin ka kfew kweeks." kd.
k"Throbbing kheadache kis ka ksymptom kof kinteraction kwith kyour kother kdrugs." k- kc. k"Throbbing
kheadache kis ka ktemporary ksymptom kthat kshould kdisappear kwithin ka kfew kweeks."
6. kWhich kof kthe kfollowing kside keffects kis kseen kin kpatients ktaking kangiotensin-converting kenzyme
kinhibitors kbut krarely kseen kin kpatients ktaking kangiotensin kII kreceptor kblockers?
a. kOrthostatic khypotension k
b. kCough
c. kDizziness
d. kHypotension
Down k- kB.cough
7. kWhy kis kit kimportant kto kwarn ka kpatient kprescribed kto ktake kfinasteride k(Proscar) kfor kbenign
kprostatic khyperplasia kto kwear ka kcondom kwhen khaving ksex kwith ka kpregnant kwoman kor kone kwho
kcould kbecome kpregnant?
a. kThe kdrug kcontains ka khormone kthat kcan kgreatly kincrease kthe krisk kfor kearly kbirth kwhen kabsorbed
kby ka kpregnant kwoman.
b. kThe kdrug kcan kbe kabsorbed kby kthe kpregnant kwoman kand kcause kbirth kdefects kin kthe kfetus. kc. kThe
kdrug kreduces klocal kimmunity kand kincreases kthe krisk kfor ktransmitting kHIV.
d. kThe kdrug kincreases kthe krisk kfor kvaginal kinfections kin kpregnant kwomen. k- kb. kThe kdrug kcan kbe
kabsorbed kby kthe kpregnant kwoman kand kcause kbirth kdefects kin kthe kfetus.
8. kThe kLPN kis kobtaining ka kpatient khistory kon ka kpatient kwho kis kscheduled kto kbegin ktreatment kwith ka
knitrate kdrug kfor kthe ktreatment kof kangina. kWhich kinformation kis kmost kimportant kfor kthe kLPN kto
kobtain?
a. kThe kpatient's kfuture kplans kto kbecome kpregnant kb. kThe kpatient's kpast kuse kof krecreational kdrugs
c. kThe kpatient's ksexual khistory
d. kThe kpatient's kdescription kof kanginal kpain k- kd. kThe kpatient's kdescription kof kanginal kpain
9. kA kpregnant knurse kis kscheduled kto kcare kfor ka kpatient kbenign kprostatic khypertrophy. kWhich kof kthe
kfollowing kdrugs klisted khere kshould knot kbe khandled kby ka kpregnant knurse?
a. kFinasteride k(Proscar) kB k
b. kOxybutynin k(Ditropan)
SYSTEMS VISOVSKY: INTRODUCTION TO CLINICAL PHARMACOLOGY, 10TH
EDITION QUESTIONS WITH VERIFIED ANSWERS
1. kWhich kbody ksystem kworks kwith kthe krenal/urinary ksystem kto kmaintain kfluid kbalance kand kremove
kwaste kproducts kfrom kthe kbody?
a. kBiliary ksystem
b. kCardiovascular ksystem kc. kCNS
d. kGastrointestinal ksystem k- kB. kCardibascular ksystem
2. kA kpatient kwith knewly kdiagnosed khypertension kis kprescribed ka kthiazide kdiuretic. kThe kpatient kasks
khow kthiazide kdiuretic kdrugs kreducehigh kblood kpressure. kWhat kis kyour kbest kresponse?
a. k"Thiazide kdiuretics kreduce kblood kvolume kand krelax kvascular ksmooth kmuscle kin kthe karterioles,
kreducing kblood kpressure."
b. k"Thiazide kdiuretics kincrease kpotassium kexcretion kand kslow kheart kcontractions, kreducing kblood
kpressure."
c. k"Thiazide kdiuretics krelease ksodium kfrom kcellular kstorage ksites kto kreduce kblood kpressure."
d. k"Thiazide kdiuretics kincrease kthe kreabsorption kof ksodium, kpotassium kand kchlorides, kreducing
kblood kpressure." k- ka. k"Thiazide kdiuretics kreduce kblood kvolume kand krelax kvascular ksmooth kmuscle kin
kthe karterioles, kreducing kblood kpressure."
3. kYou kare kteaching ka kpatient kabout kthe kside keffects kof kdiuretics. kWhich khealth kproblem kis ka
kpotential kside keffect kor kadverse kreaction kof kany kclass kof kdiuretic kdrug?
a. kDehydration
b. kHeart kfailure
c. kBlurred kvision
d. kUrinary ktract kinfection k- ka. kDehydration
4. kA kpatient khas kbeen kprescribed kfurosemide k(Lasix) kfor kthe ktreatment kof kheart kfailure. kWhich
kstatement kmade kby kthe kpatient kindicates kthe kneed kfor kmore kteaching?
a. k"Since kI kwork kat knight, kI ktake kmy kdrug kwhen kI kfirst kwake kup krather kthan kin kthe kmorning." kb. k"If
kmy khearing kdecreases, kI kwill knotify kmy khealthcare kprovider."
c. k"I kmake ksure kto kspace kmy kfluid kintake kevenly kthroughout kthe kday."
d. k"When kI ktravel klong kdistances, kI kwill kplan kto kskip kmy kdiuretic kthat kday." k- kd. k"When kI ktravel klong
kdistances, kI kwill kplan kto kskip kmy kdiuretic kthat kday."
, 5. kThe kLPN kis kcaring kfor ka kpatient kwho khas krecently kbeen kprescribed knitrate kdrug. kThe kpatient
kreports ka kthrobbing kheadache. kWhich kresponse kis kthe kmost kappropriate?
a. k"Throbbing kheadache kis ka ksymptom kof kan kallergic kresponse kto kthe kdrug."
b. k"Throbbing kheadache kis ka ksymptom kof kdeveloping ktolerance kto kthe kdrug."
c. k"Throbbing kheadache kis ka ktemporary ksymptom kthat kshould kdisappear kwithin ka kfew kweeks." kd.
k"Throbbing kheadache kis ka ksymptom kof kinteraction kwith kyour kother kdrugs." k- kc. k"Throbbing
kheadache kis ka ktemporary ksymptom kthat kshould kdisappear kwithin ka kfew kweeks."
6. kWhich kof kthe kfollowing kside keffects kis kseen kin kpatients ktaking kangiotensin-converting kenzyme
kinhibitors kbut krarely kseen kin kpatients ktaking kangiotensin kII kreceptor kblockers?
a. kOrthostatic khypotension k
b. kCough
c. kDizziness
d. kHypotension
Down k- kB.cough
7. kWhy kis kit kimportant kto kwarn ka kpatient kprescribed kto ktake kfinasteride k(Proscar) kfor kbenign
kprostatic khyperplasia kto kwear ka kcondom kwhen khaving ksex kwith ka kpregnant kwoman kor kone kwho
kcould kbecome kpregnant?
a. kThe kdrug kcontains ka khormone kthat kcan kgreatly kincrease kthe krisk kfor kearly kbirth kwhen kabsorbed
kby ka kpregnant kwoman.
b. kThe kdrug kcan kbe kabsorbed kby kthe kpregnant kwoman kand kcause kbirth kdefects kin kthe kfetus. kc. kThe
kdrug kreduces klocal kimmunity kand kincreases kthe krisk kfor ktransmitting kHIV.
d. kThe kdrug kincreases kthe krisk kfor kvaginal kinfections kin kpregnant kwomen. k- kb. kThe kdrug kcan kbe
kabsorbed kby kthe kpregnant kwoman kand kcause kbirth kdefects kin kthe kfetus.
8. kThe kLPN kis kobtaining ka kpatient khistory kon ka kpatient kwho kis kscheduled kto kbegin ktreatment kwith ka
knitrate kdrug kfor kthe ktreatment kof kangina. kWhich kinformation kis kmost kimportant kfor kthe kLPN kto
kobtain?
a. kThe kpatient's kfuture kplans kto kbecome kpregnant kb. kThe kpatient's kpast kuse kof krecreational kdrugs
c. kThe kpatient's ksexual khistory
d. kThe kpatient's kdescription kof kanginal kpain k- kd. kThe kpatient's kdescription kof kanginal kpain
9. kA kpregnant knurse kis kscheduled kto kcare kfor ka kpatient kbenign kprostatic khypertrophy. kWhich kof kthe
kfollowing kdrugs klisted khere kshould knot kbe khandled kby ka kpregnant knurse?
a. kFinasteride k(Proscar) kB k
b. kOxybutynin k(Ditropan)
