Pharmacology Exam 2
The nurse has taught the patient about her discharge teaching regarding nitroglycerine.
During client teaching the nurse will teach all of the following except? correct answers If
the pain is unrelieved after taking one nitroglycerin tablet , continue resting, take
another tablet in 5 minutes, and call the prescriber.
A sympathomimetic drug is administered to a patient. Which of the following would the
nurse plan to monitor for? correct answers Improved breathing
The client who is receiving parasympathomimetic should be assessed for which of the
following nursing diagnosis? correct answers Altered urinary pattern (increased
frequency)
A client is having an acute reaction to a cholinergic medication. What antidote would
most likely be given to reverse the symptoms? correct answers Atropine.
The sympathetic nervous system has the following physiological effects except? correct
answers Constricted pupils.
Adrenergic drugs produce similar effects similar to the? correct answers Sympathetic
nervous system
During a patient's medical history, the patient is taking theophylline for his asthma. The
serum theophylline level is 22 mcg/ml. The patient is experiencing nausea and vomiting
and
headaches, which action should the nurse take? correct answers Withhold the next
schedule dose and notify the prescriber
The nurse is working in a preoperative admitting unit administering an anticholinergic
medication to a patient before surgery. The main purpose of this drug in this setting is
to.. correct answers Reduce secretions.
The patient is using a beta-adrenergic agonist for treatment of asthma. The nurse
teaches that
the action of this drug is: correct answers Relaxing bronchial smooth muscle, thereby
causing vasodilation
When giving an anticholinergic drug the nurse should expect to see which adverse
effect
from the drug? correct answers Dry mouth
,When educating the patient recently placed on inhaled corticosteroids regarding
common
adverse effects, the nurse should discuss: correct answers Oral candidiasis and dry
mouth
When monitoring a patient who is taking a cholinergic drug the nurse should watch for
which cardiovascular effect? correct answers Bradycardia.
The nurse knows that sympathomimetic decongestants should be avoided by people
with
which of the following patients: correct answers Hypertension and coronary artery
disease
Which family of drugs is used to treat myasthenia gravis? correct answers
Anticholinesterase inhibitors
Which of the following is classified as a leukotriene receptor antagonist? correct
answers Montelukast
A nurse is writing a plan of care for a patient who is taking bethanechol (Urecholine)
What would be an appropriate outcome for this patient? correct answers Improved
bladder function
Histamine, a naturally occurring substance in the body that is released in response to
tissue
damage, causes all of the following symptoms except: correct answers A
gastrointestinal upset
Information the nurse should be aware of before administering beta-adrenergic blocker
includes the clients? correct answers Pulse and blood pressure
During a routine check up, a patient states that she is unable to take the prescribed
antihistamine because of one of its most common side effects. The physician prescribes
another
antihistamine, loratadine. What side effects have probably been bothering this patient?
correct answers Drowsiness
Mr. J was admitted to the hospital with angina and was found to have had a mild heart
attack, He was started on Corgard, a beta blocker. He asks why he is taking the
medication since he does not have high blood pressure.
Best response is.. correct answers Beta blockers help protect the heart from
reinfarction and decrease the
risk of death.
A patient is in an urgent care center with an acute asthma attack. The nurse expects
that
,which medications will be used for initial treatment? correct answers A beta2 agonist,
such as albuterol
If the adrenergic agent, epinephrine is used for a client with asthma , an expected
outcome which reflects that the drug has worked is correct answers Improved lung
sounds
Overuse of oxymetazoline hydrochloride (Afrin) could result in: correct answers
Rebound congestion
Which of the following patients should be advised by the nurse that over the counter
cold
and allergy medications that contain phenylephrine should be avoided? correct
answers A 47 year old female with hypertension
Your patient's theophylline serum level is currently 35 mcg/ml. The health care provider
will
need to take what action? correct answers Decrease the dosage
Which of the following describes the function of cholinergic agents? correct answers
Increase the activity of acetylcholine receptor sites throughout the body.
The nurse should monitor for adverse effects associated with the use of xanthine
derivatives,
including which of the following? correct answers Palpitations
Which of the following is the action of anticholinergic agents? correct answers They act
to block the effects of the parasympathetic nervous system.
A 70 year old male is being treated for COPD with theophylline. Which of the following
will
be a priority assessment by the nurse? correct answers Use of nicotine
Inderal is being prescribed for a client to control hypertension. The nurse understands
that
this medication works basically by which mechanism? correct answers Blocking the
beta receptors
Which of the following groups of upper respiratory drugs cause local vasoconstriction,
which
decreases blood flow and shrinks swollen membranes to improve air flow? correct
answers Decongestants
The pharmacology instructor in discussing adrenergic agonists with the nursing class.
Which drugs would the instructor tell the nurse are generally indicated for the treatment
, of shock, bronchospasms, and some types of asthma? correct answers
Sympathomimetic drugs?
A 76 year old man is being treated with an anticholinergic for asthma. The nurse will be
careful to assess for: correct answers Prostatic hypertrophy
A 65 year old is about to receive his morning digoxin , and his apical pulse is 70 beats
per
minute. What should the nurse do? correct answers Administer the dose
A patient calls the clinic and reports that he has a persistent cough for 2 weeks. He asks
the
nurse for a recommendation for a cough medicine. Which of the following would be the
nurse's
best response? correct answers You should come to the clinic to be evaluated. A
cough that has lasted long might be an
indication of an underlying medical condition
A patient is taking a calcium channel blocker. He calls the clinic complaining of
symptoms suggesting drug toxicity. The nurse will be sure to assess the patient for..
correct answers The ingestion of grapefruit juice.
A teenage athlete has exercise induced asthma. An inhaled sympathomimetic drug is
ordered
to control the symptoms. The patient should be instructed to: correct answers Use the
inhaler 30 to 60 minutes before exercise to ensure peak therapeutic levels when
needed
An agent that is used only for the treatment of hypertensive emergencies is? correct
answers Nitroprusside (Nitropress)
What is the most common mechanism for the mode of action for chemotherapeutic
agents? correct answers Interfering with the growth cycle of the cell at different phases
When counseling a male patient about the possible adverse effects of antihypertensives
drugs, The nurse should include which of the following? correct answers Impotence
Methotrexate can cause hepatotoxicity. Which lab values will the nurse monitor for this
potential adverse effect? correct answers AST and ALT
A patient who has been taking antihypertensive drugs for a few months complains of
having a persistent, dry cough, the nurse knows this cough is due to which
antihypertensive drug? correct answers Ace inhibitors.
When the platelet level of a client falls below 50,000, the nurse assesses the patient for
all of
The nurse has taught the patient about her discharge teaching regarding nitroglycerine.
During client teaching the nurse will teach all of the following except? correct answers If
the pain is unrelieved after taking one nitroglycerin tablet , continue resting, take
another tablet in 5 minutes, and call the prescriber.
A sympathomimetic drug is administered to a patient. Which of the following would the
nurse plan to monitor for? correct answers Improved breathing
The client who is receiving parasympathomimetic should be assessed for which of the
following nursing diagnosis? correct answers Altered urinary pattern (increased
frequency)
A client is having an acute reaction to a cholinergic medication. What antidote would
most likely be given to reverse the symptoms? correct answers Atropine.
The sympathetic nervous system has the following physiological effects except? correct
answers Constricted pupils.
Adrenergic drugs produce similar effects similar to the? correct answers Sympathetic
nervous system
During a patient's medical history, the patient is taking theophylline for his asthma. The
serum theophylline level is 22 mcg/ml. The patient is experiencing nausea and vomiting
and
headaches, which action should the nurse take? correct answers Withhold the next
schedule dose and notify the prescriber
The nurse is working in a preoperative admitting unit administering an anticholinergic
medication to a patient before surgery. The main purpose of this drug in this setting is
to.. correct answers Reduce secretions.
The patient is using a beta-adrenergic agonist for treatment of asthma. The nurse
teaches that
the action of this drug is: correct answers Relaxing bronchial smooth muscle, thereby
causing vasodilation
When giving an anticholinergic drug the nurse should expect to see which adverse
effect
from the drug? correct answers Dry mouth
,When educating the patient recently placed on inhaled corticosteroids regarding
common
adverse effects, the nurse should discuss: correct answers Oral candidiasis and dry
mouth
When monitoring a patient who is taking a cholinergic drug the nurse should watch for
which cardiovascular effect? correct answers Bradycardia.
The nurse knows that sympathomimetic decongestants should be avoided by people
with
which of the following patients: correct answers Hypertension and coronary artery
disease
Which family of drugs is used to treat myasthenia gravis? correct answers
Anticholinesterase inhibitors
Which of the following is classified as a leukotriene receptor antagonist? correct
answers Montelukast
A nurse is writing a plan of care for a patient who is taking bethanechol (Urecholine)
What would be an appropriate outcome for this patient? correct answers Improved
bladder function
Histamine, a naturally occurring substance in the body that is released in response to
tissue
damage, causes all of the following symptoms except: correct answers A
gastrointestinal upset
Information the nurse should be aware of before administering beta-adrenergic blocker
includes the clients? correct answers Pulse and blood pressure
During a routine check up, a patient states that she is unable to take the prescribed
antihistamine because of one of its most common side effects. The physician prescribes
another
antihistamine, loratadine. What side effects have probably been bothering this patient?
correct answers Drowsiness
Mr. J was admitted to the hospital with angina and was found to have had a mild heart
attack, He was started on Corgard, a beta blocker. He asks why he is taking the
medication since he does not have high blood pressure.
Best response is.. correct answers Beta blockers help protect the heart from
reinfarction and decrease the
risk of death.
A patient is in an urgent care center with an acute asthma attack. The nurse expects
that
,which medications will be used for initial treatment? correct answers A beta2 agonist,
such as albuterol
If the adrenergic agent, epinephrine is used for a client with asthma , an expected
outcome which reflects that the drug has worked is correct answers Improved lung
sounds
Overuse of oxymetazoline hydrochloride (Afrin) could result in: correct answers
Rebound congestion
Which of the following patients should be advised by the nurse that over the counter
cold
and allergy medications that contain phenylephrine should be avoided? correct
answers A 47 year old female with hypertension
Your patient's theophylline serum level is currently 35 mcg/ml. The health care provider
will
need to take what action? correct answers Decrease the dosage
Which of the following describes the function of cholinergic agents? correct answers
Increase the activity of acetylcholine receptor sites throughout the body.
The nurse should monitor for adverse effects associated with the use of xanthine
derivatives,
including which of the following? correct answers Palpitations
Which of the following is the action of anticholinergic agents? correct answers They act
to block the effects of the parasympathetic nervous system.
A 70 year old male is being treated for COPD with theophylline. Which of the following
will
be a priority assessment by the nurse? correct answers Use of nicotine
Inderal is being prescribed for a client to control hypertension. The nurse understands
that
this medication works basically by which mechanism? correct answers Blocking the
beta receptors
Which of the following groups of upper respiratory drugs cause local vasoconstriction,
which
decreases blood flow and shrinks swollen membranes to improve air flow? correct
answers Decongestants
The pharmacology instructor in discussing adrenergic agonists with the nursing class.
Which drugs would the instructor tell the nurse are generally indicated for the treatment
, of shock, bronchospasms, and some types of asthma? correct answers
Sympathomimetic drugs?
A 76 year old man is being treated with an anticholinergic for asthma. The nurse will be
careful to assess for: correct answers Prostatic hypertrophy
A 65 year old is about to receive his morning digoxin , and his apical pulse is 70 beats
per
minute. What should the nurse do? correct answers Administer the dose
A patient calls the clinic and reports that he has a persistent cough for 2 weeks. He asks
the
nurse for a recommendation for a cough medicine. Which of the following would be the
nurse's
best response? correct answers You should come to the clinic to be evaluated. A
cough that has lasted long might be an
indication of an underlying medical condition
A patient is taking a calcium channel blocker. He calls the clinic complaining of
symptoms suggesting drug toxicity. The nurse will be sure to assess the patient for..
correct answers The ingestion of grapefruit juice.
A teenage athlete has exercise induced asthma. An inhaled sympathomimetic drug is
ordered
to control the symptoms. The patient should be instructed to: correct answers Use the
inhaler 30 to 60 minutes before exercise to ensure peak therapeutic levels when
needed
An agent that is used only for the treatment of hypertensive emergencies is? correct
answers Nitroprusside (Nitropress)
What is the most common mechanism for the mode of action for chemotherapeutic
agents? correct answers Interfering with the growth cycle of the cell at different phases
When counseling a male patient about the possible adverse effects of antihypertensives
drugs, The nurse should include which of the following? correct answers Impotence
Methotrexate can cause hepatotoxicity. Which lab values will the nurse monitor for this
potential adverse effect? correct answers AST and ALT
A patient who has been taking antihypertensive drugs for a few months complains of
having a persistent, dry cough, the nurse knows this cough is due to which
antihypertensive drug? correct answers Ace inhibitors.
When the platelet level of a client falls below 50,000, the nurse assesses the patient for
all of
