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Maryville University NURS 615 Test 2 Practice Questions

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Maryville University NURS 615 Test 2 Practice Questions Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it: a. Increases peripheral vasoconstriction b. Decreases detrusor muscle contractility c. Lowers supine blood pressure more than standing pressure d. Relaxes smooth muscle in the bladder neck d. Relaxes smooth muscle in the bladder neck To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist should do all of the following EXCEPT: 1. Take the dose at bedtime 2. Sit up slowly and dangle their feet before standing 3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80 4. Weigh daily and report weight gain of greater than 2 pounds in one day 3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80 John has clonidine, a centrally acting adrenergic blocker, prescribed for his hypertension. He should: 1. Not miss a dose or stop taking the drug because of potential rebound hypertension 2. Increase fiber in the diet to treat any diarrhea that may occur 3. Reduce fluid intake to less than 2 liters per day to prevent fluid retention 4. Avoid sitting for long periods, as this can lead to deep vein thrombosis 1. Not miss a dose or stop taking the drug because of potential rebound hypertensio

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Maryville University NURS 615 Test 2
Practice Questions

Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic
hyperplasia. Doxazosin has been chosen to treat his hypertension because it:

a.dIncreasesdperipheraldvasoconstriction

b.dDecreasesddetrusordmuscledcontractility

c.dLowersdsupinedblooddpressuredmoredthandstandingdpressure

d.dRelaxesdsmoothdmuscledindthedbladderdneckd-
dANSWERdd.dRelaxesdsmoothdmuscledindthedbladderdneck




Todreducedpotentialdadversedeffects,dpatientsdtakingdadperipherallydactingdalpha1dantagonistdshouldd
dodalldofdthedfollowingdEXCEPT:

1.dTakedtheddosedatdbedtime

2.dSitdupdslowlydandddangledtheirdfeetdbeforedstanding

3.dMonitordtheirdblooddpressuredanddskipdaddosedifdthedpressuredisdlessdthand120/80

4.dWeighddailydanddreportdweightdgaindofdgreaterdthand2dpoundsdindoneddayd-
dANSWERd3.dMonitordtheirdblooddpressuredanddskipdaddosedifdthedpressuredisdlessdthand120/80




Johndhasdclonidine,dadcentrallydactingdadrenergicdblocker,dprescribeddfordhisdhypertension.dHedshould
:

1.dNotdmissdaddosedordstopdtakingdtheddrugdbecausedofdpotentialdrebounddhypertension

2.dIncreasedfiberdindtheddietdtodtreatdanyddiarrheadthatdmaydoccur

3.dReducedfluiddintakedtodlessdthand2dlitersdperddaydtodpreventdfluiddretention

4.dAvoiddsittingdfordlongdperiods,dasdthisdcandleaddtoddeepdveindthrombosisd-
dANSWERd1.dNotdmissdaddosedordstopdtakingdtheddrugdbecausedofdpotentialdrebounddhypertension

,Clonidinedhasdseveraldoff-labelduses,dincluding:

1.dAlcoholdanddnicotinedwithdrawal

2.dPost-herpeticdneuralgia

3.dBothd1dandd2

4.dNeitherd1dnord2d-dANSWERd3.dBothd1dandd2



Jimdisdbeingdtreateddfordhypertension.dBecausedhedhasdadhistorydofdheartdattack,dtheddrugdchosendisd
atenolol.dBetadblockersdtreatdhypertensiondby:

1.dIncreasingdheartdratedtodimprovedcardiacdoutput

2.dReducingdvasculardsmoothdmuscledtone

3.dIncreasingdaldosterone-mediateddvolumedactivity

4.dReducingdaqueousdhumordproductiond-dANSWERd2.dReducingdvasculardsmoothdmuscledtone



6.dWhichdofdthedfollowingdadversedeffectsdaredlessdlikelydindadbetad1-selectivedblocker?

1.dDysrhythmias

2.dImpaireddinsulindrelease

3.dReflexdorthostaticdchanges

4.dDecreaseddtriglyceridesdanddcholesterold-dANSWERd2.dImpaireddinsulindrelease



Richarddisd70dyearsdolddanddhasdadhistorydofdcardiacddysrhythmias.dHedhasdbeendprescribeddnadolol.d
YouddodhisdannualdlaboratorydworkdanddfinddadCrCldofd25dml/
min.dWhatdactiondshoulddyoudtakedrelateddtodhisdnadolol?

1.dExtenddtheddosagedinterval.

2.dDecreasedtheddosedbyd75%.

3.dTakednodactiondbecausedthisdvaluedisdexpecteddindthedolderdadult.

,4.dScheduledadserumdcreatininedleveldtodvalidatedthedCrCldvalue.d-
dANSWERd1.dExtenddtheddosagedinterval.




Betadblockersdaredtheddrugsdofdchoicedfordexertionaldanginadbecausedthey:

1.dImprovedmyocardialdoxygendsupplydbydvasodilatingdthedcoronarydarteries

2.dDecreasedmyocardialdoxygenddemanddbyddecreasingdheartdratedanddvasculardresistance

3.dBothd1dandd2

4.dNeitherd1dnord2d-
dANSWERd2.dDecreasedmyocardialdoxygenddemanddbyddecreasingdheartdratedanddvasculardresistance




Adherencedtodbetadblockerdtherapydmaydbedaffecteddbydtheir:

1.dShortdhalf-livesdrequiringdtwiceddailyddosing

2.dTendencydtodelevatedlipiddlevels

3.dEffectsdondthedmaledgenitalia,dwhichdmaydproducedimpotence

4.dNonedofdthedaboved-dANSWERd3.dEffectsdondthedmaledgenitalia,dwhichdmaydproducedimpotence



Betadblockersdhavedfavorabledeffectsdondsurvivaldandddiseasedprogressiondindheartdfailure.dTreatment
dshoulddbedinitiateddwhendthe:


1.dSymptomsdaredsevere

2.dPatientdhasdnotdrespondeddtodotherdtherapies

3.dPatientdhasdconcurrentdhypertension

4.dLeftdventricularddysfunctiondisddiagnosedd-dANSWERd4.dLeftdventricularddysfunctiondisddiagnosed



Abruptdwithdrawaldofdbetadblockersdcandbedlifedthreatening.dPatientsdatdhighestdriskdfordseriousdcons
equencesdofdrapiddwithdrawaldaredthosedwith:

1.Angina

2.Coronarydarteryddisease

, 3.Bothd1dandd2

4.Neitherd1dnord2d-dANSWERd3.Bothd1dandd2



Todpreventdlife-threateningdeventsdfromdrapiddwithdrawaldofdadbetadblocker:

1.dTheddosagedintervaldshoulddbedincreaseddbyd1dhourdeachdday.

2.dAndalphadblockerdshoulddbedaddeddtodthedtreatmentdregimendbeforedwithdrawal.

3.dTheddosagedshoulddbedtapereddoverdadperioddofdweeks.

4.dTheddosagedshoulddbeddecreaseddbydone-halfdeveryd4ddays.d-
dANSWERd4.dTheddosagedshoulddbeddecreaseddbydone-halfdeveryd4ddays.




Betadblockersdaredprescribeddforddiabeticsdwithdcautiondbecausedofdtheirdabilitydtodproducedhypoglyc
emiadanddblockdthedcommondsymptomsdofdit.dWhichdofdthedfollowingdsymptomsdofdhypoglycemiadisd
notdblockeddbydtheseddrugsdanddsodcandbeduseddtodwarnddiabeticsdofdpossibleddecreaseddblooddgluc
ose?

1.dDizziness

2.dIncreaseddheartdrate

3.dNervousnessdanddshakiness

4.dDiaphoresisd-dANSWERd4.dDiaphoresis



Combineddalpha-betadantagonistsdareduseddtodreducedthedprogressiondofdheartdfailuredbecausedthey:

1.dVasodilatedthedperipheraldvasculature

2.dDecreasedcardiacdoutput

3.dIncreasedrenaldvasculardresistance

4.dReducedatherosclerosisdsecondarydtodelevateddserumdlipoproteinsd-
dANSWERd1.dVasodilatedthedperipheraldvasculature




CarvediloldisdheavilydmetabolizeddbydCYP2D6dandd2C9,dresultingdinddrugdinteractionsdwithdwhichdofdt
hedfollowingddrugdclasses?

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