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Exam (elaborations)

Maryville NURS 615 Exam 3 – Advanced Pharmacology | Study Guide

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Maryville University’s NURS 615 Exam 3. It covers drug mechanisms, side effects, contraindications, and monitoring parameters across major medication classes, including antihypertensives, antidiabetics, lipid-lowering agents, analgesics, and corticosteroids. The guide also outlines medication schedules (I–V), controlled substance regulations, and key nursing considerations such as lab monitoring, patient education, and adverse reactions. It serves as a complete midterm review tool for advanced practice nursing pharmacology.

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Janice has elevated LDL, VLDL, and triglyceride levels. Niaspan, an extended-release
form of niacin, is chosen to treat her hyperlipidemia. Due to its metabolism and
excretion, which of the following laboratory results should be monitored


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, serum creatinine




Type 2 diabetes is a complex disorder involving


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a suboptimal response of insulin sensitive tissues in the liver




William is a 78-year old who takes two aspirin every morning while he reads his
newspaper to treat arthritis pain in his back. He states the aspirin helps him to "get
moving" each day. Lately he has had some heartburn from the aspirin. After you rule out
an acute GI bleed, what would be an appropriate course of treatment for William?


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Add an H2 blocker such as ranitidine to his therapy




When comparing angiotensin-converting enzyme (ACE) and angiotensin II receptor
blocker (ARB) medications, which of the following holds true


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Both contribute to some retention of potassium

,Jacob is a 49-year-old patient with an LDL level of 120 and normal triglycerides.
Appropriate first-line therapy for Jacob may include diet counseling, increased physical
activity, and:


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sterols




In addition to methimazole, a symptomatic patient with hyperthyroidism may need a
prescription for


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beta blocker




Patients with rheumatoid arthritis who are on a chronic low-dose prednisone will need
co-treatment with which medications to prevent further adverse effects


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Vitamin D, calcium supplement, and bisphosphate




Treatment with insulin for type 1 diabetics


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, Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight




Because primary hypertension has no identifiable cause, treatment is based on
interfering with the physiological mechanisms that regulate blood pressure. Thiazide
diuretics treat hypertension because they:


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Deplete body sodium ad reduce fluid volume




Calcium channel blockers are used as medications and primarily have four effects:


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by acting on vascular smooth muscle they reduce contraction in arteries and
causes an increase in arterial diameter a phenomenon called vasodilatations.
Calcium channel blockers do not work on venous smooth muscle.
by acting on cardiac muscles or the myocardium they reduce the force of the
contraction of the heart.
by slowing down the conduction of electrical activity within the heart they
slow down the heart rate.
by blocking calcium signal on adrenal cortex cells, they reduce aldosterone
production which collaborates to lower blood pressure.




What are the adverse effects of statins?


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