ATI PHARMACOLOGY CARDIOVASCULAR TEST BANK
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
begin taking verapamil (calan) tx atrial fibrillation, should
tell to avoid grapefruit juice because it can cause -
✔✔ANSW✔✔Hypotension
-Large amounts of grapefruit juice can increase blood
levels of verapamil by inhibiting its metabolism. The excess
amount of drug can intensify otherwise therapeutic effects
like hypotension, causing serious risks for syncope and
dizziness
drug therapy options for HTN, patient has S/S depression
that require tx. Which antihypertensive drugs is
inappropriate? - ✔✔ANSW✔✔Reserpine
,Severe depression &an increased risk for suicide are AE of
adrenergic neuron blockers, such as reserpine. These
effects can persist after patient stop taking these drugs.
These adverse effects develop because of the depletion of
serotonin and norepinephrine.
amiodarone (cordarone) to tx atrial fibrillation, which
should tell patient to avoid? - ✔✔ANSW✔✔Grapefruit
juice
-Grapefruit juice, particularly in large amounts, can cause
toxicity of potassium channel blockers, such as
amiodarone
simvastatin (Zocor) to treat hypercholesterolemia tell pt. to
report what indications of serious ADR that could warrant
stopping drug therapy? - ✔✔ANSW✔✔Muscle Pain
-Simvastatin, an HMG-CoA reductase inhiitor (statin), can
cause myopathy or pain in muscles and joints that can
progress to rhabdomyolysis. With this rare but serious
adverse effect, muscle protein breaks down and its
excretion causes kidney damage.
,eplerenone (inspra) to tx HTN hypertension, instructions
should include? - ✔✔ANSW✔✔Avoid the use of salt
substitutes
Eplerenone, an aldosterone antagonist, can cause
hyperkalemia. Many salt substitutes contain significant
amounts of potassium. Patients who take the drug should
not use salt substittues that contain potassium.
A health care professional is caring for a patient who has
moderate to severe HTN & to begin hydralazine therapy
monitor the patient for which adverse reactions to the
drug? - ✔✔ANSW✔✔A lupus-like syndrome
-A systemic lupus erythematosis-like syndrome can
develop with hydralazine, a direct-acting vasodilator.
Manifestastions include facial rash, joint pain, fever,
nephritis, and pericarditis. High doese make it more likely.
Fluid retention and edema can also develop
question the use of nifedipine (procardia) for a patient who
has a history of which of the following? -
✔✔ANSW✔✔Unstable angina pectoris
, -nifedipine, a calcium channel blocker, can cause reflex
tachycardia, an adverse effect that can worsen angina pain
because it increases cardiac oxygen demand
digoxin (lanoxin) develops ECG changes and other s/s that
indicate severe digoxin toxicity. Which of the following
drugs should have available to treat this complication? -
✔✔ANSW✔✔Fab antibody fragments (digibind)
-Fab antibody fragments, also called digoxin immune Fab,
binds to digoxin and blocks its action. The health care
professional should prepare to administer this antidote IV
to patients who have severe digoxin toxicity
question the use of milrinone (primacor) for a patient who
currently has which of the following? - ✔✔ANSW✔✔Acute
myocardial infarction
-Milrinone, a phosphodiesterase inhibitor, is
contraindicated for patients who have had an allergic
reaction to phosphodiesterase inhibitors and for patients
who have an acute myocardial infarction and aortic or
pulmonary valve disorders
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
begin taking verapamil (calan) tx atrial fibrillation, should
tell to avoid grapefruit juice because it can cause -
✔✔ANSW✔✔Hypotension
-Large amounts of grapefruit juice can increase blood
levels of verapamil by inhibiting its metabolism. The excess
amount of drug can intensify otherwise therapeutic effects
like hypotension, causing serious risks for syncope and
dizziness
drug therapy options for HTN, patient has S/S depression
that require tx. Which antihypertensive drugs is
inappropriate? - ✔✔ANSW✔✔Reserpine
,Severe depression &an increased risk for suicide are AE of
adrenergic neuron blockers, such as reserpine. These
effects can persist after patient stop taking these drugs.
These adverse effects develop because of the depletion of
serotonin and norepinephrine.
amiodarone (cordarone) to tx atrial fibrillation, which
should tell patient to avoid? - ✔✔ANSW✔✔Grapefruit
juice
-Grapefruit juice, particularly in large amounts, can cause
toxicity of potassium channel blockers, such as
amiodarone
simvastatin (Zocor) to treat hypercholesterolemia tell pt. to
report what indications of serious ADR that could warrant
stopping drug therapy? - ✔✔ANSW✔✔Muscle Pain
-Simvastatin, an HMG-CoA reductase inhiitor (statin), can
cause myopathy or pain in muscles and joints that can
progress to rhabdomyolysis. With this rare but serious
adverse effect, muscle protein breaks down and its
excretion causes kidney damage.
,eplerenone (inspra) to tx HTN hypertension, instructions
should include? - ✔✔ANSW✔✔Avoid the use of salt
substitutes
Eplerenone, an aldosterone antagonist, can cause
hyperkalemia. Many salt substitutes contain significant
amounts of potassium. Patients who take the drug should
not use salt substittues that contain potassium.
A health care professional is caring for a patient who has
moderate to severe HTN & to begin hydralazine therapy
monitor the patient for which adverse reactions to the
drug? - ✔✔ANSW✔✔A lupus-like syndrome
-A systemic lupus erythematosis-like syndrome can
develop with hydralazine, a direct-acting vasodilator.
Manifestastions include facial rash, joint pain, fever,
nephritis, and pericarditis. High doese make it more likely.
Fluid retention and edema can also develop
question the use of nifedipine (procardia) for a patient who
has a history of which of the following? -
✔✔ANSW✔✔Unstable angina pectoris
, -nifedipine, a calcium channel blocker, can cause reflex
tachycardia, an adverse effect that can worsen angina pain
because it increases cardiac oxygen demand
digoxin (lanoxin) develops ECG changes and other s/s that
indicate severe digoxin toxicity. Which of the following
drugs should have available to treat this complication? -
✔✔ANSW✔✔Fab antibody fragments (digibind)
-Fab antibody fragments, also called digoxin immune Fab,
binds to digoxin and blocks its action. The health care
professional should prepare to administer this antidote IV
to patients who have severe digoxin toxicity
question the use of milrinone (primacor) for a patient who
currently has which of the following? - ✔✔ANSW✔✔Acute
myocardial infarction
-Milrinone, a phosphodiesterase inhibitor, is
contraindicated for patients who have had an allergic
reaction to phosphodiesterase inhibitors and for patients
who have an acute myocardial infarction and aortic or
pulmonary valve disorders
