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NUR 2474 EXAM 2 PHARMACOLOGY REVIEW UPDATED WITH ALL NEW QUESTIONS AND EXACTLY RIGHT ANSWERS | A+ QUALITY GUARANTEE

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NUR 2474 EXAM 2 PHARMACOLOGY REVIEW UPDATED WITH ALL NEW QUESTIONS AND EXACTLY RIGHT ANSWERS | A+ QUALITY GUARANTEE

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1|Page



NUR 2474 EXAM 2 PHARMACOLOGY REVIEW
UPDATED 2025 2026 WITH ALL NEW
QUESTIONS AND EXACTLY RIGHT ANSWERS |
A+ QUALITY GUARANTEE
Verapamil in combination with a beta block 'lol'? - ANSWER: Increased risk for
interaction



Which information should the nurse include in client education regarding a
cholesterol-lowering agent? - ANSWER: "You should continue your exercise
program to increase your high-density lipoprotein (HLD) serum.



What would the nurse expect has occurred with a client who has taken senna for
several days and now experiencing yellowish-brownish urea? - ANSWER:
Expected effect of the medication (Anthraquinone's in laxatives such as senna,
change urine to brown, yellow, or orange.)



Verapamil can elevate? - ANSWER: digoxin levels



Client took too much warfarin normal vitals and no petechiae - ANSWER: Expect
DR to order pt INR



Patient on warfarin and levels of INR 4.7 - ANSWER: Best action is to hold dose
and notify physician

,2|Page




Heparin post op and APTT is 120 BP 90/50 - ANSWER: Expect Dr to order
protamine sulfate



Post surgery patient is pale and fatigued HR98 RR20 BP 100/50 - ANSWER:
Expect provider to order hemoglobin and hematocrit



Aspirin prevents - ANSWER: platelet aggregation



Amiodarone - ANSWER: is a positum channel blocker it is given for Aflutter to
prevent recurrence. Levels can be increased by grapefruit juice and toxicity can
result. Amiodarone levels can be reduced by cholestyramine.



Propranolol - ANSWER: is a beta adrenergic blocker non selective given for
recurrent ventricular tachycardia. Question the order if patient has asthma as it can
cause bronchospasm.



Stage B Heart failure - ANSWER: Captopril for reduced EF or ejection fraction
and symptomatic



Normal GFR - ANSWER: 90-120

,3|Page


If GFR is <20 - ANSWER: risk of digoxin toxicity is greater



If digoxin level is 2.5 ng/ml - ANSWER: hold dose and contact healthcare
provider



Always check apical pulse before - ANSWER: giving digoxin



Torsades De pointes - ANSWER: Give IV magnesium



Digoxin therapeutic range - ANSWER: 0.5-0.8



Normal potassium level - ANSWER: is 3.5 to 5



Furosemide effective if - ANSWER: Output is greater than input



Hypertension BP150/90 crackles bibasilar, 2+ edema, distended jugular veins -
ANSWER: Expect order furosemide (loop diuretic)



Diabetes mellitus and hypertension - ANSWER: Anticipate order for ace inhibitor

, 4|Page


Patient has cough for 3 days that is non productive after starting lisinopril -
ANSWER: Stop lisinopril and start losartan



Angiotensin II Receptor Blockers (ARBs) - ANSWER: DO NOT promote
accumulation of bradykinin in the lung and therefore have lower instance of cough



Losartan - ANSWER: is an angiotensin 2 receptor blocker adverse effects are
angioedema, fetal harm and renal failure



Patient with 2+ pitting edema In bilateral lower extremities, bibasilar crackles and
potassium of 6 - ANSWER: Question it if Dr orders spironolactone which is a
potassium sparing drug



APTT normal levels - ANSWER: 40 seconds (60 to 80 if on heparin)



Methyldopa and labetalol - ANSWER: are drugs of choice for treating chronic
hypertension of pregnancy



Hypertension is the most common complication of - ANSWER: pregnancy



Nitroprusside (IV) - ANSWER: is the drug of choice for hypertensive emergencies

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