PHARMACOLOGY EXAM 2 PRACTICE Q-S W- RATIONALES ANSWERS GRADED A+ GUARANTEED PASS

PHARMACOLOGY: EXAM 2 PRACTICE
Q'S W/ RATIONALES ANSWERS
GRADED A+ GUARANTEED PASS
1.Thehnursehishcaringhforhahpatienthwhohhashasthmahandhadministershahselectivehbeta2-
adrenergichagonisthtohtreathbronchospasm.hThehnursehwillhexpecththishdrughtohalsohcausehwhichhsi
deheffect?



a.hIncreasedhbloodhglucose

b.hIncreasedhbloodhpressure

c.hIncreasedhhearthrate

d.hIncreasedhgastrointestinalh(GI)hmotilityh-hhCORRECThANSWERS-ANS:hA

Drugshthathacthonhbeta2hreceptorshactivatehgluconeogenesishinhthehliver,hcausinghincreasedhbloodh
glucose.hSelectivehbeta2hdrugshacthonhbeta2

receptorshonlyhandhnothonhbeta1hreceptors,hsohtheyhdohnothcausehincreasedhbloodhpressurehorhinc
reasedhhearthrate.hAdrenergichagonistshcausehdecreasedhGIhmotility.



2.Thehnursehadministershsubcutaneoushepinephrinehtohahpatienthwhohishexperiencinghanhanaphyla
ctichreaction.hThehnursehshouldhexpecthtohmonitorhthehpatienthforhwhichhsymptom?



a.hBradycardia

b.hDecreasedhurinehoutput

c.hHypotension

d.hNauseahandhvomitingh-hhCORRECThANSWERS-ANS:hB

Epinephrinehcanhcausehrenalhvasoconstrictionhandhtherebyhreducehrenalhperfusionhandhdecreaseh

urinaryhoutput.hEpinephrinehcauseshtachycardiahandhelevateshbloodhpressure.hNauseahandhvomiti
ngh

,arehnothexpectedhtohoccur.



3.Anhadulthpatienthishbroughthtohthehemergencyhdepartmenthforhtreatmenthofhanhasthmahexacerb
ation.hThehpatienthuseshinhaledhalbuterolhashneededhtohcontrolhwheezing.hThehnursehnoteshexpirat
oryhwheezing,htremors,hrestlessness,handhahhearthratehofh120hbeatshperhminute.hThehnursehsuspec
tshthaththehpatienthhas



a.hoverusedhthehalbuterol.

b.hnothbeenhusinghalbuterol.

c.htakenhahbeta-adrenergichblocker.

d.htakenhahmonoaminehoxidaseh(MAO)hinhibitor.h-hhCORRECThANSWERS-ANS:hA

Highhdoseshofhalbuterolhmayhaffecthbetah1hreceptors,hcausinghanhincreasehinhhearthrate.hPatientshh
avinghanhasthmahexacerbationhmayhoverusehtheirhalbuterolhinhalershwhenhseekinghrelief.hPatientsh
mayhhavehwheezinghandhincreasedhhearthratehduringhanhuntreatedhasthmahexacerbation,hbuththey
hwillhnothhavehtremorshandhrestlessness.




4.Thehnursehishcaringhforhahpatienthwhohwillhbeginhtakinghatenololh(Tenormin).hWhathinformationh
willhthehnursehincludehwhenhteachinghthehpatienthabouthtakinghthishmedication?



a.hThehdrughmusthbehtakenhtwicehdaily.

b.hThehpatienthmusthrisehslowlyhfromhahchairhorhbed.

c.hThehmedicationhishsafehtohtakehduringhpregnancy.

d.hUsehNSAIDshashneededhforhmildhtohmoderatehpain.h-hhCORRECThANSWERS-ANS:hB

Thehsideheffectshcommonlyhassociatedhwithhbetahblockershincludehbradycardia,hhypotension,handh

dizziness.hPatientshshouldhbehinstructedhtohusehcautionhwhenhrisinghfromhahsittinghorhlyinghposition
htohavoidhorthostatichhypotension.hAtenololhmayhbehtakenhoncehdaily.hAtenololhishcontraindicatedhi


nhtheh

pregnanthpatient.hNSAIDshdecreasehtheheffectshofhbetahblockershandhshouldhbehavoided.

,5.Thehnursehishcaringhforhahpatienthwhohhashrecentlyhbegunhtakinghatenololh(Tenormin)htohtreathhy
pertension.hThehpatienthreportshdizziness,hnausea,hvomiting,handhdecreasedhlibidohsincehbeginnin
ghthehmedication.hWhathwillhthehnursehdo?



a.hHoldhthehnexthdosehuntilhthehproviderhcanhbehnotifiedhofhthesehsideheffects.

b.hReassurehthehpatienththaththesehsymptomsharehcommonhandhnothworrisome.

c.hRecommendhthaththehpatienthdiscusshtheseheffectshwithhthehprovider.

d.hSuggesththaththehpatienthrequesthahdifferenthbeta-adrenergichblocker.h-hhCORRECThANSWERS-
ANS:hC

Beta-adrenergichblockershcanhcausehthesehsideheffects,hwhichharehoftenhdosehrelated.hPatientsh

experiencinghthesehsideheffectshshouldhbehencouragedhtohdiscusshthemhwithhtheirhproviders.hBetah
blockershshouldhnothbehdiscontinuedhabruptly,horhreboundhsymptomshmayhoccur.hSincehsymptoms
h



mayhbehdosehrelated,hreassuringhthehpatienthishnothcorrect.hAllhbetahblockershhavehsimilarhsideheffe
cts.



6.Ahpatienthwillhbeginhtakinghalbuterolh(Proventil)htohtreathasthma.hWhenhteachinghthehpatienthab
ouththishdrug,hthehnursehwillhmakehwhichhrecommendation?



a.hReporthrapidhorhirregularhhearthrate.

b.hDrinkh8htoh16hextrahounceshofhfluidheachhday.

c.hMonitorhserumhglucosehdaily.

d.hTakehahcalciumhsupplement.h-hhCORRECThANSWERS-ANS:hA

Highhdosageshofhalbuterolhmayhaffecthbeta

1hreceptors,hcausinghanhincreasehinhhearthratehthathcouldhbehdangerous.hIthishnothnecessaryhtohcon
sumehextrahfluidshorhtakehahcalciumhsupplementhwhilehusinghthishdrug.hSerumhglucosehmayhbehele
vatedhslightly,hbuththishishnothahconcernhinhnondiabetichpatients.

, 7.AhpatienthwhohhashRaynaud'shdiseasehwillhbeginhtakinghanhalpha-
adrenergichblocker.hThehpatienthaskshthehnursehhowhthehdrughworkshtohtreathsymptoms.hThehnurse
hexplainshthathalpha-adrenergichblockershtreathRaynaud'shdiseasehbyhcausing




a.hdecreasedhperipheralhvascularhresistance.

b.horthostatichhypotension.

c.hreflexhtachycardia.

d.hvasodilation.h-hhCORRECThANSWERS-ANS:hD

Alpha-adrenergichblockershcanhbehusedhtohtreathperipheralhvascularhdiseasehbecausehtheyhcauseh

vasodilation.



8.Ahpatienthwillhbehdischargedhonhbetahblockers.hWhichhskillhishessentialhforhthehnursehtohteachhthe
hpatient'shfamily?




a.hHowhtohpreparehahlow-sodiumhdiet

b.hAssessmentshtohdetecthfluidhretention

c.hHowhtohmonitorhhearthratehandhbloodhpressure

d.hEarlyhsignshofhchanginghlevelhofhconsciousnessh-hhCORRECThANSWERS-ANS:hC

Becausehofhthehactionhandhsideheffectshofhbetahblockers,hhearthratehandhbloodhpressurehshouldhbeh

monitoredhfrequently.



9.Thehnursehishcaringhforhahpatienthwhosehproviderhhashjusthorderedhahswitchhfromhatenololh(Tenor
min)htohreserpine.hWhenhpreparinghthehpatienthtohtakehthishmedication,hwhathwillhthehnursehdo?



a.hAskhabouthherbalhsupplements.

b.hCounselhthathNSAIDsharehsafehtohtakehwithhreserpine.

c.hTeachhabouthpotentialhsideheffectshofhmoodhelevationhandheuphoria.