NUR 210/ NUR210 Exam 3 – (New 2026/ 2027 Update) Principles of Pharmacology Guide | Questions & Answers | Grade A| 100% Correct (Verified Solutions)- Galen

NURl 210/l NUR210l Examl 3l –l (Newl
2026/l 2027l Update)l Principlesl ofl
Pharmacologyl Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galenl l


QUESTION
Mannitol

Answer:
-l osmoticl diuretic
-l causesl h20,l Na,l Cl,l K,l Mg,l &l Cal tol bel excretedl throughl kidneysl
-l use:
onlyl inl emergencyl situationsl (IVl only,l w/closel ICUl monitering)
decreasel intracraniall pressurel (ICP)
decreasel cerebrall edema



QUESTION
Mannitoll adversel reactions

Answer:
-l fluidl andl electrolytel imbalance
-l pulmonaryl edemal froml rapidl shiftl ofl fluids
-l tachycardial froml rapidl fluidl loss
-l rapidl fluidl loss,l acidosis
-l extremel caution:
heartl diseasel andl heartl failure
renall failure

,QUESTION
Spironolactone

Answer:
-l potassiuml sparingl diureticl
-l blocksl actionl ofl aldosteronel =l thel renall tubulesl promotel sodiuml andl waterl excretionl
andl potassiuml retentionl (holdsl onl tol K)
-l alsol excretesl magnesium,l calcium
-l canl increasel bloodl glucose



QUESTION
Spironolactonel adversel reactions

Answer:
-l orthostaticl hypotension,l hypotension
-l fluidl andl electrolytel imbalancel (hyperkalemia)



QUESTION
Diuretics

Answer:
-l monitorl I&Ol dailyl weights
-l notifyl HCPl ifl urinel outputl doesl notl increase
-l monitorl VS,l watchingl bloodl pressure
-l administerl IVl furosemidel slowly
-l forl Kl wastingl diureticsl watchl forl s/sl ofl hypokalemia
-l forl Kl sparingl (spironolactone)l watchl forl s/sl ofl hyperkalemial
-l monitorl electrolytel levelsl &l glucose



QUESTION
Diureticsl teaching

Answer:
-l weighl selfl daily-l reportl gainl ofl 2l lbs.l overnightl orl 5l lbs.l inl al week
-l takel medicationl inl thel morningl

,-l stayl outl ofl sunl w/l photosensitivityl
-l diet-l Kl wasting-l increasel potassium,l potassiuml supplement,l ifl patientl onl digoxin,l
especiallyl important!
-l diet-l kl sparing-l decreasel potassiuml intakel (lowl k)
-l teachl thatl thesel drugsl canl increasel glucosel sol HCPl willl needl tol monitorl bloodl
glucose



QUESTION
Diphenhydraminel (Benadryl)

Answer:
-l firstl generationl antihistamine
-l Blocksl histaminel 1,l whichl decreasesl allergicl response



QUESTION
Loratadinel (Claritin)

Answer:
-l Second-generationl antihistaminel -l BETTER/improvedl -l Longerl actingl &l Nonsedatingl
antihistamine
-l lessl drowsinessl andl anticholinergicl sidel effects



QUESTION
Diphenhydraminel Contraindications

Answer:
-Acutel asthmal attackl (dryl upl secretions)
-Severel liverl disease



QUESTION
Antihistaminel nursingl interventions/teaching

Answer:
-Avoidl alcoholl andl otherl CNSl depressants.

, -Olderl adultl canl bel morel sensitivel andl canl causel newl onsetl confusion
-Instructl tol usel cautionl whenl givingl tol childrenl -l canl causel excitabilityl (paradoxicall
effect)



QUESTION
Nasall Decongestants

Answer:
-l Producesl nasall vascularl vasoconstriction
-l Reboundl nasall congestionl canl occurl withl overuse/abuse
-l ex.l Oxymetazolinel &l Pseudoephedrinel (Sudafed)



QUESTION
Nasall Decongestantsl frequentl use

Answer:
-l Mayl leadl tol tolerance/addiction
-l Mayl leadl tol reboundl nasall congestion
-l Shouldl notl usel morel thanl 3l daysl inl al row!



QUESTION
Fluticasonel (Flonase)

Answer:
-l Intranasall Glucocorticoidsl (-sonel =l steroids)
-l Shortl terml usel duringl allergyl season
-l Nol reboundl congestionl withl thisl drug
-l Notl abusedl asl arel others



QUESTION
Dextromethorphanl hydrobromide

Answer:
-l Actl onl thel cough-controll centerl inl thel brainl medullal tol suppressl thel coughl reflex