Pharm 3113 Exam 2 Final Test Questions
Fully Solved.
The nurse caring for a patient who is receiving beta-antagonist drug therapy needs to be aware
that these drugs cause which effect? (SATA) - Answer - increased cardiac contractility
- increased heart rate
During a teaching session for a patient who is receiving inhaled salmeterol. the nurse
emphasizes that the drug is indicated for which condition? - Answer Prevention of
bronchospasms
For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the
nurse is most appropriate? - Answer Assess the intravenous site hourly for possible infiltration
A patient is receiving dobutamine for shock and is complaining of feeling more "skipping beats"
than yesterday. What will the nurse do next? - Answer Assess the patient's vital signs and
cardiac rhythm
When a drug is characterized as having a negative chronotropic effect, the nurse knows to
expect which effect? - Answer Decreased heart rate
The nurse is reviewing the home medications for a newly admitted patient and notes that the
patient takes Mirabegron. The nurse will conclude that the patient has which condition? -
Answer Overactive bladder
When a patient has experienced extravasation of a peripheral infusion of dopamine, the nurse
will inject the alpha blocker phentolamine into the area of extravasation and expect what
effect? - Answer Vasodilation
When administering beta blockers, the nurse will follow which guideline for administration and
monitoring? - Answer Tapering off the medication is necessary to prevent rebound
hypertension
The nurse is providing teaching for a patient who has a new prescription for beta blockers will
keep in mind that these drugs may result in which effect? (SATA) - Answer - Impotence
,A patient who has recently had a myocardial infarction has started therapy with a beta blocker.
The nurse explains that the main purpose of the beta blocker for this patient is to - - Answer
Protect the heart from circulating catecholamines
Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a
history of which condition? - Answer Asthma
A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will
monitor for which potential drug effects? (SATA) - Answer - Orthostatic hypotension
- Increased urine flow
- Headaches
The nurse is reviewing the mechanism of action of alpha adrenergic drugs. Adrenergic blockade
at the alpha receptors leads to which effects? (SATA) - Answer - Miosis
- Vasodilation
- Reduced blood pressure
The nurse is reviewing the use of bethanechol in a patient who is experiencing postoperative
urinary retention. Which statement best describes the mechanism of action of bethanechol? -
Answer It causes bladder tone and motility
The family of a patient who has recently been diagnosed with Alzheimer's disease is asking
about a new drug prescribed to treat this disease. The patient's wife says, "I'm so excited that
there are drugs that can cure this disease! I can't wait for him to start treatment." Which reply
from the nurse is appropriate? - Answer "His response to drug therapy will depend on how far
along he is in the disease process"
The nurse is giving a dose of bethanechol to a postoperative patient. The nurse is aware that
contraindications to bethanechol include which of these? (SATA) - Answer - Peptic ulcer
- Urinary retention
- Cardiac disease
While at home, a patient took an accidental overdose of a cholinergic drug. He comes to the
emergency department with severe abdominal cramping and bloody diarrhea. Which drug
would the nurse expect to use to treat this patient? - Answer - Atropine
, The nurse must watch for symptoms of a cholinergic crisis when giving intravenous cholinergic
drugs. Which of these are symptoms of a cholinergic crisis? (SATA) - Answer - Hypotension
- Syncope
- Dyspnea
- Abdominal cramping
The nurse is teaching a patient about the possible adverse effects of donepezil for Alzheimer's
disease. Which of these are possible adverse effects? (SATA) - Answer - GI upset
- Drowsiness
- Dizziness
The nurse is providing education about a cholinergic-blocking drug therapy to an older patient.
Which is an important point to emphasize for this patient? - Answer Avoid exposure to high
temperatures
The nurse is giving a cholinergic-blocking drug and will assess the patient for which
contraindication to these drugs? - Answer Benign prostatic hyperplasia
When assessing for adverse effects of cholinergic-blocking drug therapy, the nurse knows that
the patient may experience which drug effect? (SATA) - Answer - Dry mouth
- Dilated pupils
- Constipation
The nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-
induced extrapyramidal effects would assess for which therapeutic effect? - Answer Decreased
muscle rigidity and tremors
During the assessment of a patient about to receive a cholinergic-blocking drug, the nurse will
determine whether the patient is taking any drugs that may potentially interact with
anticholinergic, which include which of these? - Answer Tricyclic antidepressants, such as
amitriptyline
A patient has been given a prescription for transdermal scopolamine patches for motion
sickness for use during a vacation cruise. The nurse will include which instructions? (SATA) -
Answer - Apply the patch 4 to 5 hours before boarding the ship
Fully Solved.
The nurse caring for a patient who is receiving beta-antagonist drug therapy needs to be aware
that these drugs cause which effect? (SATA) - Answer - increased cardiac contractility
- increased heart rate
During a teaching session for a patient who is receiving inhaled salmeterol. the nurse
emphasizes that the drug is indicated for which condition? - Answer Prevention of
bronchospasms
For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the
nurse is most appropriate? - Answer Assess the intravenous site hourly for possible infiltration
A patient is receiving dobutamine for shock and is complaining of feeling more "skipping beats"
than yesterday. What will the nurse do next? - Answer Assess the patient's vital signs and
cardiac rhythm
When a drug is characterized as having a negative chronotropic effect, the nurse knows to
expect which effect? - Answer Decreased heart rate
The nurse is reviewing the home medications for a newly admitted patient and notes that the
patient takes Mirabegron. The nurse will conclude that the patient has which condition? -
Answer Overactive bladder
When a patient has experienced extravasation of a peripheral infusion of dopamine, the nurse
will inject the alpha blocker phentolamine into the area of extravasation and expect what
effect? - Answer Vasodilation
When administering beta blockers, the nurse will follow which guideline for administration and
monitoring? - Answer Tapering off the medication is necessary to prevent rebound
hypertension
The nurse is providing teaching for a patient who has a new prescription for beta blockers will
keep in mind that these drugs may result in which effect? (SATA) - Answer - Impotence
,A patient who has recently had a myocardial infarction has started therapy with a beta blocker.
The nurse explains that the main purpose of the beta blocker for this patient is to - - Answer
Protect the heart from circulating catecholamines
Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a
history of which condition? - Answer Asthma
A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will
monitor for which potential drug effects? (SATA) - Answer - Orthostatic hypotension
- Increased urine flow
- Headaches
The nurse is reviewing the mechanism of action of alpha adrenergic drugs. Adrenergic blockade
at the alpha receptors leads to which effects? (SATA) - Answer - Miosis
- Vasodilation
- Reduced blood pressure
The nurse is reviewing the use of bethanechol in a patient who is experiencing postoperative
urinary retention. Which statement best describes the mechanism of action of bethanechol? -
Answer It causes bladder tone and motility
The family of a patient who has recently been diagnosed with Alzheimer's disease is asking
about a new drug prescribed to treat this disease. The patient's wife says, "I'm so excited that
there are drugs that can cure this disease! I can't wait for him to start treatment." Which reply
from the nurse is appropriate? - Answer "His response to drug therapy will depend on how far
along he is in the disease process"
The nurse is giving a dose of bethanechol to a postoperative patient. The nurse is aware that
contraindications to bethanechol include which of these? (SATA) - Answer - Peptic ulcer
- Urinary retention
- Cardiac disease
While at home, a patient took an accidental overdose of a cholinergic drug. He comes to the
emergency department with severe abdominal cramping and bloody diarrhea. Which drug
would the nurse expect to use to treat this patient? - Answer - Atropine
, The nurse must watch for symptoms of a cholinergic crisis when giving intravenous cholinergic
drugs. Which of these are symptoms of a cholinergic crisis? (SATA) - Answer - Hypotension
- Syncope
- Dyspnea
- Abdominal cramping
The nurse is teaching a patient about the possible adverse effects of donepezil for Alzheimer's
disease. Which of these are possible adverse effects? (SATA) - Answer - GI upset
- Drowsiness
- Dizziness
The nurse is providing education about a cholinergic-blocking drug therapy to an older patient.
Which is an important point to emphasize for this patient? - Answer Avoid exposure to high
temperatures
The nurse is giving a cholinergic-blocking drug and will assess the patient for which
contraindication to these drugs? - Answer Benign prostatic hyperplasia
When assessing for adverse effects of cholinergic-blocking drug therapy, the nurse knows that
the patient may experience which drug effect? (SATA) - Answer - Dry mouth
- Dilated pupils
- Constipation
The nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-
induced extrapyramidal effects would assess for which therapeutic effect? - Answer Decreased
muscle rigidity and tremors
During the assessment of a patient about to receive a cholinergic-blocking drug, the nurse will
determine whether the patient is taking any drugs that may potentially interact with
anticholinergic, which include which of these? - Answer Tricyclic antidepressants, such as
amitriptyline
A patient has been given a prescription for transdermal scopolamine patches for motion
sickness for use during a vacation cruise. The nurse will include which instructions? (SATA) -
Answer - Apply the patch 4 to 5 hours before boarding the ship
