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NUR 311 Exam 3 Study Questions With Complete Solutions

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NUR 311 Exam 3 Study Questions With Complete Solutions

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NUR 311 Exam 3 Study Questions With Complete Solutions

23. What category of diuretics should a person on ACEIs avoid?
Correct Answer Potassium-sparing diuretics

A patient must wait how long after the administration of a bile-
acid sequestrant before taking another medication? Correct
Answer 4 hours

Abrupt cessation of beta-blockers can lead to excitation or
depression of the beta-adrenergic receptors? Correct Answer
Excitation

ACEIs cause vasodilation of which blood vessels? Which
vasodilates the most? Correct Answer Arterioles and veins.
Arterioles.

Alpha1-blockers cause what? What disease may they be used for
and why? Why are they seldom used? Correct Answer
Vasodilation of arterioles and veins. Benign prostatic
hypertrophy, because it relaxes the smooth muscle of the
prostatic capsule and bladder neck. Increased number of CV
events.

Antihypertensive agents should be given for what period of
time? Correct Answer Lifelong

Arterial thrombi cause what kind of injury? Correct Answer
Local injury

,Beta-blockers decrease three parameters. What are they?
Correct Answer Heart rate, blood pressure, contractility

Beta-blockers with verapamil or diltiazem can severely decrease
which vital sign parameter? Correct Answer Heart rate

Bile-acid sequestrants are taken to lower what? Correct Answer
LDL

By what mechanism do alpha2-agonists decrease blood
pressure? What side effects disappear over time? Correct
Answer Decrease sympathetic outflow from brainstem and
decrease norepinephrine release. Dry mouth and sedation.

Calcium-channel blockers are used for what kinds of angina?
Correct Answer Stable and variant

Calcium-channel blockers decrease afterload or preload?
Correct Answer Afterload

Calcium-channel blockers vasodilate which blood vessels?
Correct Answer Arterioles

Carbohydrates should be restricted to 50-60% of the caloric
intake because they can form what? Correct Answer
Triglycerides

Cholesterol is mainly produced when? Correct Answer At
night

, Digoxin (Lanoxin) is used in heart failure primarily for what
effect? Correct Answer Positive inotropic effect

Dihydropyridines may cause what side effect which can be
treated with beta-blockers? Correct Answer Reflex
tachycardia

Direct renin inhibitors prevent what? Why is it used? Correct
Answer Renin from binding with the receptor. Hypertension.

Direct-acting vasodilators may cause what two important
adverse effects? What drug category is used to prevent this?
Correct Answer Reflex tachycardia and renin release. Treat
with beta-blockers.

Discuss the proper administration of heparin SubQ. Correct
Answer Lower abdomen, rotate sites; no rubbing; no
aspiration; 2" from umbilicus; 25-26 gauges, 1/2 to 5/8 needle;
gentle, firm pressure for 1-2 min after.

Discuss the use of laxatives during lactation. Correct Answer
The drug may be found in breast milk.

Diuretics and antihypertensive drugs can cause what adverse
effect? Correct Answer Additive hypotension

Do fibrates increase or decrease the effect of warfarin? Correct
Answer Increase by displacing warfarin from the albumin.

Do not give beta-blockers if the pulse is below ____ or the
systolic BP is below____. Correct Answer Pulse 50, SBP 90

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