ADVANCED PHARM EXAM 3 STUDY
GUIDE WITH ANSWERS
◉ Cholestyramine is effective in binding up excessive bile acid to
reduce LDL levels. What else might Cholestyramine bind ? (Select all
that apply)
Answer: Vitamin A,D,E,K
digoxin
Fat soluble vitamins
◉ The nurse is most concerned for the development of myopathy
primarily in a patient taking which class of antilipemic drugs?
Answer: statins- HMG CoA Reductase inhibitors
FDA warning for myopathy
◉ Although unregulated by the FDA, patients may often choose to
use herbal supplements like Fish Oil and Garlic to help control their
cholesterol. Which patients below would be of concern when taking
garlic or fish oil supplements?
Answer: patients on NSAIDS or anticoagulants
patients about to have surgery
,◉ Which cholesterol medication is recommended to be given
nightly?
Answer: statins- HMG CoA Reductase inhibitors
night administration
◉ An older adult client who resides in a care facility has been
prescribed antihypertensives for the first time following many years
of generally good health. When administering the first dose of the
prescribed antihypertensive medication to an older adult, the nurse
should recognize the related risk to which possible side effect?
Group of answer choices
Answer: falls
htn therapy can cause hypotension and falls
◉ Which antihypertensive medications can be administered by
transdermal patch?
Answer: clonidine
◉ The nurse is administering antihypertensive drugs to older adult
patients. The nurse knows that which adverse effect is of most
concern for these patients?
Answer: hypotension
,◉ When giving antihypertensive drugs, the nurse will con-sider
giving the first dose at bedtime for which class of drugs?
Answer: alpha blockers such as doxazosin (Cardura)
◉ A 46-year-old man started antihypertensive drug therapy 3
months earlier and is in the office for a follow-up visit. While the
nurse is taking his blood pressure, he informs the nurse that he has
had some problems with sexual intercourse. Which is the most
appropriate response by the nurse?
Answer: "The physician can work with you on changing the dose
and/or drugs."
◉ When a patient is being taught about the potential adverse effects
of an ACE inhibitor, which of these effects should the nurse mention
as possibly occurring when this drug is taken to treat hypertension?
(Select all that apply.)
Answer: dizziness, fatigue, dry nonproductive cough
◉ The nurse is assessing a patient who will be starting
antihypertensive therapy with an ACE inhibitor. Which condition, if
present in the patient, would be a reason for cautious use?
Answer: renal insufficiency
◉ A patient has a new prescription for an ACE inhibitor. During a
review of the patient's list of current medications, which would
, cause concern for a possible interaction with this new prescription?
(Select all that apply.)
Answer: NSAID taken as needed for headaches
a potassium supplement taken daily
◉ A client prescribed ramipril earlier in the week states, "Now I
have a nagging, dry cough." How should the nurse best follow-up the
client's statement?
Answer: Explain that drugs like ramipril often cause a cough.
ACE inhibitors like ramipril can precipitate a cough
◉ We are going to work through the nursing process (ADPIE). This
question has to do with planning.
When planning patient education on atorvastatin, which of the
following juices would we included as needing to be avoided while
taking the medication?
Answer: grapefuit juice
◉ We are going to work through the nursing process (ADPIE). This
question has to do with evaluation.
When evaluating treatment with a -statin, you would expect the
medication to be taken at __________ to be most effective. fill in the
blank.
Answer: bed time
GUIDE WITH ANSWERS
◉ Cholestyramine is effective in binding up excessive bile acid to
reduce LDL levels. What else might Cholestyramine bind ? (Select all
that apply)
Answer: Vitamin A,D,E,K
digoxin
Fat soluble vitamins
◉ The nurse is most concerned for the development of myopathy
primarily in a patient taking which class of antilipemic drugs?
Answer: statins- HMG CoA Reductase inhibitors
FDA warning for myopathy
◉ Although unregulated by the FDA, patients may often choose to
use herbal supplements like Fish Oil and Garlic to help control their
cholesterol. Which patients below would be of concern when taking
garlic or fish oil supplements?
Answer: patients on NSAIDS or anticoagulants
patients about to have surgery
,◉ Which cholesterol medication is recommended to be given
nightly?
Answer: statins- HMG CoA Reductase inhibitors
night administration
◉ An older adult client who resides in a care facility has been
prescribed antihypertensives for the first time following many years
of generally good health. When administering the first dose of the
prescribed antihypertensive medication to an older adult, the nurse
should recognize the related risk to which possible side effect?
Group of answer choices
Answer: falls
htn therapy can cause hypotension and falls
◉ Which antihypertensive medications can be administered by
transdermal patch?
Answer: clonidine
◉ The nurse is administering antihypertensive drugs to older adult
patients. The nurse knows that which adverse effect is of most
concern for these patients?
Answer: hypotension
,◉ When giving antihypertensive drugs, the nurse will con-sider
giving the first dose at bedtime for which class of drugs?
Answer: alpha blockers such as doxazosin (Cardura)
◉ A 46-year-old man started antihypertensive drug therapy 3
months earlier and is in the office for a follow-up visit. While the
nurse is taking his blood pressure, he informs the nurse that he has
had some problems with sexual intercourse. Which is the most
appropriate response by the nurse?
Answer: "The physician can work with you on changing the dose
and/or drugs."
◉ When a patient is being taught about the potential adverse effects
of an ACE inhibitor, which of these effects should the nurse mention
as possibly occurring when this drug is taken to treat hypertension?
(Select all that apply.)
Answer: dizziness, fatigue, dry nonproductive cough
◉ The nurse is assessing a patient who will be starting
antihypertensive therapy with an ACE inhibitor. Which condition, if
present in the patient, would be a reason for cautious use?
Answer: renal insufficiency
◉ A patient has a new prescription for an ACE inhibitor. During a
review of the patient's list of current medications, which would
, cause concern for a possible interaction with this new prescription?
(Select all that apply.)
Answer: NSAID taken as needed for headaches
a potassium supplement taken daily
◉ A client prescribed ramipril earlier in the week states, "Now I
have a nagging, dry cough." How should the nurse best follow-up the
client's statement?
Answer: Explain that drugs like ramipril often cause a cough.
ACE inhibitors like ramipril can precipitate a cough
◉ We are going to work through the nursing process (ADPIE). This
question has to do with planning.
When planning patient education on atorvastatin, which of the
following juices would we included as needing to be avoided while
taking the medication?
Answer: grapefuit juice
◉ We are going to work through the nursing process (ADPIE). This
question has to do with evaluation.
When evaluating treatment with a -statin, you would expect the
medication to be taken at __________ to be most effective. fill in the
blank.
Answer: bed time
