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Pharmacology Exam 2: Questions and Answers for NUR 2474, Exams of Pharmacology

A comprehensive set of questions and answers covering key concepts in pharmacology, particularly related to hypertension, heart failure, and medication administration. It includes information on drug classifications, mechanisms of action, side effects, and therapeutic monitoring. Valuable for students in nursing programs, particularly those studying nur 2474, as it offers a structured review of important pharmacological principles.

Typology: Exams

2024/2025

Available from 03/11/2025

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NUR 2474 Pharmacology Exam 2
1. Primary Hypertension <Ans> Hypertension with no identifiable cause, most
common form
2. Hypertension <Ans> SBP > 130 mm Hg or DBP > 80 mm Hg
3. Beta-blocker <Ans> Medication to slow ventricular rate in dysrhythmias
4. Digoxin Levels <Ans> Normal range <Ans> 0.5-0.8
5. Digoxin Toxicity Treatment <Ans> Fab antibody fragments [Digifab] for
severe over- dose
6. Untreated Hypertension Consequences <Ans> Can lead to heart disease,
kidney disease, stroke
7. Systolic BP vs. Diastolic BP <Ans> Elevated systolic BP poses higher
cardiovascular risk
8. Antihypertensive Therapy Goal <Ans> Decrease morbidity and mortality
without qual- ity of life decrease
9. Thiazide and Loop Diuretics <Ans> Reduce BP by volume reduction and
arterial resistance decrease
10. Loop Diuretics for Low GFR <Ans> Given when GFR is low as thiazides are
ineffec- tive
11. Calcium Channel Blockers <Ans> Reduce BP by arteriole dilation
12. Aldosterone Antagonists <Ans> Lower BP by preventing sodium and water
retention
13. Combination Therapy for Hypertension <Ans> Each drug should have a
different mechanism of action
14. Antihypertensive Drug Dosages <Ans> Start low, increase gradually to
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NUR 2474 Pharmacology Exam 2

  1. Primary Hypertension Hypertension with no identifiable cause, most common form
  2. Hypertension SBP > 130 mm Hg or DBP > 80 mm Hg
  3. Beta-blocker Medication to slow ventricular rate in dysrhythmias
  4. Digoxin Levels Normal range 0.5-0.
  5. Digoxin Toxicity Treatment Fab antibody fragments [Digifab] for severe over- dose
  6. Untreated Hypertension Consequences Can lead to heart disease, kidney disease, stroke
  7. Systolic BP vs. Diastolic BP Elevated systolic BP poses higher cardiovascular risk
  8. Antihypertensive Therapy Goal Decrease morbidity and mortality without qual- ity of life decrease
  9. Thiazide and Loop Diuretics Reduce BP by volume reduction and arterial resistance decrease
  10. Loop Diuretics for Low GFR Given when GFR is low as thiazides are ineffec- tive
  11. Calcium Channel Blockers Reduce BP by arteriole dilation
  12. Aldosterone Antagonists Lower BP by preventing sodium and water retention
  13. Combination Therapy for Hypertension Each drug should have a different mechanism of action
  14. Antihypertensive Drug Dosages Start low, increase gradually to

minimize adverse effects

  1. Patient Adherence in Hypertension Major cause of treatment failure due to various factors
  2. Hypertensive Emergency Diastolic BP > 120 mm Hg with end-organ damage
  3. Nitroprusside Drug of choice for hypertensive emergencies
  4. Preeclampsia Hypertension in pregnancy, treated with specific drugs
  5. aPTT Normal value 40 seconds, altered by heparin therapy
  6. Spironolactone Diuretic to avoid in clients with fluid overload and high potas- sium
  7. Losartan Adverse Effects Include fetal injury and death
  8. Lisinopril Side Effects Commonly causes cough due to bradykinin accumula- tion
  9. Antihypertensive Medications for Diabetic Patients ACE inhibitors, ARB, CCB, low dose diuretics; monitor glucose
  10. Furosemide Effectiveness Check Assess I & Os to ensure fluid elimination
  11. Sympathomimetic Cold Medicine Avoid in hypertension due to vasoconstric- tion effects
  1. Ferrous Sulfate Causes black, tarry stools (GI bleed)
  2. Cholestyramine Dilute with 4oz juice/water; avoid grapefruit juice
  3. Rivaroxaban Use soft toothbrush, electric razor
  4. NSAIDs Avoid for hemophilic patients
  5. Benadryl Given for hives or fever during infusion
  6. Statins Can cause muscle pain; monitor CK levels
  7. Metoprolol Maintains HR between 50- 60
  8. Lactulose Enhances intestinal ammonia excretion
  9. Magnesium Hydroxide Avoid in end-stage renal disease
  10. Stimulant Laxative Causes stomach cramps
  11. Scopolamine Side effect dry mouth
  12. Theophylline Therapeutic level 5-15; avoid with ciprofloxacin
  13. Plavix Black, tarry stools indicate bleeding
  14. Orthostatic Hypotension Educate to rise slowly when changing positions
  15. Hydrochlorothiazide Compatible with regular intake of oranges and bananas
  1. Iron Anemia Greenish/blackish stools
  2. NSAID Risks Include ulcers, liver injury, GI bleeding
  3. Nitroglycerin Stop activity, sit, take sublingual tablet