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NR 293 Week 5 Quiz 3 – Question/Answers Chamberlain University Quiz 3 Pharmacology Review 1. Three days after beginning therapy with oral iron tablets, a patient calls the office, saying, “I ’m very worried because my bowel movements are black!” What will the nurse do? a. Instruct the patie...

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  • March 18, 2022
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NR 293 Week 5 Quiz 3 – Question/Answers

Chamberlain University

Quiz 3 Pharmacology Review
1. Three days after beginning therapy with oral iron tablets, a patient calls the office, saying, “I’m very worried because my
bowel movements are black!” What will the nurse do?

a. Instruct the patient to stop the iron tablets for a week.

b. Instruct the patient to take the tablets every other day instead of daily.

c. Ask the patient to come into the office for a checkup.

d. Explain to the patient that this is an expected effect of the medication.

Ch 54

2. Connie, age 58 years, is in the hospital because of extreme weakness. She has a history of chronic re- nal failure, and there is
a new order for epoetin alfa (Epogen). What laboratory results are monitored during epoetin therapy, and why?

Ans : AHemoglobin level and hematocrit are to be monitored, because if hemoglobin level rise too quickly or above 12 g/dL
hypertension or seizure can occur.

Ch 22

3. When administering angiotensin-converting enzyme (ACE) inhibitors, the nurse keeps in mind that which are possible adverse
effects? (Select all that apply.)

a. Diarrhea

b. Fatigue

c. Restlessness

d. Headaches

e. A dry cough

f. Tremors

4.A patient is being treated for a hypertensive emer- gency. The nurse expects which
drug to be used?
a. Sodium nitroprusside (Nitropress)

b. Losartan (Cozaar)

c. Captopril (Capoten)

d. Prazosin (Minipress)


5. A beta1 blocker is prescribed for a patient with heart failure and hypertension. Which
adverse effects, if present, may indicate a serious problem is developing while the
patient is taking this medication? (Select all that apply.)

a. Edema

b. Nightmares



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, c. Shortness of breath
d. Nervousness

e. Constipation

6. Given the nurse’s knowledge of the side effects of alpha blockers, which instruction
should the nurse provide to the patient with a new order for an alpha blocker to treat
hypertension?

a. Drink plenty of fluids.
b. Wear sunscreen outside.

c. Change positions slowly.

d. Increase intake of potassium-rich foods.



7. Indicate which ACE inhibitor would be best for the following patients. Explain your
answers.
a. Irene, who has liver dysfunction, has high blood pressure, and is seriously ill

Ans: Captopril can be used because it is not a prodrug so it can be used for liver disease
patient.

b. Kory, who has a history of poor adherence to his medication regimen
Ans: Kory can use ACE inhibitors as lisinopril, benazepril. Because it is long half-life
medicine.



8.. White and African-American patients are known to respond differently to
antihypertensive agents.

b. Which antihypertensives are considered more effective in African-American patients
than in white patients?

Ans: calcium channel blockers and diuretics.

9. . What is the purpose of antianginal drug therapy?

a. To increase myocardial oxygen demand

b. To increase blood flow to peripheral arteries

c. To increase blood flow to ischemic cardiac muscle

d. To decrease blood flow to ischemic cardiac muscle

Ch 23

10. A patient with coronary artery spasms will be most effectively treated with which
type of antianginal medication?
a. Beta blockers



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