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NURS 2474 PHARMACOLOGY ACTUAL FINAL EXAM LATEST VERSION UPDATED QUESTIONS AND DETAILED ANSWERS GUARANTEED SUCCESS ALREADY GRADED A+ COMPLETE DOCUMENT FOR STUDY$22.16
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NURS 2474 PHARMACOLOGY ACTUAL FINAL EXAM LATEST VERSION UPDATED QUESTIONS AND DETAILED ANSWERS GUARANTEED SUCCESS ALREADY GRADED A+ COMPLETE DOCUMENT FOR STUDY
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Course
NURS 2474 PHARMACOLOGY 2024-2025
Institution
NURS 2474 PHARMACOLOGY 2024-2025
NURS 2474 PHARMACOLOGY ACTUAL FINAL
EXAM LATEST VERSION UPDATED
QUESTIONS AND DETAILED ANSWERS
GUARANTEED SUCCESS ALREADY GRADED A+
COMPLETE DOCUMENT FOR STUDYNURS 2474 PHARMACOLOGY ACTUAL FINAL
EXAM LATEST VERSION UPDATED
QUESTIONS AND DETAILED ANSWERS
GUARANTEED SUCCESS ALREADY GR...
NURS 2474 PHARMACOLOGY ACTUAL FINAL
EXAM 2024-2025 LATEST VERSION UPDATED
QUESTIONS AND DETAILED ANSWERS
GUARANTEED SUCCESS ALREADY GRADED A+
COMPLETE DOCUMENT FOR STUDY
A nurse counsels a patient with diabetes who is starting therapy
with an alpha-glucosidase inhibitor. The patient should be
educated about the potential for adverse reactions. (Select all
that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
b. Flatulence
e. Diarrhea
EXPLANATION
due to build up of gasses (flatulence) from undigested
carbohydrates reaching the colon and causing an osmotic effect
(diarrhea)
, Page 2 of 135
A patient asks a nurse how nitroglycerin works to relieve
anginal pain. The nurse correctly states, "Nitroglycerin:
a. dilates coronary arteries to increase blood flow to the heart."
b. increases the oxygen supply to the cardiac muscle."
c. increases ventricular filling to improve cardiac output."
d. promotes vasodilation, which reduces preload and oxygen
demand."
d. promotes vasodilation, which reduces preload and oxygen
demand."
This vasodilation leads to a decrease in the heart's workload
and oxygen demand, ultimately relieving anginal pain.
A hospitalized patient complains of acute chest pain. The nurse
administers a 0.3 mg sublingual nitroglycerin tablet, but the
patient continues to complain of pain. Vital signs remain stable.
What is the nurse's next step?
a. Apply a nitroglycerin transdermal patch.
b. Continue dosing at 10-minute intervals.
c. Give a second dose of nitroglycerin in 5 minutes.
d. Request an order for intravenous nitroglycerin.
c. Give a second dose of nitroglycerin in 5 minutes.
After one dose and a 5-minute wait period, you call 9-1-1 (if
, Page 3 of 135
applicable) and give the second dose. This can be repeated for a
third time with stable vitals.
A patient who has begun using transdermal nitroglycerin for
angina reports occasional periods of tachycardia. The nurse will
expect the prescriber to order:
a. digoxin (Lanoxin) to slow the heart rate.
b. immediate discontinuation of the nitroglycerin.
c. periods of rest when the heart rate increases.
d. verapamil as an adjunct to nitroglycerin therapy.
d. verapamil as an adjunct to nitroglycerin therapy.
EXPLANATION
Nitroglycerin lowers blood pressure by reducing venous return
and dilating the arterioles. The lowered blood pressure
activates the baroreceptor reflex, causing reflex tachycardia,
which can increase cardiac demand and negate the therapeutic
effects of nitroglycerin. Treatment with a beta blocker or
verapamil suppresses the heart to slow the rate.
A patient with angina who uses sublingual nitroglycerin tells the
nurse that the episodes are increasing in frequency and usually
occur when the patient walks the dog. The patient reports
needing almost daily doses of the nitroglycerin and states that
one tablet usually provides complete relief. What will the nurse
do?
a. Contact the provider to suggest ordering a transdermal patch
, Page 4 of 135
for this patient.
b. Question the patient about the consumption of grapefruit
juice. c. Suggest that the patient limit walking the dog to
shorter distances less frequently.
d. Suggest that the patient take two tablets of nitroglycerin
each time because the symptoms are increasing in frequency.
a. Contact the provider to suggest ordering a transdermal patch
for this patient.
EXPLANATION
this suggests a worsening of the condition, potentially indicating
the need for longer-acting or continuous nitroglycerin therapy.
A patient is taking a calcium channel blocker (CCB) for stable
angina. The patient's spouse asks how calcium channel blockers
relieve pain. The nurse will explain that CCBs:
a. help relax peripheral arterioles to reduce afterload.
b. improve coronary artery perfusion. c. increase the heart rate
to improve myocardial contractility. d. increase the QT interval.
a. help relax peripheral arterioles to reduce afterload.
Calcium channel blockers (CCBs) work by blocking the influx of
calcium ions into smooth muscle cells in blood vessels and the
heart that helps relax peripheral arterioles, leading to
vasodilation.
A patient with stable exertional angina has been receiving a
beta blocker. Before giving the drug, the nurse notes a resting
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