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Exam (elaborations)

WGU D116 Exam: Questions And Verified Answers (A+)

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  • WGU D116

WGU D116 Exam: Questions And Verified Answers (A+)

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  • November 16, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WGU D116
  • WGU D116
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LeCrae
WGU D116 Exam: Questions And Verified Answers (A+)

A patient asks his provider to explain what drug tolerance means.
The provider responds by telling the patient that when tolerance occurs, it
means the patient __________. Right Ans - may need increased amounts of the
drug over time

When tolerance develops, a dose increase may be needed because a decreased
response may occur with prolonged use

A group of nursing students asks a nurse to explain the blood-brain barrier.
The nurse would be correct to say that the blood-brain barrier __________.
Right Ans - Prevents some potentially toxic substances from crossing into the
central nervous system

Infants are more sensitive to CNS drugs and require lower doses

Prevents highly ionized and protein-bound drugs from entering

Allows lipid-soluble drugs drugs and drugs that use specific transport systems
to enter

A pregnant patient is in premature labor.
Which class of drug will she be given? Right Ans - Beta 2 agonist (helper)

Part of the peripheral adrenergic receptor subtypes (epi/norepi)

Beta2 agonists cause relaxation of the uterine muscles, slowing or stopping
the contractions that precipitate labor

*Beta2 ANTagonist would increase constriction of the uterine muscles*

What type of drug class has effects on the heart and arterioles? Right Ans -
Alpha1 agonist

Anticcholinergic drugs are given for what effects? Right Ans - Urinary and
GI tracts

They do not affect the urine muscles

,A nurse is explaining the activation of beta-2 receptors to nursing students
during a clinical rotation at the hospital.
Which statement by a student demonstrates a need for further teaching?
Right Ans - "Beta2 activation results in contraction of the uterine muscles"

*Beta2 activation DOES result in vasodilation of skeletal muscles,
bronchodilation, and glycogenolysis, and RELAXATION of uterine muscles*

A provider is teaching a patient about a medication that alters the sympathetic
nervous system functions. To evaluate understanding, the provider asks the
patient to describe which functions the sympathetic nervous system regulates.
Which answer indicates the need for further teaching? Right Ans - "The
digestive functions of the body"

All apart of the sympathetic nervous system:
1. fight or flight
2. cardiovascular system
3. body temperature

A patient is experiencing toxic side effects from atropine, including delirium
and hallucinations.
Which medication will the provider ask the nurse to administer? Right Ans
- Physostigmine (Mestinon, Regonol)

Drug of choice for treating poisoning from atropine and other drugs that cause
muscarinic blockage ie: atropine (Muscarinic Antagonist)

What drug is used to treat Alzheimer's Disease? Right Ans - Donepezil

A patient who has myasthenia gravis will be taking neostigmine.
What should the nurse emphasize when teaching this patient about the
medication? Right Ans - Take a supplementary dose before exercise

You have ordered pilocarpine. You understand that the drug stimulates
muscarinic receptors.
Which action would you expect the drug to have? Right Ans - Lowering of
intraocular pressure in pts with glaucoma

, Also used to treat dry mouth because it increases salivary glands "Rest and
digest"

Muscarinic agents are related to parasympathetic response

You are teaching a nursing student about the two classes of adrenergic agonist
drugs.
Which statement by the nursing student indicates understanding of the
teaching? Right Ans - Catecholamines often require continuous infusion to
be effective

Catecholamines undergo rapid degradtion by monoamine oxidase MAO and
COMT. Brief duration of action and continuous IV to be effective

They DO NOT cross the BBB, noncatecholamines do

Noncatecholamines can be given orally but catehcholamines can not

Because they cause vasoconstriction, alpha1-adrenergic agonists are
especially useful for __________. Right Ans - causing hemostasis in skin and
mucous membranes

Example is epinephrine

These agents can increase BP but are not the primary drug used except in
emergency situations

A nursing student asks you why epinephrine, and no other adrenergic
agonists, is used to treat anaphylactic shock.
What will you tell the student? Right Ans - Epinephrine has the ability to
activate multiple types of adrenergic receptors

Beta 1 receptors increase CO and BP

Beta 2 receptors increase bronchodilation

Alpha 1 receptors causes vasoconstriction and increases HR and BP

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