N3300: Pharmacology Midterm Questions with Correct Answers
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Course
N3300
Institution
N3300
A client has been newly diagnosed with primary hypertension. Which medication classification represented in the client's current medication regime should the nurse question when considering the treatment for this new diagnosis? Correct Answer direct vasoconstrictors
The nurse is caring for an o...
N3300: Pharmacology Midterm Questions with
Correct Answers
A client has been newly diagnosed with primary hypertension. Which
medication classification represented in the client's current medication
regime should the nurse question when considering the treatment for this
new diagnosis? Correct Answer ✓✓ direct vasoconstrictors
The nurse is caring for an older adult client who receives furosemide on
a regular basis. The nurse should prioritize assessments related to what
health problem? Correct Answer ✓✓ dehydration
Diuretics increase the production and output of urine. Which statement
helps explain how diuretics achieve these effects? Correct Answer ✓✓
Diuretics reduce the reabsorption of water in the kidneys
The nurse instructs a male client to administer his alpha1-adrenergic
receptor blocking agent at night. What does this practice help to
minimize? Correct Answer ✓✓ First-dose phenomenon
A client of African descent is being treated for hypertension. What
antihypertensive agent would the nurse expect to be prescribed? Correct
Answer ✓✓ Calcium channel blocker
A client who is taking an ACE inhibitor informs the nurse that she is
considering having a child. What information should the nurse provide
to the client related to this new information? Correct Answer ✓✓ ACE
,inhibitors are contraindicated during pregnancy because they are
teratogenic.
The rescue squad brought a 48-year-old client to the ED in the midst of a
hypertensive emergency. Blood pressure is 188/112 mm Hg, and the
client reports severe headache and drowsiness. The client is disoriented
and vomits. What is the nurse's primary goal in this hypertensive
emergency? Correct Answer ✓✓ Lower blood pressure gradually
"Water follows salt" is a maxim that can guide many aspects of nursing
practice. To what mechanism within the pathophysiology of edema does
this principle apply? Correct Answer ✓✓ increased capillary hydrostatic
pressure
A nurse is caring for a client with acute renal failure. The health care
provider has prescribed a diuretic therapy for the client to promote
dieresis. What intervention should the nurse perform to prevent the
inconvenience caused by increased urination? Correct Answer ✓✓
Administer the drug early in the day
A client has edema of the lower extremities with crackles in the lung
bases. What diuretic is most likely to be prescribed for a client assessed
with lower extremity edema and bilateral lung crackles? Correct Answer
✓✓ Furosemide
What statement by the client indicates that the client understands the
nurse's teaching about diuretics? Correct Answer ✓✓ "I will weigh
myself daily and report significant changes."
, Which is an example of a loop diuretic? Correct Answer ✓✓
Furosemide (Lasix)
A client with hypertension has been started on losartan. After 6 weeks of
therapy, the healthcare provider decides that the losartan alone is not
controlling the client's hypertension. What does the nurse anticipate will
be added to the losartan regimen for better control of this client's
hypertension? Correct Answer ✓✓ Hydrochlorothiazide
The client has just been diagnosed with acute renal failure. The client
asks the nurse what functional units of the kidneys are involved. What
would the nurse reply? Correct Answer ✓✓ Nephrons
A group of students are reviewing the various antihypertensive agents
available. The students demonstrate understanding of the information
when they identify which agent as an example of a renin inhibitor?
Correct Answer ✓✓ Aliskiren
What is the nurse's priority assessment question before giving a female
client her prescription for an angiotensin II-receptor blocker (ARB)?
Correct Answer ✓✓ "When was your last menstrual period (LMP)?"
When educating a group of nursing students on the mechanism of action
of angiotensin converting enzyme inhibitor (ACEI) drugs, the nurse
identifies what as the action brought about by aldosterone? Correct
Answer ✓✓ Causes sodium and water retention
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