NR 566 / NR566 Advanced Pharmacology Care of the Family Week 3 & 4 Quiz Bank |Chapters 16,25,28,36,39,40 | LATEST, Q & A | Chamberlain College
Chapter
... [Show More] 16. Drugs Affecting the Cardiovascular and Renal Systems
____ 1. Which of the following is true about procainamide and its dosing schedule?
1. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen.
2. Gastrointestinal adverse effects are common so the drug should be taken with food.
3. Adherence can be improved by using a sustained release formulation that can be given once daily.
4. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
____ 2. Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching should include all of the following EXCEPT:
1. Notify your health-care provider immediately if you have visual change.
2. Monitor your own blood pressure and pulse daily.
3. Take a hot shower or bath if you feel dizzy.
4. Use a sunscreen on exposed body surfaces.
____ 3. The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response?
1. Amiodarone inhibits an enzyme that is important in making thyroid hormone and can cause hypothyroidism.
2. Amiodarone damages the thyroid gland and can result in inflammation of that gland, causing hyperthyroidism.
3. Amiodarone is a broad spectrum drug with many adverse effects. Many different tests need to be done before it is given.
4. Amiodarone can cause corneal deposits in up to 25% of patients.
____ 5. Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should be:
1. Started at about half the usual dosage
2. Not increased over the usual dosage for an adult
3. Given once daily because of memory issues in the older adult
4. Withheld if she experiences gastroesophageal reflux
____ 6. Larry has heart failure, which is being treated with digoxin because it exhibits:
1. Negative inotropism
2. Positive chronotropism
3. Both 1 and 2
4. Neither 1 nor 2
____ 7. Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes:
1. Hemoglobin
2. Serum potassium
3. Blood urea nitrogen
4. Serum glucose
____ 8. Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.
1. Older adults because of reduced renal function
2. Administration of aldosterone antagonist diuretics because of decreased potassium levels
3. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
4. Doses between 0.25 and 0.5 mg/day
____ 9. Serum digoxin levels are monitored for potential toxicity. Monitoring should occur:
1. Within 6 hours of the last dose
2. Because a reference point is needed in adjusting a dose
3. After three half-lives from the starting of the drug
4. When a patient has stable renal function
____ 10. Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:
1. It is a long-acting drug with potential for toxicity.
2. Nitrate tolerance can develop.
3. Orthostatic hypotension is a common adverse effect.
4. It must be taken with milk or food.
11. Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for:
1. Hypokalemia
2. Impotence
3. Decreased renal function
4. Inability to concentrate
____ 12. Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension in diabetic patients because they:
1. Improve insulin sensitivity
2. Improve renal hemodynamics
3. Reduce the production of angiotensin II
4. All of the above
____ 13. A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?
1. Swelling of the tongue or hoarseness are the most common symptoms.
2. It appears to be related to the decrease in aldosterone production.
3. Presence of a dry, hacky cough indicates a high risk for this adverse response.
4. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.
____ 14. Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. Which of the following statements are true about both its usefulness in the disorder and the reason for its use?
1. Stable angina because it decreases the thickening of vascular walls due to decreased modified release.
2. Heart failure because it reduces remodeling of injured myocardial tissues.
3. Both 1 and 2 are true and the reasons are correct.
4. Both 1 and 2 are true but the reasons are wrong.
5. Neither 1 nor 2 are true. [Show Less]