Pharm 3 Exam Flashcards: Key Terms & Definitions for Medicine

Which of the following is a potassium-sparing diuretic ?

Spironolactone

When assessing a client receiving metoprolol, the nurse should expect to find:

Decreased pulse rate

The nurse is administering hydrochlorothiazide. Which specific lab value should the nurse monitor?

Potassium

The patient receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urinating more frequently and questions how this drug affects his blood pressure. What is the nurses best response?

"Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream and this lowers your blood pressure"

A patient is taking spironolactone. Which condition is a contraindication?

Hyperkalemia

What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with captopril?

Take the patients blood pressure

The nurse is providing care to a patient who has experienced several episodes of angina. What is the primary outcome for this patient ?

The patient will experience relief of chest pain with (nitroglycerin) nitrate therapy.

The nurse is teaching the patient about lifestyle modifications to help manage the patients hypertension. The nurse determines that teaching has been effective when the patient makes which statement?

"I know I need to give up my cigarettes and alcohol"

One of the non selective beta-adrenergic blockers is metoprolol (lopressor). This drug blocks :

Beta 1 and beta 2 receptors

The client is to take atorvastatin (Lipitor) to lower a high serum cholesterol level. What would the nurse include in the teaching for this drug ?

Report muscle pain, tenderness or weakness right away

Metoprolol is a nonselective beta-adrenergic blocker, and is contraindicated for a client with asthma because it may cause:

Bronchial constriction

Before administering digoxin (Lanoxin), what must the nurse assess?

Apical pulse rate

When monitoring for the therapeutic effects for diltiazem, the nurse should assess for :

Decrease blood pressure

Blood work needs to be drawn on the client who is on warfarin (Coumadin). The nurse should expect that the health care provider will order which lab test ?

PT/INR

Which of the following blood test does not indicate an increased risk for coronary artery disease?

High density lipoprotein (HDL)

A patient is concerned about the body changers that have resulted from long- term prednisone therapy for the treatment of asthma. Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image ?

Weight gain

A patient is in the emergency department with a new onset rapid rate atrial fibrillation, and the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysrhythmia ?

Diltiazem

Drugs used to treat heart failure include the following except :

Alpha 2 stimulators

A patient with asthma asks for which of the following of the prescribed medications should be used in the event of an scute episode of bronchospasm. The nurse will instruct the patient to use:

Albuterol, a beta agonist bronchodilator

The nurse is explaining to a patient that codeine produces which adverse effect:

Sedation

The clients serum cholesterol is elevated. Atorvastatin (Lipitor) is prescribed. The action of atorvastatin (Lipitor) is to:

Inhibit hepatic synthesis of cholesterol

Prior to administering a calcium channel blocker, the nurse would:

Ensure the blood pressure has been taken

All of the following drugs are diuretics except:

Digoxin

Which vitamin is considered to be an antidote for warfarin (Coumadin)?

K

Which of the following blood test should be monitored for the patient receiving heparin (heparin sodium) ?

PTT

How does Nitroglycerin relieve chest pain ?

Directly vasodilates the coronary artery

A patient has been receiving atenolol. The nurse will be concerned if the patient should demonstrate which of the following effects ?

Hypertension

A 74 year old patient is in congestive heart failure (CHF) and digoxin was prescribed. The nurse assesses the patient for adverse effects which include the following except?

Increased urination

What is the priority goal when taking care of a client who is on anticoagulant therapy ?

Prevent injury due to bleeding

The three types of antianginal drugs include the following EXCEPT:

Cardiac Glycoside

Diphenhydramine is from which drug classification?

Antihistamines

Which is the most common adverse effect of Diphenhydramine?

Drowsiness

Which of the following drug classifications may be given to reduce the effects of sodium retention?

Diuretics

The community health nurse visits a patient who has been prescribed atorvastatin (Lipitor). Which of the following statements, if made by the patient, indicates that further teaching is necessary concerning this drug therapy?

"Most patients with lipid disorders have chest pain or shortness of breath."

The nurse is preparing to administer guaifenesin and is looking up the mechanism of action. Which of the following indicates the mechanism of action of guaifenesin?

Loosens and thins respiratory secretions

The nurse recognizes which of the following drugs as an antihistamine?

Loratadine

Which of the following is considered to be a serious adverse effect of diuretic therapy?

electrolyte imbalance

A common adverse effect of bronchodilators is:

Tachycardia

A patient is prescribed Dextromethorphan (Delsym, Robitussin) and the nurse is explaining that the use of the drug is:

antitussive

Which medication is given for asthma prophylaxis?

Montelukast

Beta 2 adrenergic agonist is an effective drug group to control asthma. The action of beta 2 adrenergic is to :

enhance bronchodilation

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