Nurs 212a - pHarm (pH) - Exam 1 Prototype Drugs

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Nurs 212a - pHarm (pH) - Exam 1 Prototype Drugs - Quiz

Prototype drugs for exam 1
Focus on Nursing Pharmacology Fourth Edition by Amy M. Karch, RN, MS.
Published by Lippincott Williams& Wilkins
ISBN-13: 978-0-7817-9047-5
ISBN-10: 0-7817-9047-6


Questions and Answers
  • 1. 

    Which of the following is false about dopamine?

    • A.

      Is use to correct hemoynamic imbalances present in shock

    • B.

      Adverse effects include tachycardia, anginal pain, hypotension, dyspnea, nausea, vomiting, headache.

    • C.

      Is an arenergic antagonist that is given IV

    • D.

      Baseline assessment includes skin colour, skin temperature, pulse, blood pressure, ECG, respirations, aventitous sounds, urine output, and electrolytes

    • E.

      Prior to giving drug assesss for pheochromocytoma, tachyarrythmias, ventircular fibrillation, hypovolemia

    Correct Answer
    C. Is an arenergic antagonist that is given IV
    Explanation
    Dopamine is a ARENERGIC AGENT (agonist) (p. 478).

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  • 2. 

    Which of the following is true about labetalol?

    • A.

      Treats hypotention either by PO or IV

    • B.

      Completely blocks cholergenic receptor sites leaing to an increase in BP

    • C.

      Assessment shoul beware of DM, shock, CHF, asthma, and bronchospasms

    • D.

      Baseline should include EEG, cardiac input, respiratory rate, and skin colour and temperature

    • E.

      None of the above

    Correct Answer
    C. Assessment shoul beware of DM, shock, CHF, asthma, and bronchospasms
    Explanation
    INDICATIONS: hypertention. ACTIONS: competitively blocks alpha- an beta- receptor sites in the SNS leading to LOWER BLOOD PRESSURE. PHARMACOKINETICS: given by PO or IV. ADVERSE EFFECTS: Dizziness, vertigo, fatigue, gastric pain, flatulence, bronchospasm, dypnea, cough, and decrease exercise tolerance. ASSESSMENT should include allergies, bradycaria, heart blocks, shock, CHF, asthma, or DM. BASELINE should include skin colour, temperature, pulse, BP, cardiac output, ECG, respiration, aventitious sounds, and blood glucose levels and electrolytes (p. 493).

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  • 3. 

    Which cholinergic agent would be used to treat non-obstructive urinary retention?

    • A.

      Labetolol

    • B.

      Atropine

    • C.

      Bethanachol

    • D.

      Dopamine

    • E.

      None of the above

    Correct Answer
    C. Bethanachol
    Explanation
    BETHANECHOL. INDICATIONS: acute postoperative or postpartum non-obstructive urinary retention; neurogenic atony of the bladder with retention. ACTION: Acts directly on cholinergic receptors tomimic the effects of acetylcholine; increases tone of detrusor muscles and causes emptying of the bladder. Is given ORALLY. ADVERSE EFFECTS: Abdominal discomfort, salivation, nausea, vomiting, sweating, and flushing. ASSESSMENT would include bradycardia, vasomotor instability, peptic ulcer, obstructive urinary or GI diseases, asthma, parkinsonism or epilepsy. BASELINE ASSESSMENT includes skin colour, lesions, temperature; pulse, blood pressure, ECG; respirations, adventitious sounds; and urine output and bladder tone

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  • 4. 

    It a patient received too much Bethanochol, which of the following would counteract the effects?

    • A.

      Atropine

    • B.

      Labetolol

    • C.

      Naloxone

    • D.

      Mupricin

    • E.

      Dopamine

    Correct Answer
    A. Atropine
    Explanation
    Atopine can be used as an antidote for cholinergic overdose (Bethanachol) and poisoning from various mushrooms (p. 530).

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  • 5. 

    Which of the following is false about atropine?

    • A.

      It can be a poison

    • B.

      Assessment includes glaucoma, stenosing peptic ulcer, intestinal atony, paralytic ileus, GI obstruction, toxic megacolon; cardiac arrhythmias, tachycardia

    • C.

      Baseline includes skin colour, lesions, temperature; affect, orientation, reflexes, pupil response; pulse, BP, ECG; respirations, adventidious sounds, urine output, and BS

    • D.

      Is found in many natural products

    • E.

      None of the above

    Correct Answer
    E. None of the above
    Explanation
    Atropine is a medication that can be toxic in high doses, making the statement "It can be a poison" true. The assessment for atropine includes various conditions such as glaucoma, stenosing peptic ulcer, intestinal atony, paralytic ileus, GI obstruction, toxic megacolon; cardiac arrhythmias, tachycardia, making the statement true. The baseline for atropine includes evaluating skin color, lesions, temperature; affect, orientation, reflexes, pupil response; pulse, BP, ECG; respirations, adventitious sounds, urine output, and BS, making the statement true. Atropine is found in many natural products, making the statement true. Therefore, none of the statements about atropine are false.

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  • 6. 

    Which of the following is not an adverse effect of morphine?

    • A.

      Shock

    • B.

      Circulatory depression

    • C.

      Cardiac arrest

    • D.

      Nausea

    • E.

      Salivary secretions

    Correct Answer
    E. Salivary secretions
    Explanation
    Adverse effects include: light-headedness, dizziness, sedation, nausea, vomiting, DRY MOUTH, constipation, ureteral spasm, respiratory depression, apnea, circulatory depression, respiratory arrest, shock, cardiac arrest (p. 418).

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