316: exam #1 practice questions

a patient is taking an alpha-blocker as treatment for benign prostatic hypertrophy. the nurse monitors for which potential drug effects? (select all that apply) a) orthostatic hypotension b) increased BP c) increased urine flow d) headaches e) bradycardia

- headaches (vasodilation) - orthostatic hypotension (alpha blocker) - tachycardia - decrease in BP

Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition? a) hypertension b) liver disease c) pancreatitis d) asthma

asthma

an older patient who has hypertension is prescribed enalapril (Vastec), a drug that is eliminated by the kidneys. Before the patients begins the drug, the nurse should assess which of the following blood values?

creatinine clearance

the nurse is caring for a patient who is receiving nitroglycerin (Nitrostat) IV and is changing to the oral form of the drug. The nurse recognizes that the oral dose will be higher than the IV dose because of which of the following? a) the iv dose crossing the BBB b) decreased bioavailability b/c of first pass effect c) decreased half life of the oral dose d) increased rate of excretion of the oral dose

decreased bioavailability because of the first-pass effect

When a drug is characterized as having a negative chronotropic effect, the nurse knows to expect which effect? a) improved sinoatrial nodal firing b) decreased HR c) decreased ectopic (abnormal) beats d) increased force of cardiac contractions

decreased heart rate

the nurse is caring for a patient who has a history of renal insufficiency and is taking lithium carbonate (Lithobid). the nurse should monitor for which of the following? a) tolerance to the drug b) drug toxicity c) drug interaction d) dependence on the drug

drug toxicity

a patient is having difficulty remembering to take a prescribed drug three times a day. which of the following forms of the drug should the health care professional recommend to increase adherence?

extended-release tablet

a health care professional is talking with a female patient who is taking captopril (Capoten), an ACE inhibitor, for hypertension. The health care professional informs the patient that captopril is a teratogenic drug. Teratogenic drugs can cause which of the following ? a) maternal bleeding b) fetal malformation c) genetic mutations d) maternal blood clots

fetal malformation

a health care professional is caring for patient who arrived at an urgent care center following a bee sting. Which of the following findings indicate an anaphylactic reaction?

low BP (from capillary permeability) wheezing swallowing difficulty

When talking to a patient about taking vancomycin (Vancocin), the health care professional explains the need to check periodic blood levels of the drug to monitor serum peak and trough. Peak and trough drug levels help monitor for which of the following? (select all that apply) a) drug toxicity b) minimum effective dose c) constant therapeutic level d) biotransformation e) first pass effect

minimum effective dose drug toxicity constant therapeutic level