NURS 617 Pharm Exam 2 Summer -Jean

NURS 617 Pharm (Exam 2) Summer -Jean Genzale Latest Update - 215 Questions and 100% Verified Correct Answers Guaranteed A+ Approved by the Professor

A disadvantage to the use of nicotinic acid ( niacin ) for hyperlipidemia is ?a . It is associated with constipation b . it may cause a life - threatening myopathy c . It commonly produces flushing in the face and neck area d . It will decrease the absorption of other oral drugs given simultaneously - CORRECT

ANSWER: c . It commonly produces flushing in the face and neck area

A pediatric patient who weighs 30lbs is prescribed Prednisolone 1.5mg / kg / day as a " burst therapy " for asthma exacerbation . Please calculate a dose in whole number of

mg for a total daily dose of Prednisolone - CORRECT ANSWER: 20

According to the textbook , preferred step 4 treatment for persistent asthma in 12 y / o children and adults is a . Cromolyn b . Low dose ICS

• Medium dose ICS

d . Medium dose ICS + LABA - CORRECT ANSWER: d . Medium dose ICS + LABA

All of the following respiratory agents are safe to use in pregnancy except a . brompheniramine ( dimetane ) b . potassium iodide c . hydrocortisone d . dextromethorphan ( Delsym ) - CORRECT ANSWER: b . potassium iodide 1 / 4

All of the following therapies are used as acute therapy for a cluster headache except a . Intranasal lidocaine b . Intranasal sumatriptan ( imitrex ) c . Ergotamine derivative

d . Verapamil - CORRECT ANSWER: d . Verapamil

All of the following therapies are used as acute therapy for a cluster headache EXCEPT:

CHOOSE ONE ANSWER

• Intranasal Lidocaine
• Intranasal Sumatriptan (Imitrex) C. Ergotamine

D. Verapamil (Calan) - CORRECT ANSWER: D. Verapamil (Calan)

Although most antiemetics also produce sedation , which of the following is the least likely to have this effect a . Dronabinol ( marinol ) b . Ondansetron ( zofran )

• Promethazine ( Phenergan )

d . Trimethobenzamide ( Tigan ) - CORRECT ANSWER: b . Ondansetron ( zofran )

although most asthmatics are controlled with a combination of medications , the class that provides the most effective bronchodilation is ?a . Anticholinergic inhalants b . Beta 2 adrenergic agents

• Cromones

d . Methylxanthines - CORRECT ANSWER: b . Beta 2 adrenergic agents

Angiotensin II receptor antagonists ( ARBS ) a . May be prescribed to pregnant women without fear of causing fetal harm 2 / 4

b . Are excreted both in the urine and the bile C.Have limited use due to multiple adverse effects d . Commonly cause a persistent cough as an adverse drug reaction - CORRECT

ANSWER: b . Are excreted both in the urine and the bile

antihistamines have antagonistic activity on cholinergic receptors leading to anticholinergic adverse effects . Examples of anticholinergic adverse effects include a . bronchospasm b . nasal stuffiness c . pruritus

d . tachycardia - CORRECT ANSWER: d . tachycardia

beta blockers are used therapeutically in patients with angina a . decrease the time allowed for coronary blood flow b . increase cardiac output

• increase the time that the heart is in diastole

d . increase myocardial oxygen consumption - CORRECT ANSWER: C. increase the

time that the heart is in diastole

Beta blockers must be used with caution in patients who have heart failure . Which of the following statements describe possible consequences of slowing the heart rate in a patient with HF ?a . May increase perfusion of coronary arteries b . May increase cardiac contractility

• May increase myocardial oxygen supply

d . May decrease cardiac output to a critical level - CORRECT ANSWER: d . May

decrease cardiac output to a critical level

Bile acid sequestrants a . Are all considered pregnancy category D 3 / 4

b . Are activated from a prodrug to an active form in the liver c . Reduce the amount of cholesterol stored in adipose tissue d . Require close monitoring of hepatic function - CORRECT ANSWER: c . Reduce the amount of cholesterol stored in adipose tissue

Calcium channel blockers a . Block calcium channels inayocardial cells resulting in decreased myocardial contraction b . Cause increased heart rate by speeding conductance of electrical cells

• Decrease calcium movement into the extracellular environment

d . Have negative effects on glucose levels in diabetic patients - CORRECT ANSWER: a . Block calcium channels inayocardial cells resulting in decreased myocardial contraction

Centrally acting alpha II adrenergic agents a . Interact with alpha II receptors on the peripheral vascular system b . Increases venous return ; thereby decreasing heart rate

• Result in a mild to moderate increase in cardiac output

d . Result in vasodilation leading to a decrease in blood pressure - CORRECT

ANSWER: b . Increases venous return ; thereby decreasing heart rate

Chlamydial pneumonia should be treated with the following suggested antimicrobial ?

• Amoxicillin ( Amoxil )

b . Amoxicillin - clavulanate ( Augmentin ) c . Azithromycin ( Zithromax )

d . Ceftriaxone ( rocephin ) - CORRECT ANSWER: c . Azithromycin ( Zithromax )

Direct acting vasodilators a . Are teratogenic b . Block the action of aldosterone

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