HESI Milestone #3 (Pharmacology) EXAM 77 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A pt is taking epinephrine. The RN understands there's a possible drug interaction with which of the following? a) albuterol (Proventil) b) metoprolol (Lopressor) c) bethanechol (Urecholine) d) tolterodine tartrate (Detrol) - ANSWER -b) metoprolol (Lopressor) For a pt taking albuterol (Proventil), which of the following effects should the RN monitor for? a) Palpitations b) Hypoglycemia c) Bronchospasm d) Uterine contractions - ANSWER -a) Palpitations A pt is prescribed metoprolol (Lopressor) for HTN. It's important for the RN to monitor for which of the following? a) Bradycardia b) HTN c) Ankle edema d) Decreased respirations - ANSWER -a) Bradycardia Atenolol (Tenormin) is prescribed for a pt. The RN realizes that this drug is a beta -
adrenergic blocker and that this drug class is contraindicated for pt's with which of the following conditions? a) Hypothyroidism b) Angina pectoris c) Cardiogenic shock d) Liver dysfunction - ANSWER -c) Cardiogenic shock The RN realizes that beta -1 receptor stimulation is differentiated from beta -2 stimulation in that stimulation of beta -1 receptors leads to which of the following? a) Increased bronchodilation b) Decreased uterine contractility c) Increased myocardial contractility d) Decreased blood flow to skeletal muscles - ANSWER -c) Increased myocardial contractility A pt was given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The RN should monitor for which condition? a) Decreased pulse b) Pupil constriction c) Bronchial constriction d) Increased BP - ANSWER -d) Increased BP Remember that epi is part of the SNS response, which causes vasoconstriction & thus increases BP . Epi is also considered a vasopressor for this reason. The RN is giving atenolol (Tenormin) to a pt. Which concurrent drug does the RN expect to most likely cause a drug interaction? a) Ginseng herb b) NSAID (e.g., ASA) c) Methyldopa d) Haloperidol (Haldol) - ANSWER -b) NSAIDs A pt is receiving bethanechol (Urecholine). The RN realizes that the action of this drug is to tx which of the following conditions? a) Glaucoma b) Urinary retention c) Delayed gastric emptying d) GERD - ANSWER -b) Urinary retention Bethanechol is a cholinergic (opposite of anticholinergic where you can't see, can't pee, can't spit & can't shit... thus with cholinergics, you get watery eyes, you can pee finally, you have saliva & your bowels are moving). The RN teaches a pt receiving atropine to expect which SE? a) Diarrhea b) Bradycardia c) Blurry vision d) Urinary frequency - ANSWER -c) Blurry vision When benztropine (Cogentin) is ordered for a pt, the RN acknowledges that this drug is an effective tx for which of the following conditions? a) PD b) Paralytic ileus c) Motion sickness d) Urinary retention - ANSWER -a) PD Dicyclomine (Bentyl) is an anticholinergic, which the RN realizes is given to tx which condition? a) Mydriasis b) Constipation c) Urinary retention d) IBS - ANSWER -d) IBS Remember anticholinergics have the following effects: can't see, can't pee, can't spit, can't shit. The RN realizes that cholinergic agonists mimic which PSNS NT?
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