NCLEX RN Phamacology Questions and Answers – Nclex Pharmacology- Pass NClex with Confidence Video 2
Hello everyone welcome to my channel my name is anita usarin today i am going to discuss few questions related to pharmacology with its answer along with rationals so there is a special gift for you all that is next related materials and resources so 100 students each month will get free and clicks related resources and online classes for this you have to
Subscribe my channel and fill out the form given in the description box below so let’s get started situation one a patient is diagnosed with hypertension and listener pill is prescribed what adverse effect should nurse want the client to notify immediately to healthcare provider that might occur after taking the medication option 1 rapid onset of confusion
Option 2 palpitation and chest tightness option 3 swelling of lips and tongue option for dizziness you can guess the answer so the correct answer is swelling of lips and chalk now let’s have a look why this answer is correct and why rest are not so uh this listener prayer inaudible ac that is angiotensin converting enzyme so this drugs has uh like several
Adverse effects so in minor adverse effects it can have cough indigenous however the major adverse effect is uh it can cause angioedema that is edema or swelling in face strong throat and larynx so if there is soiling it can cause airway obstruction which might be your fatal nature it might even cause it so this should be immediately informed to the health
Care provider there is one fact that african american poses five times greater risk than caucasian this is an important fact that you need to remember so the minor side effect of ac are like a patient can have dry cough orthostatic hypotension or hyperkalemia so these things should be rule out but these things are not of higher risk option one and two are
Excluded because palpitation chest tightness and confusion is unrelated to sce inhibitor option 4 is also static hypotension so if there is also static hypotension in patient can have dizziness so this is the common side effect so this oxygen is also excluded now let’s go for situation two the nose is carrying the client with chronic stable angina which wheels
Under long-acting nitrate isosceles right mononitrate which outcome indicate that drug is effective absolute one client is able to perform her daily routines that is bathing combing here without any chest pain option 2 client is able to sleep properly option 3 client admits reduction in anxiety and stress option 4 plants bp is 120 by 70. guess the answer so
The correct answer is epsilon1 let’s see the explanation where the answer is correct nitrate isosurvive mononitrate reduces the incidence of enzyme attack so if there is reduced interest when client may be able to perform normal daily routines maybe taking bathe or combing hair brushing these and also this proves that drugs is acting properly but if there is
Increase in chest when this should be reported immediately to the health care provider and this nitrate has common side effect that is headache so management of headaches should be taught to the client by the nurse so option two and three includes proper sleep reduction and anxiety and in stress so these are the positive outcome of any drug so this is uh good
For the client but this is unrelated to the drug however this is positive outcome in option 4 nitrates are vasodilators so it talks about decrease in bp so as this is vasodilator decrease in bp is obvious but we should monitor if the bp is um really low so we should monitor vp regularly a nurse is educating the client who is under a cell literglycerate what is
The most important things he or she should in stroke the client option one stinging burning sensation when placed on under the tongue option two generalized uticaria with prolonged use of century temporary blurring of vision of symphony increase in tiredness you can guess the answer so the answer is so why this answer is correct let’s have a look um stinging
And burning sensation indicates that medication is potent and effective so this indicates medication can be used further however if there is no sensation then we need to buy new medicine water because this indicates that medication is no more effective often two three four are unrelated to nitroglycerin use let’s see situation four a client is diagnosed with
Uncontrolled hypertension diabetes mellitus and coronary artery disease and he is prescribed with profanol norse provides education to the client with a statement by the client indicates that patient has understood the teachings option 1 it is important to monitor my blood glucose level while taking this medication option 2 i should stop taking my medicine
If i feel my hands and feets are cold essentially i will take this medicine every day with grapefruit juice option 4 if i miss the dose i will double the dose next time you can guess the answer so the answer is epsilon1 now let’s have a look why this answer is correct and why we start out option one and so the drop given to the patient is propanol it’s the
Generic name that ends with lol so the drugs that ends with lol are beta blockers so there are several other forms of data brokers that might be beta 1 blockers beta 2 blockers or non-selective so this propanol is non-selective beta blocker so it blocks both beta 1 receptor as well as beta 2 receptors so what we need to know here is that uh beta1 receptors
Are especially present in our heart and beta2 receptors are present in different muscles especially liver and even kidney so if the propylene oil is given to the client who is hypertensive then it acts on beta one block or in the heart and thereby it decreases heart rate and also decreases blood pressure but it has got other side effects like if the patient
Has home or with conditions like and the given patient is hypertensive as well as diabetes mellitus so first action done by the drug is it decreased the pp by acting on beta 1 receptor and also it decreases heart rate however it acts on all those places like muscles in liver kidney by blocking beta-2 receptors so in this case patient is diabetic so this drugs
Decreases heart rate so in diabetes case uh if the patient is under medication of diabetes then he or she might develop the chance of having low blood glucose levels so we should monitor client closely and what we know is that if there is decrease in blood sugar level there is increase in heart rate so we should monitor this kind of science but in this case
Patient is already taking profile it is blocking beta2 receptor so there is no increase in heart rate so we might ignore the symptoms so there is high risk of decreasing sugar level and keeping the patient in rakes on the other hand when there is decrease in blood glucose labor the process called glycogenolysis take place here in this case glycogenesis does
Not happen so there is two risks factor here that is we cannot recognize if the blood blood glucose level is going down because we cannot assess the signs of increased heart rate and there is no glycogenolysis taking place by whis uh there would have been increase in blood sugar label to maintain the normal blood glucose level in the patient so because of this
Condition patient has high risk of going hypoglycemic so we need to monitor that glucose level very closely so toxin one is correct answer here option three talks about taking medication with craft food juice so grab food contains certain chemicals that slow down the absorption of medicine so it is not advisable to take medicine with graft food juice so as
There is decrease in heart rate doubling dose may be lethal to the patient because this medication acts on hard it decreases blood pressure it decreases heart rate so if we take double the dose as prescribed by the physician at once then there is more chance for lethal condition to happen there might be this arrhythmias and person might go in very in fatal
Situation so it is not advisable to take double the dose than prescribed by the physician now let’s go for second situation situation five the north suggests the client to take which of the following medicines with graph virtues also one propanol option two nephidea pin option three first remind option four delta you can guess the answer it’s option three
Now let’s see why this is correct and why others are not grapefruit juice does not affect the absorption of prison mind so it is advisable to take this medication with crab food juice propanol as i explained earlier why we don’t take uh it with gravity it has got certain chemical reaction that might increase or slow down the absorption mechanism so it is not
Advisable to take medicine with gravity graft for juice often two and four actually it increases its action it increases its labeled in the blood so it’s not as advisable to take medicine with graphic juice so these are the portions so as i mentioned in my beginning of the video that i have a free tip for you all that is endless related materials and resources
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NCLEX RN Phamacology Practice Questions Answers – Nclex Pharmacology- Pass NClex with Confidence By Nclex Questions and Answers
