Take Quiz: Quiz for shock and anti hypertensive Drugs

Question 1

In case of shock, the therapy depend on the specific cause of the condition. The primary pharmacotherapeutic goals of shock management include all the following except:*

A. Restoring of normal fluid volume and composition

B. Maintaining adequate blood pressure.

C. Prevention of the hypersensitive inflammatory response.

D. Obtaining a patient history of drug allergy predicting some adverse drug reactions

Question 2

A pharmaceutical solution that produce neutral net fluid shift once administered to a client suffering from hypotension is believed to be which one among the following?*

A. Hypotonic solution

B. Crystalloid solution

C. Inotropic solution

D. Isotonic solution

Question 3

Identify the right answer from the following clinical situations that constitute a non-clinical indication for using plasma volume expander when treating shock?*

A. Hypovolemic shock due to burns

B. Severe hemorrhage in post-partum

C. Neurological shock

D. Extensive surgery with blood loss

Question 4

A 52-year-old woman with hypertension wishes to become pregnant. Her physician informs her that she will have to switch to another antihypertensive drug. Which of the following drugs is absolutely contraindicated in pregnancy?*

A. Atenolol

B. Methyldopa

C. Nifedipine

D. Losartan

Question 5

Which one of the following is characteristic of nifedipine treatment in patients with essential hypertension ?*

A. Competitively blocks angiotensin II at its receptor

B. Decreases calcium efflux from skeletal muscle

C. Decreases renin concentration in the blood

D. Decreases calcium influx into smooth muscle

Question 6

Which of the following anti-hypertensive drugs is very short-acting and acts by releasing nitric oxide?*

A. Atenolol

B. Captopril

C. Losartan

D. Nitroprusside

Question 7

Which of the following assessment findings in a client who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all applied)*

A. Heart rate of 50 beats/minute

B. Heart rate of 124 beats/minute

C. Blood pressure 86/56

Question 8

The following are the mechanism of actions for glucocorticosteroides drug in the management of asthma except:*

A. Reducing the synthesis of arachidonic acid by phospholipase A2

B. Increase the responsiveness of beta adrenoceptors in the airway

C. Decrease the thickening and productions of secretions by histamine

D. Inhibiting the expression of COX-2 as inducible form of cyclooxygenase

Question 9

The client in hypovolemic shock is prescribed an infusion of lactated Ringer.What is the purpose for infusing this solution in shock? (Select all that apply.)*

A. The solution will help to replace fluid and promote urine output.

B. The solution will draw water into cells.

C. The solution will draw water from cells to blood vessels.

D. The solution will help to maintain vascular volume.

E. The solution is used to provide adequate calories for metabolic needs.

Question 10

The following are Treatment priorities and goals in Shock except:*

A. Shock is treated as a medical emergency, and the first goal is to provide basic life support.

B. Rapid identification of the underlying cause followed by aggressive treatment is essential, because the patient’s condition may deteriorate rapidly without specific, emergency measures.

C. It is critical to use the initial nursing interventions of maintaining the ABCs of life support :airway, breathing, and circulation to sustain normal blood pressure.

D. The patient is immediately connected to a cardiac monitor and a pulse oximeter is applied.

E. More invasive monitoring (arterial line monitoring of blood pressure and pulse rate) is often required and should be started as soon as feasible.

F. Oxygen is administered at 15 L/min via a nonrebreather mask.

G. Neurologic status and level of consciousness are carefully monitored.

H. Do not apply any nursing intervention when you are treating client with shock because you can harm the client remember shock is medical procedure