NR341 Pharmacology Study Guide, Study Guides, Projects, Research of Pharmacology

NR341 Pharmacology Study Guide

Typology: Study Guides, Projects, Research

2025/2026

Available from 02/20/2026

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NR341 Pharmacology Study Guide
Part 1: Pharmacology Study Guide
Key Pharmacology Concepts:
1. Drug Classifications:
- Beta Blockers (e.g., metoprolol): Reduce heart rate and BP. Monitor HR/BP.
- ACE Inhibitors (e.g., lisinopril): Risk of cough, hyperkalemia, angioedema.
- Diuretics (e.g., furosemide): Monitor electrolytes (esp. K+), I/O, BP.
2. Insulins:
- Rapid-acting (e.g., lispro): Onset 15 min. Give with food.
- Regular insulin: Peaks in 2-3 hrs. Monitor for hypoglycemia.
- Long-acting (e.g., glargine): No peak. Do not mix with other insulins.
3. Antidepressants:
- SSRIs (e.g., paroxetine): Risk of serotonin syndrome. Avoid St. John's Wort.
- MAOIs: Avoid tyramine (risk of hypertensive crisis).
4. Pain Medications:
- Opioids (e.g., morphine): Risk of respiratory depression, constipation. Monitor RR.
- NSAIDs: Risk of GI bleeding, renal issues.
5. Emergency Meds:
- Epinephrine: For anaphylaxis. Monitor HR/BP.
- Naloxone: Opioid overdose antidote.
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NR341 Pharmacology Study Guide

Part 1: Pharmacology Study Guide

Key Pharmacology Concepts:

  1. Drug Classifications:
    • Beta Blockers (e.g., metoprolol): Reduce heart rate and BP. Monitor HR/BP.
    • ACE Inhibitors (e.g., lisinopril): Risk of cough, hyperkalemia, angioedema.
    • Diuretics (e.g., furosemide): Monitor electrolytes (esp. K+), I/O, BP.
  2. Insulins:
    • Rapid-acting (e.g., lispro): Onset 15 min. Give with food.
    • Regular insulin: Peaks in 2-3 hrs. Monitor for hypoglycemia.
    • Long-acting (e.g., glargine): No peak. Do not mix with other insulins.
  3. Antidepressants:
    • SSRIs (e.g., paroxetine): Risk of serotonin syndrome. Avoid St. John's Wort.
    • MAOIs: Avoid tyramine (risk of hypertensive crisis).
  4. Pain Medications:
    • Opioids (e.g., morphine): Risk of respiratory depression, constipation. Monitor RR.
    • NSAIDs: Risk of GI bleeding, renal issues.
  5. Emergency Meds:
    • Epinephrine: For anaphylaxis. Monitor HR/BP.
    • Naloxone: Opioid overdose antidote.
  1. Antihypertensives:
    • Calcium channel blockers (e.g., nifedipine): May cause peripheral edema.
    • Monitor BP and HR with all antihypertensives.
  2. Other Key Points:
    • Always check for allergies before antibiotics.
    • Take bisphosphonates (e.g., alendronate) sitting upright with water.

Part 2: Practice Test (10 Questions)

  1. Which statement indicates a need for further teaching about lisinopril? A. I should report a persistent cough to my provider. B. I will avoid salt substitutes with potassium. C. I should rise slowly to prevent dizziness. D. I can stop taking the medication once I feel better. Answer: D Rationale: Lisinopril must be continued even if symptoms improve to maintain BP control.
  2. What is the most important nursing action when administering IV potassium? A. Administer IV push B. Dilute and infuse slowly via pump C. Give with a loop diuretic D. Ensure the patient is NPO Answer: B Rationale: IV potassium must never be given push; it must be diluted and administered slowly to prevent cardiac arrest.
  3. Which insulin has the fastest onset? A. Glargine B. Lispro

Rationale: SSRIs with St. John's Wort increase the risk of serotonin syndrome.

  1. What is the priority assessment before giving morphine? A. Heart rate B. Respiratory rate C. Blood glucose D. Pain scale Answer: B Rationale: Respiratory depression is a major risk with opioids.
  2. Which finding is most concerning for a client taking nifedipine? A. Swollen ankles B. Headache C. Bradycardia D. Shoes no longer fit due to swelling Answer: D Rationale: Peripheral edema can indicate a problematic side effect.
  3. Which is a priority teaching point for alendronate? A. Take with a high-calcium meal B. Lie down immediately after C. Take with a full glass of water and stay upright D. Take with antacids Answer: C Rationale: Alendronate can cause esophageal irritation; take with water and stay upright. 10.Which is a correct teaching about metformin? A. Can be taken with alcohol B. Monitor for signs of lactic acidosis

C. Causes hypoglycemia frequently D. Safe in kidney failure Answer: B Rationale: Metformin can cause lactic acidosis, especially in renal impairment.