WGU D116 Unit 4 OA Review || || || || || ||
Questions With Answers || || ||
A patient is brought to the emergency department with
|| || || || || || || || ||
shortness of breath, a respiratory rate of 30 breaths per || || || || || || || || || ||
minute, intercostal retractions, and frothy, pink sputum.
|| || || || || ||
Which drug should the provider administer for this
|| || || || || || || ||
patient? - CORRECT ANSWER(S)✔✔✔Furosemide which || || || || ||
is a loop diuretic and is rapid acting
|| || || || || || || ||
Hydrochlorothiazide and spironolactone are not || || || || ||
indicated because their diuretic effects are less rapid || || || || || || ||
A patient with a recent onset of nephrosclerosis has been
|| || || || || || || || ||
taking an ACE inhibitor and a thiazide diuretic. The
|| || || || || || || || || ||
patient's initial blood pressure was 148/100 mm Hg. || || || || || || || ||
After one month of drug therapy, the patient's blood
|| || || || || || || || ||
pressure is 130/90 mm Hg. || || || ||
What should the nurse discuss with the provider? -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔✔Adding a CCB to drug || || || || || ||
regimen
In pts with renal disease, goal of antihypertensive
|| || || || || || || ||
therapy is to lower the BP to 130/80 or less
|| || || || || || || || ||
,Common to be on an ACE inhibitor, diuretic, and a CCB
|| || || || || || || || || ||
A female patient with essential hypertension is being
|| || || || || || || ||
treated with hydralazine 25 mg twice daily. The nurse
|| || || || || || || || ||
assesses the patient and notes a heart rate of 96 beats
|| || || || || || || || || || ||
per minute and a blood pressure of 110/72 mm Hg.
|| || || || || || || || ||
What should the provider place an order for? - CORRECT
|| || || || || || || || ||
ANSWER(S)✔✔✔Administer a beta-blocker
|| || ||
Pt is showing signs of reflex tachycardia so a BB is
|| || || || || || || || || || ||
indicated to slow the heart rate || || || || ||
A patient is taking a calcium channel blocker (CCB) for
|| || || || || || || || || ||
stable angina. The patient's spouse asks how calcium
|| || || || || || || ||
channel blockers relieve pain. || || ||
The provider should explain that CCBs __________. -
|| || || || || || || ||
CORRECT ANSWER(S)✔✔✔help reduce peripheral || || || ||
arterioles to reduce afterload, which reduces the cardiac || || || || || || || ||
oxygen demand ||
A patient with stage C heart failure (HF) who has been
|| || || || || || || || || || ||
taking an ACE inhibitor, a beta-blocker, and a diuretic
|| || || || || || || || ||
begins to have increased dyspnea, weight gain, and
|| || || || || || || ||
decreased urine output. The provider orders || || || || || ||
spironolactone.
, What should a nurse instruct the patient to do? -
|| || || || || || || || || ||
CORRECT ANSWER(S)✔✔✔Avoid potassium || || ||
supplements ||
Spironolactone is added to therapy for pts with || || || || || || || ||
worsening s/s of HR || || ||
Spironolactone is potassium-sparing and pts should not || || || || || || ||
take potassium because will elevate levels
|| || || || ||
A prescriber has ordered propranolol for a patient with
|| || || || || || || || ||
recurrent ventricular tachycardia.
|| ||
The provider should tell the nurse preparing to
|| || || || || || || ||
administer this drug to be concerned about which
|| || || || || || || ||
condition in the patient's history? - CORRECT
|| || || || || || ||
ANSWER(S)✔✔✔Asthma
Propranolol is contraindicated in patients with asthma
|| || || || || || ||
because it is a nonselective beta-adrenergic antagonist
|| || || || || || ||
(Beta blocker) and can cause bronchoconstriction and
|| || || || || || ||
exacerbate asthma ||
A patient with severe, chronic COPD uses an inhaled
|| || || || || || || || ||
LABA/glucocorticoid but continues to have frequent || || || || || ||
exacerbation of symptoms. || ||
Questions With Answers || || ||
A patient is brought to the emergency department with
|| || || || || || || || ||
shortness of breath, a respiratory rate of 30 breaths per || || || || || || || || || ||
minute, intercostal retractions, and frothy, pink sputum.
|| || || || || ||
Which drug should the provider administer for this
|| || || || || || || ||
patient? - CORRECT ANSWER(S)✔✔✔Furosemide which || || || || ||
is a loop diuretic and is rapid acting
|| || || || || || || ||
Hydrochlorothiazide and spironolactone are not || || || || ||
indicated because their diuretic effects are less rapid || || || || || || ||
A patient with a recent onset of nephrosclerosis has been
|| || || || || || || || ||
taking an ACE inhibitor and a thiazide diuretic. The
|| || || || || || || || || ||
patient's initial blood pressure was 148/100 mm Hg. || || || || || || || ||
After one month of drug therapy, the patient's blood
|| || || || || || || || ||
pressure is 130/90 mm Hg. || || || ||
What should the nurse discuss with the provider? -
|| || || || || || || || ||
CORRECT ANSWER(S)✔✔✔Adding a CCB to drug || || || || || ||
regimen
In pts with renal disease, goal of antihypertensive
|| || || || || || || ||
therapy is to lower the BP to 130/80 or less
|| || || || || || || || ||
,Common to be on an ACE inhibitor, diuretic, and a CCB
|| || || || || || || || || ||
A female patient with essential hypertension is being
|| || || || || || || ||
treated with hydralazine 25 mg twice daily. The nurse
|| || || || || || || || ||
assesses the patient and notes a heart rate of 96 beats
|| || || || || || || || || || ||
per minute and a blood pressure of 110/72 mm Hg.
|| || || || || || || || ||
What should the provider place an order for? - CORRECT
|| || || || || || || || ||
ANSWER(S)✔✔✔Administer a beta-blocker
|| || ||
Pt is showing signs of reflex tachycardia so a BB is
|| || || || || || || || || || ||
indicated to slow the heart rate || || || || ||
A patient is taking a calcium channel blocker (CCB) for
|| || || || || || || || || ||
stable angina. The patient's spouse asks how calcium
|| || || || || || || ||
channel blockers relieve pain. || || ||
The provider should explain that CCBs __________. -
|| || || || || || || ||
CORRECT ANSWER(S)✔✔✔help reduce peripheral || || || ||
arterioles to reduce afterload, which reduces the cardiac || || || || || || || ||
oxygen demand ||
A patient with stage C heart failure (HF) who has been
|| || || || || || || || || || ||
taking an ACE inhibitor, a beta-blocker, and a diuretic
|| || || || || || || || ||
begins to have increased dyspnea, weight gain, and
|| || || || || || || ||
decreased urine output. The provider orders || || || || || ||
spironolactone.
, What should a nurse instruct the patient to do? -
|| || || || || || || || || ||
CORRECT ANSWER(S)✔✔✔Avoid potassium || || ||
supplements ||
Spironolactone is added to therapy for pts with || || || || || || || ||
worsening s/s of HR || || ||
Spironolactone is potassium-sparing and pts should not || || || || || || ||
take potassium because will elevate levels
|| || || || ||
A prescriber has ordered propranolol for a patient with
|| || || || || || || || ||
recurrent ventricular tachycardia.
|| ||
The provider should tell the nurse preparing to
|| || || || || || || ||
administer this drug to be concerned about which
|| || || || || || || ||
condition in the patient's history? - CORRECT
|| || || || || || ||
ANSWER(S)✔✔✔Asthma
Propranolol is contraindicated in patients with asthma
|| || || || || || ||
because it is a nonselective beta-adrenergic antagonist
|| || || || || || ||
(Beta blocker) and can cause bronchoconstriction and
|| || || || || || ||
exacerbate asthma ||
A patient with severe, chronic COPD uses an inhaled
|| || || || || || || || ||
LABA/glucocorticoid but continues to have frequent || || || || || ||
exacerbation of symptoms. || ||
