WGU D116 Unit 4 OA Review Exam QUESTIONS AND ANSWERS
RECENT AND COMPREHENSIVE VERSION WITH VERIFIED ANSWERS
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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?
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?
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?
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 __________.
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?
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?
, 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.
What should the nurse contact the provider to discuss?
Adding roflumilast once daily
May help reduce the risk of exacerbations
A patient with persistent, frequent asthma exacerbations asks the provider about a long-acting
beta2-agonist medication.
What should the provider tell this patient?
LABAs should be combined with an inhaled glucocorticoid
A patient with a cough has been advised to use guaifenesin. The patient asks the provider to
explain the purpose of the drug.
Which statement by the provider explains the function of guaifenesin?
Guaifenesin is an expectorant so it helps stimulate the flow of secretions to increase cough
productivity
RECENT AND COMPREHENSIVE VERSION WITH VERIFIED ANSWERS
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
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?
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?
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?
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 __________.
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?
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?
, 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.
What should the nurse contact the provider to discuss?
Adding roflumilast once daily
May help reduce the risk of exacerbations
A patient with persistent, frequent asthma exacerbations asks the provider about a long-acting
beta2-agonist medication.
What should the provider tell this patient?
LABAs should be combined with an inhaled glucocorticoid
A patient with a cough has been advised to use guaifenesin. The patient asks the provider to
explain the purpose of the drug.
Which statement by the provider explains the function of guaifenesin?
Guaifenesin is an expectorant so it helps stimulate the flow of secretions to increase cough
productivity
