MED SURGE Remediation
CARDIAC DRUGS
How does angiotensin-converting enzyme (ACE) inhibitors and angiotensin-
receptor blockers (ARBs) improve the cardiac function of a client diagnosed with
heart failure?
- They increase the heart rate and decrease the force of the contractions.
- They increase the resistance to the (L) ventricular ejection (afterload).
- Correct
- They promote relaxing of the arterioles and arterial vasodilation.
- Correct
- They help prevent sodium and water retention by blocking aldosterone.
- Correct
- They improve the heart's stroke volume, thus improve cardiac output.
Rationale
The purpose of the medications to manage heart failure is to improve the heart's stroke volume
to improve the cardiac output. ACE inhibitors and ARBs do this by reducing the resistance of
blood flow to the (L) ventricular ejection (afterload); this is done by the relaxation of the
arterioles and arterial vasodilation. They help prevent sodium and water retention by blocking
aldosterone.
Client is prescribed angiotensin-converting enzyme (ACE) inhibitors and
angiotensin-receptor blockers (ARBs) improve the function of their diagnosed
heart failure. What should the nurse assess first prior to administering these
medications to a client?
Apical pulse.
Heart sounds.
Correct
Blood pressure.
Intake and output.
,MED SURGE Remediation
,MED SURGE Remediation
Rationale
ACE inhibitors and ARBs can cause severe hypotension. The nurse should assess the client's
blood pressure prior to administering the medication.
The nurse is caring for a client who has just been placed on lisinopril for
treatment of hypertension. The nurse should educate the client about what
common side effect of this medication?
Frequent urination.
Correct
Dizziness.
Dry skin.
Increased hunger.
When administering medications, it is important that the nurse understand side effects that may
be either drug- or drug class-specific. Dizziness is a common side effect of the class of
antihypertensives known as ACE inhibitors.
RESPIRATORY DRUGS
A nurse riding public transportation notices a child experiencing an asthma
attack. The mother of the child pulls out of her purse a medicated discus
dispenser of salmeterol xinafoate, a long-acting beta2 agonist, and immediately
administers to the child. What is the anticipated outcome of the administration
of this medication to this child?
Asthmatic symptoms should resolve within 5 to 10 minutes after administration of medication.
Correct
The child's asthma attack will be unresponsive to the administration of the medication.
The medication administration will cause an increased in the child's heart rate.
Incorrect
, MED SURGE Remediation
The bronchioles and alveoli in response to the medication will dilate and lung expansion will
increase.
Rationale
During an asthma attack long-acting beta2 agonist (LABAs) delivered by inhaler directly to the
bronchioles will have little effect. LABAs are used as a preventive medication and need time to
build up an effect LABAs should be co-administered with inhaled steroids. Clients need to be
instructed not to use LABAs to relieve an asthma attack or if wheezing becomes worse.
A client has been diagnosed with asthma. The nurse should anticipate that the
client will need which medication?
Oral prednisone.
Azithromycin.
Correct
Albuterol.
Solu-medrol.
Rationale
Patients with asthma typically require a bronchodilator such as albuterol for emergency use in
the case of an acute exacerbation
CARDIAC
What is the most reliable method a nurse should use to document the status of
fluid retention in a client diagnosed with heart failure?
Assess their skin turgor.
CARDIAC DRUGS
How does angiotensin-converting enzyme (ACE) inhibitors and angiotensin-
receptor blockers (ARBs) improve the cardiac function of a client diagnosed with
heart failure?
- They increase the heart rate and decrease the force of the contractions.
- They increase the resistance to the (L) ventricular ejection (afterload).
- Correct
- They promote relaxing of the arterioles and arterial vasodilation.
- Correct
- They help prevent sodium and water retention by blocking aldosterone.
- Correct
- They improve the heart's stroke volume, thus improve cardiac output.
Rationale
The purpose of the medications to manage heart failure is to improve the heart's stroke volume
to improve the cardiac output. ACE inhibitors and ARBs do this by reducing the resistance of
blood flow to the (L) ventricular ejection (afterload); this is done by the relaxation of the
arterioles and arterial vasodilation. They help prevent sodium and water retention by blocking
aldosterone.
Client is prescribed angiotensin-converting enzyme (ACE) inhibitors and
angiotensin-receptor blockers (ARBs) improve the function of their diagnosed
heart failure. What should the nurse assess first prior to administering these
medications to a client?
Apical pulse.
Heart sounds.
Correct
Blood pressure.
Intake and output.
,MED SURGE Remediation
,MED SURGE Remediation
Rationale
ACE inhibitors and ARBs can cause severe hypotension. The nurse should assess the client's
blood pressure prior to administering the medication.
The nurse is caring for a client who has just been placed on lisinopril for
treatment of hypertension. The nurse should educate the client about what
common side effect of this medication?
Frequent urination.
Correct
Dizziness.
Dry skin.
Increased hunger.
When administering medications, it is important that the nurse understand side effects that may
be either drug- or drug class-specific. Dizziness is a common side effect of the class of
antihypertensives known as ACE inhibitors.
RESPIRATORY DRUGS
A nurse riding public transportation notices a child experiencing an asthma
attack. The mother of the child pulls out of her purse a medicated discus
dispenser of salmeterol xinafoate, a long-acting beta2 agonist, and immediately
administers to the child. What is the anticipated outcome of the administration
of this medication to this child?
Asthmatic symptoms should resolve within 5 to 10 minutes after administration of medication.
Correct
The child's asthma attack will be unresponsive to the administration of the medication.
The medication administration will cause an increased in the child's heart rate.
Incorrect
, MED SURGE Remediation
The bronchioles and alveoli in response to the medication will dilate and lung expansion will
increase.
Rationale
During an asthma attack long-acting beta2 agonist (LABAs) delivered by inhaler directly to the
bronchioles will have little effect. LABAs are used as a preventive medication and need time to
build up an effect LABAs should be co-administered with inhaled steroids. Clients need to be
instructed not to use LABAs to relieve an asthma attack or if wheezing becomes worse.
A client has been diagnosed with asthma. The nurse should anticipate that the
client will need which medication?
Oral prednisone.
Azithromycin.
Correct
Albuterol.
Solu-medrol.
Rationale
Patients with asthma typically require a bronchodilator such as albuterol for emergency use in
the case of an acute exacerbation
CARDIAC
What is the most reliable method a nurse should use to document the status of
fluid retention in a client diagnosed with heart failure?
Assess their skin turgor.
