Galen NUR 210 Exam 1 Modules 1-3 With 100%
Correct Answers 2024
What do loop diuretics do? - ANSWER Act on Loop of Henle inhibiting sodium
transport and reabsorption
What is the expected outcome of a loop diuretic? - ANSWER Sodium and water
are lost which decreases fluid volume , cardiac output and blood pressure
What are the adverse effects of Spironolactone? - ANSWER hyperkalemia,
hypomagnesemia, hyponatremia, hypocalcemia, hypovolemia, hypoglycemia,
hyperuricemia, orthostatic hypotension, bradycardia
What labs do you monitor for patients on Spironolactone? - ANSWER Potassium,
BUN, AST, Alkaline Phosphatase, Sodium, Chloride
Normal potassium level - ANSWER 3.5‐5mEq/L
Normal BUN levels - ANSWER 10-20 mg/dL
Normal AST - ANSWER 0‐35 IU/L
normal alkaline phosphatase - ANSWER 30-120 units/L
Normal sodium levels - ANSWER 135-145 mEq/L
normal chloride levels - ANSWER 98-106 mEq/L
What do thiazide diuretics treat? - ANSWER hypertension
What labs do you monitor in patient on thiazide diuretics? - ANSWER potassium,
calcium, magnesium, sodium, glucose, uric acid
What type of medication is mannitol? - ANSWER osmotic diuretic
What does mannitol treat? - ANSWER cerebral edema, IOP
What location in the hospital typically administers mannitol? - ANSWER ICU
As a result of side of effects of amlodipine what assessment findings would be
present? - ANSWER Visual impairment, diaphoresis, flushing, rash, dizziness,
drowsiness and abdominal pain
As a result of adverse effects of amlodipine what assessment findings would be
present? - ANSWER orthostatic hypotension, bradycardia, hyperglycemia,
tachycardia, pulmonary edema and dyspnea
, What patient teaching is needed for amlodipine? - ANSWER Watch for the
following and contact your healthcare provider: heart rate less than 50 BPM,
dysrhythmias, dyspnea and swelling
What vital sign does a patient need to be taught when on amlodipine? - ANSWER
pulse and blood pressure
What type of medication is metoprolol? - ANSWER Beta Blocker
What are the contraindications for metoprolol? - ANSWER heart block, heart
failure, bradycardia, hypotension, cardiogenic shock
What are the nursing interventions for metoprolol? - ANSWER baseline vitals, liver
and renal function, AST, LDH, patient teaching
What is the patient teaching for metoprolol? - ANSWER do not abruptly stop
therapy d/t rebound hypertension, avoid OTC meds until you consult with a provider,
medic alert band, how to take a pulse and blood pressure, rise slowly to avoid
orthostatic hypotension, low sodium diet, limit alcohol and have Glucagon on hand to
reverse effects
What are the side effects of metoprolol? - ANSWER fatigue, weakness, dizziness,
dry mouth, nausea, vomiting, diarrhea, insomnia, nightmares, drowsiness,
headache, blurred vision, peripheral edema and tinnitus
What are the adverse effects of metoprolol? - ANSWER bradycardia, hypotension,
stroke, thrombocytopenia, diabetes mellitus, bronchospasm, agranulocytosis
Why do we give prazosin hcl? - ANSWER control hypertension
What is the productive positive effect of prazosin hcl? - ANSWER decrease blood
pressure to a normal range of < 120/80 mmHg
What patient teaching is needed for ACE inhibitors? - ANSWER do not abruptly
discontinue, do not take OTC meds without first consulting a provider, no salt
substitutes, slow to rise due to orthostatic hypotension, how to take blood pressure
What cultural considerations are there for ACE inhibitors? - ANSWER not to be
used during pregnancy, elderly and African Americans respond poorly to this drug
classification
What are the side effects of ACE inhibitors? - ANSWER cough, orthostatic
hypotension, weakness, renal impairment
What are the adverse effects of ACE inhibitors? - ANSWER angioedema,
hyperkalemia
What is the #1 side effect of lisinopril? - ANSWER constant irritating cough
Correct Answers 2024
What do loop diuretics do? - ANSWER Act on Loop of Henle inhibiting sodium
transport and reabsorption
What is the expected outcome of a loop diuretic? - ANSWER Sodium and water
are lost which decreases fluid volume , cardiac output and blood pressure
What are the adverse effects of Spironolactone? - ANSWER hyperkalemia,
hypomagnesemia, hyponatremia, hypocalcemia, hypovolemia, hypoglycemia,
hyperuricemia, orthostatic hypotension, bradycardia
What labs do you monitor for patients on Spironolactone? - ANSWER Potassium,
BUN, AST, Alkaline Phosphatase, Sodium, Chloride
Normal potassium level - ANSWER 3.5‐5mEq/L
Normal BUN levels - ANSWER 10-20 mg/dL
Normal AST - ANSWER 0‐35 IU/L
normal alkaline phosphatase - ANSWER 30-120 units/L
Normal sodium levels - ANSWER 135-145 mEq/L
normal chloride levels - ANSWER 98-106 mEq/L
What do thiazide diuretics treat? - ANSWER hypertension
What labs do you monitor in patient on thiazide diuretics? - ANSWER potassium,
calcium, magnesium, sodium, glucose, uric acid
What type of medication is mannitol? - ANSWER osmotic diuretic
What does mannitol treat? - ANSWER cerebral edema, IOP
What location in the hospital typically administers mannitol? - ANSWER ICU
As a result of side of effects of amlodipine what assessment findings would be
present? - ANSWER Visual impairment, diaphoresis, flushing, rash, dizziness,
drowsiness and abdominal pain
As a result of adverse effects of amlodipine what assessment findings would be
present? - ANSWER orthostatic hypotension, bradycardia, hyperglycemia,
tachycardia, pulmonary edema and dyspnea
, What patient teaching is needed for amlodipine? - ANSWER Watch for the
following and contact your healthcare provider: heart rate less than 50 BPM,
dysrhythmias, dyspnea and swelling
What vital sign does a patient need to be taught when on amlodipine? - ANSWER
pulse and blood pressure
What type of medication is metoprolol? - ANSWER Beta Blocker
What are the contraindications for metoprolol? - ANSWER heart block, heart
failure, bradycardia, hypotension, cardiogenic shock
What are the nursing interventions for metoprolol? - ANSWER baseline vitals, liver
and renal function, AST, LDH, patient teaching
What is the patient teaching for metoprolol? - ANSWER do not abruptly stop
therapy d/t rebound hypertension, avoid OTC meds until you consult with a provider,
medic alert band, how to take a pulse and blood pressure, rise slowly to avoid
orthostatic hypotension, low sodium diet, limit alcohol and have Glucagon on hand to
reverse effects
What are the side effects of metoprolol? - ANSWER fatigue, weakness, dizziness,
dry mouth, nausea, vomiting, diarrhea, insomnia, nightmares, drowsiness,
headache, blurred vision, peripheral edema and tinnitus
What are the adverse effects of metoprolol? - ANSWER bradycardia, hypotension,
stroke, thrombocytopenia, diabetes mellitus, bronchospasm, agranulocytosis
Why do we give prazosin hcl? - ANSWER control hypertension
What is the productive positive effect of prazosin hcl? - ANSWER decrease blood
pressure to a normal range of < 120/80 mmHg
What patient teaching is needed for ACE inhibitors? - ANSWER do not abruptly
discontinue, do not take OTC meds without first consulting a provider, no salt
substitutes, slow to rise due to orthostatic hypotension, how to take blood pressure
What cultural considerations are there for ACE inhibitors? - ANSWER not to be
used during pregnancy, elderly and African Americans respond poorly to this drug
classification
What are the side effects of ACE inhibitors? - ANSWER cough, orthostatic
hypotension, weakness, renal impairment
What are the adverse effects of ACE inhibitors? - ANSWER angioedema,
hyperkalemia
What is the #1 side effect of lisinopril? - ANSWER constant irritating cough
