WGU D116 Unit 4 OA Review Latest Update Actual Exam
from Credible Sources with 55 Questions and Verified
Correct Answers Golden Ticket to Guaranteed A+ Verified
by Professor
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? -
......answer.....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? - ......answer.....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? - ......answer.....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 __________. - ......answer.....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? - ......answer.....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? - ......answer.....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? - ......answer.....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.
from Credible Sources with 55 Questions and Verified
Correct Answers Golden Ticket to Guaranteed A+ Verified
by Professor
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? -
......answer.....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? - ......answer.....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? - ......answer.....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 __________. - ......answer.....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? - ......answer.....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? - ......answer.....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? - ......answer.....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.
