WGU D116 Unit 4 OA 54 Review Questions And Answers
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Course
WGU D116
Institution
WGU D116
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
...
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 spironolacton e 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 th erapy, 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 A CE 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 sho uld 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 ho w 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 a n 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 tachycardi a. 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 antago nist (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 disc uss? - ✔ ✔ 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.
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