WGU D116 Unit 4 OA 54 Review Questions And Answers
11 views 0 purchase
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.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jackline98. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
