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WGU D116 UNIT 4 OA REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!
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WGU D116 UNIT 4 OA REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!
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WGU D116 UNIT 4 OA REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!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.
What should the provider tell this patient? Answer - LABAs should be combined with
an inhaled glucocorticoid
A patient with a cough has been advised to use guaifenesin. The patient asks the provider to explain the purpose of the drug.
Which statement by the provider explains the function of guaifenesin? Answer - Guaifenesin is an expectorant so it helps stimulate the flow of secretions to increase cough productivity
A nursing student is preparing to give a medication that has a boxed warning. The student asks the nurse what this means.
What should the nurse explain about boxed warnings? Answer - They alert prescribers to measures to mitigate potential harm from side effects Boxed warning does not include antidotes to toxicity
The FNP is assessing a newly admitted older patient who has recently lost 15 pounds. The FNP notes that the patient is taking warfarin (Coumadin). Which laboratory tests will the FNP order? Answer - Serum albumin and coagulation studies Anticoagulant effects can be increased by displacement on warfarin from plasma albumin
PT/INR for pts on warfarin
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