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WGU D116 Unit 4 OA Review with 100- correct answersWGU D116 Unit 4 OA Review 2025-
WGU D116 Unit 4 OA Review with 100- correct answersWGU D116 Unit 4 OA Review 2025-
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WGU D116 Unit 4 OA Review 2025-2026with 100% correct answers
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
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