Exam (elaborations)
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-
[Show more]
Content preview
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
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 BRAINBOOSTERS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now