Exam (elaborations)
WGU D116 UNIT 4 OA REVIEW QUESTIONS AND ANSWERS
- Course
- Institution
WGU D116 UNIT 4 OA REVIEW QUESTIONS AND ANSWERS
[Show more]
Content preview
WGU D116 UNIT 4 OA REVIEW QUESTIONS ANDANSWERS
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? - Answers-Furosemide which
is a loop diuretic and is rapid acting
Hydrochlorothiazide and spironolactone are not indicated because their diuretic effects
are less rapid
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 __________. - Answers-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? - Answers-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? - Answers-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? - Answers-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? - Answers-LABAs should be combined with
an inhaled glucocorticoid
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? - Answers-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? - Answers-Administer a beta-blocker
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? - Answers-
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? - Answers-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? - Answers-Serum albumin and coagulation studies
Anticoagulant effects can be increased by displacement on warfarin from plasma
albumin
PT/INR for pts on warfarin
aPTT for pts on heparin
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 GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now