Galen NUR 210 Review Exam 3: Questions/Answers
What do loop diuretics do? Right Ans - Act on Loop of Henle inhibiting
sodium transport and reabsorption
What is the expected outcome of a loop diuretic? Right Ans - Sodium and
water are lost which decreases fluid volume , cardiac output and blood
pressure
What are the adverse effects of Spironolactone? Right Ans - hyperkalemia,
hypomagnesemia, hyponatremia, hypocalcemia, hypovolemia, hypoglycemia,
hyperuricemia, orthostatic hypotension, bradycardia
What labs do you monitor for patients on Spironolactone? Right Ans -
Potassium, BUN, AST, Alkaline Phosphatase, Sodium, Chloride
Normal potassium level Right Ans - 3.5‐5mEq/L
Normal BUN levels Right Ans - 10-20 mg/dL
Normal AST Right Ans - 0‐35 IU/L
normal alkaline phosphatase Right Ans - 30-120 units/L
Normal sodium levels Right Ans - 135-145 mEq/L
normal chloride levels Right Ans - 98-106 mEq/L
What do thiazide diuretics treat? Right Ans - hypertension
What labs do you monitor in patient on thiazide diuretics? Right Ans -
potassium, calcium, magnesium, sodium, glucose, uric acid
What type of medication is mannitol? Right Ans - osmotic diuretic
What does mannitol treat? Right Ans - cerebral edema, IOP
, What location in the hospital typically administers mannitol? Right Ans -
ICU
As a result of side of effects of amlodipine what assessment findings would be
present? Right Ans - Visual impairment, diaphoresis, flushing, rash,
dizziness, drowsiness and abdominal pain
As a result of adverse effects of amlodipine what assessment findings would
be present? Right Ans - orthostatic hypotension, bradycardia,
hyperglycemia, tachycardia, pulmonary edema and dyspnea
What patient teaching is needed for amlodipine? Right Ans - Watch for the
following and contact your healthcare provider: heart rate less than 50 BPM,
dysrhythmias, dyspnea and swelling
What vital sign does a patient need to be taught when on amlodipine? Right
Ans - pulse and blood pressure
What type of medication is metoprolol? Right Ans - Beta Blocker
What are the contraindications for metoprolol? Right Ans - heart block,
heart failure, bradycardia, hypotension, cardiogenic shock
What are the nursing interventions for metoprolol? Right Ans - baseline
vitals, liver and renal function, AST, LDH, patient teaching
What is the patient teaching for metoprolol? Right Ans - do not abruptly
stop therapy d/t rebound hypertension, avoid OTC meds until you consult
with a provider, medic alert band, how to take a pulse and blood pressure, rise
slowly to avoid orthostatic hypotension, low sodium diet, limit alcohol and
have Glucagon on hand to reverse effects
What are the side effects of metoprolol? Right Ans - fatigue, weakness,
dizziness, dry mouth, nausea, vomiting, diarrhea, insomnia, nightmares,
drowsiness, headache, blurred vision, peripheral edema and tinnitus
What are the adverse effects of metoprolol? Right Ans - bradycardia,
hypotension, stroke, thrombocytopenia, diabetes mellitus, bronchospasm,
agranulocytosis