NSG 318 Final Exam
UESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS
A patient asks the nurse what are the adverse effects of furosemide. What should the nurse
teach the patient? - CORRECT ANSWER-Gout (SE: Hyperuricemia), Hearing Loss, Increased BUN
& Cr, Renal Failure, Hypokalemia, hyponatremia and hypomagnesemia
What are the drug interactions of furosemide? - CORRECT ANSWER-Alcohol, aminoglycoside
(increased risk of ototoxicity), steroids (increased K loss) and Digoxin
A patient on Lasix states her daughter is bringing her a licorice tea. What action should the
nurse take? - CORRECT ANSWER-Inform the patient the licorice is a contraindication. CAMs the
pt should avoid includes licorice and aloe (increased K loss), Hawthorn (hypotension) and
Ginseng (decreased effectiveness)
What interventions should be taken when administering Lasix? - CORRECT ANSWER-- Monitor
urinary output and weight
- Monitor VS esp BP
- Administer IV furosemide SLOWLY, hearing loss may occur if it is rapidly injected
- Monitor for hypokalemia
,What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - CORRECT ANSWER-a. Hydrochlorothiazide
What is the action of hydrochlorothiazide? - CORRECT ANSWER-Promotes Na, Cl , K, & H2O
excretion. Reabsorbs Ca. Vasodilation = decreased BP
What are side effects/adverse effects of hydrochlorothiazide? - CORRECT ANSWER-
Photosensitivity, Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia, Orthostatic
Hypotension, Gout, Anemia and Renal Failure
What are the drug interactions of hydrochlorothiazide? - CORRECT ANSWER-- Digoxin because
hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
A patient wanted to try a few new CAMs. He just started taking hydrochlorothiazide. Which
CAMs should he avoid? - CORRECT ANSWER-- Aloe (Decreased serum K Loss)
- Licorice (May increase K loss)
- Gingko (Decreased BP w/ thiazide)
- Hawthorne (Hypotension)
,A patient asks the nurse how he should take hydrochlorothiazide when he is at home. How
should the nurse educate the patient? - CORRECT ANSWER-- Take med early in the morning to
avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
What medication is in the drug class of Potassium-Sparing Diuretics?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - CORRECT ANSWER-c. Spironolactone
What is the drug action of spironolactone? - CORRECT ANSWER-Acts on distal renal tubules to
promote Na and H20 excretion and K retention
What are the drug interactions of spironolactone? - CORRECT ANSWER-- K Supplements
- Antihypertensive and lithium (increased effects)
- ACE Inhibitor (life threatening)
What interventions should the nurse take when administering spironolactone? - CORRECT
ANSWER-- Monitor VS and urinary output
- S/S of hyperkalemia
- Administer in the morning to avoid nocturia
- Avoid foods high in K
What medication in the drug class of direct-acting vasodilator? - CORRECT ANSWER-Cilostazol
(Pletal)
, A new grad doctor is asking a senior nurse which antibiotic they can prescribe while a patient is
on Pletal therapy. Which drugs interact with this med? - CORRECT ANSWER-Clarithromycin and
Erythromycin. Other drugs are Aspirin, Enoxaparin (Heparin), and Warfarin
Hint: "Clari, Ery and the Ins"
A patient on cilostazol therapy requests grape juice for lunch. A new grad nurse tells you that
she is concerned for interactions. Is this a concern? Why or why not? - CORRECT ANSWER-This
is not a concern. Grape fruit juice, green tea, gingko biloba and St John Worts are interactions.
A UAP reports that a patient has been complaining of melena, back and abdominal pain, a
cough, dysrhythmias, and peripheral edema. Which medication is likely causing these side
effects?
a. Lisinopril
b. Warfarin
c. Pletal
d. Plavix - CORRECT ANSWER-c. Pletal
What education should a nurse provide to a patient on cilostazol? - CORRECT ANSWER-
Therapeutic response may take 1.5 - 3 months
Avoid smoking b/c causes vasospasms.
Change positions slowly b/c orthostatic hypotension. Take med w/ meals to alleviate GI
disturbances
Avoid alcohol with vasodilator because it may cause a hypotensive reaction.
What are the drug interactions of coumadin? - CORRECT ANSWER-Aspirin, NSAIDs,
sulfonamides, thyroid drugs, allopurinol, histamine blockers, PO hypoglycemic, diuretics, PO
antibiotics, vitamin E
Barbiturates, laxatives, phenytoin, PO contraceptives, Vitamin C and K
UESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS
A patient asks the nurse what are the adverse effects of furosemide. What should the nurse
teach the patient? - CORRECT ANSWER-Gout (SE: Hyperuricemia), Hearing Loss, Increased BUN
& Cr, Renal Failure, Hypokalemia, hyponatremia and hypomagnesemia
What are the drug interactions of furosemide? - CORRECT ANSWER-Alcohol, aminoglycoside
(increased risk of ototoxicity), steroids (increased K loss) and Digoxin
A patient on Lasix states her daughter is bringing her a licorice tea. What action should the
nurse take? - CORRECT ANSWER-Inform the patient the licorice is a contraindication. CAMs the
pt should avoid includes licorice and aloe (increased K loss), Hawthorn (hypotension) and
Ginseng (decreased effectiveness)
What interventions should be taken when administering Lasix? - CORRECT ANSWER-- Monitor
urinary output and weight
- Monitor VS esp BP
- Administer IV furosemide SLOWLY, hearing loss may occur if it is rapidly injected
- Monitor for hypokalemia
,What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - CORRECT ANSWER-a. Hydrochlorothiazide
What is the action of hydrochlorothiazide? - CORRECT ANSWER-Promotes Na, Cl , K, & H2O
excretion. Reabsorbs Ca. Vasodilation = decreased BP
What are side effects/adverse effects of hydrochlorothiazide? - CORRECT ANSWER-
Photosensitivity, Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia, Orthostatic
Hypotension, Gout, Anemia and Renal Failure
What are the drug interactions of hydrochlorothiazide? - CORRECT ANSWER-- Digoxin because
hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
A patient wanted to try a few new CAMs. He just started taking hydrochlorothiazide. Which
CAMs should he avoid? - CORRECT ANSWER-- Aloe (Decreased serum K Loss)
- Licorice (May increase K loss)
- Gingko (Decreased BP w/ thiazide)
- Hawthorne (Hypotension)
,A patient asks the nurse how he should take hydrochlorothiazide when he is at home. How
should the nurse educate the patient? - CORRECT ANSWER-- Take med early in the morning to
avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
What medication is in the drug class of Potassium-Sparing Diuretics?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - CORRECT ANSWER-c. Spironolactone
What is the drug action of spironolactone? - CORRECT ANSWER-Acts on distal renal tubules to
promote Na and H20 excretion and K retention
What are the drug interactions of spironolactone? - CORRECT ANSWER-- K Supplements
- Antihypertensive and lithium (increased effects)
- ACE Inhibitor (life threatening)
What interventions should the nurse take when administering spironolactone? - CORRECT
ANSWER-- Monitor VS and urinary output
- S/S of hyperkalemia
- Administer in the morning to avoid nocturia
- Avoid foods high in K
What medication in the drug class of direct-acting vasodilator? - CORRECT ANSWER-Cilostazol
(Pletal)
, A new grad doctor is asking a senior nurse which antibiotic they can prescribe while a patient is
on Pletal therapy. Which drugs interact with this med? - CORRECT ANSWER-Clarithromycin and
Erythromycin. Other drugs are Aspirin, Enoxaparin (Heparin), and Warfarin
Hint: "Clari, Ery and the Ins"
A patient on cilostazol therapy requests grape juice for lunch. A new grad nurse tells you that
she is concerned for interactions. Is this a concern? Why or why not? - CORRECT ANSWER-This
is not a concern. Grape fruit juice, green tea, gingko biloba and St John Worts are interactions.
A UAP reports that a patient has been complaining of melena, back and abdominal pain, a
cough, dysrhythmias, and peripheral edema. Which medication is likely causing these side
effects?
a. Lisinopril
b. Warfarin
c. Pletal
d. Plavix - CORRECT ANSWER-c. Pletal
What education should a nurse provide to a patient on cilostazol? - CORRECT ANSWER-
Therapeutic response may take 1.5 - 3 months
Avoid smoking b/c causes vasospasms.
Change positions slowly b/c orthostatic hypotension. Take med w/ meals to alleviate GI
disturbances
Avoid alcohol with vasodilator because it may cause a hypotensive reaction.
What are the drug interactions of coumadin? - CORRECT ANSWER-Aspirin, NSAIDs,
sulfonamides, thyroid drugs, allopurinol, histamine blockers, PO hypoglycemic, diuretics, PO
antibiotics, vitamin E
Barbiturates, laxatives, phenytoin, PO contraceptives, Vitamin C and K
