WGU D116 UNIT 4 OA REVIEW
QUESTIONS & ANSWERS(RATED A+)
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? - ANSWERFurosemide
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? - ANSWERAdding 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? - ANSWERAdminister 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 __________. - ANSWERhelp 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? - ANSWERAvoid 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? - ANSWERAsthma
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? - ANSWERAdding 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? - ANSWERLABAs should be combined with
an inhaled glucocorticoid
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? -
ANSWERGuaifenesin 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? - ANSWERThey 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? - ANSWERSerum 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
QUESTIONS & ANSWERS(RATED A+)
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? - ANSWERFurosemide
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? - ANSWERAdding 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? - ANSWERAdminister 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 __________. - ANSWERhelp 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? - ANSWERAvoid 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? - ANSWERAsthma
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? - ANSWERAdding 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? - ANSWERLABAs should be combined with
an inhaled glucocorticoid
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? -
ANSWERGuaifenesin 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? - ANSWERThey 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? - ANSWERSerum 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
