WGU D116 UNIT 4 OA REVIEWED QUIZZES WITH
ACTUAL RIGHT ANSWERS |LATEST UPDATE .
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? - correct Answers -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? - correct 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? - correct Answers -Administer a beta-blocker
Pt is showing signs of reflex tachycardia so a BB is indicated to slow the heart rate
1
, 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 __________. - correct 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? - correct 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? - correct 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? - correct 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.
2
ACTUAL RIGHT ANSWERS |LATEST UPDATE .
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? - correct Answers -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? - correct 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? - correct Answers -Administer a beta-blocker
Pt is showing signs of reflex tachycardia so a BB is indicated to slow the heart rate
1
, 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 __________. - correct 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? - correct 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? - correct 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? - correct 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.
2
