Galen NUR 210 Exam 3
1. What do loop diuretics do? Act on Loop of Henle inhibiting sodium
transport and reabsorption
2. What is the expected outcome Sodium and water are lost which decreas-
of a loop diuretic? es fluid volume , cardiac output and blood
pressure
3. What are the adverse effects hyperkalemia, hypomagnesemia, hypona-
of Spironolactone? tremia, hypocalcemia, hypovolemia, hypo-
glycemia, hyperuricemia, orthostatic hy-
potension, bradycardia
4. What labs do you monitor for Potassium, BUN, AST, Alkaline Phos-
patients on Spironolactone? phatase, Sodium, Chloride
5. Normal potassium level 3.55mEq/L
6. Normal BUN levels 10-20 mg/dL
7. Normal AST 035 IU/L
8. normal alkaline phosphatase 30-120 units/L
9. Normal sodium levels 135-145 mEq/L
10. normal chloride levels 98-106 mEq/L
11. What do thiazide diuretics hypertension
treat?
12. What labs do you monitor in potassium, calcium, magnesium, sodium,
patient on thiazide diuretics? glucose, uric acid
13. What type of medication is osmotic diuretic
mannitol?
14. What does mannitol treat? cerebral edema, IOP
15. ICU
1/9
, Galen NUR 210 Exam 3
What location in the hospi-
tal typically administers man-
nitol?
16. As a result of side of effects of Visual impairment, diaphoresis, flushing,
amlodipine what assessment rash, dizziness, drowsiness and abdominal
findings would be present? pain
17. As a result of adverse effects orthostatic hypotension, bradycardia, hy-
of amlodipine what assess- perglycemia, tachycardia, pulmonary ede-
ment findings would be pre- ma and dyspnea
sent?
18. What patient teaching is need- Watch for the following and contact your
ed for amlodipine? healthcare provider: heart rate less than 50
BPM, dysrhythmias, dyspnea and swelling
19. What vital sign does a patient pulse and blood pressure
need to be taught when on am-
lodipine?
20. What type of medication is Beta Blocker
metoprolol?
21. What are the contraindica- heart block, heart failure, bradycardia, hy-
tions for metoprolol? potension, cardiogenic shock
22. What are the nursing interven- baseline vitals, liver and renal function,
tions for metoprolol? AST, LDH, patient teaching
23. What is the patient teaching do not abruptly stop therapy d/t rebound
for metoprolol? 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 hypoten-
sion, low sodium diet, limit alcohol and have
Glucagon on hand to reverse effects
24. What are the side effects of fatigue, weakness, dizziness, dry mouth,
metoprolol? nausea, vomiting, diarrhea, insomnia,
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1. What do loop diuretics do? Act on Loop of Henle inhibiting sodium
transport and reabsorption
2. What is the expected outcome Sodium and water are lost which decreas-
of a loop diuretic? es fluid volume , cardiac output and blood
pressure
3. What are the adverse effects hyperkalemia, hypomagnesemia, hypona-
of Spironolactone? tremia, hypocalcemia, hypovolemia, hypo-
glycemia, hyperuricemia, orthostatic hy-
potension, bradycardia
4. What labs do you monitor for Potassium, BUN, AST, Alkaline Phos-
patients on Spironolactone? phatase, Sodium, Chloride
5. Normal potassium level 3.55mEq/L
6. Normal BUN levels 10-20 mg/dL
7. Normal AST 035 IU/L
8. normal alkaline phosphatase 30-120 units/L
9. Normal sodium levels 135-145 mEq/L
10. normal chloride levels 98-106 mEq/L
11. What do thiazide diuretics hypertension
treat?
12. What labs do you monitor in potassium, calcium, magnesium, sodium,
patient on thiazide diuretics? glucose, uric acid
13. What type of medication is osmotic diuretic
mannitol?
14. What does mannitol treat? cerebral edema, IOP
15. ICU
1/9
, Galen NUR 210 Exam 3
What location in the hospi-
tal typically administers man-
nitol?
16. As a result of side of effects of Visual impairment, diaphoresis, flushing,
amlodipine what assessment rash, dizziness, drowsiness and abdominal
findings would be present? pain
17. As a result of adverse effects orthostatic hypotension, bradycardia, hy-
of amlodipine what assess- perglycemia, tachycardia, pulmonary ede-
ment findings would be pre- ma and dyspnea
sent?
18. What patient teaching is need- Watch for the following and contact your
ed for amlodipine? healthcare provider: heart rate less than 50
BPM, dysrhythmias, dyspnea and swelling
19. What vital sign does a patient pulse and blood pressure
need to be taught when on am-
lodipine?
20. What type of medication is Beta Blocker
metoprolol?
21. What are the contraindica- heart block, heart failure, bradycardia, hy-
tions for metoprolol? potension, cardiogenic shock
22. What are the nursing interven- baseline vitals, liver and renal function,
tions for metoprolol? AST, LDH, patient teaching
23. What is the patient teaching do not abruptly stop therapy d/t rebound
for metoprolol? 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 hypoten-
sion, low sodium diet, limit alcohol and have
Glucagon on hand to reverse effects
24. What are the side effects of fatigue, weakness, dizziness, dry mouth,
metoprolol? nausea, vomiting, diarrhea, insomnia,
2/9
