Nokea
Which of the following is used for the treatment of primary hyperaldosteronism:
- A. Furosemide
- B. Hydrocortisone
- C. Spironolactone
- D. Dexamethasone
Correct Answer: C
Rationale: Spironolactone is an aldosterone antagonist, making it effective for treating primary hyperaldosteronism by blocking excess aldosterone effects.
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Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:
- A. Widening of the area of infarction
- B. Onset of congestive heart failure
- C. An electrolyte imbalance involving potassium
- D. Renal dysfunction
Correct Answer: B
Rationale: These symptoms suggest heart failure, a potential procainamide complication.
A 32-year-old female is admitted to your unit with a diagnosis of hypovolemia. You are writing a care plan for this patient. You know that an appropriate nursing diagnosis to help prevent medication errors is what?
- A. Dysfunctional gastrointestinal motility
- B. Ineffective self health maintenance
- C. Risk for injury
- D. Deficient fluid volume
Correct Answer: D
Rationale: Hypovolemia aligns with 'Deficient fluid volume,' guiding drug therapy to correct volume status and prevent errors.
A nurse is reviewing the medical record of a client and notes the various orders for drug therapy. Which of the following would the nurse most likely expect to find? (Select one that does not apply.)
- A. Standing order
- B. STAT order
- C. Single order
- D. Alternate order
Correct Answer: D
Rationale: Common orders given by health care providers for drug therapy include the standing order, the single order, the PRN order, and the STAT order.
You are managing the care of a patient recently diagnosed with benign prostatic hyperplasia (BPH). He is taking tamsulosin but reports dizziness when standing abruptly. The best option for this patient is:
- A. Continue the tamsulosin because the side effect will resolve with continued treatment.
- B. Discontinue the tamsulosin and start doxazosin.
- C. Have him double his fluid intake and stand more slowly.
- D. Prescribe meclizine as needed for the dizziness.
Correct Answer: C
Rationale: Orthostatic hypotension from tamsulosin is managed by rising slowly and ensuring hydration.
When taking a medication history on a patient why should the nurse ask about the use of complementary or alternative therapies?
- A. Patients starting on new drugs are usually not compliant with medical regimens.
- B. Many drug-alternative therapy interactions can cause serious problems.
- C. Natural products may be more effective and the prescribed drug may not be needed.
- D. The cost of the drug and the alternative therapy may be too expensive for the patient to hand
Correct Answer: B
Rationale: Complementary therapies can interact with prescribed drugs, posing risks that the nurse must identify.