Nokea
While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
- A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
- B. A 55-year-old African American female diagnosed with hypertension
- C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
- D. A 64-year-old African American male diagnosed with heart failure
Correct Answer: D
Rationale: BiDil (hydralazine/isosorbide) is FDA-approved specifically for heart failure in African Americans , showing improved outcomes in this population.
You may also like to solve these questions
Direct renin inhibitors have the following properties. They:
- A. Are primarily generic drugs
- B. Are a renin-angiotensin-aldosterone system (RAAS) medication that is safe during pregnancy
- C. Can be used with an angiotensin-converting enzyme and angiotensin II receptor blocker medications for stronger impact
- D. Shut down' the entire RAAS cycle
Correct Answer: C
Rationale: Direct renin inhibitors (e.g., aliskiren) can be combined with ACEIs or ARBs for enhanced RAAS blockade.
Which example best demonstrates safe drug administration by the nurse?
- A. Administering an oral medication with the patient sitting upright
- B. Asking children to say their name before administering the medication
- C. Leaving the medications on the bedside stand after verifying patient identification
- D. Returning the unused portion of a medication to a stock supply bottle
Correct Answer: A
Rationale: Sitting the patient upright for oral medications is safe medication practice. Children should never be asked their names as a means of positive identification. Remaining with a patient until the drug is swallowed is safe practice. Returning an unused portion of medication to the stock supply bottle is not safe medication practice.
Insulin medications are not administered per os because
- A. Are poorly absorbed in GI truct
- B. They are breaksdown by the action of dygestive enzymes
- C. Increase glucose absorbtion
Correct Answer: B
Rationale: Insulin is a peptide broken down by digestive enzymes, rendering oral administration ineffective.
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints. Bismuth subsalicylate:
- A. May lead to toxicity if taken with aspirin
- B. Is contraindicated in children with flu-like illness
- C. Has antimicrobial effects against bacterial and viral enteropathogens
- D. All of the above
Correct Answer: D
Rationale: All apply: bismuth with aspirin risks salicylate toxicity , is contraindicated in kids with flu (B, Reye's syndrome), and has antimicrobial action .
A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for Digoxin toxicity?
- A. Calcium 9.2 mg/dL
- B. Calcium 10.3 mg/dL
- C. Potassium 3.4 mEq/L
- D. Potassium 4.8 mEq/
Correct Answer: C
Rationale: Hypokalemia (3.4 mEq/L, C) increases digoxin toxicity risk by enhancing its effects.