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A 58 year-old moderately obese Caucasian male comes to the clinic for his 6-mont

ID: 68105 • Letter: A

Question

A 58 year-old moderately obese Caucasian male comes to the clinic for his 6-month check up. He reports lifestyle modifications of reduction in salt intake (no table salt), cessation of smoking (smoke-free x 3 months) and mild exercise regimen of alternating walking 1.5 miles and swimming on a daily basis for the last 6 months. You, the nurse, note he is on several medications for his blood pressure and review them with the client, paying close attention for comments which could indicate a potential problem with any medication. His vital signs are: BP = 146/84, P = 58, RR = 20 & T = 97.8F.

This scenario applies to the following five (5) questions.

Question 1

The client reports that he has “finally adjusted” to his medications and has learned to change positions more slowly. He inquires about how his medications cause his dizziness. You know that postural hypotension is a potential side effect of drugs that:

Question 2

Reviewing the client’s vital signs, you know that all of the following drugs can cause such a heart rate EXCEPT:

Question 3

You continue gathering information from the client regarding his responses to his medications. Responsibilities in the detection and prevention of adverse effects of thiazide and loop diuretics include(s):

Question 4

One of the client's medications is enalapril. He has seen advertisements for Captopril and asks what the differences and similarities are between the two drugs. You know that both medications do all of the following EXCEPT:

question 5

Match the appropriate drug categories with the characteristics. NOTE: Credit will be given for each correct answer. Each wrong answer will subtract a point.

1.Given sublingually

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

2.Effective in aborting acute angina attacks

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

3.A common side effect is headache

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

4.Propranolol is an example

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

5.Decreases heart rate

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

6.Contraindicated in patients with severe asthma

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

7.Reduces afterload strain on the heart

      [ Choose ]            Alpha adrenergic agonist            Cardiotonic            Beta blocker            Nitroglycerin      

a.All of the available answers apply.

Explanation / Answer

1. b.Promote significant diuresis

2. c.Inderal

3.

4.

b. All available answers apply.
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