Question

13. A client who has heart failure is een ent who has heart failure is teen di the pharmacodynamics of this medication? e Wich of the best A Decreases blood pressure and decreases where B. Increases blood pressure and increase preload C. Increases the strength of contractility and slows the heart D. Decreases the force of contractility and increases the heart rate 14. A client is receiving captopril poten) and nitroglycerine ottoch en . The der says to the nurse. Thave a constant dry cough, am developing pneumonia Wich of the following would be the most appropriate response of the nurse? A. "Your heart failure may be getting worse." B. "Perhaps you are developing an allergy c. "The dose of nitroglycerine may have to be decreased." D. "This may be an adverse effect of captopril 15. A patient is experiencing an acute asthmatic attack Which agent would be most effective A Inhaled steroid B. Leukotriene receptor antagonist C. Mast cell stabilizer D. Beta-2 selective adrenergic agonist 16. Which of the following would a nurse identity as a contraindication for the use diabeta Berge blocker? A Diabetes B. Thyroid disease C. Sinus Tachycardia D. Bronchial Asthma 17. Which statement best describes the scientific rationale for prescribing the biguanide metormin (Glucophage)? A. This medication decreases insulin resistance, improving blood glucose control B. This medication allows the carbohydrates to pass slowly through the large intestine. C. This medication will decrease the hepatic production of glucose from stored glycogen D. This medication stimulates the beta cells to release more insulin into the blood stream 18. The nurse in the intensive unit is preparing to administer ranitidine IV to a client with severe bums. Which statement is the scientific rationale for administering this medication? A. It will prevent an H. pylori infection. B. The client must have a history of ulcers. C. It is prophylaxis to prevent stress ulcers. D. There is no rationale, the nurse should question the order.

Answer 1

13) Answer- C Explanation ( Digoxin improves the cardiac function by increases the force of myocardial contraction and slows cardiac conduction through the AV node & slows ventricular rate)

14) Answer- D Explanation ( Capoten (captopril) is an angiotensin converting enzyme (ACE) inhibitor used for treating high blood pressure, heart failure, and for preventing kidney failure due to high blood pressure and diabetes)

15) Answer- D Explanation ( These can include: Short-acting beta agonists, such as albuterol. Patient may  need to use a machine called a nebulizer, which turns the medication into a mist that can be inhaled deep into your lungs)

16) Answer- A

( Explanation below)

• Absolute contraindication: hypersensitivity
• Use with caution in patients with the following conditions:
  • Hyperthyroidism
  • Glaucoma
  • Diabetes
  • Hypokalemia
  • Seizures
  • Cardiovascular disease (e.g., heart failure, hypertension, arrhythmias, coronary artery disease)

17) Answer- C Explanation  ( Metformin decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization.)

18) Answer - C   Explanation ( Preventive measures for stress ulcers in burn patients)