Case Assignment: Electrolyte Imbalance
Case Assignment: Electrolyte Imbalance
Case Assignment: Electrolyte Imbalance
Week 3 Assignment 2 Quiz Question 1.Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the nurse practitioner should assess for: Hypokalemia Impotence Decreased renal function Inability to concentrate Question 2. A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following statements is true about this adverse response? Swelling of the tongue and hoarseness are the most common symptoms. It appears to be related to a decrease in aldosterone production. The presence of a dry, hacky cough indicates a high risk for this adverse response. Because it takes time to build up a blood level, it occurs after being on the drug for about one week. Question 3. Rodrigo has been prescribed procainamide after an episode of MI. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate: Widening of the area of infarction Onset of congestive heart failure An electrolyte imbalance involving potassium Renal dysfunction Question 4. Which of the following is true about procainamide and its dosing schedule? It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen. GI adverse effects are common, so the drug should be taken with food. Adherence can be improved by using a sustained-release formulation that can be given once daily. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level. Question 5. Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for this combination includes: Hemoglobin Serum potassium Blood urea nitrogen Serum glucose
