A nurse is administering multiple morning medications on a busy medical-surgical unit. Which drug-to-drug interaction should concern the nurse the most?
a. Metoprolol (Lopressor) and insulin
b. Enalapril (Vasotec) and insulin
c. Atenolol (Tenormin) and spironolactone (Aldactone)
d. Carvedilol (Coreg) and furosemide (Lasix)
A
Blockade of beta2 receptors in skeletal muscle and the liver can inhibit glycogenolysis. This effect can be dangerous for people with diabetes mellitus, because it can result in decreased blood glucose, which would be exacerbated by concurrent insulin administration with metoprolol.
Enalapril is not contraindicated with insulin; in fact, it may have a positive effect on renal func-tion, which often is affected by diabetes mellitus.
Atenolol and spironolactone are not contraindicated. A mild diuretic, such as spironolactone, typically is ordered with a beta blocker to prevent fluid overload.
Carvedilol and Lasix are not contraindicated. Diuretics often are ordered with beta blockers.
You might also like to view...
When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress?
a. Nutrition b. Medications c. Exercise d. Sleep
The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action?
1. Logging off the computer before walking away 2. Entering data as soon as it is collected 3. Verifying all medication dosages are within normal range 4. Remembering to charge for all equipment used
Vital statistics are utilized in population and community health status assessments. Which of the following methods of data collection are utilized in these assessments (select all that apply)?
a. Informant interviews b. Windshield surveys c. Hypothesis formation d. Data analysis e. Surveys
A patient has been researching medications to help achieve a weight loss goal. What is the medication classification that the nurse should review with the patient that could help meet the patient's goal?
1. lipase inhibitor 2. antiepileptic 3. anticholinergics 4. adrenergics