Stage C patients usually require a combination of three to four drugs to manage their heart failure. In addition to ACE inhibitors and beta blockers, diuretics may be added. Which of the following statements about diuretics is NOT true?
1. Diuretics reduce preload associated with fluid retention.
2. Diuretics can be used earlier than stage C when the goal is control of hypertension.
3. Diuretics may produce problems with electrolyte imbalances and abnormal glucose and lipid metabolism.
4. Diuretics from the potassium-sparing class should be used when using an angiotensin receptor blocker (ARB).
4
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The patient receiving epoetin alfa (Procrit) asks the nurse why it has to be administered IV because he read that it could be self-administered subcutaneously. What is the nurse's best response?
A) "Giving the drug IV reduces risk of a potentially serious response to the drug." B) "Giving the drug by the IV route makes it begin working sooner." C) "Only patients with renal disease can receive the drug subcutaneously." D) "It is all determined by physician preference and this doctor prefers the IV route."
A client has a laceration that was closed with tissue adhesive. Which is the process by which this wound will heal?
A) Open approximation B) Secondary healing C) Delayed closure D) Primary intention
A patient with chronic alcoholism who wishes to avoid "binge drinking" has obtained a prescrip-tion for disulfiram (Antabuse). Review the following reactions, and choose the one that will oc-cur if alcohol is ingested while taking this drug
a. Facial flushing, headache, and nausea and vomiting b. Dizziness, diarrhea, and abdominal pain c. Fever, joint aches, and sensation of being chilled d. Drowsiness, sedation, and impaired night vision
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it:
1. Increases peripheral vasoconstriction 2. Decreases detrusor muscle contractility 3. Lowers supine blood pressure more than standing pressure 4. Relaxes smooth muscle in the bladder neck