NUR 210 EXAM 3 GALEN COLLEGE OF NURSING LATEST
2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
Hydrochlorothiazide nursing considerations/ contraindications –
ANSWER- Monitor serum potassium level, Monitor liver and renal
function. Contraindicated for patients with DM, and hx of hypotension
Osmotic – ANSWER- Mannitol
Mannitol clinical indications – ANSWER- Cerebral Edema and ICP
Mannitol side effects – ANSWER- Headache, blurred vision, dry mouth
electrolyte imbalance
Mannitol adverse reactions – ANSWER- Pulmonary edema, blood
pressure, Renal failure
Mannitol nursign considerations/ patient teaching – ANSWER- Use
extreme caution in HF patients. Monitor I & O for therapeutic response,
Monitor vital signs for therapeutic response
Alpha Adrenergic Blocker – ANSWER- Prazosin
Prazosin clinical indication – ANSWER- hypertension
Prazosin side effects – ANSWER- Dizziness, blurred vision, headache,
Prazosin adverse reactions – ANSWER- Orthostatic hypotension,
Palpitations, elevated liver enzymes
Prazosin nursing considerations/ contraindications – ANSWER- Teach
patient to change positions slowly, monitor liver enzymes, monitor I &
O and edema in lower extremities. Teach patient
Calcium channel blocker – ANSWER- Nifedipine
Nifedipine clinical indications – ANSWER- hypertension
Nifedipine side effects – ANSWER- Dizziness, headache, weakness,
flushing and peripheral edema
Nifedipine adverse reactions – ANSWER- Severe hypotension, MI
Death, reflex tachycardia
Nifedipine nursing considerations/ contraindications – ANSWERMonitor vital signs, instruct patient to change positions slowly.
Cardiac Selective Beta Blocker – ANSWER- metroprolol
Metroprolol clinical indication – ANSWER- hypertension
Metroprolol side effects – ANSWER- Fatigue, weakness, dizziness,
headache, blurred vision
Metroprolol adverse reactions – ANSWER- Bradycardia, hypotension,
stroke, thrombocytopenia, DM
Metroprolol nursing considerations and contraindications – ANSWERContraindicated in Heart block, hypotension, Acute HF and
bradycardia.African American benefit from dual therapy with a diuretic
and beta blocker combined.
Nonselective Beta Blocker – ANSWER- Propranolol
Propranolol clinical indication – ANSWER- hypertension
Propranolol side effects – ANSWER- Dizziness, bradycardia, visual
disturbances
Propranolol adverse reactions – ANSWER- Bradycardia, hyperkalemia,
seizure, agitation