Choose the group that is correct.
Select all that apply.

Calcium channel blockers ends in DIPINE.

Beta blockers ends in OLOL.

ACE inhibitors ends in ZoSIN.

Angiotensin II receptor blockers ends in STATIN.

Answer and Explanation

Correct Answer : B

This is a mnemonic to remember the common suffix of drugs that block the beta receptors in the heart and blood vessels, which can lower blood pressure, heart rate, and reduce chest pain. For example, metoprolol, atenolol, and propranolol are beta blockers.

Choice A is wrong because calcium channel blockers do not end in DIPINE.

Calcium channel blockers are drugs that block the entry of calcium into the cells of the heart and blood vessels, which can relax the blood vessels and lower blood pressure.

Some calcium channel blockers end in DIPINE, such as amlodipine and nifedipine, but not all of them.

For example, verapamil and diltiazem are also calcium channel blockers.

Choice C is wrong because ACE inhibitors do not end in ZoSIN.

ACE inhibitors are drugs that inhibit the enzyme angiotensin-converting enzyme (ACE), which can lower blood pressure and prevent heart failure.

ACE inhibitors usually end in PRIL, such as lisinopril, enalapril, and captopril.

Choice D is wrong because angiotensin II receptor blockers do not end in STATIN.

Angiotensin II receptor blockers are drugs that block the action of angiotensin II, a hormone that constricts blood vessels and raises blood pressure.

Angiotensin II receptor blockers usually end in SARTAN, such as losartan, valsartan, and irbesartan.

The normal range for blood pressure is less than 120/80 mmHg.

The normal range for heart rate is 60 to 100 beats per minute.

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Correct Answer is D

Explanation

Diuretics are medicines that help the kidneys get rid of excess water and salt, which can ease the symptoms of heart failure, such as breathlessness and swelling.However, diuretics may have some side effects, such as loss of potassium, which can affect the heart and require regular blood tests and dietary changes.Diuretics can also cause other electrolyte abnormalities, such as hyponatremia, hypomagnesemia, hypocalcemia, and metabolic alkalosis. Electrolyte disturbances can have serious consequences for the heart function and rhythm, as well as other organs.

Choice A is wrong because fluid retention is the opposite of what diuretics do.

Diuretics reduce fluid retention by increasing urine output and decreasing blood volume.

Choice B is wrong because hypotension is not a direct effect of diuretics on the heart, but rather a consequence of reduced blood volume and vasodilation.

Hypotension can occur with diuretic use, especially if the dose is too high or the patient is dehydrated, but it is not a specific condition caused by diuretics.

Choice C is wrong because hyperglycemia is not related to diuretics or heart failure.

Hyperglycemia is a condition of high blood sugar, which can be caused by diabetes or other factors.

Diuretics do not affect blood sugar levels directly, although some diuretics may interact with diabetes medications and affect their efficacy.

A. Aspirate carefully after inserting the needle into the client’s skin. B. Administer the injection in the client’s thigh. C. Insert the needle at 90 degrees. D. Expel the air bubble from the prefilled syringe before injecting.

Correct Answer is C

Explanation

This is because enoxaparin is administered subcutaneously, which means under the skin, and the needle should be inserted fully into the skin to ensure proper delivery of the drug.

Choice A is wrong because aspirating (pulling back on the plunger) after inserting the needle is not recommended for subcutaneous injections of enoxaparin, as it may increase the risk of bleeding or bruising.

Choice B is wrong because administering the injection in the client’s thigh is not the preferred site for enoxaparin.The preferred site is the abdomen, at least 2 inches away from the navel, as it has more fatty tissue and less blood vessels than other areas.

Choice D is wrong because expelling the air bubble from the prefilled syringe is not necessary for enoxaparin.The air bubble helps to ensure that the entire dose of enoxaparin is injected and prevents blood from entering the syringe.

Normal ranges for enoxaparin dosage depend on the indication and the patient’s weight, but for prophylaxis of deep vein thrombosis after hip arthroplasty, the usual dose is 40 mg once a day for 3 weeks.

The prefilled syringe of enoxaparin 40 mg/0.4 ml contains the correct dose for this indication.

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Choose the group that is correct. Select all that apply.

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Naxlex Comprehensive Predictor Exams

The use of diuretics in the treatment of heart failure may lead to what condition?

Correct Answer is D

Explanation

A nurse is preparing to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 ml to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

Which of the following anti-lipidemic drugs are the most potent antilipidemic agents and have proven to lower the risk of Myocardial Infarction?

Which of the following anti-lipidemic drugs are the most potent antilipidemic agents, and have proven to lower the risk of Myocardial Infarction?

Patients taking which cholesterol-lowering agent may require supplements of fat-soluble vitamins A, D, E, and K?

The prescriber orders furosemide 80 mg for a patient who has been retaining extra fluid after surgery. The nurse notes the following: BP of 142/88 (lying) and 108/60 (sitting); daily weight of 154 lb, a 1-lb drop from day before; serum potassium of 2.8 mEq/L. What should the nurse do?

The prescriber orders furosemide 80 mg for a patient who has been retaining extra fluid after surgery. The nurse notes the following: BP of 142/88 (lying) and 108/60 (sitting); daily weight of 154 lb, a 1-lb drop from day before; serum potassium of 2.8 mEq/L. What should the nurse do?

Choose the group that is correct. Select all that apply.

Which of the following should be avoided for clients taking ACE Inhibitors?

Choose the group that is correct.
Select all that apply.