A patient with heart failure who has been taking an ACE ...

[ishan]

A patient with heart failure who has been taking an ACE inhibitor, a thiazide diuretic, and a beta blocker for several months comes to the clinic for evaluation.
 
  As part of the ongoing assessment of this patient, the nurse will expect the provider to evaluate: a. complete blood count.
  b. ejection fraction.
  c. maximal exercise capacity.
  d. serum electrolyte levels.

Question 2

A patient with a history of benign prostatic hyperplasia is admitted to the unit. The patient is taking multiple medications, including terazosin Hytrin. During the evening rounds, the patient begins to complain of dizziness and nasal congestion.
 
  Upon assessment, the patient is somnolent and has a blood pressure of 101/42 mm Hg. The nurse is correct to suspect: a. priapism.
  b. sinus infection.
  c. allergic reaction.
  d. adverse effects.

[juicepod]

Answer to Question 1

D
Patients taking thiazide diuretics can develop hypokalemia, which can increase the risk for dys-rhythmias; therefore, the serum electrolyte levels should be monitored closely. A complete blood count is not recommended. This patient is taking the drugs recommended for patients with Stage C heart failure; although the patient's quality of life and ability to participate in activities should be monitored, routine measurement of the ejection fraction and maximal exercise capacity is not recommended.

Answer to Question 2

D
The principal adverse effects of terazosin and doxazosin are hypotension, fainting, dizziness, somnolence, and nasal congestion. No evidence indicates priapism, sinus infection, or an allergic reaction.

[ishan]

Excellent

[bulacsom]

TYSM