Author Question: A client is scheduled to receive a diuretic and a beta blocker. The nurse determines the combination ... (Read 123 times)

jenna1 · **on:** Jul 23, 2018

A client is scheduled to receive a diuretic and a beta blocker. The nurse determines the combination of these drugs will have which effect on the client's blood pressure?

1. Oppositional
2. Synergistic
3. Antagonistic
4. Additive

Question 2

A client is prescribed tetracycline for an infection. The nurse instructs the client to avoid which food to prevent a possible drug-to-food interaction?

1. Citrus juices
2. Dairy products
3. Legumes
4. Beef

jharrington11 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The drugs have different actions, but they do not oppose each other.
Rationale 2: The two drugs together might not have a greater effect than the effects of each drug used separately.
Rationale 3: The two drugs will not antagonize or cancel the actions of each other.
Rationale 4: The two drugs together have an additive effect on blood pressure. The diuretic will reduce blood volume; the beta blocker will block vasoconstriction, causing a decrease in peripheral vascular resistance. These two different actions will both help to reduce blood pressure.
Global Rationale: The two drugs together have an additive effect on blood pressure. The diuretic will reduce blood volume; the beta blocker will block vasoconstriction, causing a decrease in peripheral vascular resistance. These two different actions will both help to reduce blood pressure. The drugs have different actions, but they do not oppose each other. The two drugs together might not have a greater effect than the effects of each drug used separately. The two drugs will not antagonize or cancel the actions of each other.

Answer to Question 2

Correct Answer: 2
Rationale 1: Citrus juices will not cause drug interactions with tetracycline.
Rationale 2: The calcium in dairy products can interfere with the absorption of tetracycline, and so should not be taken with the medication.
Rationale 3: Legumes will not cause drug interactions with tetracycline.
Rationale 4: Beef will not cause drug interactions with tetracycline.
Global Rationale: The calcium in dairy products can interfere with the absorption of tetracycline, and so should not be taken with the medication. Citrus juices will not cause drug interactions with tetracycline. Legumes will not cause drug interactions with tetracycline. Beef will not cause drug interactions with tetracycline.