A nurse is reviewing a patient's medications prior to ...

[dollx]

A nurse is reviewing a patient's medications prior to administration. Which drug-to-drug interactions should most concern the nurse in a patient with a history of heart failure and a potassium level of 5.5 mEq/L?
 
  a. Furosemide (Lasix) and enalapril (Vasotec)
  b. Amlodipine (Norvasc) and spironolactone (Aldactone)
  c. Eplerenone (Inspra) and spironolactone (Aldactone)
  d. Metoprolol (Lopressor) and furosemide (Lasix)

Question 2

A nurse is providing education on losartan (Cozaar) to a group of nurses. The nurse asks the participants, Which of the following patients would most specifically benefit from the administration of losartan (Cozaar)?
 
  A participant would be correct to choose which of the following patients?
  a. The patient at risk for stroke
  b. The patient who wants to reduce cardiovascular mortality
  c. The patient with right-sided heart failure
  d. The patient who is pregnant

[shailee]

Answer to Question 1

ANS: C
The greatest risk with eplerenone is hyperkalemia, and combining this drug with a potassium-sparing diuretic creates a significant risk of hyperkalemia.
Furosemide and enalapril, an ACE inhibitor, would not be contraindicated in this patient.
Amlodipine and spironolactone would not cause hyperkalemia.
The combination of metoprolol, a beta blocker, and furosemide would not be contraindicated in this patient.

Answer to Question 2

ANS: A
Losartan is indicated for and reduces the risk of stroke in hypertensive crisis.
Losartan is not indicated to reduce cardiovascular mortality.
Losartan is not indicated for patients with heart failure.
Losartan is contraindicated in pregnant women.

[dollx]

Thank you!

[shailee]

Always glad to help...