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Author Question: A gerontological nurse is aware that increased aldosterone is a major factor in the pathophysiology ... (Read 82 times)

jayhills49

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on: Jul 23, 2018
A gerontological nurse is aware that increased aldosterone is a major factor in the pathophysiology of heart failure. Which of the following medications reduces aldosterone-induced retention of sodium and water?
 
  A) Hydrochlorothiazide
  B) Enalapril maleate
  C) Spironolactone
  D) Losartan potassium

Question 2

A patient is scheduled to receive one unit of packed red blood cells. The patient states that she has had an allergic reaction to a transfusion in the past.
 
  What class of medication will assist in preventing a reaction to the packed red blood cell transfusion? A) Antipyretics
  B) Antimicrobials
  C) Antianginals
  D) Antihistamines


ecabral0

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Feedback:
Spironolactone (Aldactone) is an aldosterone antagonist that reduces aldosterone-induced retention of sodium and water and impaired vascular function. Thiazide diuretics, ACE inhibitors, and angiotensin IIreceptor blockers do not have this mechanism of action.

Answer to Question 2

D
Feedback:
Premedication with an antihistamine may be used to prevent allergic reactions with the administration of a transfusion of packed red blood cells. The administration of antimicrobial or antianginal is not recommended for a transfusion reaction.


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jayhills49

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Reply #2 on: Jul 23, 2018
TY


ecabral0

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Reply #3 on: Jul 23, 2018
You're welcome


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