Mr. Smith is a 72 year male diagnosed with hypertension.  Along with hypertension, Mr. Smith has been diagnosed with right-sided heart failure.  The following are his list of medications. He has been admitted to the medical-surgical unit for exacerbation of his heart failure.  You have been assigned to care for Mr. Smith and have started the day shift.

Furosemide (Lasix) 40 mg po daily

Atenolol (Tenormin) 50 mg po daily

Lisinopril (Prinivil) 10 mg po daily

Digoxin (Lanoxin) 0.25 mg po daily

Morning vital signs (0700):

BP 94/60

Temp 98.5

RR 22

O2 sat 98% on RA

Pain - 0/10 scale

Morning labs (0600):

NA 135

K 3.2

BUN 22

Cr 1.5

Glucose 125

1. What are the top four priority nursing considerations/concerns that would be noted related to safe medication administration based upon the information provided. Give a brief rationale concerning why it is a priority consideration related to his medications. (2 points possible - ½ point for each priority consideration)
2. What four additional assessment information not provided would receive priority in relation to his medication therapy and nursing consideration? Be sure to consider physical assessments, additional lab values, and subjective questions. Provide a brief rationale. (2 points possible - ½ point for each priority assessment information.)
3. What four  possible drug-drug interactions are there? Give a description of the potential harm from the interactions identified. (2 points possible - ½ point for each potential drug-drug interaction)
4. He has all of these medications ordered for 9am.  Name four priority actions that would need to be taken to safely administer these medications? (2 points possible - ½ point for each potential drug-drug interaction)
5. Mr. Thomas has been discharged on all these medications.  Name four top priority patient teaching that would need to be included in his discharge instructions related to these medications? (2 points possible - ½ point for each priority discharge teaching)