N 566 Unit 7 Quiz – Question and Answers Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for: Which of the following create a higher risk for digoxin toxicity? Both the cause a...
1. Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to prescribing
this drug, the NP should assess for:
A.Hypokalemia
B.Impotence C.Decreased renal function
C.Decreased renal function
D.Inability to concentrate
2. ACE inhibitors are the drug of choice in treating hypertension in diabetic patients
because they 1.Improve insulin sensitivity
2.Improve renal hemodynamics
3. Reduce the production of angiotensin II 4. All of the above
4.All of the above
3.A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following statements is true
about this adverse response?
1.Swelling of the tongue or hoarseness are the most common
1.Swelling of the tongue or hoarseness
symptoms. 2.It appears to be related to the decrease in aldosterone
production. are the most common symptoms.
3. Presence of a dry, hacky cough indicates a high risk for this adverse response.
4. Because it takestime to build up a blood level, it occurs after being on the drug for about 1week.
4.ACE inhibitors are useful in a variety of disorders. Which of the following statements are true about both its usefulness in the
disorder and the reason for its use?
3.Both 1 and 2 aretrue and the reasons are
1.Stable angina because it decreases the thickening of vascular walls due to decreased modified release. correct.
2.Heart failure because it reduces remodeling of injured myocardial tissues.
3. Both1 and 2 aretrue and the reasons are
Stable angina because it decreases the thickening of vascular walls to
correct. decreased MOD.
4. Both 1 and 2 aretrue but the reasons are wrong.
Heart failure because it reduces remodeling of injured myocardial tissues.
5 Neither 1 nor 2 are true
5. Despite
good blood pressure control, a NP might change a patient's drug from an ACEI to an angiotensin II receptor blocker
b. Does not produce a dry, hacky cough
(ARB) because the ARB:
ACE INHIBITORS:
A. Is stronger than the ACEI
•Dry, hacking cough in some patients
B. Does not produce a dry, hacky cough
•Can switch to an angiotension blocker which won't cause cough
•Reduce dose with either of these if Cr. > 2.5
C. Has no effect on the renal system
•Most are associated with hypotension: dizziness, headache, fatigue, orthostatic hypotension, tachyphylaxis (Medical
term describing an acute (sudden) decrease in the response to a drug after its administration.)
D. Reduces sodium and water retention
6.While taken an ARB, patients need to avoid certain over-the-counter drugs without first consulting the provider because
3.Both 1 and 2
1.Cimetidine is metabolized by the CYP 3A4 isoenzymes (antacid/antihistamine)
3.Both 1 and 2 Cimetidine is metabolized by the CYP3A4 isoenzymes
4.Neither 1 nor 2 NSAIDS reduce prostaglandin levels
7. Laboratory monitoring for patients on ACEIs or ARBs should include:
A.White blood cells counts with the drug dose increased for elevations above 10,000
B.Liver function tests with the drug dose stopped for ALT values 2normal C.Serum creatinine levels with the drug
dose reduced for values above 2.5
C.Serum creatinine levels with the drug dose reduced for values above 2.5 mg/dL
D.Serum glucose levels with the drug dose increased for levels above 120 mg/dL
mg/dL
8. Jacob
has hypertension, for which a calcium channel blocker has been prescribed. This drug helps control blood pressure
because it:
Decreases the amount of calcium inside the cell
1. Decreases the amount of calcium inside
1.
2. Reduces stroke volume
3. increases the activity of the na+/K+/ATPase pump
indirectly 4.Decreases HR
the cell
9. Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker?
1. bradycardia
2.hepatic impairment
3.increased contractility 4. edema of the hands and feet
4. edema of the hands and feet
10. patient teaching related to amlodipine includes:
1. increase calcium intake to prevent osteoporosis 3. Avoid grapefruit juice as it affects
2.do not crush the tablet; it must be given in liquid form if the patient has trouble swallowing it
3.avoid grapefruit juice as it affects the metabolism of this drug.
the metabolism of this drug -->
4. rise slowly from a supine position to reduce orthostatic hypotension increase
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