Ray has been diagnosed with hypertension and an ace

This preview shows page 53 - 55 out of 160 pages.

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. HypokalemiaB. ImpotenceC. Decreased renal functionD. Inability to concentrate____ 2. ACE inhibitors are the drug of choice in treating hypertension in diabetic patients because they: A. Improve insulin sensitivityB. Improve renal hemodynamicsC. Reduce the production of angiotensin IID. 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? A. Swelling of the tongue or hoarseness are the most common symptoms.B. It appears to be related to the decrease in aldosterone production.C. Presence of a dry, hacky cough indicates a high risk for this adverse response.D. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.____ 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? A. Stable angina because it decreases the thickening of vascular walls to decreased MOD.B. Heart failure because it reduces remodeling of injured myocardial tissues.C. Both A and B are true and the reasons are correctD. Both A and B are true but the reasons are wrongE. Neither A nor B 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 (ARB) because the ARB: A. Is stronger than the ACEIB. Does not produce a dry, hacky coughC. Has no effect on the renal systemD. 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: A. Cimetidine is metabolized by the CYP 3A4 isoenzymesB. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levelsC. Both A and BD. Neither A nor B____ 7. Laboratory monitoring for patients on ACEIs or ARBs should include: A. White blood cells counts with the drug dose increased for elevations above 10,000B. Liver function tests with the drug dose stopped for ALT values 2normalC. Serum creatinine levels with the drug dose reduced for values above 2.5 mg/dLD. Serum glucose levels with the drug dose increased for levels above 120 mg/dL
____

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture